Permit ,� CITY OF TIGARD ELECTRICAL PERMIT
1 1 COMMUNITY DEVELOPMENT Permit #: ELC2012 -00057
T1GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/27/2012
Parcel: 1 S134DD00100
Jurisdiction: Tigard
Site address: 10575 SW TIGARD ST 37
Project: Windmill Apartments Subdivision: 2004 - 050 PARTITION PLAT Lot: 2
Project Description: (4) branch circuits for ductless heat pumps in units 37, 38, 39 & 40.
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 $87.85
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -0010 through 0 A ' 954:01-i 090. You may obtain a copy of the rules or direct questions to OUNC by calling 5033 2332.1987 or 1.800.332.2344.
Issued By:
�l � i V Permittee Signature: v 6'V �7°G / --W V
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease or rent.
OWNER'S SIGNATURE Date:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC' Date:
LICENSE NO.
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Electrical Permit Application \
FOR OFFICE USE ONLY
R du P e emit No
City of Tigard -' �r�27 ri / �LL DDOS,
�y ' Dsuc /B
w 13125 SW Mall Blvd., Ti d� Z; . 2 �I Plan Review .� r
8� ` �� Other Permit o1 ' w�.
Phone: 503.71$,2439 Fax: \ 0 . 98.19G0 vt DateiBv:
Inspection Line' S03,G3U.41 ] (� ; Ready/By: dy /By: ® See Page 2 for •
FLGAI n Ins c Jt tt � �GPv` IMP + Su Iemontal Information •
Internet: www.tigard- Or.gov `\ Date Ready/By: u
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e �� 11 4j r �, ” ; r . I till I�r'�t}gIt1.c7 '�PVf i74WU^r:�Ylr�i4'f� I �Ir��Eti° 1��16g, l �J`{ �y��'N rv..11i ^afllgii i 1.6./ � v.lh 1 , � 1N�rW=S'Stieltl'hr rwt6ga�dltOW.drib. Tii a.. litiriEW
d e con� rt�.� 1 ' -i , Zl c i i fl Mane chock 1'iJ� t �UJkii�, a
0 1' 11
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traction AddRion /s�t l�ljtl laCemCnl 11 tear apply (submit Z set % of plans l Building e rhea a ow ):
`(w (] S or feeder 400 amps or Moro El Buildinx our three stories.
0 Demolition ❑ Other: where the availnbie 1<eult current ❑ Marinas and boatyards.
n-' a „ ? 4 � �7 ��":4 , r' ;�tmt�/,�tr , OR I i rnra�yry,cn r 6 th4I r u ��i r lfl i 1+ r) r Y `,,; i I ��p " ;'1 cM; uds 10.000 amps at 150 volts or M Floating buildings.
X 4 , 4 ...W el t e ' 1 � , : �� . .itli 41Vili'i4 0.0 z wfu'EOrli?si ,4.,,i 4 ttdziwi� ;nt AYig , rn�wv 111104 p� fixtaXaC r r. ' ,(i,A i J, ., .t44 less to around, or exceeds 14,000 ❑ Commoroial -use agricultural
❑ I- and 2- family dwelling ❑ Commercial/industrial 0 Accessory building amps for alt weer installations, building,
El Multi family ❑ Master builder 0 Other: ❑ fire pump. ❑ Installation of 75 KVA or
! ,2J p rr) 1J' r ,,�• q n> rzp.+c s t art rn rrt� c �1 �rY�i trlY t; " ^ ,µ t l r n nyr 7 r, ;tr ,.err E, E }r( 0 Emergency system. Irrgar separately derived system,
.II , : i�ttii�lld JE7fi {�1 ) C l lww S °.is ir .Yilhli +iri a � rete A lt 4 La iwfllrti /A 1n� t L fi r f�' r r ' 4 ' 1111 ,II. j A'�
irlbl!d 0 ui iii ea, r. a Addition of new motor 1v+J of ❑ l
1001-iP or Mort. oocupancy
loh no.: Job site address: 10575 SW Tigard ST 37 -/ CI Six or mart rcaidentinl units. C Recreational vehicle parks.
0 Honith•cure tl ailitias. C Supply voltni c for more than
City /Slate /Lll': Tigard, OR 97223 p Hum* us locations, 600 volts nominal.
Suite/bldg. /apt.no.: Pmjcctname: /A)//vc,>/4// ❑Serviceor feeder 600 amps or } more.
2 11 t� i.7RJ N1l�.Il i{' w r`ic"lf{i �i "(af f+ :v -M rfr }�,��( �' u. V��T ill it r� A
,. � I i .,.,. 1,� ilE�f �1 � �� eVi t �t
Cross street/directions to job site: /9—P i ejf on,er.,Kann LIi'� F. •
New residential single- or multi - family dwelling unit.
includes attached garage. „_
SUbdivisioli; LLot no.: 1.00054. ft, or less_ I69,54 4
Fa, add'1 500 sq, ft, or portion 33.92 I
Tex map/parcel no.: L imited energy, residential
r M�r, ', ", ro U x nr tr a ir r r ' Iw'm, Y t t71 U r Y'Y ^Y rl 75,00 2
' dI ►1 li I Er r t i r , if1is` ia r 1' 6Lja rt1'ri�tirr .�l!J 1 t�� ^ !: i j , firC { �( grim, (with above. ft.
