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Permit CITY OF TIGARD ELECTRICAL PERMIT '''1 = COMMUNITY DEVELOPMENT Permit #: ELC2012 00054 - TIGARD - 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/27/2012 Parcel: 1 S134DD00100 Jurisdiction: Tigard Site address: 10587 SW TIGARD ST 77 Project: Windmill Apartments Subdivision: 2004 -050 PARTITION PLAT Lot: 2 Project Description: (4) branch circuits for ductless heat pumps in units 77, 78, 79 & 80, and recreation center 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: 503 - 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 Notificatioh Center. Those rules are set forth in OAR 952 - 001 -0010 through 0 • - 952- • r90. •u may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: - 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' 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 Application FOR OFFIC:T 1;SF: ONLI' 5) Received �° P errtiit No City of Tigard Receive: ., 1 7 . �i . o?d 02 —�0/� III -' 13125 SW Hall Blvd., Tigard, Vi g Plan Review • _ , , 4 Omer yern • E C o 2 O / o 7 -/ Phone: 503.718,2439 Fax: 98 1960 1`� Date/s : i/ IIM ® Sc Page 2 for 1 l . At: f) inspection Line: 503.639.4175 A \ Da Ready/By: l Internet: www,tigardor.gov \ 0 Notifed/Method: Supplemental information r••.ry r r.a rr +'P amEnrrr Y'�'V rA.. n nq rMY :.ry I1!E1: r: ¢ "! :r. rq 1 ,. ' + er Y' r lr' w �. � r rrf Er .Mnrevrt• ( « r t; Y .. f 1 7 4" 1 . i .7,. tA, '+r r',w{ , "'I�r , r }ul,t,n lrr} r Y t lu,.q {a , i� ,1, • ,rl t ° t , , �,'! +�r , � 1 `` „ 'li l' . E 1 1� . t .. !g nt � t J � u! �� , �I, � �, �))'N� +tl� }`� .; �� d, t t:, .: 13 {f! r � ilia. / ,r { flE fl4 >rf r 1 { Il . 11 rd i i rr l!1 rr li .1, ••'! i t' ! i v i E dJa'� {fil}� . F�,11�a ff�i R f{llt� �ltllf, la 11f it17 i , , {3f rl{�zdt' r iEU tnaM ��it t irzr}I��>al l - Ji 1 �1 ,�i1Y }rMr�.Iff u L �.t, {.En t Plr�(dldl f uGtEUJ i rti,,.(�dl.rllt4tfrf�G�arc, attRn�euff6l nab�t . ❑New construction ISj Addition /altc • - t � Itt N ine check A that apply (Y uhmit / sets or plans widens checked bd w): 0 �r D Service or feeder 400 nmps o r more 0 Building over three stories. 0 Demolition 0 Other where the available fault current ❑ Marinas nod boatyards. hRf 10,000 amps , IfY ' �� f p l oad" ti r�upp J t�+re ; i r rEt c } r r tt c � tc d m'l p'I rn , wit t t c i uode t I50 volts or ❑ Floating buildings, yY �J t 'tt'r " J '���`VV rr ,era e14,�.�1r�Y,u i�r�t,.✓�ll a �w�r.+E +;� rv�a ltrols !' G� ,� 0 ( Idt ten, to ground, or tweeds 14.000 0 Commercial -tax ngric ultural 0 1- and 2 - family dwelling 0 Commercial /industrial [] Accessory building, amp, for all other installations. buildings. 0 Firo pump. 0 1n,ullation of 75 1< VA air ® Multi fflmily ❑ Master builder ©Other: r r 1 ( r CI Emergency system. larger separately derived ystani. r +r x v, n r r rr r ° 1 f �F,' r "1E �4J H „ E ftrr i A ' E 1 " ,3'ft J t l Y3 1 ° I l ink °, , tee n la " " e v e f l � f i�A t ) 1f�t 41 r r6't� t, a A JF, r Y[ E r errr a rr ace t 1 q ! rr M�, } l z 3 } }1� 1 C, .1 ,11 ,era { r r �� l l .n OA ddihonofoow motor load o f [� "A" "t { "1 -2" "1 -3 ", yl rlrillaii]f,, EllJt��' ll�, �dlr4� ral7E�1 r TY, er1+ �rK�e „aY�Jr•.tl�ere�Me!'r .,.dtr ri &rl .. I OOHP or more. occupancy. Job no.; Job site address: 10587 SW Tigard ST 77 ❑ Six or more ro,iucmial uu;ts. 0 Rocrentinnul vehicle parks. • ❑ i t -cue facilities. 0 Supply vuhage for more than City /5tatc17rlP; Tigard, OR 97223 DHazardou, locations. 600 volts nominal, Suite /bldg. /apt, no.: Project name: - r / 0 Service or feeder 600 amps or more N � /72 L f.” r rY ' rl'17{ Ef 7t1r I rn xf r �1�. •mmr�+ r ere I i � r „ r i r a t < — i r E i f "Vat y I :E t l t i l l Y; fA 1R1� Y : Eti► ����E1u�a�?�t�sS�l ,�xrl iM,E�IIi � 'l,ull4ll� Cross street/directions to job site: 4---",1---/Z.-7-71&—//75 t? „,, en. area To ” New residential single- or multi-family dwelling unit. Includes attached garage. l sq. n . or less tau 4 Subdivision: I.ot no.: _ — Ea, add'I 500 so, it or portion 33.92 1 Tax map /parcel no.: Limited ener residential e 1 11,9 ;� 7jj (IS1L'�'Y +f1 f''r r ,rr isa ^ettfY�lt+ +v rq rlu �r +p v.rne M + + i`al� R 1lfi �n i� (with above fk, 75,0 2 did ti"all iii " ,� �txa3GfG 'i {E111 I �l y ,i' 7.rn iEia Y (a r « `m !4 14�fimWar .E r i I . EI {fl�,i� ,, r r ' F !( �1fG11'til , )_ 1 + +' Limited energy, multi- family 75,00 2 Electrical for heat pump installations: Units 77, 78, 80, Rec Center residential (with above set t 7 q Services or feeders installation, alteration, and/or_relocation _ 200 amps or loss 100.70 2 i t drwrarrra rzrv radix a 1 r nru vl .tz 1 +� '� �E 11rC1'( `+ 1. e .4 I� {f {1 f }Y 4 f xi 7d .f lb 1. 201 amps t0 400 amps 0111���1 6rra�rlt7h; Mr, dal1� '+3rs�lit,tali'k,zNS'(flll,c itir Il ii{��i JTf. 'r4id�� rr �t I al�x / EtnErtil>arr�a : "E 133.56 2 401 amps to t00 amps 200.34 2 Name: 6 01 amps to 1,000ammps 301.04 2 Address: Over 1,000 amps or volts 55226 2 - 'Temporary services or feeders installation, alteration, and /or City /Stale /ZIP: relocation Phone: ( ) Fax: ( ) 200 amps or less 59,36 1 201 amps to 400 amps 125.08 2 Owner installation: This installation is being made on property that I own which is not _ 401 amens to 599 amps - 168.54 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. Branc circ uits -new, altera or e xten sion« cr anal Owner signature: _ _ Date: -, A. Fee for branch circuits with 7+ }E ; t' rl�' If'f1l I f r,, wz M�Jit p ' l {'(t ■ pp t y' N' pry d f�Eai7ryE�E ; 1tt {(^ r n. • ( r E m , -- a n, (1 1 tt ri1'7 , r't ;,YI { '''[!j���y�,p above servic or feeder the • 7.42 2 iit�filirI io,, j} 1e� IfNM .∎ 0. I: �,rlyl�r�{lYL AVI:Ikru:ar/tdv r1�AS ,R Mf t, ),1rE{71;1;)E111 1 {i ■ 1 each • branch c ir es •t , Business name: e for branch circuits without service or feeder fee, first 1 56.18 56.18 2 Contact name: branch circuit , Fuch add'l branch circuit 3 7,42 22,26 2 Address: Miscellaneous Sservice or feeder not included) " Each munu0tctured or modular 67,84 2 City /State/ZIP: dwelling, service and/or feeder Reconnect only 67,84 2 Pump or irrigation circle 67.84 2 Sign ur outline lighting 67,84 2 i "i?a era: t, i!ll+ rlamI n il'osE' 4ti; t G;'e 'oEx +. dt'�n tt em"I lrE , l i tr 1mQ ;'1"I►;IIIS ? Bat,;j circuits) or limited- e nerg' Business name: Premier Electric panel, alteration, or extension, raze 2 2 Mach additional inspection over allowable in any of the ahoy Address: PO Box P Additional inspection (I hr min) I 66.25/ hr .. Investiyniion (I hr min) 66.25/ hr City /Blatt /TiP; Corvallis, OR 97339 industrial plant (1 hr mitt) 78.18/ hr Phone: (541) 758 -4284 Fax: (541) 758 -4433 Inspections for which no f.'0 is 90,00/ hr a «ificall listed '/ hr min CCB LiC.: 151749 Electrical laic,: 2 -84C Suprv. laic.: 49335 iii, d � ; "};E + c�y' 13;0 ' ;; "},; ( �.G;C}" ,ill �; w ,? i ,lii0 MEiff''�l' W.. subtotal: 78.44 Suprv, l;lectrician signature, required: Plan review (25 %Ufpomtit fee): Print name: Rob Bloom Date: 1123/12 State surcharge (12% of permit fee); 9.41 ` TOTAL PERMIT 87.85 Authorized Sl$ncltUrC: This permit application experts ifs permrmit t not is not obtained within 180 days after it has been accepted as complete. Print name: Date: /'rz" f -4 2 • Number of inspections allowed per permit. 1: Buildint9 'ermits \CLCdkvmitApp doe 07/01/10 440 -4015°I(1i /05 /COM/WCH 0Z00/L000 el DI2LLDd'Td UHINd2Id CC1 XVtI /id ZZ: Z ZTOZ /CZ /T0