Permit CITY OF TIGARD ELECTRICAL PERMIT
1 4 COMMUNITY DEVELOPMENT j � I Permit #: ELC2010 00628
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TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 g Date Issued: 12/02/2010
Parcel: 2S104AA09000
Jurisdiction: Tigard
Site address: 12200 SW 127TH AVE
Project: Bradford Subdivision: BELLWOOD NO. 2 Lot: 95
Project Description: Photovoltaic solar. 4/7/11, reprint to add (2) additional feeders.
Contractor: SUNLIGHT SOLAR ENERGY, INC. Owner: BRADFORD, JOHN & DONETA
4 NW FRANKLIN AVE. 12200 SW 127TH
BEND, OR 97001 TIGARD, OR 97223
PHONE: 541 - 322 -1910
PHONE: 503 - 313 -1911
FAX: 541 - 322 -1911
FEES
Quantity Description Date Amount
1 ea Services or Feeders - 200 11/05/2010 $100.70
Specifics: amps or less
2 crt Branch Circuits w /Purchase 11/05/2010 $14.84
Type of Use: SF Service or Feeder
Class of Work: ALT 1 ea 12% State Surcharge - 11/05/2010 $13.86
Electrical
Type of Const: VB 2 ea Services or Feeders - 200 04/07/2011 $201.40
Occupancy Grp: R -3 amps or less
0 ea 12% State Surcharge - 04/07/2011 $24.17
Electrical
Total $354.97
Required Items and Reports (Conditions)
This permit is . ..ect to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done i. accordance with .proved 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. • TENTION: Oregon I- r. • i -s ou to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-Of 1 -0010 through OAR 952 -0. -0090 ou may obtain a copy of the rules or direct questions to OUNC • .. •.•r . 32.1987 or 1.800.332.2344.
Iss - By: • 0 / Permittee Si • • ure: / Gt-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' 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.
CITY OF TIGARD ELECTRICAL PERMIT
11111;1:- r1
COMMUNITY DEVELOPMENT Permit #: ELC2010 -00628
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/02/2010
Parcel: 2S 104AA09000
Jurisdiction: Tigard
Site address: 12200 SW 127TH AVE
Project: Bradford Subdivision: BELLWOOD NO. 2 Lot: 95
Project Description: Photovoltaic solar
Contractor: SUNLIGHT SOLAR ENERGY, INC. Owner: BRADFORD, JOHN & DONETA
4 NW FRANKLIN AVE. 12200 SW 127TH
BEND, OR 97001 TIGARD, OR 97223
PHONE: 541 - 322 -1910
PHONE: 503 - 313 -1911
FAX: 541 - 322 -1911
FEES
Quantity Description Date Amount
1 ea Services or Feeders.- 200 11/05/2010 $100.70
Specifics: amps or less
2 crt Branch Circuits w /Purchase 11/05/2010 $14.84
Type of Use: Service or Feeder
Class of Work: 1 ea 12% State Surcharge - 11/05/2010 $13.86
Electrical
Type of Const:
Occupancy Grp:
Total $129.40
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 - • • - 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. • ENTION: Orego law r- quir -s you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -00 -0010 th ough OAR 952 - +s -00 r. •u may obtain a c• •y of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
`
Issu•• By: ■ I1 / Al
Permittee Signature:'
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' cQ e Qt� 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 Perm t 6 Applicati drl LEIVED SUN SOLAR 1lartr.l t 51; t)mi,,i PAGE 02/12 ...
City of Tigard NOV 3 2010 • Received a / s AND M Sa /O ��a8
Permit No.:
1
13125 SW 1-]all Blvd., Tigard, OR 97223 Plan Rey'iew
` g Other Permit
Phone: 503.639.4171 Fax: 503.598 DDate/13 : :�l Q I o-- tna4
_
Inspection Line: 503.639.4175 1 OF TIGARD pate Ready/By: rune: li5 See Page 2 for
11`'>` P BU DIVISION
Internet: www.ti d -Or. ov Notified/Method: Supplemental Information
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Please check all that apply (submit 2 sets of plans w /items checked below):
❑ New construction L Addition /alteration /replacement ❑ Service or feeder 400 amps or more ❑Building over three stories,
• ❑ Demolition ❑ Other: where the available fault current El Marinas and boatyards.
!' j. , 1 ill ir,•,,.• .our a ; �,� g 4y yI ,, l {� I I I ri�,n,' ,' ini exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
i l 1 t; 5a r . i , • ¢e ace dal • , ,• — 1� ? V v W, Vl vl (f • ��'.. (' ('�'� °. :
:. 1 S a.
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�, ' .. 6 '�. �i sv,r� + .r, �a „I •s4.< �alr +r Irl. � n ° .� less to ground, or excccda 14.000 ❑ Commercial use agricultural
C 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps fir all other installations. buildings.
❑ multi - family ❑ Master builder 0 Other: I: Fire pump. ❑ Installation of 75 KVA or
^ ,+ ❑ Emergency system. larger separately derived
i,1�t' 1t�pll�s{i p. M) , ,� t Vl 'l I '' . ' y ? . ry b ' +A `I P yti l L.� g P Y system.
, �j�ttA 'tQt r.'•e +aw,c.c �.� ° �� Mr ft! ")ji �,f I#15 t :Fi:�k' �I�P'y �t)i4'4W41'(t. ❑ Add ition of now motor load Of ,
uert•an;n. v M' 1- ,•9�qa „mr•R { I F.r a u,ni�a'.M',tis.[, r Y 4-r• ❑ `•A••, ••fi• "1-2 ••1_3
Job no.: Job site address: /2200 St4) /2 7—' Ave, Six or or snore. occupancy.
(� Six or more residential units. ❑ Recreational vehicle parks -
City /State /Z1P: 774t.+ Q X 9 7 12 3 ❑ 0 Health-care facilities. ❑ Supply voltage a more than
Hazardou6 locations. 600 volts nominal. 1.
Suite/bldg. /apt. n0,: Project name: 0 Service or fecdcr 600 amps or more.
xlr, rY , r.; r S t . l
l 9 r 1 , l b� 1. I n ti �3 a4 ,► ..:1, � q�t }II ire '+
• Cross street/directions to job site: ', 1l cn ptd I�iP U D w1'U 1'I; Mf +xtl . ,.. G , i..'
Description Qty. Fee. 1 701n1 1
New residential single - or multi- family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 168.54 4
Ea. add'I 500 sq. ft. or portion 33.92 1
Tax map/parcel 110 -:
• 1 r twi r L
�a r ,,1(g r 1g #(� i I I $1' dl�' ', '„ p' ! I ! 1 1 1111.8' 1 I,:1. Gt }r;i�fiii R �9)I� i��t�ihl(�) mitedenergy,residential
(with above s . ft. 2
,t 'I� • �' ' Cfn l l� '1 l , t 4 )
r, Z• i' r 12N + Ir r,, rn , . .,..lo I•? + �, \ ,
. •_, J7L�•• ` residential (with above sq. �, • Limited energy, multi - family -- .
_ 'c. { ft.)
75.00 2
Services or feeders installation, alteration, and/or relocation
200 amps or less I 100.70 /6/9. 7Q 12
Ii i. - y ,�ptt IY; Vp� I l, Al' ! j p �+�y }1 " 'i `� ` lid, ° " " " ''
201 amps to 400 am 133,56 2
a ,151f 1 1,, ! er.,01f'p„ i'"It o:l' #,,,n Ia�k � l �:G!�I I i lui �Iljhl ;fdL,„., 4 .41.41N4y9� 1ijriNF71311
li n B 401 amps to 600 amps 200.34 2
Nettle: ���//// n 601 amps to 1,000 amps 301.04 2
Address: / 22.00 SLt) I a 7 .12' Ate- Over 1,000 amps or volts _ 552.26 _ 2
Temporary services or feeders installation, alteration, and /or
City/State/ZIP: 7 ' OK 2 relocation
Phone' (03 31 - 14)u Fax: ( ) 200 amps or Is 59.36 1
Owner installation: This installation is being made on property that 1 own which is not 201 amps to 400 amps 125.08 2
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 /'
! s !"i(i k tv ,� ft i klcfl l 'II.!';71,1 . la!' C e r D i 8 0 j# 1j ' above service or feeder fee, .42 1)
ayfi"td.c tto:...:,..I:ttl"n!�t I�zs.,l, �;1,,!"r,a R,,, u F I h t use w ( ' .. , .���,Yloudn� '..�.6 #,, II r(, �, each branch circuit
7 ` r{- , 2
Business dame. Sunlight Solar Energy, Inc. B. Fee for branch circuits wtahout (((
g rgy - service or feeder fee, first 56.18 2
Contact name:0101 A 4 NW Franklin Ave, Bend OR 97701 branch circuit
CekkirSert (541) 322 -1910 tele 1(541) 322 -1911 fax — Each add'I branch circuit 7.42 2
Address: CCB Lic # 158922 1 BCD Lic # C556 Miscellaneous (service or feeder not included)
City /State /21P: AOrninisIralor sunlighisoIn Each manufactured or modular 67.84 2
