Loading...
Permit .rte'- i CITY OF TIGARD ELECTRICAL PERMIT .142 COMMUNITY DEVELOPMENT Permit#: ELC2017-00935 T-i ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/20/2017 Parcel: 25111 DA22400 Jurisdiction: Tigard Site address: 15445 SW APPLEWOOD LN Project: Heritage Crossing,Lot 43 Subdivision: HERITAGE CROSSING Lot: 43 Project Description: Adding(1)branch circuit forA/C. Contractor: SUNLIGHT ELECTRIC INC Owner: DR HORTON INC. 2804 NE 65TH AVE SUITE D 4380 SW MACADAM AVE STE 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 12/20/2017 $56.18 Specifics: Service or Feeder 1 ea 12%State Surcharge- 12/20/2017 $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 -001-0090. Y u may obtain a cop of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.. Issued By: Permittee Signature: �� lixc..V fet,' 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. ER EIectrical Permit ApplicationE l o f y FOIL OFFI( l ( SI:O\t.l City of Tigard DEC a 2017 Received j 13125 SW Hall Blvd.,Tigard,OR 97223 Date/13y: / A/AO/2� Permit No.:-Ge,2_0/2—x 7?f-- Ilig 11 Phone: 503.718.2439 Fax: 503.598.11;" Plan Review vt/ i l(:i A R D Inspection Line: 503.639.4175 t � Date/By: Other Pe� Gee Page ,2f /, l° Bt11L, ;, Ci DiV., ei0N DateReadyBX loris: H S�ee�PaeCg/e2for�t/�C.-'�'�� Internet: www.tigard-or.gov Noti6ed/Method: Supplemental Information TYPE OF WORD PLAN-:REVIEW: ®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked below): ❑Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition ❑Other' where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ 1-and 2-family dwelling 0 Commercial/industrial (3 Floating buildings. 0 Accessory building less to all exceeds ons, ' 0 Commercial-use agricultural O Multi-family 0 Master builderamps for all other installations. buildings. 0 Other: 0 Fire pump' 0 Installation of 75 ICVA or JOB SITE INFORMATION AND LOCATION El Emergency system• larger separately derived system. 0 Addition of new motor load of 0"A","B","1-2","1"1-3", Job no,: I Job site address: 15445 SW Applewood Ln tooHPormore. occupancy, City/State/ZIP' ❑Six or more residential units. 0 Recreational vehicle parks. ❑Health-care facilities. 0 Supply voltage for more than o Hazardous locations, 600 volts nominal.Suite/bldg./apt.no.: I Project name: Heritage Crossing ❑Service or feeder 600 amps or more. Cross street/directions to job site: FEE SCHEDULE Description I Qty. I Bea 1 Total I New residential single=or multi-family dwelling unit. Includes attached garage. Subdivision: I.Lot no.: 43 1,000 sq.ft.or less 168.54 4 Tax map/parcel no.: Ea.add'l 500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK. • Limited above sq.esidential 75.00 (with above ft.) 2 Electrical App for adding AC Limited energy,multi-family I residential(with above sq.ft.) 75.00 2 Services or feeders installation,alteration,and/or relocation 200 amps or less 100.70 2 0 PROPERTY OWNER I 0 TENANT 201 amps to 400 amps 133.56 2 Name: 401 amps to 600 amps 200.34 2 Address: 601 amps to 1,000 amps 301.04 2 Over 1,000 amps or volts 552.26 2 City/State/ZIP: Temporary services or feeders installation,alteration,and/or relocation Phone:( ) I F`ax:( ) 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 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps 168.54 2 Owner signature: • Branch circuits—new,alteration,or extension,per panel Date: A.Fee for branch circuits with 0 APPLICANT I 1 0 CONTACT PERSON above service or feeder fee, Business name: DR Horton Inc each branch circuit 1 7.42 2 B.Fee for branch circuits without Contact name: Mark Grismer service or feeder fee,first branch circuit 56.18 2 Address: 4380 SW macadam Ave Each add'l branch circuit 7.42 2 City/State/ZIP: Portland OR 97239 Miscellaneous(service or feeder not included) Each manufactured or modular i- - 503222-4151 Idwelling,service and/or feeder 67.84 2 Phone:( ) Fax::( ) Reconnect only 67.84 2 E-mail: Pump or irrigation circle 67.84 2 CONTRACTOR _ Sign or outline lighting 67.84 2 Business name: Signal circuit(s)or limited-energy j u(Al t/j/,',0_I/f -- g14,-47.,;c_ .-j_L panel,alteration,or extension. Page 2 12 Address: 2 ?o / (//7 A E" '2 l t J tI Each additional inspection over allowable in any of the above !S 1- /(/ ,74,-.12_ Additional inspection(1 hr min) 6625/hr City/State/ZIP: (/moi 1/1/A s r -C/ Investigation(1 hr min) 66.25/hr Phone:(360 5/ _ 72s�.9 I Fax:06�J} � Industrialspecs for (1 hr min) 78.18/hr n � ,�6�j © Inspections for which no fee is CCB Lic.:/72,6— ,..9 ElectricalLio:• specifically listed(./shrmin) 90.00/hr I C Z 3 0 I Suprv.Lic.: /-T 93 3 ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: %' �JI\ at/ Subtotal: // ff -r'G Plan review(25%of permit fee): Print name:Ch c 57'ti/1, 6 i Date:.. State surcharge(12%of permit fee): Authorized signature: 5���//� &'7� TOTAL PERMIT FEE: trPA_,Z • This permit application expires if a permit is not obtained within 180 Print name: �c/ days after it has been accepted as complete. Date: * Number of inspections allowed per permit. I:\Bullding\Permits\ELC-PermitAPF 440-4615T(11/05/COM/WEB City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15445 SW APPLEWOOD LN, TIGARD, January 16, 2018 at OR, 97224 9:52:23 AM Record Type: Record ID: Residential - Electrical ELC2017-00935 Inspection Type: Inspector: 199 Electrical final Chip Barnett Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor