Permit (2) CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: ELC2022-00378
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 7/28/2022
Parcel: 1 S126DC00901
Jurisdiction: Tigard
Site address: 9650 SW GREENBURG RD
Project: Terrace Glen Apts Subdivision: TERRACE GLEN APARTMENTS Lot: None
Project Description: (2)200 amp temporary services
Contractor: TRADESMEN ELECTRIC INC Owner: TERRACE GLEN HOUSING PARTNERS LP
PO BOX 128 9640 SW GREENBURG RD
BATTLE GROUND,WA 98604 TIGARD, OR 97223
PHONE: 360-666-1199 PHONE:
FAX: 360-666-6124
FEES
Quantity Description Date Amount
Specifics: 2 ea Temp Services or Feeders- 06/09/2022 $118.72
200 amps or less
1 ea 12%State Surcharge- 06/09/2022 $14.25
Type of Use: MF Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $132.97
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the
180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 throuah OAR 952-001-0090. You may obtain a coo of the rule or direct questions to OUNC by cailino 503.232.1987 or 1.800.332.2344.
Issued By: r Permittee Signature:
OWNER INSTALLATION ONLY /
The installation is being made on property I own which is not intended for sale,lease or rent.
OWNER'S SIGNATURE: Date:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR.ELEC'N Date:
LICENSE NO.
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Electrical Permit Applicatiq>AECEIVED in armIlKIMN
Re ed 2
City of Tigard DacteZy V�� (p�$ Permit#: _oL2 S
13125 SW Hall Blvd.,Tigard,OR 97223 A., Plan Review
Phone: 503.718.2439 Fax: 503.598.190""4• Date/By: Related Permit
Inspection Line: 503.639.4175 Ready Date/By: 0 Set Page 2 for
Internet: www.tigard-or.gov .'!T OF11("W� Notified/Method: Supplemental Information
797,725004 7.7
7, 77
- -7777y-
New construction E]Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked)
El Service or feeder 400 amps orore ❑❑
Building over three stories.
❑Demolition F-1 Other: where the available fault current Marinas and boatyards.
exceeds 10,000 amps at 150 volts or ❑Floating buildings.
E] 1-and 2-family dwelling 0 Commercial/industrial E]Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
Multi-family E]Master builder E3 Other: 0 Fire pump. 0 Installation of 150 KVA or
0 Emergency System. larger separately derived
Job site address: 0 Addition ofnew motor load of system.
Job#:NO 10 90 G60 3 c-i I OOHP or mor,. 0"A","E","1-2","1-3",
❑Six or more residential units. occupancy.
City/State/ZIP: '7 7GAk'10,()e 0 Recreational vehicle parks.
Health-care facilities.
0 Hazardous locations El Supply voltage for More than
Suite/bldg./apt. 171 Service orfcedcr 600 amps or more. 600 volts nominal.
Cross street/directions to job site: F_ASr SSE
f� Deceri tion Each Total
ROA-0 44446,5 New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
Tax map/parcel#: 1,000 sq.ft.or less 168.54 4
Ea.add'I 500 sq,ft.orportion 33.92 1
61, Lirmle d energy,residential
(with above sq.ft.) 75.00 2
6-2)
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
Renewable Ener See Page 2
Services or feeders installation,alteration,and/or relocation
Name: 200 amps or less 100.70 2
Address: 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP: 601 amps to 1,000 amps 301.04 2
Phone: Fax: Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Owner signature. Date: 401 amps to 599 amps 168.54 2
Branch circuits-new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name: C-5�er') above service or feeder fee, 7.42 2
each branch circuit
Contact name: B.Fee for branch circuits without
Address: 11al
service or feeder fee,first S6.18 2
branch circuit
City/State/ZIP: t,)+ Each add'I branch circuit 7.42 2_
Miscellaneous(service or feeder not included
Phone:(—%O) Fax: :( Each manufactured or modular 67.84 2
Email: &c TI-el 6 rv\ dwelling,service and/or feeder
bo is Im&j Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
Business name: Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy 0 See Page 2 2
Address: AW _'577,TC-_F_ panel,alteration,or extension. I I
City/State/ZIP: ISAITU (2,vepl)fjo WA C?&66'-/ Each additional inspection over allowable in any of the above
Additional inspection(I hr min) 66.25/hr
Phone:(3W) Investigation(I hr min) 90.00/hr
Industrial plant(I hr min) 78.1 S/hr
Email:S�.07T-gF6 c_)(5 6 A) W40 rr-SWA 160.0);1-0c 1)2'6 C_ Cj)All Inspections for which no fee is
ecificallz listed(/hr min)
90.00/hr
CCB Lie.: Electrical Lic.: C-90 rv.Lic.: )71��S s P
Suprv.Electrician signature,required: Subtotal:
Print name: zo')& Date: 4,1 j 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: ----------- TOTAL PERMIT FEE: 7
Z�' This permit application expires if a permit is not obtained within 180
Print name: days after it has been accepted as complete.
e_�Fyel I Date: * Number of inspections allowed per permit.
1.1Bu,ldi.g',P.—,(s\ELC_Pcrni.tApp_ELR_ERE d.c Rcv 06/17/2015 440-4615T(ll/05/CQM/WEB