Permit CITY TIGARD PERMIT #: ELC2008 -00286
ELECTRICAL PERMIT
III
° COMMUNITY DEVELOPMENT DATE ISSUED: 5/21/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S102BB - 02400
SITE ADDRESS: 10060 SW MOLLY CT ZONING: R-4.5
SUBDIVISION: MOORE'S MEADOWS LOT : 005 JURISDICTION: TIG
PROJECT: GROVER
Project Description: Installing (2) branch circuits. 6/5/08, ADDING (1) FEEDER.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HM/ SVC/ FDR: 601+amps -1000 volts: MINOR LABEL (10): •
SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: 1 W /SERVICE OR FEEDER: 2 PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 0 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 0 IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
OONA GROVER MR SUN SOLAR ENTERPRISES WEST
10060 SW MOLLY CT 6125 NE PORTLAND HWY
TIGARD, OR 97223 PORTLAND, OR 97218
Phone: Contact #: PRI 503 - 222 -2468
FAX 503 - 245 -3722
FEES
Description Date Amount Reg #: ELE 002CLR
[ ELPRMT] ELC Permit 5/21/2008 $53.50 LIC 33716
[TAX] 12% State Surchar 5/21/2008 $6.42 SUP 003LRT
[ELPRMT] ELC Permit 6/5/2008 $40.10
(additional fees not listed here) REQUIRED ITEMS AND REPORTS
Total $104.83
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. 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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in
OAR 952 -0 010 t h OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to QUNC at 503.246.6699 or 1.800.332.2344.
Issued B Permittee Signet e: yLdj
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'N: 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.
•
,
E1ti trical Permit Applicatio EG E1vE i`of: ui' . R t sr. 0.:1,)
City of Tigard Received 97223
B DateB : _' N/ d g LAC -
13125 SW 1.1211 Blvd., Tigard, OR 47223 let V 2 Q Z�O plan Review ` e/`"-' -, C'U
Phone: 503.639.4171 Fax: 503,598.1960 \'1W ' Date/13v; Other Permit:
l I c.; R t ? Inspection Line: 503.639.4175 .1 1 U ' p , • .. to Ready/By. Lob: el see Page 2 for
Internet: www.tigard -or.gov Di or 10 .fied/Metbod: • • Supplemental Information
,c t Wr r, " r ., Js tL Ate: l ° ", ,�.; 1 ;,:, a .Ar..^•'r ; G �--�' a •. " *.., G -„,,, , w r .4x„, :; rr
70 `.;P: t� +� s 47-, e : e , l'�; ,i ..,: �: #- �, .t ; s', a :. , r. ,. ; . „ ,. 5 1'��; i :fa
M• ��� .4'� 'n. � '�-,`: t {- ';� -' •1' .� c;�� : ,It 't'-'e, ; ��,,7t �-• " :`Q4�� ^ • �M
�' 6 ,y;,,:;.r•:.t:., 1 - = S` fa:r 3.' auta rva a ...aww41 :. • ' \.3 ld ` o� .
0 Now construction C Addition/alteration/replaccment Please check all that apply (submit 2 sets of plans w /items checked below):
• ❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
• "p ' . '�: M- ^•,.4. 7 , ?n''1 r. �A iS P a' ,, ,. ..... i:; ,� 4 ,. ' _,:p :{ i:r`'. ; :, :.1:: e'ceedt 10,000 amiss ❑ Flossing buildinga.
? - e s, f , • " .- am at ISO volts or
r >v .: �$•�t ,•. :��'� `'�.. ����r�; �.... '� '�. 1,,,�: ,;',
l ess to un. or exceeds ,
and 2 dwelling Commercial/industrial Accessory building �d d 14,000 ° ❑ Commercial erne agricultural
Y g ❑ ❑ ry 8 alum for all other installations, buildings.
❑ Multi - family ❑ Master builder ❑ Other: O Fire PumP. ❑ Installation of 75 KVA or
.7 : M1t ,+ ",i'� ,fr: 'h "' �t >Y,': 21?i` :1•K 't pe y y,1�t.- w7 . ,r, : 1 - i.s . n • t i :: ^ � .� , •�,-�:. ❑ Emergency system• 1arger separatelyderivedsystem.
