Permit 74 ° CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: ELR2008 - 00167
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/18/2008
PARCEL: 2S 10288 - 02400
SITE ADDRESS: 10060 SW MOLLY CT ZONING: R-4.5
SUBDIVISION: MOORE'S MEADOWS LOT: 005 JURISDICTION: TIG
PROJECT: GROVER
Project Description: Low voltage for photovoltaic system for solar panel.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: HOTOVOLTA : X HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER: .
TOTAL # OF SYSTEMS:
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 Reg #: ELE 002CLR
LIC 33716
Description Date Amount
[ELPRMT] ELR Permit 6/18/2008 $75.00
[TAX] 12% State Surch 6/18/2008 $9.00 REQUIRED ITEMS AND REPORTS
Total $84.00
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Utility Notifi - '•n Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or •erect que •o' - o OUNC at 503.246.6699 or 1.800.332.2344. .
Issue. By: , II$_a 4 I_, Permittee Signa re: e ,,If tldrAlr; '
f
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.
h ' !' 16 ' /
it -i .-"
Electrical Permit Application R E CE OFFICI. use ONLY
City of Tigard — �`-'�� // O$ 6 Permit No.: &too g r010/67
13125 SW Hall Blvd., Tigard, OR 97223 Plati eview
Phone: 503.639.4171 Fax: 503.598.1960 JUN 11 Date/By: Outer Permit:
Inspection Linc: 503.639.4175 2 i a Ready/By. ® See Page 2 for
f 1 Ci.n } 0 Internet: www.tigard j • ified/Method: Supplemental Information
. . YPE OF WORKBUI TT C ARD . , PLAN REVIEW .
N G D IVIS Please check all that apply (submit a sets of plans w(nems checked below):
El New construction Addition/alteration /replacement ��N
❑ Sertice or feeder 400 amps or more ❑ Building over dace stories.
❑ Demolition Other: where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial agriculture:
1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi - family ❑ Master builder ❑ Other: ❑ fire lip. ❑ tnsmllaiion of 75 KVA or
❑ Emergency system. larger separately derived system.
JOB SITE INFORMATION AND LOCATION ['Addition of new motor load of ❑ "A", "f ", "I -3", '1 -3 '.
• IODHP or more. occupancy.
Job no.: Job site address: L
•1 0 0 ( o 0 5W r ' ! /�/� 0 I / y C r . ❑ Six or more residential units. ID Recreational vehicle parks.
City/State/ZIP: q j ❑ Health-care facilities. ❑ Supply voltage for more than
G( �r� / / / l � Z� 3 El Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: J Project name: C 13
Service or feeder 600 amps or mom
FEE SCHEDULE
Cross street/directions to job site: , Description I Qtv. I Fee. I Tow I •
New residential single- or multi - family dwelling unit.
1 Includes attached garage.
• Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Ea. add'I 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential
75.00 2
DESCRIPTION OF WORK (with above sq. ft.)
Limited energy, multi - family 2
residential (with above sq. ft.l 75 3-515)
Services or feeders installation, alteration, and/or relocation
200 amps or less 8030 2
O PERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2
Name: G ti r i S 2 DON c (� ro V etf& 401 amps to 600 amps 160.60 2
/7 601 amps to 1,000 amps 240.60 2
Address: / CO (e) 0 s i A40 / 7 Cr4 • Over 1,000 amps or volts 454.65 _ 2
City/State/ZIP: '7 �2 g - — a Z 3 Temporary services or feeders installation, alteration, and/or
G. e- / relocation
Phone: (503 ) ,. (p t.{ — Q .*ax: ( ) 200 amps or less 66.85 I •
Owner instalfhtion: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 _ 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 - new, alteration, or extension, per panel ,
Owner signature: . Date: A. Fee for brunch circuits with
II APPLICANT I CONTACT PERSON above service or feeder fee, 6.65 2
each branch circuit
Business name: . , ,r, . B. Fee for branch circuits
•
without service or feeder fee, 46.85 2
Contact n : ��. e p first branch circuit
Address: 6(Z � 'I / 2 /, , _ Each add'1 branch circuit 6.65 2
^^ "„ � - Miscellaneous (service or feeder not included)
City/State/ZIP: Each manufactured or modular - 90.90 2
dwelling, service and/or feeder - _
Phone: ( ) Fax: : ( ) Reconnect only 66.85 2 -
E -mail: rN r FrCca9(G TOO 10.}ta, /• C. Divot_ Pump or irrigation circle 53.40 2
' j CONTRACTOR Sign or outline lighting 53.40 2
• Signal circuit(s) or limited -
Business name: M Svr 5e /1 1 ✓ energy panel, alteration, or
Address: G (ZS N( o rqqa.c,[ Phi/ I extension. Describe: Page 2 2
•
CityiStat IP: r �/p q e ft Each additional inspection over allowable in any the above
Cwt Per inspection 62.50
P 'ne: (CPI ) Z22 - "2-4 6% I Fax: (5i 3 ) 245 1 Investigation per hour (I iv min) 62.50 -
CCB Lic.: S37 b I Electrical Li 002 6,L(Z ^ LISupn Lic.:.003LQT Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES •
Suprv. Electrician signature, required :( Subtotal: . - 4 - 5 -- • Oaf
e, .• ' (� 25% . Plan review (25% of permit fee):
: Print name: - 3 - 11 L 704.0,1 t9 Date: State surcharge (12% of permit fee): 9. DU
Authorized signatureC TOTAL PERMIT FEE: $, 4t+ tx9,
� ��
■ This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
��l 1So- `L • Number of inspections allowed per permit
1',Bulding\Permits\ELC- Permit App.doc 0521,06 440- 4615T(11 /05 /CW4/WEB
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2008 -00167
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6118/2008
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/26/2008 TIME: 7:00AM PAGE: 11
SITE ADDRESS: 10060 SW MOLLY CT CLASS OF WORK:
SUBDIVISION: MOORE'S MEADOWS LOT #: 005 TYPE OF USE:
PROJECT NAME: GROVER
DESCRIPTION: Low voltage for photovoltaic system for solar panel.
OWNER: GROVER. OONA PHONE #:
CONTRACTOR: MR SUN SOLAR ENTERPRISES WEST PHONE #: 503 -222 -2468
Inspection Request Scheduled For: Date: 6/26/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 071884 -01 503.222 -2468 N
Corrections /Comments /Instructions:
c
N
`Il PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ F. ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G" WYg L Date: L It{ 6 Phone #: (503) 718 - .*Ake