Permit - ..CITY OF T I GA R ® ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT
PERMIT D: E 3/2008 00119
�,�`; DATE ISSUED: 3/3/2008
;;TIGARD; 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S1046C 08700
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SITE ADDRESS: 14085 SW KARLEY CT ZONING: R -
SUBDIVISION: HILLSHIRE CREST LOT : 009 JURISDICTION: TIG
PROJECT: HILLSHIRE CREST
Project Description: Installation of (1) branch circuit for hot tub.
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: SIGNAUPANEL:
MANF HM/ SVC/ FDR: 601 +amps - 1000 volts: MINOR LABEL (10):
SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: W /SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 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:
RIDGECREST CONSTRUCTION CO INC LIGHTHOUSE ELECTRIC LLC
6600 SW 92ND AVE #210 27750 SW 95TH AVE # 109
PORTLAND, OR 97223 WILSONVILLE, OR 97070
Phone: 503 - 245 -8808 Contact #: PRI 503 - 582 -9600
FAX 503 - 582 -8484
FEES
Description Date Amount Reg #: ELE 3 -562C
IELPRMTI E1.,C Permit 3/3/2008 $46.85 LIC 154897
[TAXI 12% State 3/3/2008 $5.62 SUP 30515
Total $52.47 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws.
All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is
suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center.
Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain copies of these rules or direct questions to OUNC at
503.246.669' • . s i0. - . 344.
Issued By 1 / V _41 Permittee Signatur•: •
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Electrical. Permit Application I rt)rt or I1Cl: ((si; «�'►.�
•
City of Tigard r r ' eccived GC� Dt rtc /A 3 cal g _ / Permit N f /
13125 SW Hall Blvd., Tigard, OR 97 y' ��• .10// //
.71 11 M. Ph � Plan Review
tmc; 503.639,4171 Fax: 503.598. 6 O$ Datc/0 : Other Permit
T i 6 ,44 r, n inspection Line; 503.639,4175 M AR .- `3 2 0 Date RReedyfBy: Iurls: 521 Sett Pane 2 for
Internet www,tigard- or,gov - 'citified/Method: /r Supplemental Information
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r ,.rh4 N1i1 Fr I I r Ill . ,! 1,((l,,,, i � V7 ' 0• i) ) r ( I " I I 1 � .,1 ', ', , i , 1 '� ' (,r 4' ' l ll
Ala, !ts 1 .r.,L.Ina,n,fi ;rlrfaf,E1ik bi°.lf,. r�I ' ' ,t1,, ,4 { t� �,i, ; 41'r y r Ii {I
,. ��,.' .�.� . r � � ,r,.! { ��1�,.�1 ��.iltiiri v di,nlll r,r„r.,. �i�, , i e„11,lr i ,,.a •� U.G.' l� '1l 14.':
D Ncw construction 0 Addition /altet•atiatt/retl� • Please cheek all tli apply (submit 2 sots of plans w /items checked below);
Demolition ❑ Other:
Gn�b -J►�t ❑ Service or feeder 400 amps or more ❑ Building over three stories,
1 1; fi "i' iN(ljYitli�l IMy ;r ic 1 l i, ' f yp} s' „q ;t where the available fault current ❑ Mariltas find boatyards.
E ( C ) �. }I (� l J tr 1� Wr � rE� t 1 ! ,) ,I I ' � e , r ( it} rr l �( r rl : 1 exceed:: I Q
„ di :f.t , I1,R7 tlll ,( / +. .: 111,d / // eon , ,I „ ( Ik�k l, ; l i" , /�.1 / 41p U; ,,n, rt,,t( (, "• IOd700 ramps a t ISO volts o r Floating buildings,
)css to ground, of exceeds Kona ❑ Commcrcfaf -use agricultural
® 1- and 2- family dwelling j] Commercial /industrial ❑ Accessory building maps for all other installations. buil(lins.
