Permit CITY OF TIGARD ELECTRICAL PERMIT
° COMMUNITY DEVELOPMENT Permit #: ELC2012 -00319
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/27/2012
Parcel: 1 S 135ACO2500
Jurisdiction: Tigard
Site address: 9346 SW MANDAMUS CT
Project: Longstaff Apartments Subdivision: ASHBROOK FARM Lot: 25
Project Description: New MF. Building 4 (6 units).
Contractor: GARNER ELECTRIC Owner: J.T. SMITH CO
2920 SE BROOKWOOD AVE A 5285 MEADOWS RD SUITE 171
HILLSBORO, OR 97123 LAKE OSWEGO, OR 97035
PHONE: 503 - 648 -4552 PHONE: 503 975 -7639
FAX: 503 - 642 -7925
FEES
Quantity Description Date Amount
709 Electrical Permit 06/27/2012 $708.61
Specifics:,
85 12% State Surcharge - 06/27/2012 $85.03
Electrical
Type of Use:
Class of Work:
Type of Const:
Occupancy Grp:
Total $793.64
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. ATTE ON: 0 gon law requires you to follow the rules adopted by the Oregon Utility Notification Center Thos rules are set forth in OAR
952- 001 -0011 through OA 952 -• • '0• You may obtain a copy of the rules or direct questions to OUNC by calling 503.232. j � r 1.80 2.2344.
Issued B • - 0 01/ 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 603.839.4175 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 Applications 5 Foy ,..u- 4f X
City of Tigard Received tJ a / / . / Permit No.: E I� - eagf 9
1, q 1312 SW Hall Blvd., , Tigard OR 97223 Plan Review /
6 : ±s Phone: 503.718.2439 Fax: 503.598.1 960 Other Permit: 1���' �
Date/By:
TIOARD Inspection Line: 503.639.4175 Date Ready /By: �/ urtr RI See Page 2 for
>: Internet: w�wv.tigard or.gov Notified/Method: � �°a ' `Y/ V Supplemental Information
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[]�New construction ❑ Addition/alteration/replacement ,` �` Please check all that apply (submit 2 sets of plans !Amos checked below):
I ❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: .s r where the available fault current ❑ Marinas and boatyards.
_".� "-`?' _ 3 ". •:'i ' = >:. - 1 . a.�. .. ..;:mc,vv -n- •:r »Y r c�c:�:�.�i ` . c ^_u M ' .:` - . !- .,: �
kr I_' = " - , *:; rt exceeds 10,000 amps 150 volts or ❑ Floating buildings.
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4.r 3. ..> .^Lf! ' il :..�.41 ] .: sZS� _se l•;+ii:�.: ^ } -�^
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
d 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation 01 75 KVA or
t; .= ; ,.c;: y, <,�..* �.a ❑ Emergency system. larger separately derived system.
'
� w�-�. �' ?JOBSI E::] I�FURl�IATION. �ANDa .IiOCATION''''i` '�i= `' ='� =` =.
� >.�.•. ':. ' �.,...r..... ............ .. ........ ...... .. ..... ❑ Addition of new motor load of 0 ..A„ "E" "1-2". .1 -3..
Job no.: I Job site address: I37b, 4 362 7 93LR 9 38 IUO or residential occupancy.
y ❑ Six or more residential units. ❑ Recreational vehicle parks.
City /Slat IP: T. � �- ✓ ❑Health -care facilities. ❑Supply voltage for more than
g / 1✓ Q 7 Ze. 3 5 %� o �l : ❑ Hazardous locations. 600 volts nominal.
Suite Idg,/ pt. no. ( I Pro name: from)", s,•r / " _ 4 ❑ Scrvice or feeder 600 amps or more.
/" FEI SCHEDULE , : .
Cross stree to job site: 4 `7 , L116— Description tion I Qtv. I Fee. I Tend I •
New residential single- or multi- family dwelling unit.
akz 2/ 7 . ( &ifl°...PI bra /chea Le. Includes attached garage. - - _
u Lot no 1 45(, s w /'liarlt n fi� no Ea. add'1500 sq. H. or portion .� I
imitetl Neu, Cen energy, residential illi c17, ''''1!..:
75.00
:� Y' _ ■4V t i.: ESCRIKE O a9F OR' ,,L�:' ; _•••:3., ,._ ..,,, : =i . ', with above s. . R . ) 1
;
.tik? :a.. i' a ` .4 r i;. i.� �3v;��1 >. - ,j � _� >� �a�Z:� t�,,. '' � it multi -family ._�•:.
