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Permit CITY OF TIGARD ELECTRICAL PERMIT "COMMUNITY DEVELOPMENT Permit #: ELC2010 -00257 IGARID 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 06/30/2010 Parcel: 2S 101 BC00900 Jurisdiction: Tigard Site address: 1291. SW KNOLL DR Subdivision: Lot: 0 Project: The Knoll at Tigard ProjectD'escription: Electrical for 48 unit apartment. Owner: FEES THE KNOLL AT TIARD Quantity Description. Date Amount PO BOX 23206 TIGARD, OR 97281 -3206 4 ea Services or Feeders - 201 to 06/30/2010 $534.24 400 amps PHONE: 503 - 293 -4038 1 ea Services or Feeders - 601 to 06/30/2010 $301.04 1000 amps 2 ea Services or Feeders - Over 06/30/2010 $1,104.52 Contractor: 1000 amps or volts JET INDUSTRIES INC 80 crt Branch Circuits w/Purchase 06/30/2010 $593.60 PO BOX 7362 Service or, Feeder SALEM, OR 97303 4129 da Electrical Permit 06/30/2010 $4,129.23 PHONE: 503 - 363 -2334 800 da 12% State Surcharge - 06/30/2010 $799.52 FAX: 503- 363 -2622 Electrical 1666 da Plan Review- Electrical 06/30/2010 $1,665.66 Type of Use: MF Class of Work: NEW Type of Const: Occupancy Grp: Total $9,127.81 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 -0100. • ay a ain p e ru e • •' ect questions to OUNC by calling 503.246.6699 or 1.800.332,2344. By Issued B `/' �? L Permittee Signature: _ 9 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. CaII 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. • • RECEIVED • Electrical .Permit A lication . i Qry <, „ ,, � ^ � a � r ,l,ii �a e o i gw ' " pp ! P 1 �° a� , FO R OFFI CE OY • , " 11 ° u ' d V :,: s 1L� i Ra ".`'',r s E ,. "tom! US 4:0A NL Y ?mss,( ;m ' n , t � -� MAY 2 7 :2 010 --- Akfi AMMO! Permit No g , 0/62-,00 , 5 Cit of -Tigard Date / lit ° 1 P 3125 SW Hall Blvd:,, Tigard OR 972 Ptan Revie _ / O ,` /� hone '503.639 4171 Fax ' 503.598. 'OF TIGARD - D : f . _ . '• Other Permit: • 'TIGARD, Internet: L 03.639.41 BUI DIVISION Y Y lrs 13 See Page 2 for ,, T^, I Ins a e t : Line: 503.639.4175 Not fed/Mehod;� /' / � �, SupplementaIInformation �. ,,, N . 2 � o * ,, ❑ T#iir Addition /alter W a ? I v PLAN REVIEW . • ❑ ew constru ction ation/rep l , , , ,/. Q A' ° ase eck a ll,that apply (submit 2 of plans w /items checked b ' sets c below): . . Service or feeder 400 amps ormore Building over,three.stones. ❑ Demolition, other_:-, ' " ❑ h ��( �� �' B� „•hcee available fault current ❑Marinas and boatyards. j - s exceeds 10,000 amps at 150 volts or ❑ Floating buildings. `T ; ;. . H 'f x ,. O�lI iC� °Itt G1' UN S g g agricultural 1 less to ground, or exceeds 14,000 ❑ Commercial -use a ❑ : and 2- family dwelling [ Commercial /industrial ❑ Accessorybuilding amps fonall other installations. buildings. ID Multi= family ❑ Master builder' ❑ •Oth ❑ Fire pump, ❑'lnstauagon of 751xVA or ' � , . C ,r ,.� ❑ Add t on of new motor loa of ❑ larger separately d1 rived'system. �`' -� JQB SITE INFOR �ON �� L,OGAT UN a� �'a .. �.: , a Sri, TI - r 7� 1 00HP or more: P y" :Job no. ���� Job sit e�address€ Ate, - . oocu anc ��iflst7�irvrs�tma :bra +xto ( � S ix or more residential units, ❑ Recreational vehicle parks. City /State /ZIP: ` iv C1,2 2 ❑Health care facilities. 