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Permit CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit #: ELC2012 -00049 Date Issued: 01/27/2012 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 1 S1 7/2012 100 Jurisdiction: Tigard Site address: 10637 SW TIGARD ST 25 Project: Windmill Apartments Subdivision: 2004 - 050 PARTITION PLAT Lot: 2 Project Description: (4) branch circuits for ductless heat pumps in units 25, 26, 27 & 28. 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 r • - 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: ' Permittee Signature: U/V 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 _ - Applicatio .. FOR OFFICE USE ONLY City of Tigard Received • � P ermit NoE — zoo W Ill ' , • W,.. O�� Di ne R : 7 �- " I ����� ,-„ n 1 3125 SW Hail Blvd., Tigard, OR ' 2 3 61 4 Plan Rcvie �—���� 3 � ` !d Other Permit Phone: 503.718.2439 Fax: 503- 598.1960 A \v oa�Bv: Inspection Line: 503.639,4175 r ` D i i R,rady h. fur; RI See Paget for TluAhi) i? N ot l t+ed/Mothu l . Supplemental information r - or.gov F , e 1 1 �.) Internet: www.ti d - �r. "., �J r•,r ^� i rR NCW!rr7rr rarr,;kµ rY:.!'1 ,, w:, if 1 f R 11' Prf 7r'" t � P . " � l', � ! X y y7pg !� t� ��y ` r Xi!, , fiv 'r.'. " ] 1. r IrJ Ir l,lt i, H 1� ,, I, 4 d 11801 , , thin "f ",l�,1 ..(IF (�Ilr. i r i�r:. S rr j u l � 1 . " ` ?jS�� I'`i1 r "' t ( { i ' �� �- ti e, "i. �it ' J;; J ' f r' i1 � �ti �. " (, "i t� a, t�hrr. r1 1 �?�E �: I!! lr l „!f ?I ?d�4i; ,:;nil ,t �t It s;?►i,t +rl� u� ! tfz� P l ?► a i►� j � ►� , e c J ?�1 n �y su b m rittrr I, Plane check all that apply (submit 1 sets of Ohms w /items checked below): ❑ New construction r ® Addition/alteration/replacement 0 Service or feeder 400 amps or more 1:1 Building over three stones, © I3emolitiOn Li Other qtr where the available t:,ult current O Marinas and boatyards. f ip ' t ( 1 sn1 l r 7�,�t l'r, c" ", ( r < n "ty t ( rp n 1 " l inns: c rJCa 3 j(r�(,tlr j,� I r � II( Ir' p pr # +S exceeds 10,000 amps at 150 volts or 0 floating building. ,+ 1. ! aJif ' f ,rdltl�: p'! r {r6fA l aattyt auah+:� r hmh lnJld(r1r,11nnai2 Aailala4 furor ?�:�o rJu., d11�It�hWDl11�.iR j. "Ci.:1!,l�ai ?�d " 'ill � e loss to'ouncl, or exceeds 14.00(1 D Commen'. t.usc agricultunrl 0 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building amps for all other installations. buildings. Multi- fltmil © Master builder 0 Other: ❑ Fire pump. ❑instan:uionof75 TO Mu 0� , i:l�rr J r r,Arl� 1f ur� l) rf41 111fr Jrr i^ y>a'i lie l rl ' 11g i H ° V41.1 , I t t ❑ EmergenOy s ystem. lamer ;uspar'ately derived cycle's, ? E,l v'A 1 6 ' 1' , r16r % -],i (rt `.. A'IJ Infi 1Y � 1411 11=; 1 m ! r Z4 -5, l.. r !i ... . 1 lt- or ❑ Addition of new motor load ❑ •• , •1;'• •• 1 _2 "I _ t t� Yf 1 1 1001-1P or more. occupancy. )ob no.: Job site ttddrGSS- 10637 SW Tigard ST 25 /.. ❑ Six or more residential units, ❑ Racrcnrionel vehicle parks. City/State/ZIP: Tigard, OR 97223 ❑ I leaiiii care facilities, ID Supply voltage for more than y ❑ Hazardous locarrons. 600 volts nominal. Suite /bldg. /apt. no.: Project name: ed ❑ Servi or feeder 600 amps or moro ��� r E ORi ,C, lE,f + EM THEIN�i 1 r� 1 11� ,'( ��;�r�zI Cross street/directions to job site: /9/V Z E� nnarrirtion _ I�1I rte. • New residential single- or multi - family dwelling unit. Include:{ attached garage. Subdivision: Lot no.: l (!00 sq. ft. or less 168.54 4 1k. add'I 500 sq. R. or portion 33.92 t Tux map/parcel no : / S / , Z I t / / / Limited energy, residential 75,00 2 ^II' �il{1'u' It {�j t' I4}�r'' " Y I!' 'r 'ki � irl p Yr fl'G`6'1��{i�i(FrQrrr nJwawtnarru ,it,mhrd"Pe1�:4rrrn.tab?da 7 °I� i -. f PSy ",, `y '!7 mrU /��t "17"J� Y��) E ' "''If y �.' E p 1/` 1(a •s4' i (wt'" above N. ft.) --„�. � + r�ntlflld# 1;r4�ru11 ,?� { all! nM Limited energy. multi- family 7,5,00 2 Electrical for heat pump installations: Units 25, 26, 27, 28 residential (with above s q • ft.) Services or feeders installation, alteration, and /or relocation 200 amps or less 100,70 2 r r c t' 4 rc+t a . n,r l t i ( �tt l *'4' t rrircly , n r r , , Y r 1 : t" t , 1 r l l j lax d y ar Y � (" r t, 20 t Amps to 400 amp 133.515 2 �I s � :11 1Isl ' ,a r f 1 iitmif �fraK 1+ 1∎43LANl rid 1, .;',14 '{� f1# . 401 amps to 600 amps 200.34 2 Name: 601 amps to l 000 amps 301.04 2 Address: Over 1.000 mps or volts 552.26 2 --• - -' 'temporary services or feeders installation, alteration, and /or City /State/ZiP: relocation Phone: ( ) has: ( ) m 200 amps or Icss 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 qUl amps to 599 amps 168.54 2 intended for sale, lease. rent, or exchange, according to ORS 447, 449. 67(1, and 701. Branch circuits - oew or extension..cr •anel — Owner signature: Date: A. Fee for branch circuits with ("�I �(�r.. ,,, qa( f rra r i1 lt � )1 al . .. �I1 tl wul , 1 a;.,�, rr f1�i rr<_S� ��{�'� above service or feeder foe, 2 tUJ ir'rttl� r'': w ?lP u rilii ° t r +� J�� 1 rd� r�i' f itf " 1 , f1 �'iJ 161)1 i, I: ". w'I r fi:�,11 ry�, r t n J u�fr F �l F ull�Ik71�.i{ tIWE each brunch circuit B. Fee for branch circuits without Business name: service or feeder fee, first 1 56.i s 56.1 2 branch circuit Contact name: F,aeh add'! branch circuit 3 7,42 22.26 2 Address: Miscellaneous (service or feeder not included) Each manufactured or modular 67.84 2 City /State /ZIP: dwelling, service and /or feeder , — W ' Phone: ( ) Fax : :( ) Reconnect only 67.84 2 Pump Of irrigation circle 67.84 2 E-mail: iRo or outline lighting 67.84 2 +' 1 t; ' r • , t , r nr»• rf . ,,, IC Y i ' rY1 Y i BREEZE , r. tr b ra eg r t J 1 I� ,+ , � " r ,,; �,�"ra� rRl�tl `ff ?�lmj� '{ � g () sy { ,�� ^�'�:��.��' ����1ttl�u 17 3�,1�� ` R �t "r. r. " M i1? •r ." III" � ile �t� ' tf .rR t r� �' Si nal circuit o) or lifnitod�aner Business name: Premier Electric panel alteration, or extension. Pate 2 i Each additional inspection over allowable In any of the above Address: PO Box P Additional inspection (1 hr min) 66.25/ hr investigation (1 br min) 66.25/ hr City /State /ZIP: Corvallis, OR 97339 Industrial plant (1 hr min) 78.18/ hr Phone: (541) 758 -4284 Fax: (541) 7584433 Inspoctlons for which no tee is 90A0l hr — s ciftcally listed '4 hr min CCB Lie.: 151749 Electrical Lie.: 2 -R4C Supty_ Lie.: 4933S .1EVIM +; 1 { MiTI PM ! Subtotal: 78.44 Suprv. Electrician signature, required: _ Plan review (25°10 of permit fee): Print name: Rob Bloom Date: 1/23/12 State surcharge (12% of permit fee): 9,41 "" TOTAL PERMIT FEE: 87.85 V Authorized signature: /� $ Y Jf� - This permit Application expires If a permit is nut obtained within 1110 days efer it lies been accepted as complete. Print name: Date: / r ? • Number of inspections ilowod per permit, 1•\ nuitdingwormit6F .LC..PennliApedoc 07/01/10 440.4615T(II /OS/WM/WED OZOO /2000 Z D flhID3'I3 1 INi32Id CCl71785LTb5 XFid Aid o: Z ZTOZ /CZ /TO