Permit CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: ELC2012 -00052
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/27/2012
' Parcel: 1S134DD00100
Jurisdiction: Tigard
Site address: 10605 SW TIGARD ST 5
Project: Windmill Apartments Subdivision: 2004 -050 PARTITION PLAT Lot: 2
Project Description: (4) branch circuits for ductless heat pumps in units 5, 6, 7 & 8.
Contractor: PREMIER ELECTRICAL INC Owner: RICHARDS, JAMES E & SHARON S
PO BOX P BY NORRIS & STEVENS
CORVALLIS, OR 97339 621 SW MORRISON ST #800
PORTLAND, OR 97205
PHONE: 541 - 758 -4284
PHONE: 500 - 624 -9856
FAX: 541 - 758 -4433
FEES
Quantity Description Date Amount
4 crt Branch Circuits wo /Purchase 01/27/2012 $78.44
Specifics: Service or Feeder
1 ea 12% State Surcharge - 01/27/2012 $9.41
Type of Use: MF Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp: R -2
Total $87.85
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 through OA 52- 90. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232 or 1.800.332.2344.
Issued By: -- Permittee Signature: 4A/
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease or rent.
OWNER'S SIGNATURE Date:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC' Date:
LICENSE NO.
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
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Electrical Permit Applies �, FOR OFFICE USE ONLY
of Tigard � �' A` X011 Vii. Permit No Le - ,ri >5
City o g �, ��
.. 13125 SW Hall Blvd., Tigard, OR 972 �/� /
" � Other Perrot _ tlC o
Phone: 503.718.2439 Fax 503.59$,1960 F�1��7 r ��/ -
T 1 Ci A K t> Inspection Line: 503.639,41 75 `1" ®\, `) Din. Roady/By: H See Page 2 far
Internet; www.tigard or,gov G 1 � � "G Notitied /Method: .M Supplemental Informadan
•. r' '.m .Y4 • rw . t r,, r I' •I {n,t. 'n� f. i , l r t.a ., t •,� e ., . �)N4 fi'+1 ayYflr ,la r}r i }' !^ p. , / . f fit ir'1
t�ry�Ir' y 'n }' .. `fro 1 te;, l'dP }r , rr'.!I}� }rra4rl ; t ,,, ri) p,l�J,ri.,, i +r Xafly i :� ?r''� rrri ('} 1, . � �f l.. ", ! 1 t ;{� ,r d, .,,",1iF 1 � l ,f ! r,,��y} '„ .
�� i jf!'i ' i + If fdkl �j�{r�iIsfi,(i l ' � l!1jlj�.i4vG 1Ri!1.i ?' }t�at�ei r; iCh�t rCi� ;l!dmllr jR+la �liLtEh G I 1di(j� L E r r d l� Ij ZE l ilk .'ldslllE�� ililj� Y�i �11W „4. iii(Ir( rrnM�nJry , l+Iu rflfGlflE� �.� iP7illJN�ih t(V
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❑ New construction ® Addition /ulteration/rcpla=ment please check all that apply (submit 7, sots of plans venoms chaokod below)
❑ Service or feeder 400 amps or mote 0 Building over three stories.
❑ Demolition ❑ Other: where the available fault current 0 Marinas and boatynrds.
mi pa
i • M iili , r Y r ' f ri r roc ytu y giropispt ri
i it� . viiiirs f as i,,, Y u lr } k - , 4 P WOW) exceeds 10,000 j ' ` I; amps at 150 volts or El Flouting buildings.
UMW= f i�Pl l& i11 , j d r mr � l'''.' 1 4 j ol ,i, )_ , ef! r p , t f ' t tcu lc ha m ' ..la t llYi 4 o loop, i ,l f {' i }7 tl , ,
loss to ground, tie oxoeods 14,000 ❑ Commertiad.uso agricultural
❑ 1 - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
Ezi Multi -family ❑ Master builder ❑Other;
0 Fire pump, 0 Installation of 75 KVA Or
r n' . }+ l y . trr t l � 1�N t�j t � a lauTui l W t s ' it� iwr n�j`,' a b u 1 i . a t ' (}` 'p .: j f �(,) tj jj l p j.l {�.ii` y ❑ F.margoncy systotn. , f larger sego t 2 , derived system
� 1 fi �. 0'(i (�1K�il'�T i3li! %Gi'S ir(aiaiiir srrltiirluts 1 rlNh�lr :l1!trtt efg rM lu e e a11I kClFdYtEtl 1 l� t�l� "iNf3t{l� 0 Add thon of r aw motor fond t
i 00HP or more, occupancy.
Job na: Job site address; I0603 SW Tigard STS ❑ Six or more residential units. 0 Recreational volnele parks.
City/State/ZIP: Tigard, OR 97223 0 Health -care titcilities. 0 Supply vollago for more than
y 0 hazardous locations, 600 volts nominal,
Suite/bldg. /apt. no.: Project name: uJ% /V 2S - i f L L__ 0 Service or feeder 600 amps or snore.