0 Supply voltage for more th �` ❑ Hazardous locations 600 volts nominal 'Suite/bldg. /apt. no.: Project name \ i\ j • V( \ © Service or feeder : more , t, J - o � 600 amps per' � or i T Y //� 1"yi?L.. N/ _, • F E. CUiW 3 1M Crossstreet/dlrectlonsto job :site:' Description - 1 - Qty. I Fee. l Total 1 New "resldenhal +single- or multi- family dwelhn unit . - Includes attached. garage. / 141, , //f , S 1 000:sq. ft or less' - — 1 '68.54•.i�O 9�.4 Subdlvlsion: • Lot no.: 3 -� q y y ;, • L m t e d ener residential ;ion• y7 i• i 92 � ` Coa � / 1 Tax map /parcel no ` �b�,� a'�� g 6 .�4 2 r utin , x e.... / ' ,, :0 I 8 4!' WOR _ �l' ( q - - .;,. ,a 1 , . ., ��,,., r..,�.. c...� aka ...,: ... Y. .. ...: _ / /.,��,.:. f , ,rr„x" � - - . 4/9 e , 4 9 / td, 5. 9 /6 �, S-! / Limited energy multi - family 67.84 2 p p �� residential (with abovesq. ft.). _ ' � � f yF �� a / a 7 3 no , 6 9 40� ?, „z5 200 amp or lessde stallational at r repo' atio . n " _ rs in ion and/o :' ❑ PROPER OWNER c 1 i 4 , „ ©1 '''f- z 201 amps to 400 amps; y 133.56 .�3t(.R 2 20 3 .F ... � . � ,w . ,ice ,n, „ � ; ., x� , ufz� ,,x*i Naine: 401 a mps to 600 amps 20 2 60 , to 1,000 amps •J 301.04 3 2 Address: • Over 1 amps or volts 552.26 4•/.0 LA 52 - 2 Ci /State /ZIP: Tertiporary'services or feeders, installation, alteration, and/or relocation Phone: ) Fax: ( 200, amps or less 59.36 , 1 201 a mps to 400 a mps '125.08 12 Ownerinstallation: This installation is being made on property'that town which :is not 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, orextension, per panel _ Owner sig nature . Date �t S'•23 . 1 / . 1 ;N 8,n,...c i t V p mt I' LTC I T - 6 P .s ,9,. � A. Fee for branch circuits with each branch c or feeder fee, ,' y ” �� ,_ 2 s d ,� �CON ERSUN �� , , .. i 1 circuit `_ Business name: ` `` t B. Fee for branch circuits without } Q C 1 \) C t e c service or feeder fee, first Contact name: ' branch circuit 56.18 2 Y � 1' E ach add, l branch - circu • 7.42 • , 2 Address: '`> uM( --- A3 07_ \ Miscellaneous (service.or feeder not +included) e /ZIP S )'0 ��n Eachmg, service and/or or 'nodular ed �' %Stat ` dwellin service and/or feeder 67.84 2 Ci dwelling ,:service C ' �. - (( , f Reconn o 67.84. 2 Phone.. ( �0�) 0� Z- 3' Fax : ( J... �Ll " 2` • ;E maul (i � W 15 a Q kin ` ,,• ky , es Ifve -* S gn or o 67.84 2 ` "C£1t N TRA.CI( 1 Pl //. I., .- ,•..<,,- Signat circit(s)orlimit ��r . i., �. � ed- ener mess name: panel „ alter u ation, or extension. gy Page'•2 2 Bu § �u 1 V� \ x " �k�' i t ' Each additional inspection overallowable:1n any of the above' Address: % " Additional inspection (1 hr min) 66'.25/ hr Investigation (1 hr min) 66:25/ hr City” /State /ZIP: ��19 rr \ OC 2 .i'l) �= Industrial plant (1 hr min) 28:18/ hr Phone: - ((:,:t - 3) ••- 4 a '� ' ...:2,6 "2,6 . spe o which no fee is f ( ,�D'> �3 `'1 // (S l� - Inspections fr specifically 90:00/ hr finn' ` 7 ,/' f i Fx: N cally listed CA hr min) , Su ry Elec�c �(� — P — c� (- T'1 -- 6660Z- �. 3 Subtotal 173- . CCB Lic ra s a ttire, rEltiired•al Lic.: Su ry Llc.:,G` EIECTRIC ° PERMI EEE� p - ` i' 64S 4( f Pl a n review(25 /o,ofpermit fee): .,. T Pnnttna ' " f S ,0 e Or 512 1 l c," 9 o . j, � surcharge'( +12 %0 of permit fee). 4 5( Q T is per it•application e s f a p is of bbtame_ Authorized d`within 180 daystafter'it has been accepted as complete. Print' name:; Dater * Nuiriber,of inspections .allowed per permit. L \ Building \Permiis\ELC,PermitApp.doc 10/01/09 440- 4615T(11/,05/COM /,WEB i