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Permit CITY OF TIGARD ELECTRICAL PERMIT COM MUNITY DEVELOPMENT Permit #: ELC2012 -00060 Date Issued: 01/27/2012 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 1 S 134DD00100 Jurisdiction: Tigard Site address: 10563 SW TIGARD ST 49 Project: Windmill Apartments Subdivision: 2004 -050 PARTITION PLAT Lot: 2 Project Description: (4) branch circuits for ductless heat pumps in units 49, 50, 51 & 52. 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 - 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 • I' -009'. 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: D " 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 "\\\Cc FOR OFFICE USE ONLY Ci of Ti and Received .� .. lit tar ` ' p�ti Date/y; oZ 4 ,"er i , e 13125 SW Hall Blvd., Tigard, 0 3 N 1• Plan 1i:cvi / r„ ' D�� i': ' Phone: 503.718.2439 Hex: 503..9 ,196 Date/B : other Port ".� o ff!/ 1 T I C: AR L) Inspection Line: 503.639,4175 , ? ,' ' t\ Date KosdyBy: Jur' 6G tioe Page 2 for Internet: www itgard- or.gov oA \Gy Nodficd/Method: • Supplemental Inf r,d y � .n^ass '8 �, r ri r r • ! rr T 1'P'14.!. 7 u lrr rt • 7 (! , , „ t ( rK , r.,y '.l It r C i, r ,,, •r,C .r �� rr ,. 9 , +4a1 ^ . l t r' I aril !bi'l'l I y ).( a, , I p" ri ,. t 6 �I {� i 4) ,h ai.y . .kl.�i , r $ r { � � S�(g FF(( , r, arR , ! r. `r p t . , III J4l1 y. f F p ry rl� ,) , , (t LS (+t!..i, •elihoh tt rrvlk.. i•tRi,.,,, � 4114, ^.1,, � 1,} } t{ qp C,.fr t ,.. 11, 1.{ 411 NOM I„ n,Llt{ f�, oloomaiwz r {1"iogi r Il Jlilil %iFia } � ri��id�l(..1: 111 ;Cliillli`flII�1�wF)4{1r117`li ,!. r Fl,r}rll bldinwli « 4 khi: iF111116 ,IjF{� 13j1.1f�RnFjf�1 I'tkl 1�1 1 {l�� I1 1 {f��. f � 1� � rr r �� �l :�l��ii�����i�b t�fr�r.fi��►,�jr „il��lFlat ,aj�ril ,�rrrr�.� �� rtl•�,1 Please cheek all that apply (submit a sets of plans w /,acres chocked below): © New Construction ® Addition/alteroltit /replacement ❑ Service of foodor 400 amps or mere ❑ ltwldin over throe stenos. ❑ Demolition 0 Other: where Mc available fault current ❑ Marinas and boatyards, i'R f + ” l:E31r ) {ht" {L; !, i ,, r a c)r ?nanhi r i ;r rru J )�Ya�rn�. ^r',�r jtyll „I ' t l ` } :� r k� t +f i axcooJs 10,000 amps nt 150 voltA or ID Floating building /. + il / ..4.4RFtl , 1. ?I�tl�l 4a: Sioltiol imi, , i,11 u�li�l dais nt two i. an t,,:&Ii av 91il ooh w • •�• P hoL;A l6 t� f�!:rG.t { ;.,, exc W ground, or exceeds ° 14,000 v°"1 ❑ oating midi Commercial-use ngri0uttural ❑ 1- and 2- 11umily dwelling ❑ Commercial /industrial ❑ Accessory building a mps for all other installations. banldings. 11 © Fire pump. © Installation of 75 KVA or Master builder ❑ Other: EHi Multi - fti ( 1 {{ � Ak 14 ry r rJ r r + ” {7 JI ^ i p � a � j ! + i t u w L "{ , F't �r; ,�,j ^r ❑ Etergoncy xyxw larger separately derived system. , r FG1Wr�t1 1pdAh'd !' ii w I UI r i ! n {, r I r I t, . F: r k r. { ) ) tJ � r1 ' . �crL�ri�r} eli�wtiil��; �r���J �+ Jn1� "41t4��fII��1�Rm. ^ Set= rRr �L. 1I0.�.Ftl .i1G'' ,t�i, il, ❑Addition of caw m otor bed of ❑ `•A „ E•• .. .3 ^, 1001-iI' or more occupancy. • • site address: 1 units. amt. oional vehicle peeks. City/Statc/ZIP: Tigard, OR 97223 l Si of more res id e ntial un its. ❑ Heahh.caro facilities, ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite/bldg./apt. _ ❑ Service or feeder 600 ae or r more. q1 j { i lil iii. irrl�3 It, r1 n r N�; R 5 r'h1. Pt! ,ir rY 1 jX r1F r 11' vi3 street/directions Cross • . • i - p, 17• MM. Total • New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: Lot nn.: 1,000 sq. ft. or lees 168.54 _ 4 -•- Ea, add'1 500 sq. Q• or portion 3392 1 above g Tax man/parcel no.: p r t Limited energy. residential 75.00 2 ) d F k� � ljl r �11 , lltJ t jl1 � ,06y, 1 { , � ' ', lrr y; '' 10/ }� ," ' �ilRtl' •' ° I j yr � i .6 . , fp ' , r 4 rrpr iii Y. `lf���y l, (wilts Q• oj uri,. t dlr u Y 0! ,cc4{ rrrr r.+l •Slllia }tx)rl �lr Iriafu dli•.,i Ir i�mk , "x13111 f , 1 u�d� icyRa Limited energy. multi-family „r t F a 75.00 2 Electrical for heat pump installations: Units 49, 50, 51, 52 residential with above . . A.) , Services or feeders Installation, alteration, and/or relocation amps or ley 100,70 2 '' r , 0111 ^ ' O n y , , 1" t t�len �mf ri r lr r^r+r(,i t :ar) +' ,I ��R; 1 1 �+ `!��'1 ��" y r(f4..l jM�`}+yliE U p E vXr� n+�tY j �h ° �j 1" y ill 201 limps to 400 amps 133.56 2 1 rCil h ie I , '.l. li iil171�1i a i fat ) L7RS0✓w`ii ( Ai iiiia11J� �: r ^ ii:11F .I�rSj ,1�rY111a ll ' At 1 , V'rl�ti44 t�lr.1 aldtM min A t � Rdl t�gld 401 limps to 600 amps 200,34 2 Name: 6 01 amps to 1.000 amps 301,04 2 Address: Over 1.000 amps or volts 552,26 2 ^ Temporary services nr feeders installation, 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: This installation is being made on property that 1 own which is not 401 amps to 599 amps 16s,54 2 intended for sale, lease, rcpt, or exchange, according to ORS 447, 449, 670, and 701. Branch circuits - new, alteration, or cxlension, per panel Owner signature: _ Date: A. Fee for branch circuits with }��r,{ aK r�""""" eeaorl °cl "r °` qq r lMM� ,t{ r, r aw; } e t ryj above Service or teener fee, MI r e aall I IiG T fd ,.. SE JGI M },' K } I S 1 eac bra nch circuit 7,42 2 4)W'�'�•SGrp',rrew mrlrrr erlluihL i t , IF,tk r r Y A7ttSm Business name: B. Fee for branch circuits without _ service or feeder fco. first 1 56.18 R 56.18 2 Contact name: twanch circuit Licit add') branch circuit 3 7,42 22,26 2 Address: Miscellaneous (service or feeder not included) Each manuthctured or modular 67,x4 2 City /State /ZIP: dwollinp„ service and /or tecdcr Phone: ( ) Fax: : ( ) Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E-mail: Sign or outline lighting 67.84 2 � It{ �r n 7.71r „ l Y rJ+ } I r 11 't,tw "4 n. �r y r• r r 1 I r. r^ rr( I 411 l avirF i�f rk li�WlFFit�� 11 { { �rttI,PFC . Ibr ,F �1M,>��il�����i)�11Ij1� lrf t1 �711�F ��lL��ul { •li t41���!g71 k W 1u ��I Si tnrcuit(s)Mlimited - energY Ausincss name: Premier Electric panel, alteration, or extension. Page 2 2 _ _ _,., Each additional inspection over a in an of th abov Address: PO Box P Additional inspection (1 hr min) 6615/ hr L_._ investigation (I hr mm) 66,25/ hr City /State /ZIP: Corvallis, OR 97339 - Industrial plant (1 hr min) 78.18/ hr Phone: (541) 758 -4284 Fax: (541) 758 -4433 Inspections for which no foe is 90,00/ hr s • clftcally listed vi hr mm CCB Lic.: 151749 Electrical Lic,: 2 -84C Suprv, Lie.: 4933S i • PAO.1 ! IT' IN j f ,: +iP.l u Ma" EIE ggi x Subtotal: 78,44 _ Suprv. Electrician signature, required: Plan review (25% of permit fee): Print name: Rob Bloom Date: 1/23/12 - State surcharge (12% of permit foe): _9,41 �• TOTAL PERMIT FEE: 87.85 �/ Authorized signature: �r �� This rental application expires if a permit ix not obtained whhin 180 days after it hex been accepted ax complete. Print name; pate: I.-al 7 /� * Number of inspections allowed per permit, 1:\nuilding \remmtil0LC.PerwitApp dec 07/01/10 440 - 401¶1(1 I /0]ICOM/WLtt 0Z00/CTO0 E DI?LL3d'1d Ha 'warm C01 XHd Rd 5Z:Z ZT0Z /CZ /T0