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Permit CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit#: ELC2018 00036 T t GAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/17/2018 Parcel: 2S 111 DA22700 Jurisdiction: Tigard Site address: 15505 SW APPLEWOOD LN Project: Heritage Crossing,Lot 46 Subdivision: HERITAGE CROSSING Lot: 46 Project Description: Adding(1)branch circuit for A/C unit. 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: FAX: 360-694-9728 FEES Quantity Description Date Amount Specifics: 1 crt Branch Circuits wo/Purchase 01/17/2018 $56.18 Service or Feeder 1 ea 12%State Surcharge- 01/17/2018 $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 la 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 - 01-009You��. obtain a/.y of the ruler direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. , Issued By: ,G`' t ` ►��% Permittee Signature: 5CG aried L2 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 503.639.4176 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 A Application t_ � PA • r(ia tori Ice I sr r>Nl.l City of Tigard Reoeivat / /7 /f /�/ 13125 SW Hall Blvd.,Tigard,OR 97223 i Man Rev Permit No.:��1^��/l�c��{/3�p Phone: 503.711 Blvd. Fax: SQR 97223 Plan Review • • Other FemdS 1r a (5 7i i,, \,t Inspection Line: 503.639.4175 k 5 t OF i Arto ReadY/EY: retie See Paget forInternet: www.tigard-or.gov Notified/Method: Supplemental Lafoenetlan r d ly!OTYPE OFWO D Addition/alteration/replacement PLAN REVIEW ®New construction nt !lease check all that apply(submit j,sets of plans w/itadts checked below): D Demolition 0 Other: 13 senate or 400 m ()ramie= ailingr where the availfeederable fat) ps curre00 MarinasBandover boatythroearrstols.ies. CATEGORY OF CONSTR,t1CTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. ❑1-and 2-family dwelling 0 CotmrterciaUmdustrial' 0 Accessory building leas so ground,or exceeds 14,000' Q Commercial-use agricultural D Multi-family 0 Master builder amps for all other installations. Installation ❑Other: Mire pip. 0 lnataJiaficn of 75 KVA or JOB SITE INFORMATION AND LOCATION C:3 Emergency system. larger separately derived system. Job no,: 1 Job site address: 15505 SW Applewood Lane © o�oafsaoeewmotorloadof q ',2","7.3", 0 Six or more residential units. 0 Recreational vehicle parks. City/State/Z1P: Cl Health-care facilities. 0 Supply voltage for more than 0 Hazardous locations. 600 volts nominal. Suite/bldg./apt,no.: 1 Project name: \- v iy. CA(.0,53 1 t o 0 Service or feeder 600 amps or more. Cross street/directions to job site: FEE'SCHEDULE lreserioties 1 Qty. I Bea .i Total I • New residentiarsingle=or multi=family dwelling unit. Includes attached garage. Subdivision: 1.Lot no.: 46 1,000 sq.ft.or less 168.54 4 Tax map/parcel no,: - Ea.add'!500 sq.ft.or portion 33.92 I Limited energy,residential DESCRIPTION OF WORK (with above so.ft.) 75.00 2 - Limited energy,multi-family ' residential(with above sq.ft.) 75.00 I 2 Add A/C Services or feeders Installation,alteration,and/or relocation 200 amps or less 100.70 2 PROPERTY OWNER ( i 0 TENANT 201 amps to 400 amps 133.56 2 Name: DR Horton Inc - Portland 401 amps to60oamps 200.34 2 Address: 4380 SW Macadam Ave,#100 601 amps to 1,000 amps 301.04 2 Over 1,000 amps or volts 552.26 2 City/State./ZIP: Portland, OR Temporary services or feeders installation,alteration,and/or relocation Phone:( 503)222-4151 1 rax:( ) 200 amps or less i 5936 l 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 ro599 Branch circuituit amps 168_54 2 Owner signature: s-.new,alteration,or extension, er panel Date: vA.Fee for branch circuits with APPLICANT 1 I D CONTACT PERSON above service or feeder fee, each branch circuit 1 7.42 2 Business name: DR Horton Inc B.Fee for branch circuits without Contact name: Emerald Weeks brands circuit 56.18 2 Address: 4380 SW macadam Ave • Each add'rbranch circuit 742 2 Miscellaneous(service or feeder not included) City/State/Z1P: Portland OR 97239 Each manufactured ormodular dwelling,service and/or feeder 67.84 Z Phone:(503) 222-4151 Fax::( ) , Reconnect only E-mail: Pum or irrigation 67.84 2 P igation circle 67.84 2 CON'T'RACTOR i' • Signor outline lighting 67.84 2 Business name: ` till- �r J. ` Signal circuit(s)or limited-energy (/t Li! `i(.e (i�(/;G ..j_ panel,alteration,or extension. Page 2 2 Address: 2 got/ A� /�� '� U, ll_ Each additional inspection over allowable in any of the above �1/ t0 r�L.,e l l..0 Additional inspection(t hr min) 66.25/hr City/Statc//Z1,P,: //'�� v fJ. CI Investigation(1 hr min) 66.25/hr Phone:(364 5/ .'7;5 f 9 Fax:OSQ) T3/ 9/'/`O Industrial plant(1 Ili mo) 78,18/hr / </t�t7 Inspections for which no fee is CCB Lit.: ^^ Electrical Lica• specifically listed(54 hr 90.00/hr ( Z�7��1 �Z O f Suprv.Lic.: /775 ELECTRICAL PERMIT FEES Suprv.Electrician signature,required:/ ) - Subtotal: j G Plan review(25%of permit fee): Print name:C4 cs.f_ �1 a rif ' Date: 't✓//�`�' y/� /�� State surcharge(12%of permit fee): � Authorized signature: , — ----- TOTAL PERMIT FEE: This permit appikation expires If a permit is not abut mid within 180 Print name: V I Date: I . Aker it boa been accepted as complete. S:�ItlE " Number of inspections snowed per permit, asTermiukuw-parmitApp' 44e.4615T(i t/e5/COM V,an City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15505 SW APPLEWOOD LN, TIGARD, January 17, 2018 at OR, 97224 10:35:50 AM Record Type: Record ID: Residential - Electrical ELC2018-00036 Inspection Type: Inspector: 199 Electrical final Chip Barnett Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor