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Permit • CITY OF TIGARD ELECTRICAL PERMIT 11 1 COMMUNITY DEVELOPMENT Permit #: ELC2012 00055 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/27/2012 Parcel: 1 S 134 D D00100 Jurisdiction: Tigard Site address: 10583 SW TIGARD ST 29 Project: Windmill Apartments Subdivision: 2004 -050 PARTITION PLAT Lot: 2 Project Description: (4) branch circuits for ductless heat pumps in units 29, 30, 31 & 32. 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 Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OA' 1 -009 You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Np- 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 OFFICE USE ONLY City of Tigard °" , S Received /' - Permit No,; L�'.ZL4� �JO IN City , Date/8 ; "4-- ..4 AM is 13125 SW Hull Blvd., Tigard, R x223 i %�'L Plan Review . Other Permiyf� �A /y Phone: 503.718,2430 Fax: 5 t1is 960 DateB : ,,, /al - ai/j Inspection Line; 503.639.4175 A \ id Date Reardy /liy: Jur+s' la See Paste Z for • 'I' 1G A 12 I) p ,0 oo Notified/Method: Supplemental Information rd- or .gov GPI Internet: www.tipJl ' ,> rrF i M" . rr,{r„ . r, rlr} $ '9` sl 1, s , e{ ti Jj" Ir ;q•ii u t . "t r f 1 %' r+ rl � N /' "t ieww,�apl } i 1 ' r{ k',it 1 ; t i S n t •,,� Iilf 1 1�� 1 1 , r} r t t I� , �#�, A. ' , r��; h �f� �:i1sl 1 . ; ;~11 xrr ? lr w . ter fl(Il �',� , , ,� : �� V ∎ , , �c4 , lrl i►r u a • �,���i.19���• r,Y ,u ,�., � � h�na . �1,� ,,, i4�4 �1sLrl l�tl� ID New construction ® Addttlon /al tern /I� emc Please chock all that apply (submit I sots of plans w /'tents checked below): a �L 13 Service or feeder 400 amps o mare (] Building over thee stories, ❑ Demolition CI Other: v whore the nvnil; fault current 0 Marinas and boatyards. ''Ol +' ?, I • N i "`" J ;It ling l dt t q " r r , 1, ; t tt t ryl g M , y r� pr sere {� },� 1 IC t S( " exceeds 10,000 amps at 150 volts or ❑Plo:+ ting buildings. liiii t. ,1 ?rl � i f: i l , u;r1, .,. , �1�1u�1�'viAr., st b i i6 VI, I 1 2fri�tw 4 rl.4n, Wll,-44 f k V e , 1, d ill, 0 i is �� �Il rt. Inns t p or exceeds 14,000 [a Commorcinl -uze agricultural ❑ I - and 2- family dwelling [] Commercial /industrial 0 Accessory building amps for all other installations. buildings. ® Multi - family ❑ Master builder CI Other: O Firs pump. D 'Installan , nr of 75 KVA or I} Y, A rury+ t„ riz t y „ n rrouq t: ,SU. Qp r kvns� . � � f ' , { 0 ❑ Emergency system. IorlersoD +tir:+derived system. relyderiv r j d�fi3it+WZ11� �} �ilt(t {i�Sj't u : c� fu tl(flf� d, ��t `n p1vW'lfml t cc�r zll� {; j ��j I 1 );1' i 7 I W1t.Y ©AMMO"ornowmotorloadel• larger deriv ? 1 !„st. rear tlr nrtdra�a+a>(; n et+ , ,r 100HP or more, occupancy. Job no.: Job site address: 10583 SW Tigard ST 29 ❑ 0 Six or mote residential units. ttucraationnt vehicle parka City/State/ZIP: Ti ard, OR 97223 0 Health -care facilities, ❑ Supply voltage lire more than y ❑ Hnrnrdous locations. 600 volts nominal. Suite/bldg. /apt- no.: Project name: A ,r/ L(-- ❑ ! service or r feeder 60 nmos or more. �; {{tt +• ,IPA1 i ;itIII 111 f '1 7 >��,ti rd 9( M lilll�lllEI Yr l �t! (lefnfi�r t4' r l �,i � '� E Ft �� „� � �1�.If�1�f � � 1�� Cross strect/directions to, job site: _ (9/-f it 71 o iRi �:+,)♦ 'rwal ""' New residential single or multi - family dwelling unit. Includes attached garage. _ - - Subdivision: l Lot no.: 1,000 sq. 11, or less 168.54 4 tit. add'I 500 sq. rt. or portion 33,92 1 'I'm map /parcel no Limited anew, residential - q r 9r� tl ff�11� �gi1Y('f11 }1{17ti%� t 1 {11.pN�t1 p w „M1wwu,r<mp•r v • rip r Ar11I9r1111 {It! i)11Gffrprr , a;;y1� ;�if!1r�p1 s {ry1)R7,` 1 x11 M y r, � l 75 d)0 7 i.gyp }} lR ��'1'E7.m�,''�WrJril',1:UI : ` JtY "UU 2 1 (^i �lY, �'t�VtVlCliri• C47f11111�/�7�¢IA�'7.1 IA7,Vti��i 'ISN C;(lltJ`t�M/w741I 1.1 —L with acrYe � S y . I 1, ai' . Mrdtw„ ww +hwtrli , , "ta Limit mem?, multi- Ihmily 75.00 2 Electrical for heat pump instailations: Units 29, 30, 31, 32 residential (with above sq. ft.) Services or feeders installation, alteration, and/or relocation 200 amps or Ices ' 1 00,70 2 , ( (Y r it t {tgt a r .c l , m z r; � � t { r,u a � w �� 1 1 � l if fi r" 1 G �1 1 ,{ � r• i T� �l l,triat+IYpGwgao , ,� �9 11 • �qq . 1 2 01 am to 400 amps 133.56 2 _ . 4 1,11 •l •8 1 7 4 r ' '' "Yrwir,�Z °gy ur n Et Pr 6 I • ki Wa rtl, f�if �, t l „�� �fR ' i1i1116 1 ik g t r �1jf x'' l t{ t 111 ? l r tr' 4, ∎ 1 pat 401 amps to 600 amps 200,3 2 Name: ' - 601 amps 1.0 1,000 amps 301.04 2 Address: Over 1,000 amps or volts 552.26 2 - •' -'- W Temporary scrviccs or feeders installation, alteration, and /or City /State /LIP: relocation „ Phone: ( ) __ Foil• ( ) 200 amps or lets 59,36 - . I 201 amps to 400 amps 125.08 2 Owner installation: This installation is being made on property that I own which is not 401 am to 599 amps J 168,54 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701 - Branch circuits- new, al teration, or cxten er and Owner signature: Date: A. Fee for branch circuits with r : + n , pis t u- rM r aueu,t a a n i)r r • r^ fppY „vywxm » u , }, { : u,qe t , r above service or feeder fee, 7.42 2 � 11� ° 1��' ' i }j11, IEl s t, Y r, r, f�1 ' 3 ?111 ` .II'11 1 �1 � lE , , vwl yEi r 'a �? I �i2� � « fir C earn nntn�i, �irell ,( ilia! ) d7,r, „n,rm.e tr hE? !d ,la Irwam ” l! ai 1,„ ntrnrlu { +r +� Rusincss riturit: . R, Fee for branch circuit% wit/met ,-„ service or feeder foe, first I 56,18 56.18 2 Contact name: branch circuit -m --- Each add'l branch circuit � I 3 7,42 22,26 2 Address: miscellaneous (service or feeder not included) Cit ISlttte /ll I. - Each manufactured or modular 67 2 y _ dwelling, service and /or feeder __ Phone: ( ) Fax:: ( ) Reconnect only 67.84 _ 2 — - Pump or irrigation circle 67.84 2 E-mail: yryf�� Sign or outline lighting 67.84 2 �'r Y I :It lh l� V't'; , p r 1 r y �7 )b M7 n " r l x , it , HMO � lottlY,l; 9111? �!, i. I�lf�s�P�" �r, I��llal 'f�,f11,�i��!i;�,,.�a,�::�,�, ;, rt, �f�lfr� (1�1►��1��'t��,.11.�"il��sl � .,'>` si e,rLUit(5) or ilmit«a.e„er Business name: Premier Electric panel, alteration, or extension. Page 2 - 2 bl Each additional inspection over allowable in any of the above. Address: PO Box P Additional inspection (1 hr min) 66.25/ hr ___—` Investigation (I hr min) 66.25/ hr City /State /ZIP: Corvallis, OR 97339 _ industrial plant (1 hr min) 78.181 hr Phone: (541) 758+4284 W ax ' (541) 758 -4433 inspect for which no fee is 90,00 / hr .. _ F a. Cutculi listed %s hr min CCB Lic,: 151749 Ltectrical Lic.: 2 -84C Suprv. 1.1c -: 4933S N�it � i "Y° {lj�, +J, E :ta t,r'4a'il(' '1 > J'�'�E ir1lI,''IL i Yt'f �•---• Subtotal: 78.44 Suprv. filectrician signature, required: _ Plan review (25% of permit fee): Print name: Rob Bloom 7 Date: 1/23/12 State surcharge (12% of permit fec): 0.41 TOTAL PERMIT FEE: 87,85 Authorized signature: 0 .1..0" ------ „.. r�-1 ._.. - This permit application expires if a permit is nut obtained within 180 days ceder it hats boon accepted as eompkte. Print name: Date: /" � • Number of inspections allowed poi permit. I lBuildingllbnnitt \I i.C- Pem+itApp.doe OM V 10 440 4013TO 1/05/CONI/weH 0200 /8000 l piamd'Id 2IdIAid2Id CCilb85LTIr5 XVd Aid c: Z ZTOZ /CZ /T0