dwelling. service and/or feeder
Phone: ( ) 1 Fax: ; ( F - .— Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
E-mail: qq I I Si nor outline li tin 67,84 2
� 1 8 f 1411x i .A iJr y'bgllt. 1i �4tlg.,.0 '. ..., 10 0 .a.r. a, ly ,,,1 `',I' i dq"llrr�db: l' : ::14 1 illt!!1!,r;�a,1'.4. 5.:( :!•!6 B
I 7, �'�IPSfII�(ll'�dANthYlui L��Aifilt', Mi�'YNn9.11 fA7PIM1 ",• .,��. ,- �. ".�+. 1 `."�:y��,.1..�t,Q� � , . ,..� � . � .. ... ... ; � ...� ,. ... •, .l . Signal circuit(s) Or limited-energy
Business name: panel, alteration, or extension. . Page 2 . _ 2
Sunlight Solar Energy, Inc. Each additional inspection over allowable In any of the above
µ
Address: 4 NW Franklin Ave, Bend QR 97701 Additional inspection (1 hr min) 66.25/ hr
(541) 322 -1910 tele / (541) 322 -1911 fax Investigation (1 hr min) 66.25/ hr
City /State /ZIP: CCB Lie # 158922 1 BCD Lic # C556 - Industrial plant (1 hr min) 78.18/ hr
Phone: ( ) C W Su 1 �� S Inspections for which
l , (1/ r fee is
90 y�y� ... hr
o/ •' p ry Lic 1 5 f `,11: de141" 4 . ) _ � r- ` 0 �i,� ;:i 9..
/ r y f t7 ox, ( ) i tcall li ned a hr min
., ! P� IW P� p ,,,, �.v� ^.r� ^Wrw „ M h' j •'I(Q'
CCB Lic.: ` q � Electrical Lic • . .: ' ` �. -, .,i.,,, , ,: .,. , ,. y ;:.' r , )
Suprv. Electrician signature, required: �f 4V1//.1 o Subtotal: / .
ri ! Plan review (25 /o of permit fee):
Print name: iyvkrc Chatsb.ers Date: j ,, — AO State surcharge (12% of permit fee): 3,
��,,.� a � TOTAL. PERMIT FEE: !ne . [ O
Authorized signs —..
This permit application cxpirea if v permit is act obtained Rhi n 84
days after it has been accepted as complete.
Print name: _ i , ka. j ' -.44. - Date: A. - / ll • Number of inspections allowed per permit.
I: 1Building 1permitOELC.Pem,itApp.dec 07/01/10 440-4615r(11 /05 /COM/wF_B •
•
04/06/2011 15:12 541 - 322 -1911 SUNLIGHT SOLAR PAGE 01/03
;d r
s ergy.
www_suntgittsolar_com
541 - 322.1910
Date: April b, 2011
Attn: Permit Tech /Counter
To: City of Tigard
503.639 -4171 tele / 503- 598 -1960 fax
Subj: Electrical /Building Permit Fees Adjustment
Bradford Residence
Total Fax Pages Including cover page: 3 (including cover)
Per the electrical inspector's inspection results /comments, please find attached a Credit Card
Authorization Form for you to charge two additional (to total 3) feeders toward the electrical
permit # ELC - 2010 - 00628 for the Bradford residence, located at 12200 SW 127t Ave, Tigard,
OR.
Please fax 1(541 - 322 - 191 ftor e-mail the payment receipt to my attention.
If any portion of this fax is not readable, please contact me at 541 - 322.1910 and I will be
happy to provide an e- mailed .pdf of the necessary supporting documents.
Please feel free to call should you require any additional information and /or assistance.
Thank you,
Queena Course r
M
Project Coordina
Sunlight Solar Energy, Inc.
ph: 541322.1910
fax: 541.322.1911
queeno .coursenOsunlightsolar.com
www.suntiehtsolar.com
This fax, and any attachments thereto, is intended only for use by the addressee(S) named herein and may contain legally
privileged and /or confidential information. Any unauthorized review, use, disclosure or distribution Is prohibited. If you
have received this a -mail in error, please notify me by replying to this message and delete the original, any copy of this e-
mail and any print out made.
ti