Permit CITY OF TIGARD ELECTRICAL PERMIT
. COMMUNITY DEVELOPMENT Permit#: ELC2017-00308
and OR 97223 503.718.2439
13125 SW Hall Blvd.,Ti Date Issued: 05/01/2017
3 f c �1a.L 9
Parcel: 2S109DB07300
Jurisdiction: Tigard
Site address: 13067 SW KOSTEL LN
Project: Summit Ridge No.5,Lot 141 Subdivision: SUMMIT RIDGE NO.5 Lot: 141
Project Description: (1)branch circuit for A/C unit.
Contractor: SUNLIGHT ELECTRIC INC Owner: DR HORTON INC
2800 NE 65TH AVE SUITE B 4380 SW MACADAM AVE SUITE 100
VANCOUVER, WA 98661 PORTLAND, OR 97239
PHONE: 360-772-3877 PHONE: 503-222-4151
FAX: 360-694-9728
FEES
Quantity Description Date Amount
1 crt Branch Circuits wo/Purchase 05/01/2017 $56.18
Specifics: Service or Feeder
1 ea 12%State Surcharge- 05/01/2017 $6.74
Type of Use: SF 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. a obtain a cop herules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
IssuedByJ%� '�'� G'- 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' 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 Permit Application c-tiN 1 1 oR of I I( I 1 1/44 ON 1 1 „
City of TigardotateiReceived 7el r-'------ Permit.No.: e2(0)/7-..c,/,;)...sr_tr'
13125 SW Hall Blvd.,Tigard,OR 97223
lig
,,-plan Review
Other Permit:y/4 57- /6,, ezt,Ft,„
, a Phone: 503.718.2439 Fax: 503.598.1960 2,\IN PateraY:
-
Inspection Line: 503.639.4175 \\I\rX\ I. Date Ready/By: /uric 0 Ste Page 2 for
t,VitiAlMerhod: , Supplemental%formation
Internet vvww.tigard-or.gov
tAKI tra.
TYPE OF WORK ci%II -Ak.i r= A/1%014 PLAN REVIEW
0 New construction 0 Addition/alteration/rep& iiitifsG1111' Please check all that apply(submits sets of plans iv/items checked below):
0 Demolition 0 Other: 10Artii V El Service or feeder 400 amps or more 0 Building over three stories.
where the available fault entrent 0 Ivlarinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings,
less to ground,or exceeds 14.000 0 Coalmen:dal-use agricultural
0 1-and 2-family dwelling 0 Commercial/industrial' 0 Accessory building amps for all other Installations. buildings.
O.Multi-family 0 Master builder ' 0 Other: Ohre Pump. 0 Installation of 75 KVA or
Cl Emergency system. larger separately derived system.
JOB SITE INFORMATION AND LOCATION r / 0 Addition of new motor load of 0"A","B","1-2","1-3",
r ,--) i.:., ! i „/,,-c '1,‘-r II — 1001TP or more. occupancy.
Job no.: Job site address: (7'0 vi' I -j-vi,i 1.'‘,..Lij f+:-./r) CI Recteatioaal vehicle parks.
...) ' 0 Six or more residential mats.
City/State/ZIP: 01%4th-care facilities. 0 Supply voltage for more than
0 liazardous locations. 600 volts nominal.
Suite/I:Mg./apt.no.: 1 Project name: Summit Ridge 0 Service ce feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site:
%wieder I Qty. I Fee. I Total 1 '
New residential single-or multi-family dwelling unit.
Includes attached garage.
i t 1,000 sq.ft.or less 168.54 4
Subdivision: Lot no.: 1‘....,/
Tax map/parcel no.: Ea.addl 500 sq.ft,or portion 33.92 1
Limited energy,residential
75.00 2
IMP)"If
DESCRIPTION OP WORE • _ (with above sq.it) _
...______..................__
Limited energy,multi-family
/I
75.00 2
residential(with above sq.ft.) .
Services or feeders installation,alteration,and/or relocation
.1'it: 200 amps or less 100.70 2
0 PROPERTY OWNER ; 0 TENANT 201 amps to 400 amps 133.56 2
Name: 401 amps to 600 amps 200.34 2
601 amps to 1,000 amps 301.04 , 2
Address:
Over 1,000 stops or volts 552.26 2
City/State/ZIP: — Temporary serviees or feeders installation,alteration,anti/or
relocation ...,
Phone:( ) Fax:( ) 200 amps or less 59.36 1
Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2
401 amps
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. to 599 amps 168.54 2
Branch circuits-new,alteration,or extension, . r panel
Owner signature: Date: A.Fee for branch circuits with
0 APPLICANT 1
0 CONTACT PERSON above service or feeder fee,
7.42 2
each branch circuit
Business name: DR Horton Inc B.Fee for branch circuits without
service or feeder fee,tint
Contact name: Emerald Weeks
branch circuit I 56'18 1 5t,iy: 2
------ Each add'l branch circuit 7.42 I 2
Address: 4380 SW macadam Ave
Miscellaneous ----
(service or feeder not included)
city/stateizIP: Portland OR 97239 4 Each manufacuned or modular
67.84 I 2
dwelling,service and/or feeder
Phone:(503) 222-4151
1 Fax::( ) , Reconnect only
67.84 2
E-mail: Pump or irrigation circle 67.84 2
Sign or outline lighting 67.84 2
CONTRACTOR ; -
Signal circuit(s)or limited-energy
Business name: 5j41,,I, r t7.1- 2(44.c„,..-h, c 121.;c , panel,alteration,or extension. Page 2 2,
ti. Each additional inspection over allowable in snug the above
Address: 2 '0 Li c/ /4/E 6-c-fre. ,,,4
t,,,,....42,_ ' Additional inspection(1 brim) 66251 hr
City/State/ZIP: VOC.OC t2 ii/- ir^. 1„4/4 ,,9e9Cc/ 1 -Investigation(1 hr min)
66.25/hr
Industrial plant(1 hr min)
78.18/hr
Phone:(3 ...57g- ; --,..5.;:"..,9 Fax:06:9) 32.6,-- 96Cc.' Inspections for which no fee is ' ,
90AXV hr
specifically listed eh hr min)
CCB Lic.:I' ..2,6"-1.1.9.1 Electrical Lic.:,CZ 3(2. 1 Suprv.Lic.: /7 75 s ELECI'RICAL ?EMIT FEES
Suprv.Electrician signature,required: b„.4_,...„41Subtotal: e*-4.,t
Plan review(25%of permit fee):
Print name:C4,6-stitrit 0 , a t-tri I Date: State surcharge(12%of permit fee): 4'; • 71
TOTAL PERMIT FEE: /.
Authorized signature: '
_ .
This permit application expires if a permit is not obtained within 180
- -
days after it has been accepted as romplete.
Print name:
' I Date:
V * Number of inspections allowed per permit
I IBuildinglPtirmitS 1 ELC-PtimitkPi 440-461STO1105/CO54JWEB +' PO .St) 6.4/0
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13067 SW KOSTEL LN, TIGARD, OR, 97224 May 10, 2017 at 10:22:31 AM
Record Type: Record ID:
Residential - Electrical ELC2017-00308
Inspection Type: Inspector:
199 Electrical final David Young
Result:
FA I L
Comments:
House locked, provide access for inspections. R109.1
Violation Summary:
Inspector Contractor