:i_. ,r 7"ks'� A... . <T� . ...,• . i_'' a;�: F ; : t :�., p.c:. ❑ Addition of new motor load of 0 "A ". °E'. "1 -2° „1 -3"
Job no.: Job site address: /006 0 S W M o /1 V a _ 10011P or more. occupanoy.
CI Six or more residential units. ❑Recreational vehicle parks.
City /State/ZIP: � T / r 9 72 3 ❑ Health -ears facilities• ❑ Supply voltage for more than
- �s -- C --- ----- ._... _...-.---.....— ...- .._.... — O Hazardous locations. 60a volts nominal.
Suite/bldg. /apt. no.: Project name: 6 ❑ Service or feeder 600 amps or more.
„F ;$ ,L�tii"+ 4 , a.,� c'i . r'r t`" 7 _ _ n
Cross street/directions to job sfte: n - "" vow ho _ 1
etcrtptron ty 0
New residential single- o m ulti- family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Tax map/parcel no.: Ea. addi 500 sq. ft. or portion 33.40 1
Limited energy, residential
75,00 2
IFI. 1 'iV.� , ai.•v I te_ ; b .
,r -�' -' . . ,.' . _. '.. �- �' "''v.:a: ';��. �'� ., - with above ft.
� :IE- , �_QrAt�:�-'.,e.4'- �a.'tM't ri'._, rLt'� -4,: `.- ,�F;:�'}r7�A[�•�....: . � `.i �• • 41 ; ( sq. )
_ � Limited energy, multi- family
-�•.t 3 k lA) itAi ` 5 � _. . ", residential (with above sq. ft.) 75.00 2
r ' ► se (0 . r . Services Or feeders installation, alteration, and/or relocation
A ., !� t� �ytuo� f v G► ,- 200 amps or less 80.30 2
o<y`.. 4 , libt , ` . :1'''' ' .17)1' '' ' 'T 77 t 17.1'y y `. .' . •.i M''''''' . c.; '' r , , 7.` s
- i .N, ; , . s : f, _ , " , _`: .4:.;; > +i? 1 ; ; c , <: 201 amps to 400 amp
. , , : ..�.� `., -: .. . -= r .. ; ., 106.85 2
Name: G C4lfuc�r 401 amps to 600 amps 160.60 2
"� 601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
City / State/ZIP: Temporary services or feeders installation, alteration, and/or
relocation _
Phone: ( ) I Fax: ( ) 200 amps or less 66.85 I
Owner installation: This installation is being made on property that I own which is not ?Ol amps to 400 amps 10030 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
Branch circuits - hew, alteration, or extension, per panel
Owner signature: ,6� Date. A Fec for branch circuits with
r ;-In. : {{[[77��' r. • . - `• }} ��.y.�yy1R•E:iO40.00*:
i, j:C. :._ h)..:•::; c•JF�`i�^%':1: .a ',Y .. . `� (ST,!.}! ..',. above service or feeder fee,
each branch circuit 6.65 2
'Business name: B. Fee for branch circuits
without service or feeder fee, (�
Contact name: first branch circuit 46.85 i cr 2
Address: Each add'I branch circuit 6.65 1_1045 2
,Miscellaneous (service or feeder not included)
City / State/ZIP: Each manufactured or modular
90.90 2
dwelling, service and/or feeder
Phone: ( ) I• Fax :: ( ) Reconnect only 66.85 .. 2
E - mail: Pump or irrigation circle 53.40 2
7 ?.' c i`
,. 4'� �L;� =` •t"' ; c : , i .� ;ne lighting o-s ,:: rt`:,„ ��tt ! "t.. ±,. .;hr..t'P 1. , 1,.,'... �i� .... ._ .. ,. ._ ... _ „'r< - ,.. ... < . . : • ��h(ia; �. ?' T.r. . ., - Sign or outli liti
5•+ g 3.40 2 S
5 / r ,hey Pcs c,,,� Signal circuit(s) or limited-
Business name: Air J
dx O �,/c, energy panel, alteration, or
Address: 4/ 2 - /rE P rya 14 extension. Describe: Page 2 2
City /State /ZIP: 7 .- /4 ., / )j C ?2�R / Each additional inspection over allowable in any of the above
Per 5b3 )2. —2 c>'�g F : sQ 3 71 2 'n potion 62.50
Phone: (
r ? ( d
- CCB Lic.: Electrical Lj 3) 2 4 r ,edi/ d rinv per hour (1 hr min) 62.50
or: t 9 C y� Suprv. Lic.: eV 3 i - � 73.75
Industrial plant per hour _
Suprv. El !Cl SI et ,=,' '.t.e a� .: t.E. S :' >erg.ifr , :0/ ' w• ;; , 1;•�
ore, required: t `
Subtotal: , ij .
