Permit (92) CITY OF TIGARD ELECTRICAL PERMIT
'- COMMUNITY DEVELOPMENT Permit#: ELC2017-00806
F(. ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/30/2017
Parcel: 2S 111 DA20500
Jurisdiction: Tigard
Site address: 8570 SW SCHMIDT LOOP
Project: Heritage Crossing,Lot 24 Subdivision: HERITAGE CROSSING Lot: 24
Project Description: (1)branch circuit for A/C.
Contractor: SUNLIGHT ELECTRIC INC Owner: DR HORTON INC-PORTLAND
2804 NE 65TH AVE SUITE D 4380 SW MACADAM AVE STE 100
VANCOUVER,WA 98661 PORTLAND, OR 97239
PHONE: 360-772-3877 PHONE: 503-888-4151
FAX: 360-694-9728
FEES
Quantity Description Date Amount
1 crt Branch Circuits wo/Purchase 10/30/2017 $56.18
Specifics: Service or Feeder
1 ea 12%State Surcharge- 10/30/2017 $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 9 2-001-0090. You y obtain a copy of the rules of ect questions to OUNC by calling 503.232.1987 or 1.800.,3�322..�2344.,
Issued By: ,e` ' r .- Permittee Signature: ict'G e7/#�//ZGs2f
OWNER INSTALLATION ONLY (�Y
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 OCT 3 0 2017
101;01 I I( i b 11 cod )
s.
Received
City of Tigard Ihte+8y l D l, ��7 �/ Pe:rohNo.:!1C�p/7 �?J 7
13125 SW Hall Blvd.,Tigard,OR 9723,
Phone: 503.718.2439 Fort: 503.598."960 '''' may.e1Y t]tlxn P«mict� 4 /7_/'22 "3
Inspection Line: 503.639.4175 Date Rea dBy tarts: Q1 Sees PP ge 2lfor
G
Internet: www.tigard.or.gov Nati GaVMcthod
. Supptetahentsl trdarmetisa
TYPE or WORK - PLAN REVIEW
'
at New construction 0 Addition/alteration/replacement Mese cheek alb that apply(submit a sets of plans Winton checkedbelow):
0 Service or feeder 400 amps or more 0 Building over three stories.
0 Demolition ❑Other:
where the available felt eurratt 0 Markus and boatyards.
CATEGORY OF CONSTV(JCTION exceeds 10,E amps at ISO volts or 0 Fluting bundle?:
0 1-and 2-family dwelling 0 Commercial/industrial. 0 Accessory building less to ground,or moats 14,000 Q Co l u* a ct rural
0 Multi-family 0 Master builder amps for all other nsWtatithos. Ibuildings.Installation
` 0 Other: Fire pump. O IrhaWuaBoa o195 xva or
JOB SITE INFORMATION LOCATION firO Addition
system. larger sepuatety derives system.0Addition of new motor load of Cl"A","E","1-2","I-3
Job no.: Job site address: $ 1 -4„4-- 10011?ormore. oroupanoy.
w.t 0 Six or more residential units. 0 Recreational vehicle parks.
City/State/ZIP: 0 Health-care facilities. 0 Supply voltage for more than
0llamrdous locations. 600 volts nominal.
Suite/bldg./apt.no.: Project name: S/} lt, F 0 Service a feeder 600 amps or more.
FEE salami= •
Cross street/directions to Job site: 1trr>asraa.. 1 os,. i Fe& I rpt 1
New residential'single;or multifamily dwelling unit.
Includes attached garage.
Subdivision: Lot no.: ,G•-t"" 1.°°°14-R of leas 168.54 4
Es.add'l 500 sq.ft;or portion 33.92 l
Tax map/parcel no.:
Limited energy,residential
DESCRIPTION OP WORK (with above sq.It) 75.00 2
AD
Limited energy,multifamily
I P11 l t. ( F.1 Y , residential(with above sq.ft) ?5 00 2
Services or feeders lastalladont alteration,and/or relocation
200 amps or lora 100.70 2
B PROPERTY OWNER j 0 TENANT 201 amps to 400 antis 133.56 2
Name: L 4 t`3 t• 401 trips to 600 apps 200.34 2
601 arms to 1,000 arum 301.04 2
Address: 27 u,?' ._S r.., fi i L ,, ., ,, Over 1,000 amps or volts 552.26 2
Temporary City/state/ZIP: l ►.?,,r'" . f`y ton services or feeder la,d,ltatiaa,attendee,and/or
Photze:(507 ) '_4 is I Fax:(: ) 200 erten or less 59.36 1
Owner installatias:This installation is beingmade on 201 amps to 400 amps 12501 2
property that I own which is not 401
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. emits to 599 amps 16814 2
Branch circuits-new,alteration,or extension, panel
Owner signature: Date: A.Fee for branch circuits with
V APPLICANT 1 0 CONTACT PERSON above service or feeder fee,
eacBusiness name: DR Horton Inc Fee for brannch ch circuit 7.42 2
B.Fes for beach circuits wuJrarr
service or feeder fee,first
Contact name: ✓' Y p g.Iii.fr— branch circuit ' 56.18 2
4380 SW macadam Ave Each add'I bunch circuit 7.42 2
Address: 4380
(service or feeder not included) .'
