Permit / (() op �� () 6. ; '1-
rc CA
CITY OF TIGARD ELECTRICAL PERMIT
a • COMMUNITY DEVELOPMENT Permit #: ELC2010 -00525
T I G API) 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 09/23/2010
Parcel: 2S109DA13900
Jurisdiction: TIGARD
Site address: 12685 SW MOUNT VISTA CT
Subdivision: ARLINGTON HEIGHTS NO. 3 Lot: 58
Project: Arlington Heights No. 3
Project Description: (1) 200 amp service for PV array (solar panel). 10/19/10 added (1) branch circuit for PV system.
Owner: FEES
STONE BRIDGE HOMES NW, LLC Quantity Description Date Amount
16869 SW 65TH AVE. #505
LAKE OSWEGO, OR 97035 1 ea Services or Feeders - 200 09/23/2010 $100.70
amps or less
PHONE: 503- 387 -7577 1 ea 12% State Surcharge - 09/23/2010 $12.08
Electrical
7 da Electrical Permit 10/19/2010 $7.42
Contractor: 1 da 12% State Surcharge - 10/19/2010 $0.89
LAUGHLIN ELECTRIC LLC Electrical
3 MONROE PARKWAY STE P PMB205
LAKE OSWEGO, OR 97035
PHONE: 503 - 449 -7389
FAX: 503- 639 -0077
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Total $121.09
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -0010 through OAR • 2- 001 -0100. You •• - • • - • • - • py • 446 les or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: - Permittee Signature: 2
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease or rent.
OWNER'S SIGNATURE Date:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC' Date:
LICENSE NO.
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the Job site at the time of each inspection.
.711 CITY OF TIGARD ELECTRICAL PERMIT
is COMMUNITY DEVELOPMENT Permit#: ELC2010 -00525
T I GAR D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 09/23/2010
Parcel: 2S109DA13900
Jurisdiction: TIGARD
Site address: 12685 SW MOUNT VISTA CT
Subdivision: ARLINGTON HEIGHTS NO. 3 Lot: 58
Project: Arlington Heights No. 3
Project Description: (1) 200 amp service for PV array (solar panel)
Owner: FEES
STONE BRIDGE HOMES NW, LLC Quantity Description Date Amount
16869 SW 65TH AVE. #505
LAKE OSWEGO, OR 97035 1 ea Services or Feeders - 200 09/23/2010 $100.70
amps or less
PHONE: 503 - 387 -7577 1 ea 12% State Surcharge - 09/23/2010 $12.08
Electrical
Contractor:
LAUGHLIN ELECTRIC LLC
3 MONROE PARKWAY STE P PMB205
LAKE OSWEGO, OR 97035
PHONE: 503 - 449 -7389
FAX: 503 - 639 -0077
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Total $112.78
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: .4 Permittee Signature:
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease or rent.
OWNER'S SIGNATURE Date:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC' Date:
LICENSE NO. 7S
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
10/15/2010 12:44 5036826920 LIVELIGHT ENERGY PAGE 03/04
RECEIVED
Electrical Permit Application i•ol.t OFFICL Lisp. o\L\
City of Tigard OCT 15 2010 R"eived
Dar Permit No.: ELEC20 1 0
_-f 13125 SW Hall Blvd., Tigard, OR 97223 Plat Review Other Permit:
Phone: 503.639.4171 Fax: 503.59$>196A OF TIGARD Dates
Inspection Line: 503.639,4175 all pate Readyf y: Julie; 65 see Page 2 for
r' ;''
Internet www.tigard- or.gav BUILDING DIVISION Notificamet>od: Supplemental Information
TYIPra wozezc;;.... ,.. :...:,
[]■ New construction ❑ Addition/alteratiAn/replacement Please check all that apply (submit 2 sets of plans wrtems ch bolov):
❑ Service or fader 400 amps or more 0 Building over three stories.
❑ Demolition 0 Other: where the available fault current ID Marinas and boatyards. • '.CATEGORY , . OF'' e:or 'RUc ION euecde 10,000 amps at 150 volts or ❑ Floating buildings.
leas to ground, or exceeds 14,000 ❑ Commercial-use agricultural
MI 1- and 2- family dwelling 0 Commercial/industrial 0 Accessory building amps for all other installations. buildings.