Print name: �� rr. Date: '' / red Plan review (25% of permit fee):
.--.. State surcharge (12% of permit fee): 1 1.,..ar-ar 6.9 A
Authorized signature: TOTAL PIjRM1T FEE:
y This permit application expires if a permit it not obtained within ISO e A
Print name: � � Date: 7(rt, days atter it bas been accepted as complete. 4 G
• Number of inspeotiona allowed per permit. 5
MBuilding\PermitrlELC- PermitApp.doc 05/23/06 440.46151111/06 /COM/WEB
CITY OF TIGARD .�.. .
BUILDING DIVISION PERMIT #: ELC2008 00286
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 512//2000
Phone: (503) 639 -4171 lit
Inspection Requests (24 Hrs.): (503) 639 -4175 .�' F_ ..
INSPECTION WORKSHEET FOR DATE: 6/5/2000 TIME: 7:00AM PAGE: 59
SITE ADDRESS: 10060 SW MOLLY CT CLASS OF WORK:
SUBDIVISION: MOORE'S MEADOWS LOT #: 005 TYPE OF USE:
PROJECT NAME: GROVER
DESCRIPTION: Installing (2) branch circuits.
OWNER: GROVER, OONA PHONE #:
CONTRACTOR: MR SUN SOLAR ENTERPRISES WEST . PHONE #: 503 - 222 -2468
mm .
Inspection Request Scheduled For: Date: 6/5/2008 Pour Time:
Code # Inspection Description 'nfirm # Contact # essage
195 Misc. inspection , 070786.01 503 - 222 -2468 Y
Corrections /Comments /Instructions: ;' • S 6� ' g3$C1
0 •. (io v % cb �■N ' ! ■ 1..:1 (..A1 16N -
(to Nil pa ?2cLpw)' 7 i1 6t.) Pc v &L .
6 9 Kov iz'& Vl‘il -16 ti Patirs4 1 Q 41:4 ■cpL,
ki, L._ t\L-A ts T.) 1 da \ Pfftii. c-V-41rLI 23
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❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: &-- • ` v '.B LF. Date: 61 O Phone #: (503) 718-V q Y"
CITY OF TIGARD t.
BUILDING DIVISION - • PERMIT #: ELC2008.00286
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/21/2008
Phone: (503) 639 -4171 ,, I
Inspection Requests (24 Hrs.): (503) 639 -4175 ...'!+� I_..
INSPECTION WORKSHEET FOR DATE: 602008 TIME: 7:01AM PAGE: 26
SITE ADDRESS: 10060 SW MOLLY CT CLASS OF WORK:
SUBDIVISION: MOORE'S MEADOWS LOT #: 005 TYPE OF USE:
PROJECT NAME: GROVER
DESCRIPTION: Installing (2) branch circuits. 6/5/08, ADDING (1) FEEDER.
OWNER: GROVER, OONA PHONE #:
CONTRACTOR: MR SUN SOLAR ENTERPRISES WEST F RAN PHONE #: 503 - 222 -2468
Inspection Request Scheduled For: Date: 6/6/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 071015 -01 503.222 -2468 N. Y
Corrections /Comments /Instructions: -----
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•
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL X CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G NOe LC Date: (' ' 01 Phone #: (503) 718- 2 t
CITY OF TIGARD
BUILDING DIVISION PERMIT #: >r1L2P0s• 002$
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 °7I —
INSPECTION WORKSHEET FOR DATE: to • 26 -.Q U TIME: PAGE:
SITE ADDRESS: 1 1 060 S W M,6 U-1 c b CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: itt•2zi Pour Time:
Code # Inspection Description Confirm # Contact # Message
:A
Corrections /Comments /Instructions:
° q\/
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G-- 06 •i i--c: Date: 6' v v Phone #: (503) 718-M4().