Permit (51) RR
CITY OF TIGARD ELECTRICAL PERMIT
6111
COMMUNITY DEVELOPMENT Permit#: ELC2017-00165
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/10/2017
Parcel: 25111 DA19900
Jurisdiction: Tigard
Site address: 8511 SW SCHMIDT LP
Project: Heritage Crossing,Lot 18 Subdivision: HERITAGE CROSSING Lot: 18
Project Description: (1)branch circuit for Installation of A/C.
Contractor: SUNLIGHT ELECTRIC INC Owner: NORTHWEST VIEW PROPERTIES LLC
2800 NE 65TH AVE SUITE B 4230 GALEWOOD ST STE 100
VANCOUVER,WA 98661 LAKE OSWEGO, OR 97035
PHONE: 360-772-3877 PHONE:
FAX: 360-694-9728
FEES
Quantity Description Date Amount
1 crt Branch Circuits wo/Purchase 03/10/2017 $56.18
Specifics: Service or Feeder
1 ea 12%State Surcharge- 03/10/2017 $6.74
Type of Use: SF Electrical
Class of Work: OTR
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 may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: ae /076A1-17---- Permittee Signature: �/11 /°/2e`-OC,..7-/C,..4-770/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.
Electrical Permit Apel ratio m ...fk�, v ". >R- 1,,lz(i1.lir Is 1 �i (>1,1 li
CiI3I2S of Tigard 10,_ rate y: 3/�/`7 < - . zC' /7-C>e7J65
I 13125 SW Hall Blvd,Tigard,OR 97223 i:�''' 'f men Re
Ply Review /7. 7017
Phone: 503.718.2439 Fax: 503.5981$10 notedly: Other Fermi
3 t i",iz Inspection Line: 503.639.4I75 & ES See Page 2 for
Date tteady/By; Tvrix:
Internet: www.tigard-or.gov ." 1`, '- `.,tatified/Method: Supplemental Information
TYPE OF WORK PLANREVIEW
0
New construction 0 Addition/alteration/replacement Please check all that apply(submit:;sets of plans wkfems checked below).
❑Demcliti0n ❑Other: 0 Service or feeder 400 amps or more Q Building over three stories.
where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or Q Floating buildings.
[}l and 2-family dwelling 0Commercial/industrial 0 Accessoryless to ground,or exceeds 14,000 0Cor nrcrciai-use.agricultural
building amps for all other installations. buildings.
❑Multi-family 0 Master builder
0 Other: ❑Fina pump. 0 installation of 75 EVA or
JOB SITE INFORMATION ANID LOCATION 0 Emergency symmmlarger separately derived system.
DMdltion of new mater land of 0"A","E,"1-2","1-3"
Job n0.: Job site address:`'� a '::::,/,:1_,,,. .4 100IIP or more. occupancy"
` r i t,„,,,e,/'t ik y+ ❑Six or more residential units. Q Recreational vehicle parks.
City/State/ZIP: '"' 0 Health-care facilities. 0 Supply voltage for more than
D hazardous locations. 600 volts nominal.
Suitcfbldg,lapt.no.: Project name ' 4.' r, Service or feeder dal amps or more.
Cross street/directions to job site: 0 >* riaaem FEE sCIiE1 Qty. i.j]C
Feej TOW I
" ew residential single-or multi-family dwelling unit.
- — Includes attached garage,
Subdivision: Lot no.: }1 , 54 It or less
168.54 4
tl Ea.add'I 500 sq.ft.or portion 33.92 1
Tax map/parcel no.: Limited energy,residential
_.... ..... DESCRIPTION OF WORK • m (with above sq.ft) 75.00 2
Electrical App for adding AC v-.----. Limitedenergy,multi-family 75.002
residential(with above so.ft.)
Services or feeders installation alteration,and/or relocation
200 amps or less 100.70 2
0 PROPERTY OWNER Q 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
Address: Over 1,000 amps or volts 552.26 2
City/State/ZIP: ----- Temporary services or feeders Installation,alteration,and/or
relocation
Phone:( ) Fax:( ) 200 amps or less I I 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
Branch circuits--new,alteration,or extension,per panel
Owner signature: Date: A.Fee for branch circuits with
CI APPLICANT 0 CONTACT PERSON above service or feeder fee, 7.42 2
DR Horton Inceach branch circuit
Business name: B.Fee for branch circuits without
ElTlerh�d e S service or feeder fee,first I
Contact name: 5s.ts 2-
Address: 438()SWmacadam Ave Eachadi_bragoc branch circuit 7.42 2
Miscellaneous(service or feeder not included)
City/State/ZIP: Portland OR 97239 Each manufactazedormodular 67.84 g
dwelling,service and/or feeder
Phone:(503) 222-415I Fax::( ) Reconnect only 67.84 2
E-mail: Pump or irrigation circle 67.84 2
CONTRACTOR Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy
Business name: kt l L g.j 0- t c, extension. Page 2 _I 2
Address: �, j,t r,rye��'� ���lll7 t _(_u-2 2 panel,alteration,or
rje i/ Each additional inspection over allowable in any of the shove
'GJ �^,.^/ Additional inspection(I hr min) 66.25/hr
City/State/ZIP: C .i C e2,i{aw/-Pr tri', , 6 +� f Investigation(1 hr min) 66.25r hr
Industrial plant(1 hr min) 78.18/hr
Phone:(3, j ter-/e_ -75-e..,9Fax:K(Kl) s rr p. [ )y /6) Inspections far which no fee is
CCB Lie.: {5 -U c 7C7 t
specifically listed(%,hr min) 90.00C hr
1. -2,6-2./..9 Electrical Lie, CZ 30 Suprv.Lie.: /775. 5 _ ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: ,n, Subtotal:
tai
Plan review(25%of permit fee):
Print name:Ch 6, 5Ib' 6 �.�r,,� a 6,,,.1 Date: State surcharge(12%of permit fee):
Authorized signature: /e / 1 TOTAL PERMIT FEE: 6r,2.V,„1...
This permit application expires if a permit is not obtained within 180
Print name: days after it has been accepted as complete.
5 Number of inspections allowed per permit.
Date:
Lauldi
aa11'ertaiu\6T.GFermit,,pp
440-3615T(t 1i051{;{}Mtw$g
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
8511 SW SCHMIDT LP, TIGARD, OR, 97224
Record Type: Record ID:
Residential - Electrical ELC2017-00165
Inspection Type: Inspector:
199 Electrical final Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor