Permit t:k a
CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: ELC2010 -00113
[ GAR ID 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Date Issued: 03/11/2010
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Parcel: 1 S 135CA00600
Jurisdiction: Tigard
Site address: 11200 SW GREENBURG RD, UNIT# 19
Subdivision: AUTUMN OAKS APARTMENTS Lot: 0
Project: Autumn Oaks Apartments
Project Description: (2) branch circuits to install cadet heater and outlets.
Owner: FEES
LVL LLC Quantity Description Date Amount
7327 SW BARNES RD #122
PORTLAND, OR 97225 2 crt Branch Circuits 03/11/2010 $63.60
wo /Purchase Service or
PHONE: 503 - 421 -5121 Feeder
1 ea 12% State Surcharge - 03/11/2010 $7.63
Electrical
Contractor:
REDS ELECTRIC CO INC
6336 SE 107TH AVE
PORTLAND, OR 97266
PHONE: 503 - 233 -6467
FAX: 503 - 233 -1281
Type of Use: MF
Class of Work: ALT Type of Const:
Occupancy Grp:
Total $71.23
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 throu h OAR 952 - 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.E
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Issued By: / Permittee Signature: i
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 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.
Mar, 10. 2010 8:09AM Reds Electric No. 0814 K 3
Electrical Permit Application :. .. _ -, FOR OFFICE USE ONLY
City of Tigard Re 0 Date/� 6 �o Permit N Ea D' 0-€5 �r!
O
I3l25 5W Ile!! Dlvd., Tigard, OR 97223 Plan Review Other Permit: 503,639.4171 Fax; 503.�iR(+0� `1013 pate /B
Ins e ction Line; 503.639.4175 Dare Ready/By: lurit a Sec Page 2 for
T 1 C. n P. D P • Internet: www ugard or gov �, Norified/Melhod; // fc ' r • Supplemental Information
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),_.:, � [... I ' > ` _.. ;`�PL',h Vy �4��'�•�1� / 'k','v • ,.... I .. ki ' .- ., , Y
11] New construction s ddition /alteration /rcplacemcat
Please check of thni apply (submit 2 ets ofplom wlllems checked below):
D ❑ Service or feoder 400 amps or more ❑ Building over three stories.
�
Demolition Other: _ where the available fault current la Marin;u and boatyards.
",N .. -, . I., t �. ,C . TEG J RY OB G O T: ; O � aai ywV,.: :47 M . : I t? t-i esceeds 10,000 amps at 150 volts or El Floating buildings.
S ;- Ic to g o e ecee ds 14 ❑ — om mere a . ms e atpi
❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations buildings.
❑ Multi -family ❑ Master builder ❑ Other ❑ Fire pump. ❑ Install, lion of 75 K VA ar
v. a s ti 7 mcr n
on o f new larger separately derived system
{ ? , } .. n 7 x a Jf(11 - 6[] CE , l4' pl
VF'ii1: X ? 1,'O !i fir - : , 1 y ^, E - Z4 2 . ; ❑ Addition of motor load o f ❑ ..n,. I z.. 13 e
Job no. Job site adore• 2 D 6 s 6e, / I Si ai or more. occupancy.
( /7 lJ �/ (,,t) C 7/I..QC.f1 /eL / t: 1 ❑ ig: or more residential unn ❑ Rxrcational vehicle parks.
City /State/ZIP: 7
9 3 ❑ Health -care f tcilities. ❑ Supply voltage for more then
�� eep�i��� [� t p Hazardous locations. 600 volts nominal
Suite/ bldg. /apt. no.. (Project name: (*LE- tup.po � � 5 ❑ ! � � °rfceder 600amPsot more r Jti
LT• �.. m ■ - rte
,`l'�k j ( P,E . 1 LAIR. #;
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Cross streeUdirections to job site: • Docrinuon I Qty I Fee, I Toni I •
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less - 145.15 4
• — Ea. add'l 500 sq, ft. or portion 33.40 1
Tax map /parcel no.: • s h.� — _ _ Limited energy, residential -
- t:. L a =.r: •;_ 15.00 2
')��� of + -', �=' 'l C* - y tits ia' . x:,> .�F
�,�`�: ^ �-�,:" b�'"S- .�a•!�.l:' '�' �,'�' � +�°.!�?':;:s. with .b.-- M 'r, n , Ta ar _d a , s Z
Limited energy, multi- family 75.00 2
residential (with above Sq. R.)
Services or feeders installation, alteration, and /or relocation
y�.,, ,`. � } 200 amps or Tess 80.30 2
�7 5 Y i...' N ,`r•-ReiLAP, • ! k '�Yrs7/ , r "N3 .. Cu r ,
w amps r' 201 am s u 400 slaps 10685 2
Name: Z__ L-' L, G.L C 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: `3 z ? 3::-') - e,iE- /7t j , - /2 2' Over 1,000 amps or volts 4:4.65 2
City /State /Z11 ,e// / ,. (j/ D ,e 9 y zz Temporary services or fcctilers installation, alteration, and /or
relocation
Phone( l�? / — .57 a / J Fax: ( ) 200 amps or less 66,85 I
Owner installation: This installation is being made on property that 1 own which is not 201 amps to 400 amps 100,30 2
-
intended for sale, lease, rem, or exchange, according to ORS 447, 449, 670, and 701 401 amps to 599 amps 133.75 12
Branch circuits -new, alteration, or erlension, ter panel
Owner signature: Date: A. Fee for branch circuits with
4 �,°",- y , �. pG 1 ` ' Si, y "'� "• ' V (n 1e •t; 4•,'',(4,-, �� , g b ��++11 ∎ rywh, l ." ' above service or feeder fee.
,
1�`,`es,..;'S�<s �«'ai.;It'�I.. .-, t' '.'` .w- `v.s>.»,,t; " r+ . r.» az,.,,.it ,, , , ,,f;sa 3e�.'�'�5`r'�6 6.65 2
each branch circuit
Business name: 13: Fee for branch circuits 54,1
without service or feeder fee, 36'K� 2 • Contact name: first branch circuit • Address: Each addl branch circuit I J 17-441 2
Miscellaneous (service or feeder not included) _
City /State /ZIP: Each manufactured or modular i
' - dwelling`ervice and /or fccdcr I 90 - 90 2
Phone: ( ) Fax:: ( ) Reconnect only 6615 2
13 mail: Pump or irrigation circle — } 53.40 2
h "' ,�"� _ r�i '� i i 4w ' ^irk`' "177 ^. 7' v' ^(1'" �' Sign or ou[linc li hting 53.40 2
Vi 1"10:m�?;41- t-E i. -a,, 0 ,[j`4�G`S`pll? t,,.-« z• ". #<..tt ' b 8
i$ �. ..ehs� :1„"h's _et'W.�`t � �.e�..ar '�:,.�nr „_ ta,.... ;•�`r^ .t„� - --
Busini energy panel, alteration, or
energy p
RED'S ELECTRIC CO. INC. extension. Describe: Page 2 2
Addt•e 6336 SE 107TH AVE
City/g PORTLAND, OR 97266 Each additional Inspection over allowable in any of the above
503. 233 .6467 FAX 603 - 233 -1281 - Per inspection 62.50
Phone CCB# 4443 ELECRiCAL LIC 26 -152C SUPRV LIC 5010S Investigation per hour (1 hr min) 62.50
CCB • Industrial plant per hour 73,75 i 0
- -• ,. 1<i,)' -N ELE€ E CIT PEES -` r ��
Suprv. Electrician signature, required: ilk /. ) Subtotal:, 7 t�
Print name: I Date: — Flan review (25% of permit fee):
•-- 0 ._ State surcharge (12% of permit fee): ” r
Authorized signature: TOTAL PERMIT FEE: 5
This permit application expires if n permit is not obtained within 180 V.
Print name; Day; days after it has been accepted as complete. e
Number of inspections allowed per permit. 1
IM,.:L1;.._ID.....bAFt ('_Pnrmi, Ann dr - ntntrcu 440- 4615T(t t /o5 /COMNJLB