Permit CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: ELC2012 -00059
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: 10567 SW TIGARD ST 45
Project: Windmill Apartments Subdivision: 2004 -050 PARTITION PLAT Lot: 2
Project Description: (4) branch circuits for ductless heat pumps in units 45, 46, 47 & 48.
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 OA' .52 -. : 090. ou 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: dA/
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.
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Electrical Permit A • iicat'e .' = ` FOR OFFICE USF: ONLY
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City of Tigard ` ` ' r . , — 1011. 1 4. E Perm No.. l�o2Q/aZ O0e25
w 13123 SW Hall Blvd„ Ti ard, OR 97223 t��,\
t Phone: 503.718,2439 Fax: 503,598,196V" ' 0 ^\O Ulher fermi Ee , ; -"
inspection Line: $03.639,4175 �1\ ® Sec Pace 2 for
TI C � ` 1 � O tr "�
Internet: www.ttgard -orgov 0 t • O V \ V� 1 i� Supplemental Information
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((3� r ' C 13s. i,r ( k : Y' i (s! , Y ` {l q� r "lr 1 ! ,s, ,,k4, {if $ i f�,' r 1 { 1 i f f{ y�1 f € �t 7l 1 (� f l r xl lildiX #1,1i1� rt� #.,l ! .
l,rf,1,�J , .F,,t{la��l( �i�E��r�.l�rdll�r';1tlRl rt�.rn1)�I,el .rr +{d,��df�'Iw> t1.11C >t�!t,4 l�irllaiI }��Y11f �,�ar'�i4�t {ffl��r lilY1 �4t S '�iA#�J� o�fk.i,Ill IF apply ,��P' lli um+rl plans write,ns chocked below):
❑ New construction ® Addition /alteration /replacement
Q Service or fender 400 amps& or more ['Building over three stories.
❑ Demolition , Other: where the availnblo fault current ❑ Marina. and boatyards.
rJl " ! 11 Y'' 1 'tJjr{ Y & E: wr t [n r um'mrvr , ^ , y {. [NMI
cxcoods 10,000 amps at ISO volts or 1:1 Floating buildings,
t l il! l IR l i li Ii r` 1"�.. �'E iii -. °�: sfi i n>i;i��'', ILr �l , ��[M ,[! EI
l { j PGri s!y r to ; rr. ro rn r a loss to ground, or exceeds 14,000 Q Commernial -use agricult![ml
❑ i -land 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations, buildings.
0 Multi -family ❑ Master builder ❑ Other: . E1 fire prosy). ❑ IMO lnt of 75 KVA or
ri tt lvflln:rldr, ry;j� j` wrw(r, ,gr" i,la*we+a nrtftur'e[rarilFr(l >tiQl t err, trrpap't i r(r1 Y,t �, {'�Et 1,9 '1j 0 Emergeneysystem. larpersewtrvelydorivodayatam,
r l� 4I &� i7(� il�t��ifii' � j ;1� � S� r i �r "� t r �, MrwF 4�u�T l e m �� �kl C+rili �'d P M���wW�iDli'' t & 1`. l l r i 0 Additi o f new mnlur load of Q
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Job no.: Job site address: 10567 SW Tigard ST 45 100111P or morn. rxxupaney.
0 Six or more residential units, ❑ Rocrentionnl vehicle parks.
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(,it /State /ZIP: Tigard. OR 97223 ❑ Hualth -ears fndlities, ❑ Supply volume for more than
Y .,, CI t t:&zardous locations,
600 volts nominal,
Suite/bldg. /apt. no.: Project name' ll'''' / LL— ❑ yurvwe or feeder 600 amp of more
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t � rEY I "MFf� �� J�! �f � � I .� l�I,hdmr, rlrelel,rw46tn�i� Il? ��1�!'7y1 `I�I'
Cross street/directions to job site: 7)- - ",f-2 jit-/ orcwn+:a+
' Ncw residential single- or multi - family dwelling unit.
Includes attached garage. _
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Subdivision: Lot no.: 1 ,000 sq. R. or lass 168.54 ^ 4
Lt. add'I SW sq, ft, or portion 33.92 1
'I'ax map /parcel no : ff Limited energy, residential
� j�, rt rj� t)E hr•tj`f^ ai .Y Y) 11171{ro{{{r! aVt. stirr wmyrwu2weprlN4h�r I !je Y`'pt"� 7, t, (`{` i, lI Yll(1t �i rr ` p� t � r r1 r n, 75,00 2
, 1'I{ }ri l3y Ir,4ri 7 ,rr rt �!�r'i�l� r �llJ1��1 rA!art!0pI3r�i+� t_.1� IS1R��tr'lr111e 'r t>��11 ( '� �' .ilw (with s
Ii.H`,t.IE�IUi 44�ir1l +;wr s�ull.i�.,YCr 1, rlrrlern:. wmdY.tr�,tlalatlter"abthrirut, dunlr l i♦ IE r idh�ffll {I�ai ,fillet, Limited energy, multi- family
75.00 2
Electrical for heat pump installations: Units 45, 46, 47, 48 residential (with above Sri RI
..., Services or feeders Installation, alteration, and /or relocation
200 amps or less _ 100.70 2
Ylt, Jg^ wr Ir rVnaanx YrtPl y reM +:y l Y EV (W ( AMI C ') r '' li 201 amps 10 400 amps 1 33.56 2 4 . 401 amps to 600 amps 200.34 2
Name: • 301.04 2
M _ 601 amps to 1,000 amps
Address: Over 1,000 amps or volts 552,26 2
" Temporary services Or feeders installation, alteration, and /or
City/Statc/ZlP: relocation _
Phone: ( ) Fax: ( ) W^ 200 amps or less 59.36 1
241 amps to 400 amps 125.05 2
Owner installation: This installation is being made on property that 1 own which is not T
401 amps to 599 amps 168.54 2
intended for salt, Icame, rent, or exchange, according to ORS 447, 449, 670, and 701. Branch circuits— new, alteration or extcnsioli, per_panel
Owner signature: _ Date: .._ A, Fee for branch circuits with
r tr CtM r Irer Itli�tr ;al�1>Z�y�er{te ! { I �{� , , p, , r � ; rpYJru,l ,srgY a,raMgylstbY!ncct SEEM � above rvice feeder fee. 7,42
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tl.�i�Ii1�� {l�ff.1, 7unldilY,'ifYirrYrirrr �+ s C f ' VGr Yl .r i���&�(i# ew, wli. Ur&ruM�eQuK;,ptla��tlr >;ro nkirttre�G�'1.1�� �r'ItVI euCh br'it ci rcuit
1i. Fee for branch circuits without
service or feeder toe, first I 56.18
5618 2
Contact name: branch circuit
Each add'! branch circuit 3 1 7.42 22.26 2
Address: - Miscellaneous (service or feede nut included) •
Each manufactured or modular
67.84 2
City /Stale /LIP: dwelling, sere ice and/or feeder
Phone: ( ) Fax: ( ) Reconnect only 67.8 2
Pump or irripaUOn circle 67.84 2
E-mail: Sign or outline lighting 67.84 2
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�l, rL��E�. IY��' ralf�rul�. �r�E�li�,tr „r�l�lilE��,,�,tr�,. arty.,[ 1ti1 3�1 �1; 1, r,(„» �Yr. ����, r.,• I.,» l�# ►1r�.b#,u��t�lt�I�It1���16.��1# Ifs# �# �ltlE��r��t�Efl ;#�r���119llrtrallis # #a Signalcircuic (s)urlimiicd•cncrgy
Business name: Premier Electric .1nel, alteration. or exleflsuOn, Pe ,C 2 2
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/Statc/ZIP: Corvallis, OR 97339 . .
industrial plant (I hr min) 75,151 hr
Phone: (541) 758-4284 Fax: (541) 758-4433 inspections for which no fee is 90.00/ hr
si ificall listed hhrmin
CCB Lie.: 151749 EMZINEMIM Suprv, Lie,: 4933S l tail l tllEliE Ile i � �Rl lr t "r;; ;O it 11 A eta ai "1 iifLi h "fi ltE n
Subtotal 78.44
Suprv. Electrician signature, required: plan review (25 %ofpermit fix):
Print name: Rob Bloom f Date: 1/23/12 State surcharge (12% of permit fcc): 9.41
TOTAL PERMIT [4:8: 87,x5
Authorized signature: ��� — 'nix perntlt application expires if a permit is not obtained within 180
days otter it has been accepted os complete.
Print name: Date: / —, ? f /.2 • N umbor of inspections allowed per permit,
I:l aIIIt ,IgU*ermitsliLC- rmnriIAsp.dne 07/01 /10 440.4413'r(ttros/COM/wed
OZ00/ZT00 f l DIH,LDd'IT HHIAId2Id ££fib89LTb2 XVd lid bZ :Z ZTOZ /£Z /T0