City/State/ZIP: Portland OR 97239manufactured orasaduber67.E i z i
r dwelling,service and/or feeder
Phone:(503) 222-4151 ( Fax::( ) J Ru otmeaonly 1 67.84 2
.
E-mail: i a )'" P>III i'"../ to r t' )r" rt . C o saw. Siemp or irrigation circle 67.84 2
COftRACIEM , i' Sign or outline lighting 67.84 2
/;'.0. f Signal circuit(*)or limited energy
Business name: 5 14 /1 g 4 G'� lel,alteration,oenrension. P�2 ! 2
C t-"-' Each addidanali
Address: gal./ /L- CS' �t ,_LL /'art omen)over allowable.25/hr ttheabove •
c> �� ,{J�� p ,(/j� •-le/ Addrsiotral. ' a I hr min 6625/hr
City/State/ZZIP: /V h C 19(i(vet—• W 4. ✓Ica C/ gatW(1 hr aria) 66.25/hr 1
(3ba ,5'/d ` 7-57_9 OC4:1) SSC— `966 p
Industrial plan(1 min)
rrnorj 78.18/hr
Phone: Fax: Inspections for whidt no fab 90.00/hr .
/
specificallylisted(Khrmin)
CCB Lie.:r' z 4-41,9 1 Electrical Lie..62 o ., Suprv.Lia: /7 9.x` S ELECfR1CAL HERMrr FEES 1
Suprv.Electrician signature,required:/yea D„„„..g......-011 Subtotal:
Print name; ` .� 6 aril ' Date: StatePJsv(25%of permit fee):
Ch L.+` t= surcharge(12%of permit tock
Authorized signature: j%,,/ TOTAL PERMIT FEE:
This permit spplica expires Its permit it net obtained withIn 180
Print name: ,yam` J K DaDam: days after it bas been acceptedle
• Number ofinspectiionssllowed per pe mit a am �
MutlhGnaiPermltsIELOPermitApj'e-tJ 440.46t5T(t 1,05ICOMAVF$
i
0
Electrical Permit Application -City of Tigard
Page 2-Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK 01'§FLir': - 1
FEE SCHEDULE _1
Denri.film f 2t-71----FiaTar-7747-"T
Fee for all residential systems combined: $75.00 I
Renewable electrical energy systems:
5 lc,a or lov 1 i t,,7t) r2 I
Check Type of Work Involved:
0 Audio and Stereo Systems*
1 , 5LI:ua:253. —— " 21J034T -4-'1 '
•
Wind ,enerationsysterrts in excess of 25 kva:
i
1--1 B• urglar Alarm 25.01 to 50 kta 301:04 1
.
Garage Door Opener* 5u tti to IOU k,a
5522n
_
>100 kt t,i(fie in at col-dance
with OAR Ylit-309-O040
I
11 H• eating, Ventilation and Air Conditioning Solar generation systems in excess of 25 its a:
System* _ T
1- _4
I:lc h additional kva ovtir 25 ',12 3 1
E 1 3 1 '
--- Vacuum Systems* I 00 kt 4–1AI additional ehdrge Oft
Each additional ins °titan over allowable in any of the above:
I I Other: Each additional inspection 1, IIIII
66 25 hr 1
chnr.ted at an booth,(1 hr mini 1...
Inspection,for which no Ice ic Ell ,
00.00 hi
5 tecificall listed t 1 hr min)
COMMERCIAL WORK ONLY: - ELECTRICAL PERMIT FELS ________. .
Fee for each commercial system: $75.00 Subtotal(Enter on Pap:I):
Number off ion a untied mitt:mut - '----.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
0 Audio and Stereo Systems
0 Boiler Controls
El Clock Systems
0 Data Telecommunication Installation
0 Fire Alarm Installation
fl HVAC
H Instrumentation 1
H Intercom and Paging Systems
n Landscape Irrigation Control*
fl Medical
El Nurse Calls
• ,
LI Outdoor Landscape Lighting* 1 ,
E Protective Signaling 4.
El Other:
....._.
Total number of commercial systems:
......_
*No licenses are required. Licenses are required for all
other installations
I Bui'ditt,Pc1,70. t.C Fo lig App LLit t kr w. P .10 1. ,.I'
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
8570 SW SCHMIDT LOOP, TIGARD, OR, 97224 November 17, 2017 at
11 :36:07 AM
Record Type: Record ID:
Residential - Electrical ELC2017-00806
Inspection Type: Inspector:
199 Electrical final Aaron Cillo-Gobel
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor