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Permit CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit #: ELC2012 00062 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/27/2012 Parcel: 1 S134DD00100 Jurisdiction: Tigard Site address: 10555 SW TIGARD ST 57 Project: Windmill Apartments Subdivision: 2004 -050 PARTITION PLAT Lot: 2 Project Description: (4) branch circuits for ductless heat pumps in units 57, 58, 59 & 60. Contractor: PREMIER ELECTRICAL INC Owner: RICHAI'RDS, 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 OAR 95 •11 -01 • S. 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: 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 t;SF: ONLY City of Tigard Ti 11 1; /*� /� T Permit Na.; it.: -DOO - , w 13125 SW Hall Blvd., Tigard, OR 97223 r� `` el R (hher permit/`1��'� 7J,�, �7 Qe�ea' • 0 Phone: $03.718,2439 Fax: 503.598.1960 J0 , Imes : (J�oG Inspection Line: 503.09,41 75 .� No ate Ready /By: tubes c rage z for /M; i � \� 5 r a ? . � . a .,. + Ya,. i . ,. A supplemental InfVrm�hed i i A l I ] i 1 r ti , ; Nl i e-4 �.: -� . �7twp)e1jPli1 "l(I 119...1 s .. 1 i t Internet www.tigard°or gov o it }.' , ! } �) r Ip t � arnnaurCmr� Y ql l"C ti" � *� p�, 4 ' 1 NI 9 r Ain � t �° � t f Yl Nl � t�l� 1 � Al ID ji :i I l is�>r� l ; i 11 �i��� ; ,��i Rd) �� 14I a 1, „ ,� agar � �f gigiia C1.1 iiht, l li t .r,ri 99 1, 1 11 1 ' #��Il �+ � . 7s' Please check all That apply (submit a sets of plans w /items cllaukcti below): New construction ® Addit10n /altCTiltiOn 'Placement 0 Service or feeder 400 amps or more 0 Building over three stories, 0 Demolition ❑ Other: where the available fault current ❑ Marinas and boutynrtl;t. 1 jg r(j'ir , ' � }k ip i rwlpraftfl! re- t u{(t `+ {r { ,aft{ �ttl�} (�, li{�', exceeds 10,000 amps at 150vnhsor L Flouting buildings- "9 ")4Ot` �t F"4"t4' ` r rns'1, ,{" 4412* A„ t4 � * be--r,rY {tl 111"1 "ICUf1E lips% to ground, or exceed. 14.000 ❑C:ommereial -use agricultural © I - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other insudl:ginos. buildings, ® Multi-family 6 � J ❑ mac,. builder ❑ Other: � { ©Fite pump. El installation ot'75 KVA or i. �l !¢i r l� 'ilUllddhl` HIFT tor) ' i' a 7 n 121 s i W' )/ NUC� i iC/d�d (/1 1 . WI, I,fi ©Emar s larger separately e separately clewed .paten. I 1, ^ Y YnYnnd hr r i ,A 1Y r1JN t ,�wMw�' 11, t ` } f XK r e- h i 5 4 CNt his itJ, ti' 1Fr� +1: 1 r , w le- , ,tr6145ii 1 iia.. t r 7� ' r tmr[ ph1�, i1h re- i 0 Addition anew motor lend of ❑ "A" "E" "1.2 Job no.; Job site address: 10555 SW Tigard ST 57 100HP or morn, occupancy, _ _ © Six or more residential units. 0 Recreational vohicla parks. City /State/ZIP: Tigard, OR 97223 *""". I7 Health -care facilities. © Supply voltage fur more than ❑ 1•lvvdous locations. 600 volts nominal. Suitc/bldg. /apt. no.: Project name: /,iJ7 s / 1/ L D Se m� - v � i '� ce i{ o { r feeder 600 or more {i l Ille a l lGd ' 1f1 i1u r tR Eli li!GI4l�ttjl:;$1iM11 ` ' n px4Ri S U 4�'w «� i 5 ?1Sl ! % 1, �, r ( j , y t P h il� 11 W J { �� l'11 !f{ t' Cross street/directions to job site: ,7 971 - 2—'t 1EN75 oMSrcpt•oa " New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: � t, ot no - _ 1,000 sq. ft, or less r: 168.54 4 , ,add'! 500 sit. R. or portion 33,92 I Tax map /pate 1 no Limited energy, residential 2 {t yy 1 N' Xi , f,i rt e U 1�(,t' 1� �nWeuy,p ,tttM.�tYA�rrgry��iyrvp , ,�Y, , ttAYltyi 19Mr1t N 41 {t I ' {�({�' iY6�j6tytl tr4 (f1. l � {�� tt' ) 75.00 2 i F d14 P �Y , r�, ,�,� ''6 yaMY r! Mll`1a11Aa tiltkNi. ) ' {� ri{Y 1 i I 1 Cal t� 1 i i 1 ' r A ANN AI Li (with abaci. sq� mited energy, multi- Pamily 75,00 2 Electrical for heat pump installations: Units 57, 58, 59, 60 residential (with uhove sq. It) Services or feeders installation, alteration, and /or relocation 200 amps err less 100.70 2 8 {lP i 110,:, t { :a1uIITSZ Yf err +1 !'37 ,ar+Y ," anti i t �j 1411 i {!'3 , q Y 6l' r t ''l y y I YNi ( + ', M l 111,1 Y14i4Vd1:rlifrAlrl�ll141)1 1) 1`tlilll1ii181i711i t1 .441 r�:'' . -� iX�Sni i 201 • /TIP RUOumps 11 133,56 2 401 amps to 600 amps 200.34 -- 2 Name: 601 amps to 1,000 a mps 301.04 2 Address: Over 1,000 amps or volts 552,26 2 "' • serv or feeders Installat alteration, and /or City /State/ZIP: relocation „ Phone: ( ) Fax: ( ) 200 amps or less 59,36 I 201 amps to 400 amps 125.08 2 Owner installation:'I'his installation is being made on property that I own which is not _ 40 amps to 599 amps 168.54 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. Branch dreuitt -new, AIteratlM or exlen5iOn. per panel Owner signature: Date: A. Fee for branch circuits with � �� e. � � Ir r pe- ``'';; i ! 8' rq e M { P t r� e- 1 p� 1 r , r l` Y t n r to fu .. J v t r Above CC[YlCO Of feeder tee, ai fi !1 4E X bl+�+�ir1,0 ' N :r ill, f� il1.0 , ! ,a4 l l ;l( 11Ii't�f d 11 1 ,;r i h NA p c. , 9,n AtIA!' a v ? . ouch brunch circuit 7.42 2 13usiness name: 13. Fee for branch circuits without service or feeder fee, first I 56.18 56.1 8 2 Contact name: brunch circuit ,_ - - -- -• Each hdd'I branch circuit 3 7,42 22.26 2 Address: Mlscellancous (service or feeder not included) ,, "' - Each manta dared or modular 67.84 2 City/State /ZIP: dwelling, service and/or feeder Phone: ( ) F es; ; ( ) Reconnect only (,7,84 2 Pump or irrigation Circle 67.84 2 Sign or outline lighting 67.84 2 E-mail: — Xiii I li 7 t fEREEf1� X ^ii�3E�41 / ( i6tH 1; "r "MB " ,t E!�� I MN (j it; lot f FE ' Si circuit(s) orlimited-energy Business name: Premier Electric panel, alteration, or extension. page 2 .... .____,_2_ 2 Each additional Ins ection over allowable in an of the above Address: PO Box P Additional inspection (1 he min) 66.25 / hr Investigation (l hr min) 66,25/ hr City/State/ZIP: Corvallis, OR 97339 - -, „,_ lndustnal plant (1 hr min) 78.18/ hr Phone: (541) 758.4284 Fax: (541) 758 -4433 Inspections ter which no foe is El 90.00/ hr s • citican listed h hr min CCB Lie.: 151749 Electrical Lie.: 2 -84C Suprv. Lie.: 49335 "1{1 ! ,EM s"} " , ;y;rr,f , M 'l ? .`�` l;^w ENEME+. Subtotal; 78.44 Suprv. Electrician signature, required: Plan review ( 25°,6 of permit f • Print name: Rob Bloom Date: 1/23/12 State surcharge (12% of permit fee): 9,41 ^ - " - TOTAI, PERMIT FF,H: 87.85 Authorized signature: This permit appiieation expiros if a Hermit is not obtained within 180 days liter it has been accepted as complete• Print name: Date_ / _ . Number of inspections allowed per permit, 1: n IX-rormrcApl 07/01/10 440- '16imi teusicom WGtt OZ00 /5T00 2 3I?IS3d'IS 2I3INtd21d CC17179SLIte XVd Iird 9: Z ZTOZ /CZ /TO