Permit •
,, CITY OF TIGARD ELECTRICAL PERMIT
- ° 1 _ x- - COMMUNITY DEVELOPMENT Permit #: ELC2011 -00358
13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/07/2011
GAR Parcel: 2S109DA14000
Jurisdiction: TIGARD
Site address: 12677 SW MOUNT VISTA CT
Project: ARLINGTON HEIGHTS NO. 3, LOT 59 Subdivision: ARLINGTON HEIGHTS NO. 3 Lot: 59
Project Description: Installation of solar photovoltaic system.
Contractor: LAUGHLIN ELECTRIC LLC Owner: STONE BRIDGE HOMES
3 MONROE PARKWAY STE P PMB205 16869 SW 65TH AVE #505
LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035
P
PHONE: 503 - 387 -7577
HONE: 503 - 449 -7389
FAX: 503 - 639 -0077
FEES
Quantity Description Date Amount
1 ea Services or Feeders - 200 06/28/2011 $100.70
Specifics: amps or less
1 crt Branch Circuits w /Purchase 06/28/2011 $7.42
Type of Use: SF Service or Feeder
Class of Work: ALT 1 ea 12% State Surcharge - 06/28/2011 $12.97
Electrical
Type of Const: 13 12% State Surcharge - 07/07/2011 $12.97
Occupancy Grp: Electrical (manual)
108 Investigation Fee (Equals 07/07/2011 $108.12
Permit Fee)
Total $242.18
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 -0090. You may obtain a co• • • - • • - t questions to OUNC by calling 503.232 1•87 •, 1.800.332.2344.
i ( 4
Issued By i / «�._'- _ _ _.� 'ermi Signature: � � 1f
' 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 the next available inspection date.
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.
Electrical Permit Application FOR OFFICE USE ONLY .
•
Received Q
74 City of Tigard Dale /B : �� U �I
R t l Permit No.: E� "4`!—•&'35g
13125 SW Hall Blvd., Tigard, OR 97223 Plan Rev iew / n / W'
0 . ? "f . , O Permit: , , /) /�06!
Phone: 503.718.2439 Fax: 503.598.19 u ate /By: / T 1 C'. A R b Inspection Line: 503.639.4175 .1 i" Ready /By: See Page 2 for
Internet: www.tigard or.gov otified /Methhodd: 1 /'ce //( (a r1d 7 Supplemental Information
TYPE OF WORK JUN 2 8 ZU11 4344-- ! r L I�E � p PLAN REVIEW
Please check all th
E New construction El Addition /alteration/ pply (submit 2 sets of plans w /items checked below):
untor IGARD ❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑Other: SUI DIVISION where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTR I exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14.000 ❑ Commercial -use agricultural
® I- 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 ❑ Emergency system. larger separately derived system.
❑ Addition of new motor load of ❑ "A ", "E ", "l -2 ", "l -3 ",
10OHP or more. occupancy.
Job no.: Job site address: 12677 Mount Vista Ct. 0 vehicle ar
❑ Six or more residential units. parks.
City/State /ZIP: Tigard, OR 97224 ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite /bldg. /apt. no.: Project name: 12677 Mount Vista Ct. El Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street /directions to job site: Description I Qt I Fee. I Total I *
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: Arlington Heights Lot no.: 59 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.)
Limited energy, multi - family 75.00 2
Photovoltaic installation residential (with above sq. ft.)
Services or feeders installation, alteration, and/or relocation
200 amps or less X 100.70 100.70 2
® PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
Name: Stonebridge Homes
601 amps to 1,000 amps 301.04 2
Address: 16869 sw 65 AVE Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation, alteration, and /or
City/State /ZIP: Lake Oswego, OR 97035 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
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2
Branch circuits — new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
® APPLICANT - El CONTACT PERSON above service or feeder fee X 7.42 42 7.42 2
each branch circuit
Business name: LiveLight Energy, LLC B. Fee for branch circuits without
service or feeder fee, first
Contact name: Molly Stradley branch circuit 56.18 2
Each add'I branch circuit 7.42 2
Address: 1815 NW 169 Place, Suite 4020 Miscellaneous (service or feeder not included)
City/State /ZIP: Beaverton, OR 97006 Each manufactured or modular 67.84 2
dwelling, service andior feeder
Phone: (503) 682 - 2168 Fax: : (503) 690 - 4399 Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
E - mail: molly @livelightenergy.com Sign or outline lighting 67.84 2
CONTRACTOR . Signal circuit(s) or limited- energy
Business name: Laughlin Electric LLC panel, alteration, or extension. Page 2 2
Each additional inspection over allowable in any of the above
Address: 3 Monroe Parkway, Suite #205 Additional inspection (I hr min) 66.25/ hr
Investigation (I hr min) 66.25/ hr
City/State /ZIP: Lake Oswego, OR 97035 Industrial plant (1 hr min) 78.18 / hr
Phone: (503 ) 449 - 7389 Fax: ) Inspections for which no fee is
specifically listed ('h hr min) 90.00/ hr
CCB Lic.: 165763 Electrical Lic.: r8. "/ uprv. Lic.: 5097 S ELECTRICAL PERMIT FEES
Subtotal: 108.12
Suprv. Electrician signature, required: Plan review (25% of permit fee):
' c Print name: Grant Laughlin Date: 6/27/2011 State surcharge (12% of pennit fee): 12.97
TOTAL PERMIT FEE: 121.09
Authorized signatu -: 1 • �, • �; 1 11
1 , /� This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: Molly Stradley ■ . te: 6/27/2011
* Number of inspections allowed per permit.
1:\ Building \Permits \ELC- PermitApp.doc 07/01/10 440- 46 15T( l l /05 /COM /WEB
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK ONLY:
Fee for all residential systems combined .. $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
n Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
H Vacuum Systems*
® Other: Solar Photovoltaic
COMMERCIAL WORK ONLY:
Fee for each commercial $75.00
system
(SEE OAR 918- 309 -0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
n Boiler Controls
❑ Clock Systems
n Data Telecommunication Installation
❑ Fire Alarm Installation
H HVAC
❑ Instrumentation
n Intercom and Paging Systems
❑ Landscape Irrigation Control*
n Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I: \Building \Permits \ELC- PermitApp.doc 07/01/10