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Permit (118) CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit#: ELC2017-00076 Tr 13125 SW Hall Blvd.,Ti Date Issued: 02/06/2017 C 1�I�.O and OR 97223 503.718.2439 9 Parcel: 25111 DA19400 Jurisdiction: Tigard Site address: 8573 SW SCHMIDT LP Project: Heritage Crossing Temporary Sales Office Subdivision: HERITAGE CROSSING Lot: 13 Project Description: (1)branch circuit to mini split system for temporary conversion of garage to a sales office. Contractor: SUNLIGHT ELECTRIC INC Owner: DR HORTON INC-PORTLAND 2800 NE 65TH AVE SUITE B 4380 SW MACADAM AVE STE 100 VANCOUVER,WA 98661 PORTLAND, OR 97239 PHONE: 360-772-3877 PHONE: FAX: 360-694-9728 FEES Quantity Description Date Amount 1 crt Branch Circuits wo/Purchase 02/06/2017 $56.18 Specifics: Service or Feeder 1 ea 12%State Surcharge- 02/06/2017 $6.74 Type of Use: COM Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $62.92 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 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 the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You ain the rules or direct questions to OUNC by calling 503.232.1987, or 1.800.332.2344. Issued By: Permittee Signature: V ' 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. i tY ° ," Electrical Permit Application c.„.-1, r ., ,,- 1 nl:O1 l I: F I �I (»I City of Tigard `� 13125 SW Hall Blvd.,Tigard,OR p7� ;' , ��v�/`2/t 7 41r4F Permit I'M Et ',,?t'7/7--t9°C) 94, Phone: 503.718.2439 Fax: 503.598'1 d I t t , ,t Pam lay: `R• Inspection Line: 503.639.4175�n( , 71 ' Date Re OtberNami Se / r Internet: www.li or. v �� ,a 1 /..' i Date Resdy/By" Imisi B See P 2 for � 8o z �; Noti6ed+MaLod: � Page Supplemeatat rnformatian TYPE OF WORK( -- rr�,N REVIEW ®New construction ll Addition/alteration/replacement Please check all that apply{submit j sets of plans wCtnas checked below) 0 Demolition 0 Other: ❑sere;uatceder400 amps orto more ❑Building over three stories. CATEGORY OF CONS RIJC77011b exceedsWhat the available fault outran ❑Flarina and boatyards. 10,000 amps at 150 volts or 0 Floating buildings. ❑ 1-and 2-family dwelling [3.Commercial/industrial 0 Accessory building toless ground,or exceeds 14,000 agricultural ❑ I-and O C iidmga ial.use Multi-family 0Master builder amps for all other installations. Moldings Fire per' 0 Installation of 75 K VA or JOB SITE INFORMATION LOCATION 1�Entagency system. as separately derived system h '?._ 'T ()Addition of amv motor load of Q"A","E","I-2•"I-3", Job no.: Job site address:1 :c.� s 1 •,,--',1\& (`1 1001 P or more 0occupancy. City/State/ZIP: O1 more residential 0 Retxeational vehicle parks t ❑Neahh-care facilities. 1:2 Supply voltage for more than Suite/bldg./apt.no.: I Project name: I-VAR �{p (o c;)1r�C. °s afeed 600 amt's or more. 600 volts uoro;oal. Cross street/directions to job site: 1 FEE SCHEDULE _4W — n- ,, •'a rv. I Qroe. 1 Total _i • New residential single-or multi-family dwelling unit Includes attached garage. ii Subdivision: Lot no.: 2--) 1,C00R.or less • v' 168.54 Tax map/parcel no.: Ea.add'',500 sq.ft.or portion 33.92111 DESCRIPIlON OF WORK Limited energy,residential l (with above aq.ft) 75.00 2 ` t , Limited energy,mutt-family )t 1 -4, `�— a residential(with above sq,ft.) 00 2 Services or faders installation aiteratio and/or relocation 0 PROPERTY OWNER 200 amps or less 100.70 i ■-TENANT 201 amps to 400 maps II133.56 II- Name: awe401 amps to 600 amps no 200.34 Address: 601 amps to 1,000 a 301.04 Over 1,000 amps or volts 55226 2 City/State/ZIP: T m��ary services or feeders installation,a teration,and/or rePhone:( ) ] Fes:( ) 200 amps or less 59.36 I Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 2 401 amps to 599 I68.S4 2 Branch circuits—new,attention or extension ._ , net Owner signature: Date: 0 A1'rucAN1v A.Fee for branchice.circuits with 0 CONTACT PERSON above service or feeder fee, $usineas name: DR Horton Inc each blanch circirc 7.42 2 B.Fee for branch circuits without _ Contest risme: Emerald Weeks service or feeder fee,first lila! I 2 7 branch circuit b. Address: 4380 SW macadam Ave Each lbranch circuit �� __. © 1��- 1 City/State/ZIP: Portland OR 97239 MiseefaOenen service or feeder not included Phone:(503) 22-1-415I 1 IRE*SEggill■ 67.8a 2 E-mail: _. I Fax::( ) Reconnect oil - 4 84 milemonialliaffi CONTRACTOR � Sign or outline lighting - 67 84 �© - Palle67. 2 Min Business name: ��` j."., Signaleircug(s)oriimitcd-energy ■ 21- � 6 I sltmat,, or extension. Address: 2:e 1/ / //- 6 / ' l Each additional i, dou over allowable iia an of the above Il Additional inspection(1 hr min) in 66151 hr _■ City/State/ZIP: , , rf v- 1 �J//1. "`-'. r. C/ investigation(1 hr min) - 6625/hr non Phone:(3 5l�— 7�^tD� Fax: V r�7'l rte/ 96'6'42Industriaiplant(1 hr min) - 78.18/ht. _■ A S g $GU' Inspections for which no fee is ■ CCB Lic.:1. 26.--4e,] Electrical Lie.: `'!30 1 Suprv.Lia: '-ificall fisted h hr min 90.00/ler Suprv.Electrician signature, 793 S ELECTRICAL PERMIT FEES -• gn required: '. Alit1111.11111111.1.1111111111=1=61 Print name:C Plan review(25%of permit fee): 2 r;rf Date: • State surcharge(1256 of permit fee): Authorized signature: /� TOTAL PERMIT FEE: riMell MN Print name: This permit application expires if a permit is not obis within 180 Date: days after it las been accepted as complete. 1 � • Number of inspections allowed per permit. 1:;auiteiesipermita .C.PermitApp 414-0615TO IPo5/(.YN.t WEB City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8573 SW SCHMIDT LOOP, TIGARD, OR, 97224 Record Type: Record ID: Commercial - Electrical ELC2017-00076 Inspection Type: Inspector: 199 Electrical final Chip Barnett Result: PASS - NoCofO Comments: Converted back to garage. Office removed Violation Summary: Inspector Contractor