Permit CITY O F T I G A R D ELECTRICAL PERMIT -
RESTRICTED ENERGY
Y
r �,� A DEVELOPMENT SERVICES PERMIT #: ELR2002 -00075
44. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/6/02
SITE ADDRESS: 13785 SW SANDRIDGE DR PARCEL: 2S105DD -PCO29
SUBDIVISION: PACIFIC CREST SUBDIVISION ZONING: R -7
BLOCK: LOT: 029 JURISDICTION: TIG
Proiect Description: All encompassing low voltage.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATAITELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: ALL ENCOMP : X HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER: ENCOMPASS X
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
D.R. HORTON HOMES D.R. HORTON
5125 SW MACADAM AVE STE 145 4386 SW MACADAM AVE.
PORTLAND, OR 97201 PORTLAND, OR 97202
Phone: 503 - 222 -4151 Phone: 503 - 590 -0206
Reg #: LIC 130859
FEES Required Inspections
Type By Date Amount Receipt Low Voltage Inspection
5PCT CTR 5/6/02 $6.00 2720020000 Elect'l Final
PRMT CTR 5/6/02 $75.00 2720020000
Total $81.00
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 Notification Center. Those rules are set forth in OAR
952 - 001 -0010 through OAR 952 - 001 -0080. You may obtain copies of these rules direct questions to OUNC at (503)
246 -1987.
Issued by , , „A i ,%i 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'N: DATE:
LICENSE NO:
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day
tili
Electrical Permit Application .
' Date received: , /, y 1' ...„# Permit no.: ' � _19 09 5
a.`,...A_I; City of Tigard
Project/app{.no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd, Tigard OR 97223 Date issued: j Receipt no.:
Phone: (503) 639 -4171
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval:
TV P1; OF 1111tnlrl
❑ 1 & 2 family dwelling or accessory 0 Commercial /industrial 0 Multi- family ❑ Tenant improvement
❑ New construction 0 Addition/alteration /replacement 0 Other: 0 Partial
Job address: I S D . _ Bldg. no.: Suite no.: Tax map /tax lot/account no.:
' Lot: (Block: (Subdivision: A(. 7 7-
Project name: I Description and location of work on premises:
Estimated date of com , letion/ins ' - lion:
. (:ON'IRA(�I'OR ANIMATION . ILL SCIILDl1Lf,
Job no: Fee Max
Business name: ... liirPiniki Description Qty. (ea) Total no. (nap
New res idential - single or multi family per
Address: '/ �/ S w /1/41,10. New Includes attached garage.
City: • / P . D State: ZIP: • Service included:
Phone: •' 0 •d 1E 1000 sq. ft. or less 4
CCB no.:
y)4 I Elec. bus. lic. no: Each additional 500 sq. ft. or portion thereof
Limited energy, residential 2
City /metro lic. no.: Limited energy, non- residential 2
Each manufactured home or modular dwelling
Signature of supervising electrician (required) Date Service and/or feeder 2
Sup. name License no:
Services or feeders - installation,
p alteration or relocation:
200 amps or less 2
Name (print):
201 amps to 400 amps 2 401 amps to 600 amps 2
Mailing address: 601 amps to 1000 amps 2
City: I State: I ZIP: Over 1000 amps or volts 2
Phone: Fax: I E -mail: Reconnect only 1
Owner installation: The installation is being made on property i own Temporary services or feeders -
which is not intended for sale, lease, rent, or exchange according to installation, alteration, orrelocation:
200 amps or less 2
ORS 447, 455, 479, 6 . Ol 201 amps to 400 amps 2
Owner's signature: & OZ 401 to 600 amps 2
Branch circuits - new, alteration,
or extension per panel:
Name: A. Fee for branch circuits with purchase of
Address: service or feeder fee, each branch circuit 2
City: I State: I ZIP: B. Fee for branch circuits without purchase
of service or feeder fee, first branch circuit: 2
Phone: Fax: E - mail: Each additional branch circuit:
l'LAiN.iti::v11•:11'(i'Icase check' all that apply) Mlsc . (Service or feeder not included):
Each pump or irrigation circle 2
O Service over 225 amps - commercial ❑Health -care facility Each signor outline lighting • 2
O Service over 320 amps - rating of 1&2 O Hazardous location
family dwellings O Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel,
0 System over 600 volts nominal more residential units in one structure alteration, or extension* __ ,
2
O Building over three stories 0 Feeders, 400 amps or more *Description: _
O Occupant load over 99 persons 0 Manufactured structures or RV park Each additional inspection over the allowable In any of the above:
0 Egress/lightingplan 0 Other: Per inspection 1
Submit ,_. sets of plans with any of the above. Investigation fee
The above are not applicable to temporary construction service. Other
- Permit fee $
Not all Jurisdictions accept credit cards. please call Jurisdiction for more information. Notice: This permit application
Plan review (at _ %) $
O visa 0 MasterCard expires if a permit is not obtained State surcharge (8 %) .... $
• Credit card number: I / within 180 days after it has been
• Ex accepted as complete. TOTAL $
Name of cardholder as shown on credit card $
Cardholder signature Amount 440 - 4615 (6/00ICOM)