'e'tr {{+�,,tll ,�,,�, �rpn7�n����r l':t ,nti1, 1�t;I�il�ri►Ia,ri'y
W -^ ui 'iltt r t8•G ' rlijlie l 4k+rd� a il t j
Cross street/directions to job sit.: 4 2 � j (,/r� nrr+ Ilea ='I t'K• EINEM= -
New residential single- or multi-family dwelling unit
Includes attached garage.
Subdivision: _ J Lot no.: 1,000 sq, ti, or less 168,54 4
Eu. odd 5(X) sq. ft, or portion 33,92 1
Tax map /parcel no.: y „ Limited energy, residential
it g" r i^ ii i t ' i PiP7('.nr i rr P7 nr7t; i + i� 1 '"MI {1 r t M l `, I 1' r P i' 1 7 �i lllrIt {1 � S; t 3 I r i 'j tq. it) 75.00 2
1 ' {�� l 'l fj� i, ti ��'y �iriirriwrY� n rcar,u r ri tY r rl i r,. !!tI r r�
�i r 4 ali f(itfdilw•4iil + r ll {A1 , r1 r iitfl'r l 4. •"• ire libe irA. 4.14iM ',twi ,M illi , �i11.r1� 14 �w � rti�xirlrctl•! �, t llt":YIU.0 1...r.
(with above Limited energy, multi- family 75,00 2
Electrical for heat pump installations: Units 5, 6, 7, 8 residential (with above sq. ft.)
Services or feeders Installation, alteration, and/or relocation
t �p ` p 201 200 amps or less 100.70 T 2
2
�ili
r� e{i; t 1j'r k 11, Y.r i' Q' ^ar r t,,Nin^,ie4iltY a{ 1 }! ' i ,'Star f lm r r ,irr Id 1 l"r j'.
, i� " ilr rtM , R (� l 7 ' Irlr lR i! �Il amps to 400 am s 133,56 mia ,il kkiivl lk ,btiliirlAil&O,'irlilf di"ti r.; ledi f a L li,a,rire•1,9�r r�,{It�,arlirma.iim millera,rrl nwan' ter itiiiikM r� p p_
401 amps to 600 a mps 200.34 2
Name; 601 amps to 1,000 amps 301,04 2
Address: Over 1,000 amps or volts 552.26 2
-. Temporary services or feeders installation, alteration, and /or
City /State /ZiP: relocation
Phone: ( ) W Fax; ( ) 200 amps or less NE 59.36 I
20) amps to 400 amps 125.08 2
Owner installation: ThiS installation is being made on property that I own which is not 401 amps to 599 amps I68.54 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. Branch circuits new, alteration, or extension, per panel
Owner signature: , Date; A. Fee for branch circuits with
Ir. I ' t"Jr rnrr%'rj • ar p,r�' r l r jr }' # ' u r{ i l ` 1 t 'R l 1 P l li ' o I le u n i r ( , , angel , 1' above service
. or ; l , .1! ... ica ir,fVU A //, N if is 1 ` lit;ri" 4464 . igl
r1416flak iM ' • cacti brunch c
Business name: B, Fee for branch circuits without
service or feeder tee, first I 56,1 R 56.18 2
Contact n ame: brunch circuit
Each add'' branch circuit 3 _-i 7.42 22,26 2
Address: Mlscenancous (service or feeder not included)
Each manufactured or modular 67.84 2
(,.ILy /Stale /7.TP: dwelling, service and /Or !Ceder -
Phone: ( ) Fax: : ( ) Reconnect only 67.84 2
- - Pump or irrigation circle 67,84 2
E Sign or outline lighting 67.84 2
r i ,, i1 a r ! " ;N � t '>w" 4 , r ir r , i r, t ���r µ r
tritIil "1� of !Ir E IjE d aiG�lA r rlu`'Y) I )r l�rif iIB I STiM t hint � E ti3l I I Si circuit(s) or limited marls
Business name: Premier iflectriC panci or extension. Pape 2 2
Each additional ins •ection over allowable in an of the above
Address: PO Box P Additional inspection (1 hr min) I. 66.25/ hr INN
Investigation (I hr min) II 66.25/ hr -
City/State/%1P: Corvallis, OR 97339 - industrial plant (1 hr min) 78.18/ hr
('hone: (541) 758 - 4284 Pax: (541) 7584433 Inspections for which no tce is ■E
s cifieally listed 'G he min
CCB Lie.: 151749 Electrical Lie.: 2 -84C Suprv. Lie.: 4933S K11,61 l " : ai 1� NIErt ill l si , :.r': ';r iNO, g i'r°r;"
Subtotal; 78,44
Suprv. Electrician signature, required: ,! Plan review _ (25%ofpermit fee); —
Print name: Rob Bloom Date: 1/23/12 State surcharge (12% of permit fee): 9.41
TOTAL PERMIT FEE! 87.85
Authorized signature: ��� — '
This permit application expires application a permit is not obtained within 180
days after it has been accepted as complete.
Print name: l Date; / /c • Number of inspections allowed per permit.
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