❑ Multi - family D Master � bu � illd de er r W ❑ Other: ❑ Fire pump, 0 installation of 75 KVA or
(� ;11r'tl(I i�i, '+1'' 1'' '1 �irlti4Alsf,f )r I�uS u �l(Ii f 111 ( (� Emc cnc c atom
, I'` l i ?' r ,1 „1rr ,1 1 ' a ua •,I t r,�flir,t alil r E r�,1 ■ 111 � Emergency lar8cr 5cparntclydcrivcdsyaem,
r f, +11 li f ❑Addition of new motor load of ❑' A° "P” "I -2" "I -t°
.lob no,: T & M ,lob site address: 14085 Kerley Ct I0OHP or more, occupancy,
❑ 86, or more residential units, ❑ Recreational vehicle pints,
City /Statc /ZIP: Tigard Oregon ❑ Hvtilth -care facilities ❑ Supply voltage for more than
0 Hazardous locations- 600 volts nominal.
Suite /bldg. /apt. no.: Project name: Hoffsess ❑ Service or feeder 600 amps or more.
{i�' 1 �, . il. n1/0 ! I T' ".. WW " t , r "f'-' -, $,�µwt rrayy�, I V .;:a r , ;%
Cross street/directions to job site: 1 r� 1 7 r • 1.1 l 7W UU .11Xlil il! 11 1 41 (1' i ,a li' /f /1
beserirtIon r , Per.. TOW •
New residential single- or multi- family dwelling unit.
_- Includes attached garage.
Subdivision: 1.41 no.: 1,000 sq. ft. or less 145.15 4
Tax map/parcel n
Limited energy, �'" Ea. add'I 500 sq. 11. or portion 33.40 1
� rir1 r i r r t l I , residential
1E , l i t! i it P!t(1 ;1h11 , 'd'{� {I I'It ;lurill t'd" y 75. 2
�n l i ,1 >,i'I� a ;f i iEl; kf y ? 1 { { � (� {, hit i
tLlid. 1't,rr,Ulk11� 1r1dr rt E t _I , ) r r ay,Lltlkt� i . , � { ; °1s ;,iar,li a l��i �! �r1��i�tu '�?.,rr,1�i`,�711s,Er, { ;E�l �r�l; �_ (with above sq. f l_.�.. _.._,..
Wire and hook up hot tub Limited energy. multi - family
residential (with above sn, n,) 75.00 2
Services or feeders installation alteration, and/or relocation
2
� i i 4 (
200 amps or less
''�, I I'h .... P 80,30 2
'
1 , (I .t it rr iti r,,r r t E I M 11 1 i ll � l l r( fIril1 ,'I i {i 4 ( t
,ur ' �� I�f� E �a�11�� 112(,11 �a� ¢ice E1. ;,, 201 ,i3�
y.xS.�I, Iry , ,1lrr rr. Il,la , �1U „lr� ,���ltrl, utnu „ ,,u 4 riilr irr iP rh , 1� amps 146.85 2
Nino; ek.E. r , n� .05� �, hie-- 401 amps to 600 amps 160,60 2
l �`' 601 amps to 1,000 amps 240,60 2
Address: 1405 C .t„
a 0 Over 1,000 amps or volts 454,65 2
City /State /ZIP: Tigard, Oregon T TL ` ctrl 9 7 a- 9-3 Temporary services or feeder installation, alteration, and /o r
relocation
Phone:: (503)245 -8808 I Fax: ( ) 200 amps or less 66.85 1
Owner installation: 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
Owner signature: DM: Branch circuits - new ,alteration or extension, I er I and —
1, 1' , 1 ' r r�py��I �(� t , t , A. Fee for branch circuits with
. E rl 1 ❑ t i ' r1 R� „, i l; ( 1 t'1 ! ' i,,,, y � 00 _1I 1 , y, { , t ,.r 7,- A
r
^„ "Mi>Jl r },L,,,Iq.,,,. "�y%14e�4n C' 11 fq�.f'•Irlflilll rlrl1t }Yll4lVd�il11 „17C_11►I_II f 1Fth I above service or feeder fee,
Business name:
�' �”) l � each branch circuit 6.65 2
13. Fcc for branch circuits
Contact name: tvithntrr service or feeder fee, 1 4fi, 85
first branch circuit 4G.R5 2
Address: Each add'l branch circuit - 6.65 2
City/State/ZIP: Miscellaneous (service or feeder not included) '
. Each manufactured or modular r
dwell and /or feeder
Fax. ' )
Reconnect only 66.8
Phon ( ) 2
E-mail:
2
f t e Pump or Irrigation circle 53.40
I lr i ;il� ! �� ,1 ;�; l' ' 'qi,� +' 1 lui l,.i „ I ,I f , ---- 2
„ ,a,,,,b r, 1 v., lill� I ( :rJ�rr�i�l�tE„�sna,.l.,,. ,.,.., CIr S , }�l�rt.j�l�rr,rli/(.�!�' b, " Ip(31 R rj �n�, Si outline lighting 11L1"�. Sign or outne htin
�iE1tirrdal$ II'1�aiEi ;4fl # r�, Isn1{ 6 g 53.40 2
13usincss name: Lighthouse Electric LLC Signal circuits} or limited-
energy panel, alteration. or
Address: 27750 SW 95 Avenue, Suite 109 extension. Describe: Page 2 2
City/State/ZIP: Wilsonville, Oregon 97070 Each add itional inspection over allowable in any of the above
Phone; (503) 582.9600 _ i Fax: (503) 582.8484 Per inspection 62.50
investigation per hour (I hr min) 62.50
CCB Lic.: 154897 Eiectrical Lic.: 3 -562c l Suprv, Lic.: 30515 Industrial plant per hour 73,75
i
Suprv. ¢Il''!il , I "IY ilia
F . si atu r (j +,r:it r i lie Er,t �t l CIAMi,T!,P'O Ig 1' "i', n Ff (f, " :flu
signature, required:
AK ,.., ��('ir 1 i � „,t
Subtotal: 46.85
Print name: Randy Hill ,. • Date: 2,29,08 Plan review (25%ofpermit Inc):
^I State surcharge (12% of permit fee): 5.62
Authorized signature!.,'; 1 f / ` j TOTAL PERMIT FEE: 52.47
G /
Print name: Date: Thls permit application expires If a permit Is not M mined within Igo
days after it has been accepted as camplrtc.
Number of inspections allowed per permit,
I;t nuitaing \PcrmttteLC- PermitApp. 05/23 /On 440.46I5T(11/05 /COM/wF,R
CITY OFTIGARD
BUILDING DIVISION PERMIT #: E __LC2008 00 X 19
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 13/2:008
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 ....
41 ! .
INSPECTION WORKSHEET FOR DATE: 3/12/2008 TIME: 7:O0JAM PAGE: 6'
SITE ADDRESS: 14085 SW KARLEY CT CLASS OF WORK:
SUBDIVISION: HILLSHIRE CR,E`YT LOT #: 009 TYPE OF USE:
PROJECT NAME: FHit ISHIRE.. CREST
DESCRIPTION: Installation of (1) branch circuit for hot tub.
OWNER: RIC)GEUREST CONSTRUCTION CO INC, PHONE #: 503 - 246.8808
CONTRACTOR: LIGHTHOUSE ELECTRIC LLC PHONE #: 5073-582.9600
Inspection Request Scheduled For: Date: 3/12/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
G l�
'199 J Electrical final 06663&.01 5t?35 132- 3E;4`ii) Y r�t, 1 �-
Corrections /Comments /Instructions:
(t , __,...
)(PASS ] PARTIAL APPROVAL 11 CANCEL _ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
o'
Inspector: F' ' Date: /� Phone #: (503) 718-