I ef r} rl Y ' 141,111 Ant Elilit hamii}1)dtrit' ,E.-t,111p11Mlii., iarN � if 1{i; Clrll i ll'. i lfa�td,,.,1`ldt�f t�. r l l .imited anergy m ultifamily .
75.00 2
Electrical for heat pump installations: Units 37, 38, 39, 40 residential (with above N. ft.)
Servlees or feeders Installation, alteration, and/or relocation
{ 201 amps to 400 amps 133.56 2
200 amps or loss .. _- 100.70 2 _
4 d ) ; r. f{ i r I Yr1'�nr,11r t E , r e�a' Ci t i vie, "ITrA� Yri r 4 r 11 ,r 7 I t r i 1 l, r J r l r 1 r r t " t , ^"^'. f t!M�Rr'N�(Ilpl rtt a t r {!, 7 1 'trr lrV j
1 1 ' 4� t rl61ri41r,IU I #r;ll� , w'y r 1 112 !t�'I �;� 1 1rr� f # ? `1 ►1 P 1'J �r � " 9 71 l �+ f 0 1 P
fl l E rider/.. Yriw 4Se4 rrutn)!AIi ti4drY,a p1.rpte this ilIiR )1X1 a rY 4 0... e t,iu r e,., r{ ), A, a; vie
401 amps to 600 amps 200, 34 2
Name: 601 amps to 1,000 amps 301.04 2
Address: Over 1,000 amps or volts 552.26 2
•- Temporary services or feeders installation, alteration, and /or
City /State /ZIP: reloc sties ,
Phone:: ( ) Fax: : ( ) 200 amps or less li 5936 1MM 1
201 amps to 400 amps 125 Os M. 2
Owner installation: This installation is being made on property that 1 on which is not 401 amps to Soo amps 168.54 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. Branch circuit s — new, alteration, or extension, p panel
Owner signature: Date: A. Fec tar brunch circuit% with
tr o tr � lead 1 pX l trr r tar 4' t t r r ' : I I r U , r 1, 1 /, (, R': I�', above service or feeder foe, 7.42 2
r. p J Y r , er vt r, t 7
ft 1 4 �1(,{ qqp�s� / 11 �1 '111 � 11 k 1S' 77 ff ��� 1 p rr ll tt 11 II , l ;, , . .i �� ``
r14 e 4il��d11d)l.ld ild�Ow4 et .iM'l 1i1lIi0w71�'tptletr,t r !b1)�e, w , t1 1, li each branch circuit .
[ usineSS name: B. Fee for branch circuits without
- - service or feeder fee, first 1 56.1$ 56 2
Contact name: branch circuit
Each add branch citt:utt 3 7.42 2226 2
Address: Miscellaneous (service or feeder not included) ,
Each manulhcturcd or modular 67,94 2
City /State /Z1P: - dwelling, service and/or feeder
Phone: ( ) Fax: : ( ) Reconnect only _2 2 67.84 67.84
Pump or irrigation circle
E-mail: n Sign or outline lighting 67.84 2
r1 }'1'1+rJf 14ri'11'i J rr4 71 YYr(iJ I r)w tp- art «- .rw1 r ",W 1 , r r1'!i r4 1 41 rY' I 1'(F(t
'' ttl�,' �11�f�r�6i�114�. vul��n3�! t�;,^ r�Ei��SI! l?�. jt. Elit�{ I', Nrolrral�balt.,' t�Y, w4�w, 5% ��i1fi��t�t ,�r,lxYll,�a1!i��a�'�{��',�! C4r;,li2��E11������JiY4(��ft S
� iBna lGirc uit (s)oflimitud- cnerl„ry
Business name: Premier Electric
.anti, alteration, or extension. Pa ' e 2 2
,_,_ t;ach additional inspection over allowable in any of the above
Address: PO Box P Additional inspection (1 hr min) 66,251 hr
investigation (1 hr min) 66,25/ hr
( sty /SIafC /Z1P: Corvallis, OR 97339 -, industrial plant (I hr min) 7R,1 hr
Phone: (541) 758 -4284 Fax: (541) 758 -4433 inspections for which no fee is 90.00/ hr
s. citically listed ''A hr min
CCB Lie.: 151749 Electrical Lie.: 2 -84C Suprv. Lic.: 4933S I ,i t.liEE" "�ul, dl i7,;i f `IId ' s^ Iltallmlr ik4' if =f
• Subtotal: 78.44
Suprv, Electrician signature, required: '
CSI W red: _ Plan revi (25% of permit tic);
Print name: Rob Bloom Date: 1/23/12 y State surcharge (12% of permit fee); 9,41
- TOTAL PERMIT FEE; 87.85
Authorized signature: /�' >f T '[bin permit application expires if n permit is not obtained within 1R0
days after it has been pccupted as complete.
I'rinl name: Date: /- 4 Number of inspection. allowed per permit.
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