Permit CITY O F TIGARD w ELECTRICAL PERMIT
314 ° PERMIT #: ELC2007 -00632
1, COMMUNITY DEVELOPMENT DATE ISSUED: 9/11/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 105DD - 01300
SITE ADDRESS: 14885 SW SUNRISE LN ZONING: R -
SUBDIVISION: LOT : JURISDICTION: TIG
PROJECT: DR HORTON
Project Description: Reconnect only.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION:
EACH ADD•L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HM/ SVC/ FDR: 601 +amps -1000 volts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: W /SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD•L BRNCH CIRC: IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: 1 SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
DR HORTON, INC. - PORTLAND
4386 SW MCADAM AVE #102
PORTLAND, OR 97239
Phone: 503 - 222 -4151 Contact #:
FEES
Description Date Amount Reg #:
[ELPRMT] ELC Permit 9/11/2007 $66.85
[TAX] 8% State Surcharge 9/11/2007 $5.35
Total $72.20 REQUIRED ITEMS AND REPORTS
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 d. - ENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in
OAR 952 -00 -•010 throug 0' ' • : -0 • 0100. You may obtain copies of these rules or direct quetierts.to OUNC at 503.246.6699 or 1.800.332.2344.
Issued :y: ; /1 Permittee Signatur •
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 503.639.4175 by 7:00 a.m. for an inspection that business day.
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.
As .. -
i Electrical Permit Application battd->dse-Approval
Washington County, 155 N. 1" AV, Suite 350, MS 12, Hillsboro, OR 97124,
flacot, Phone: 503 - 846 -3470, Fax: 503- 846 -3993, Permit # FL.E.,2003 - - " 2
t- SLAJ
Inspection Requests: 503 - 846 -3699, www.co.washington.or.us 77 6
- , ' ,- , TYPE OF WORK PLAN" REVIEW
❑ New construction ❑ Addition/alteration/replacement ❑ Other: Please check all that apply:
❑ Service or feeder 400 amps ❑ Hazardous locations
or more where the available Service or feeder 600 amps or more
CATEGORY OF CONSTRUCTION fault current exceeds ❑ Building over three stories
A
1 - and 2- family dwelling ❑ CommerciaUindustrial Ac cesso building 10,000 a mps at 150 volts or
❑ Accessory g El Marinas and boatyards
❑ Multi - famil less to ground, or exceeds ❑ Floating buildings
y ❑ Master builder ❑ Other: 14,000 amps for all other g
JOB SITE INFORMATION AND LOCATION installations. ❑Commercial -use agricultural
buildings
Job no.: I Job address: 11 $ 5 f L..) 1,r r t f t. Les ❑ Fire pump
❑Emergency system ❑ Installation of 75 KVA or larger
separately derived system
City/State/ZIP: ❑ "A," "E," `7 -2," "I -3" occupancy
❑ Addition of new motor
Ci
ty 7' o- r l O load o f I OOHP or more
Suite/bldg. /apt. no.: Project name: ❑ Six or more residential units ❑Recreational vehicle parks
❑ Supply voltage for more than
❑ Health -care facilities 600 volts nominal
Cross street/directions to job site: Sri 8„ ti 04.1 f sd lzr 5 r.■ i 9" D f ' 48
S� S /1St 1 FEE SCHEDULE
Description I Qty. I Fee I Total I *
Subdivision: Lot no.: Residential single- or multi- family dwelling unit.
Includes attached garage.
Tax map /parcel no.: 2.S1 D,y'iD ( ' - I 0 0 1,000 sq. ft. or less 150.00 4
DESCRIPTION OF WORK Ea. add'I 500 sq. ft. or portion 42.00
Limited energy, residential 60.00 2
RGto • to tsh-^w ••e - i - o. , se f+' - eG (with above sq. ft.)
Limited energy, multi - family 66.00 2
residential (with above sq. ft.)
[PROPERTY OWNER I ❑ TENANT Services or feeders installation, alteration, and/or relocation
Name: 200 amps or less 90.00 2
R +- (o.r�N, 1 '"` • — ?,r 1-1 `°`A 201 ampsto400amps 120.00 2
Address: 1 4 3 V , 5, �-1 a C F e'l ae" a W 102. 401 amps to 600 amps 180.00 2
601 amps to 1,000 amps 270.00 2
City/State /ZIP: ? id, R.II O A 472.3 Over 1,000 amps or volts 504.00 2
Phone: (5 ) 222 '-I t S I Fax: (sp 3 ) 222 13 O c/ Temporary services or feeders installation, alteration, and /or
relocation
Owner installation: This installation is being made on es> • ial or farm property owned by me or a member of 200 amps or less 78.00 2
my immediate family. This property is not '., •,, , • ange or rent. (ORS 479.540(1) and 479.560(1). 201 amps to 400 amps 108.00 2
Owner signature: /A Date: °l 40/0 7 401 amps to 599 amps 150.00 2
❑ APPLICANT ❑ CONTACT PERSON Branch circuits - new, alteration, or extension, per panel
A. Fee for branch circuits with
Business name: above service or feeder fee, 8.50
each branch circuit 2
Contact name: B. Fee for branch circuits
without service or feeder 60.00
Address: fee, first branch circuit 2
City/State /ZIP: Each add'l branch circuit 8.50
Phone: ( ) I Fax: Miscellaneous (service or feeder not included)
( ) Each manufactured or modular 102.00 2
E - mail: dwelling, service, and/or feeder
Reconnect only )( ae:ee ( I
CONTRACTOR Pump or irrigation circle 60.00 2
Business name: Sign or outline lighting 60.00 2
Signal circuit(s) or limited -
Address: energy panel, alteration, or
60.00
extension. Describe:
City/State /ZIP: 2
Phone: ( ) Fax: ( ) Each additional inspection over allowable in any of the above
Per inspection 90.00
E - mail: CCB tic. no.: Investigation fee (See compliance)
Electrical lic. no.: City or metro lic.: Other:
Supervising electrician ELECTRICAL PERMIT FEES
signature, required: Subtotal 79 . c y,) !r $ . $S
Print name: Date:
Plan review ( 25% of permit fee)
State surcharge (8% of permit fee) 5. 3 j
Authorized 5
signature: TOTAL PERMIT FEE — '42._2c
This permit application expires if a permit Is not obtained
Print name: Date: within ISO days after it has been accepted as complete
• Number of inspections allowed per permit. Revision 06/26/06
CITY OF TIGARD •
BUILDING DIVISION PERMIT #VLC21:561- , 00632.
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: -
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 0%,. LLj . �� • TIME: PAGE:
SITE ADDRESS: 1 S t 7 v{J9D 6V 1413 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION: . CA to Kai
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Ot• t Pour Time:
Code # Inspection Description Confirm # Contact # Message
V C 1t4 AI --
Corrections/Comments/Instructions:
•C-1 (t- CAL- fir ,1� 16 S v .-5
55 r�5
4 k • ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
V AIN �- 111 CALL FOR INSPECTION 111 ADDITIONAL FEES ASSESSED
Inspector: �y ' P V Date: 14 ` p ' , Phone #: (503) 718 - sZA14
_ TIGA DIVISION PERMIT #: ELC2007 -00632
RD
vd., Tigard, OR 97223 DATE ISSUED: 9/11/2007
4171 4 I111
Inspection Requests (24 Hrs.): (503) 639 -4175 F'
INSPECTION WORKSHEET FOR DATE: 9/12/2007 TIME: 7:01AM PAGE: 43
SITE ADDRESS: 14885 SW SUNRISE LN CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: DR HORTON
DESCRIPTION: Reconnect only.
OWNER: DR HORTON, INC. - PORTLAND, PHONE #: 603 - 222 -4151
CONTRACTOR: DR HORTON, INC. - PORTLAND, PHONE #: 503272 -1304
Inspection Request Scheduled For: Date: 9/12/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 055546 -02 503 - 317 -6500 N
Corrections /Comments /Instructions:
A' Jf : r 41 ' oz`' �� _ s_ i/�
/ /M A/M ro 9E PpT,��O•
}-( - ( 0 , 4473
,$9 ./dGue,e 6.e.
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
4 FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: a'4 /Jl /ri Date: 91.9/, Phone #: (503) 718-