Permit illg CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: E121-/C121 /020080-800665
COMMUNITY DEVELOPMENT DATE ISSUED: 12/11/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 1048 D -10400
SITE ADDRESS: 12615 SW 136TH CT ZONING: R -7
SUBDIVISION: HUSKE PARTITION LOT : 003 JURISDICTION: TIG
PROJECT: IRONWOOD HOMES
Project Description: (1) Branch circuit for A/C.
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: 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:
IRONWOOD HOMES LIGHTHOUSE ELECTRIC LLC
PO BOX 981 27750 SW 95TH AVE # 109
SHERWOOD, OR 97140 WILSONVILLE, OR 97070
Phone: 503 - 943 -5545 Contact #: PRI 503 - 582 -9600
FAX 503 - 582 -8484
FEES
Description Date Amount Reg #: ELE 3 -562C
[ELPRMT] ELC Permit 12/11/200! $46.85 LIC 154897
[TAX] 12% State Surchar 12/11/2001 $5.62 SUP 305I S
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 503.246.6699 or 1.800.332.2344.
Issued By: q, see A Permittee Signature: f C (' k
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.
' Electirical Permit AppliCAti ! CENED FOR OFFICE 11s1 ONLY ,
City Of Tigard f cccfvcd
�stclB': �•q - Q r !, PointIt No, :. Dios 4:34i, -
"" 13125 SW Bail Blvd„ Tigard, OR 97223 q / • Ina Review
t R ,! Phone' 503.639.4171 Fax: 503.598. MC 0 9 2008 p Other Permit:
TTGARD inspection I,inc; 503,639.4175 Date Rcndy /By. Awls. El See Page 2 for
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Please check all that apply (submit 2 seta of plans w/itcros checked below):
❑ Now construction 1:3 Addition/alteration/replacement
❑ Scrvico or feeder 400 amp: or mere ❑ Building over three stories,
❑ Demolition ❑ Other: where the available fault current 0 Marinas and boatyards.
or
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," ''`•Jf;1'f'i�U yli '�. "
^ , ...y„ n• " t; 'u �r.,a +.,: r.a. ; c
' .ar ; • rtl , J , � 4�.d �• sy` w11 ��ir�`. Q ���''f.b� ^ttC+•0����,�:��t,���i 1Vi +.i "�' , , I fn i "I . exceeds 10,000 amps at ISO vottvolts 12 Floating btdldlntss.
; , ' ,i ,.,. •d1f, G' •,, ` ; t `' u•' k b ° .... ! ,
less to ground, nr escoods 14010 ❑ Co,rmereinl -th nt:ricultiimi
Ei 1- and 2- 1'slmily dwelling ❑ Commercial /industrial Cl Accessory building amps for all other installations. buildings.
❑ Multi- 'family ❑ Master builder ❑ Other: O Fire pump. ❑ Installation of 75 KVA or
:''<�y , ry' a'r 7,r�': $morltcney c larger separately derived system.
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�;i.�t " �.. . I'\ � rr,' �p�„ Y�i�. �i�� t' f��: i�; �+ ��fit�a�7�fr] iiV' �, �1 .� 1 �c `ti(7Crl�' „ b� iV ''i: , . , , , ' � ,'• `”
�,b:•.. , �,t .,� t, ,.. ' '';r ClAdditionofnewmotorlosdof ,. „ 2„ ..1.3 ,
❑
Job no.: T&M Job site address: 12615 SW 136 AVE I OOHP or more, occupancy,
❑ six or more residential units, 0 Recreational vehicle parks,
City /State /ZIP: TIGARD, OR 97223 O t'icaith•onre facilities, ❑ Supply voltage for more than
- ❑lInzatrdous locations. 600 volts nominal,
Su rte/bld ,/a t. no.: 1 Project name: r Service v,cc of feeder 600 amps un more.
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r Vd Enij ,1'V.ilitu �:
Cross street/directions to job site: Dcnrrlptlnn q,!.>.1 fcc. I Tool .
New residential Single- or multi - family dwelling unit.
Includes attached garage.
Lot no.: 1,000 S
Subdivision: � o.: sq. fl, or less 145.15 4
Tax map /parcel no.:
Ea. add'I 500 sq. ft. or portion 33.40 1 —
"r.:t,., 1 M ,yy � :;'l,,r�, t�:i" e � d ' r , t , r:r ,: =,a ,�. ;•it�r,i. �•h;. � r Limited energy, residential
'i'h "i, bl (,rh 1 .t• '1,,,i" I: /,� ,r• . '' 75.00 2
;,''. G' 1 nil ; r t . �•!, .f,,, >,.• ,�.,;, ; A:',,il'1t5 tii�• Cil�#:.0, ,VU ", ,.hJiq.., ,;r,
�,n, ^,i, "'f41, ; r�'r:F. ,ti •rr�' .. ;: r. ", . , 1.., a , , , •y(; .:,, ; �4' ' ` (with above sq. R.)
' Limited cncrgy, multi - family
RUN NEW CIRCUIT FOR A/C _ residential (will, above sq, ft.) 75,00 2
- Services or feeders installation, alteration, and /or relocation
„ ..+ ...... .... amps less ..
a ,�. ' rat y #0,,, L �� t,# tr I Y t r ID, 1' _'N 1 t , $
200 . a ups 10 00 06 85 2
�; � i' "• r r ''i ��, r 1/ i 1 i r
��IJ �I� a l.:, - u.a•iU...� ,,, .,x ht�C , •�G I'! " •--, � r .. i ''�P� ^o,, ,. i t � 1 .. � ' 1, "q 201 ai17p5104��amps 106,85 2
Name: IRONWOOi) HOMES 401 amps to 600 amps 160.60 2
7 ." 601 amps to 1,000 amps 240,60 2
Address: 12615 SW 136 AVE Over 1,000 amps or volts 454,65 2
City /State /ZTP: TIGARD, OR 97223 Temporary services or feeders Installation, alteration, and /or
relocation
Phone: (503)939 -5545 lax: ( ) 200 amps or less 60.8 I
Owner installation: This installation is being made on property that I own which is not 201 amps lo 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: bate: Branch circuits — new, alteration, or extension, to panel
r:��ia,:! yG ..,�. Wt.��y ,w al' r,.T;Yt,p ,�, 1 ;� „�Y:� !: zi . r •+ y ". .. , A. Fee for branch circuits ltr /r /1
W11 >1 ',, `P.1 " „� •, 1.4 #.P ,il"IY,A : i,',, •.•?; • ;a rl�l i ?�: J r!� 1 1," �' , ' '+i above service or feeder fee
4� Cllr ItCItID� 6.65 2
each branch circuit
Business name; LIGHTHOUSE ELECTRIC LLC B. Fee for branch circuits
Contact name: MIKE NEEL
without service or facdcr fcc, I 46.85 46 2
_� first branch circuit.
Address: 27750 SW 95 AVE, SUITE 109 Each add'I branch circuit 6.6,5 2
--- . MISCellnlle011s (service or feeder not Included) _
City /State /ZIP: WILSONVILLE, OR 97070 Each manufactured or modular 90,90 2
Phone: (503) 582.9600 Fax: : (503) 582.848 dwelling, service and /or feeder
Reconnect only 66.85 2
E -mail: MTNEEL@LIGH H S , r . rir
'r 1 �.,' 1 1 : °.:,,,dJ��. : ' d s, �;y.�Y. "rla. U,NY,Jr,M'f "''•,'': 'r I ? n ", , °ia:. ' ,
CTRI CO Pump or irrigation circle 53 40 2
r'R Cs .:1 , r r , 'r,g'i ,`.�L� ' rr, , �:PS..T CtcI t , . �? ! ', ' ,';. :, I Sign 01 outline lighting 53.40 2
Business name: LIGHTHOUSE El ECTRIC LLC Signal circuit(s) or limited.
energy panel, alteration, or
Address: 27750 SW 95' AVE, SUITE 109 extension, Describe: Page 2 2
City /S1'ale /ZIP: WILSONVILLE, OR 9707 W Each additional inspection over allowable in any of the above
• Phone: (503) 582.9600 Per inspection 62.50
Fax: (503) 582.8484 investigation per hour (1 hr min) 62.50
CO3 Lie.: 154897 Electrical 'c.: 3 -562X Suprv. Lie.: 3051S Industrial plant per hour 73.75 ___.
Suprv, Electrician 1 .' ;. �' 'I'LItMIi'1r� i {'; —
signature, requireCl
it � . !. '�';;:TL�,CTR 1%F ��' , i!':"�.�a .:•
- /v ; r' _ r Subtotal: 46,85
Print name: RANDY HULL Date: 12.9.08 Plum rcvicw (25% oofpermit fcc);
-- Slarc surcharge (12% of permit fee): 5,62
Authorized signatt�l r� yA A d "1.'4—
O +l}(9 .i TOTAL,PERiviITFEE: 52,47
Print name: RANDY HILL Date: 12,09.08 This permit application expires If n permit is not obtained within 180
- days after it hns been accepted as complete,
' Number of inspections allowed per permit.
I: \BuildinN \PG tTthaGLC•Pennit 05/23/06 440- 4615T(11 /05 /COM/WDA
, . . - • •' .
CITY OF TIGARD
BUILDING DIVISION
A, PERMIT #: Ft_C2003•006(36
D ATE 13125 SW Hall Blvd., Tigard, OR 97223 ISSUED: 12j11/2008
Phone: (503) 639-4171 ---ivi.LI‘iit
Inspection Requests (24 Hrs.): (503) 639-4175 444 I I-.
INSPECTION WORKSHEET FOR DATE: 12/30/2008 TIME: 7 PAGE: 8
SITE ADDRESS: 12615 SW 136TH CT CLASS OF WORK:
SUBDIVISION: HUSKE PARTITION LOT #: 003 TYPE OF USE:
PROJECT NAME: IRONWOOD HOMES
DESCRIPTION: (1) Branch cilcuit for AJC.
OWNER: IRONWOOD HOMES, PHONE #: 683..843..5546
CONTRACTOR: LIGHTHOUSE ELECTRIC LLC PHONE #: 503-2-9600
Inspection Request Scheduled For: Date: 1213012008 Pour Time:
Code # Inspection Description Confirm # Contact # Message I
146 A/C or treating unit circuit 0792641-01 603.582-9600 N
Corrections/Comments/ Instructions:
,
(y,„, •
- PASS 0 PARTIAL APPROVAL 0 CANCEL _ NO ACCESS
fl FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: G" i NiZ))k--e..- Date: 1 /0 'S Phone #: (503) 718- .23L-16,
,