! Limited energy, mu- famy 75.00
et 0 " 7 i
et'. ' ri t a.0 ss°frve 'on -- FMS ,1 / A residential (with above sq. f.)
�^ ' q A � _ , • Services or feeders installation, alteration, and/or relocation
,
- • li tl Z • arid. Sa /0/. 2,3, ' 200 amps or less 100.70 2
, ;' '� " � •:1:14 - ® :ENA • t: _
,,,Y... �•x _:,,.,.,,.,.,...., :.. ,.. - ., „ ,.� '
t • �:,,- .:il:': ...._..., , �,....., .,�i...t_,.,_ .., rci ^ ss� 201 amps to 400 amps
401 amps to 600 amps I
I 133.56
200.34 2
Name:
601 amps to 1,000 amps 301.04 2
Address: ,..5" S /7e.../e/iroS /r. Over 1,000 amps or volts I I 552.26 2
City /State/ZIP: Z� Os �e f� O 70 Temporary services or feeders installation, alteration, and/or
�7 J �,y relocation
Phone:
(5 �„ 3 % Q /5 -7631 Fax: ($3) �OQ"i— e9/ 02_ 200 amps or less 59.36 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2 1
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2
Branch circuits - new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
=: t,, a ::ye �,�- a° .v., above sery i
u ; = =, s - A EPLIGANT a., IVY” �: s. ce or feeder fee,
7.42 2 • 03:, - "Lp,,No ACI PERSON i:.,.
a
.,,,, , {...'� a',.. .. .- :. :_.e.:Y ,: _,. ;.�; �;� " ,:_n.. . z`_....,. �_..., a__.. L- s ..... ...........�....,......_e::;it:
"= -''� �� each branch circuit
Business name: j7 SA /4 6, B. Fee for branch circuits without
service or feeder fee, first 56.18 2
Contact name: I - /, ,67,,, ---- branch circuit
Each add'I branch circuit I 7,42 12
Address: $Z ,7e,etara,,.J S /e er : Miscellaneous (service or feeder not included)
City /State/ZIP: Ale. 0 4de re 9 Each manufactured or modular 67.84 2
J dwelling, service and/or feeder
( �) 9 5 - 76 3 % re (J �) 6piy O /OZ Reconnect only 67.84 2
Phone: x:: Pump or irrigation circle 67.84 2
E - mail: Clorf'Ce,v e 1- S/y!/ 1'1i co r C)n
, ;t *.,F,•r�:�;3;.. - ,n� _ �.: : . �v.:y� Sign or outline lighting 67.84 2
..'. '. >...,. �:.;';:' ii::.:,. :,�.r,..,.: »_....•_ „a...M.Y,. Signal circuit(s) or limited-energy
Business name: Garner Electric panel, alteration, or extension. Page 2 2
Each additional inspection over allowable in any of the above
Address: 2920 SE Brookwood Ave. #A Additional inspection (I hr min) 66.25 /hr
City /State/ZIP: Hillsboro, OR 97123 Investigation (I hr min) 66.25 / hr
Industrial plant (I hr min) 78.18 / hr
•
Phone: (503) 648 -4552 I Fax: 03) -42 - 7925 Inspections for which no fee is ,
specilically listed (Y; hr min) )Il.11t)r hr
CCB Lic,: 121159 Electrical Lic,: 3• 05C up {.. Lic,: 3707 -S ; .:; 'r' , ,:: i ELECTRICAL .1%1 N1hT.417.E:ES: ••.
Suprv. Electrician signature, required: `r ' fft, `` _ — Plan review (25 /o a of Subtotal: 1 Q ; ,/
. . _ .,� - ; permit fee):
Print name: Chuck Garner Date: State surcharge (12% of permit fee): ; ; • i3
Authorized signature: TOTAL PERMIT FEE: • 70, ,
This permit application expires If a permit is not • • tallied within I . 1
Print name: Date: • days after it has been accepted as co plc
' Number of inspections allowed per permit. /93 •, 4 0 r
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