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Permit IN - CITY OF TIGARD ELECTRICAL PERMIT 4 : COMMUNITY DEVELOPMENT Permit #: ELC2011 -00298 'TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/03/2011 Parcel: 2S 115AA00900 Jurisdiction: Tigard Site address: 10978 SW DURHAM RD 65 Project: Oak Tree Apartments Subdivision: WILLOW- BROOK -FARM Lot: PTS 26 Project Description: Buildings H -12 &I-18, addresses, 10978 & 10986 SW Durham Rd, units # 65, 66, 67, 72, 73, 79, 80, 82, 83, 89 & 94. Relocating range outlets. Contractor: MCCOY ELECTRIC CO INC Owner: OAK TREE APARTMENTS OF OREGON LL 2014 SE 9TH AVE CARR, LEONARD TRUST PORTLAND, OR 97214 BY CARLA PROPERTIES LTD PORTLAND, OR 97209 PHONE: 503 - 234 -7521 PHONE: FAX: 503 - 234 -9473 FEES Quantity Description Date Amount 11 crt Branch Circuits wo /Purchase 06/03/2011 $130.38 Specifics: Service or Feeder 1 ea 12% State Surcharge - 06/03/2011 $15.65 Type of Use: MF Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $146.03 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in dance with - .prov- • • -ns. This permit will expire if work is not started within 180 days of i -nce, or if work is suspended for more the 180 days. ENTION: Oregon la require- you to follow the rules adopted by the Oregon Utility ■ • i'cation Center. Those rules are set forth in OAR 952 -0 1 -0010 thr , "ugh OAR 952 -r l 0090 ou may obtain a copy of the rules or direct questions to O • zinc„ 2 1987 or 1.800 332 '344. I ued By: / /1 /[1 _� l Perm flee • �I r , `ti ' OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease or rent. OWNER'S SIGNATURE Date: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC' 1110- ' ,l if ! '/ / J Date: LICENSE NO. Call 503.639.4175 by 7:00 a.m. for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Jun. 1. 2011 8:04Af McCoy E1 act r i - c C No. 5039 P. 2/3 El ew.., �,..� .,,,.11u taarai.,1CatiV1. FOR OFFICE 11SL ■ City of and Ti g nReuel areg9v: / , � D° a Permit ��cao�P�' II u 13125 SW Hall Blvd., Tigard, OR 9 22 V' d Plan Review Phone 503.639,4171 Fax: 503.598, 9 } N. 10\, Date/By; Other Permit: T l t' p It l r Inspection Line: 503.639.4175 `` . Date Ready/By: hris.: 0 See Page 2 for Internet: www.tigard- or.goy ,UV g � �C Notified/Method: I Supplemental Information • TYPE:OF 1( a M ` .. ` C' 1N ` ■ .., !• <$f,A(V'iRRVIE ❑ New consiniction II Addition /altcratioi r xh to Please check all that apply (submit 2 sets of pions w/itoms checked below): © Demolition • Other: V ,1• Ii Servioo or feeder 400 amp or more ❑ Building over three stories. where the available fault ourrent ❑ Merinos end boatyards. CATEGORY OP COI ST 121i CT i0 N exceeds 10.000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural 0 1 - and 2-family dwelling ❑ Commercial/industrial ❑ Accessory building pulps for oil other installations. buildings. /Multi- family 0 Master builder El Other: ❑Firepump. 0 Xnstallatioc0751KVA / TO .,. t INFQI2lffAYTON AND LOCATION, ❑a mergenoy system. larger separately derived system. D6 J G � ID IOO on of new motor load of ❑ "A'," B', "1-2 ", "t - 3'> 6 '5 W I D `t%� Six o r more res occupancy. Job n0.: JOb SitC addres$: t a t W (J 0 Recreational ❑ Six or more residential units. parks. City/State/Z1P: 1 -- d oR a � Ell rd o s loca ❑ Supply voltage for more than [(Hazardous locati 600 volts nominal. Suite/bldg. /apt, no.: Project name: / 9A L / amp or feeder 600 em or more. 4■n,._ r r . ��� ski . TI1 i.SC llt1I , Cross street/directions to job site: Detcriptkon I Qty. I Fee. I Teta I .. r I ' xKUI + „I ., t 1 '"1 / i • M c residential single - or multi - family dwelling unit. Includes of jJ Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft, or less ,. 168.54 4 ),a. add'l 500 sq, R. or portion 33.92 1 Tax map/parcel no.: Limited energy, residential 75.00 2 DESCIQIPTION OF WORK'.. (with above sq. ft-) { rgy, multi - family 75.00 2 Vie,toc 0e, rot of th e Limited anew, residential (with above sq. ft.) Services or feeders iustailatlan alteration, and/or relocation 200 amps or less 100.70 2 PROPERTY OWNER I El TENANT 201 amps to 400 amps 133.56 2 Name: 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 30I.04 2 Address: Over 1,000 amps or volts 552,26 2_ City/State/ZIP; Temporary services or feeders installation, alteration, and/or relocation _ Phone: ( ) Tax: ( ) 200 amps or loss 59.36 I 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 amp --- 168.54 2 Branch circuits new, alteration, or extension, n, . er panel _ Owner signature: Date: A. Pee for branch circuits with ❑ APPLICANT I El CONTACT PERSON above service or feeder fee, 7 42 2 each branch circuit Business name: B. Fee for branch circuits without r , / _ Q service or feeder fee, first 1 56.18 .1 t0 2 Contact name: branch circuit Each add'l branch circuit I U 7.42 q LEDITT Address: Mlstellaneous (service or feeder not included) City/State/ZIP: manufactured or modular 67.84 2 dwelling, service and/or feeder Phone: ( ) Fax: : ( ) Reconnect only 67.84 2 E-mail: Pump or inigatlon circle 67.84 2 Sign or outline lighting 67.84 2 CONTRACTOR Signal circuit(s) or limited energy Business name: C A M' panel, alteration, or extension. Page 2 2 Each additional Inspection over allowable in any of the above Address: 6 b i .' / V AdditIonalinspection(1 hrmin) 66.25/ hr � ., i r � Investigalion(1hrmIn) 66.25 /hr City/Stair/ZIP: V Industrial plant (1 hr min) 78.18/ hr Phone: , 6 ) , `�� _ 61 Inspections for which no the Is 90.00 / hr � specifically listed (%r hr min) CCB Lic.: N Electrical Lie,: 01 r ^ • Suprv. Lic.: _ ELECTRICAL PERMIT FEES Suprv, Electrician signature, required: Subtotal: 10)0, e �+. _4e Plan review (25% of permit fee): Print name: c ‘ a n J , r ' 1 ` I Date: 0. — 1 � (I State surcharge (12% of permit fee): ` D , or) Authorized signature: TOTAL PERMIT FEE: Li�j -I D 5 This permit application explres if a permit Is not obtalned within 180 days after it ball been accepted as complete. Print name: Date: • Number of inspections allowed par permit. l:\suildingPrnstta' l,C- veemnApadoc 07/0U10 aaad6lsTptros/COAtrwea