O Multi famil, ❑ Master builder ❑ Other: _ ❑ Fire pump. ❑ Installation of 75 KVA or
❑ Emergency system. larger separate derived
system.
JOB SITE : INF UJ?MA L ION r1;ND LOCA . ❑ Addition of new motor load of ❑ °A *, "1 - 2" 1
.. 100E1P or mote. occupancy. Job no.: Job site address: 12685 SW Mount Vista Ct. ❑ six or more residenial ,nits. 0 Regains vellcle Parks.
❑ Health -taro facilities. ❑ Supply voltage for more t
City/State/ZIP: Tigard, OR 97223 • 0 Hazardous locations. 600 obis nominal,
Suite/bldgJaptno.: Project name: Stone Bridge Lot 58 ciSerri00 feeder 6W amps ormoTs, Oda ;470/4a) t eg ■ ,
Cross street/directions to job site: ne:e ;aeaa o� '• -
New residentlal single- or multi-family dwelling unit
includes attached ra
ga ge
Subdivision: Lot no.: 58 Loco sq. ft. or less 168.54 4
. Ea. add'l 500 sq. ft. or portion 33.92 1
Tax map /parcel no.: Limited energy, residential ... D 75.00 2 • ON OF WOl3IC
T (wilt above sq.
Limited energy, multi- family 75,00 2
Installation of solar photovoltaic system. residential (with above sq. ft)
Services or feeders installation, alteration, and/or relocation
200 amps or less 100.70 1 12
2 01 amps to 400 amps 13356 2
:'.L],•RItdPERx1l::Ow1Y1QR; (] TENANT. ' 401 amps to 600 200.34 2
Nome: 601 amps to 1,000 amps I 301.04 2
Address: Ova 1,000 amps or volts I 552.26 2
, - • Temporary services or feeders installation, alteration, and/or
City /State/ZIP: relocation
Phone: ( ) Fax: ( ) 200 amps or less 59.36 1
201 amps to 400 amps 125.08 2
Owner installation: This installation is being made on property that 1 own which is not 401 amps to 599 amps 168.54 3
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. Branch circuits - new, alteration, or extension, per panel
Owner signature: i
Rate. above service or feed f ee, 1 7.42 7
..: "E.4 LidiNT ' : ®• ••.Genres '. p RSOPI_' c circuit
I.. 2
each ' :.
Business name: LiveLight Energy, LLC B. Fee f orr b branch ciircuits without
fee, first 36.18 2
Contact name: Jennifer Atkins branch circuit
- Each add•1 branch circuit 7.42 2 • Address: 9325 SW Barber St. Miscellaneous (service or feeder not included)
Each manufactured or modular 67.84 2
City /State/ZIP: Wilsonville, OR 97070 -9229 dwelling, service and/or feeder
Phone: ( ) 503.682.2168 Fax: : ( ) Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
E-mail: jennifer(Ovelightenergy.com Signor outline lighting 67.84 2
C01�1 XRACTQR .. Sigma) circuit(s) or limited- energy
Business name: Laughlin Electric, LLC Patel, alteration, or extension. Page 2 2
9 Each additional inspection over allowable in any of the abov
Address: 3 Monroe Parkway #P205 Additional inspection (1 tr ain) 66.25/lir
City/State/ZIP: Lake Oswego, O, OR 97035 Investigation (1 hr min) 66,25/ hr
Industrial plant (1 lee min) 78.18/ hr
Phone: ( ) 503.449.7389 Fax: ( ) Inspections for which nO fee is 9o,00i irr
specifical li sted ('h h min)
CCB Lic.: 165763 Electrical Lic.: Suprv. Lic.: ... ... .: . ELTeCTIUOAi ., P16 ?Tl°- E)15 : ; r : - :...:
Subtotal: 7.42
Suprv. Electrician signature, required: Plan review (25% of permit fee):
•
Print name: Date: state surcharge (12x/ of permit fee): .89
-- • TOTAL PERMIT FEE: 8.31
Authorized signature: This permit application expires if a permit is not obtained within 180
days afterit has been accepted as complete.
Print name: I Da te : a Number of inspections allowed per permit. .
03eildinglPerm tt PlmtitApp.doe 07/01/10 • 440-461sT(11/05/COM/W£6
‘' ► 14V014) (S
Electrical Permit Application ix k orvi(i: list ONl.V
Cl of Tigard Received Permit No..
tY g DateB : L LL'.70,0 ' 00�
1 111
• 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
C Phone: 503.639.4171 Fax: 503.598.1960 DateIB : Other PenniWST AR9 — 1700
. 1 G R r) Inspection Line: 503.639.4175 Date Ready/By: INNI BI See Page 2 for
Internet: www.tigard- or.gov Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
jg New construction ❑ Addition/alteration/replacement Please check all that apply (submit Z sets of plans w /items checked below):
Other:
El Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition
❑ where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
A I 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION
1:1 Emergency system. larger separately derived system.
❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ",
Job no.: Job site address: 12 638 w Af of V: t 0 Lt Six or or more. esi Recreational
S � ❑ Six or more residential units. ❑R vehicle parks.
City/State /ZIP: -7 a OA q .7 22� ❑ Health care facilities. 0 Supply voltage for more than
9 El arardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: p v •Qtt'..7, ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description l otv. 1 Fee. 1 Total 1
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 168.54 4
Ea. add'I 500 sq. ft. or portion 33.92 1
Tax map /parcel no.: Limited energy, residential 75.00 2
DESCRIPTION OF WORK (with above sq. ft.)
1 Limited energy multi - family
fN.40 ,I c,s,,.e.t� .rS p, 7....... 4...3 4. E/,o._ 4....1 residential (with above sq. ft.) 75.00 2
Services or feeders installation, alteration, and/or relocation
200 amps or less I 100.70 i 00,1 V 2
❑ PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
Name:
411" 42— i 3c-1,, .e_ 1 601 amps to 1,000 amps 301.04 2
Address: Over 1,000 amps or volts 552.26 2
Ci /State/ZlP: Temporary services or feeders installation, alteration, and/or
h relocation
Phone: ( ) Fax: ( ) 200 amps or less 59.36 1
201 amps to 400 amps 125.08 2
Owner installation: This installation is being made on property that I own which is not 401 amps to 599 amps 168.54 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701.
Branch circuits — new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
❑ APPLICANT I ❑ CONTACT PERSON above service or feeder fee,
• each branch circuit 7.42 2
Business name: L,� 115L -I duA 4E4-.37 B. Fee for branch circuits without
service or feeder fee, first 56.18 2
Contact name: branch circuit
Each add'I branch circuit 7.42 _ 2
Address: Miscellaneous (service or feeder not included)
City /State /ZIP: Each manufactured or modular 67.84 2
dwelling, service and/or feeder
Phone: ( ) Fax: : ( ) Reconnect only 67.84 2
' Pump or irrigation circle 67.84 2
E -mail:
Sign or outline li ghting 67.84 2
• CONTRACTOR Signal circuits) or limnited
Business name: Lo k) a` g44.4,4,41_ �. L panel, alteration, or extension. Page 2 2
9 Each additional inspection over allowable in any of the above
Address: 3 eba p0.44 ? 4, L ag. 01.0,.. GIB '1D� 9 Additional inspection (1 hr min) 66.25/ hr
City/State /ZIP: I Investigation (1 hr min) 66.25/ hr
Industrial plant (I hr min) 78.18 / hr
Phone: (S ) 44 9 1$120 Fax: ( ) Inspections for which no fee is
VCCB specifically listed (/2 hr min) 90.00 / hr
Lic.: /‘5763 Electrical Lic.: C 4, Suprv. Lic.: S s ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: i f ° 1°C) 'la St
Plan review (25 /o of permit Subtotal: fee):
Print name: / , i �� , t � ` Date: d till xmo
State surcharge (12% of permit fee):
'
Authorized signature: I TOTAL PERMIT FEE: 1/ , ,'
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.