Permit CITY OF TIGARD ELECTRICAL PERMIT
° COMMUNITY DEVELOPMENT Permit #: ELC2012 -00350
T IG Aft. D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/11/2012
Parcel: 1S135ACO2500
Jurisdiction: Tigard
Site address: 9256 SW MANDAMUS CT
Project: Longstaff Apartments Subdivision: ASHBROOK FARM Lot: 25
Project Description: New MF. Building 6 (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 07/11/2012 $708.61
Specifics:
85 12% State Surcharge - 07/11/2012 $85.03
Electrical
Type of Use: MF
Class of Work: NEW
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 . -.• • . ith 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. A ENTION: Orego law - quires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -001 1010 th •ugh OAR 952- ou may obtain l a copy of the rules or direct questions to OUNC by calline s . .1987 or 1.800.332. 344.
lJ � •w '
Issued _ i P Permittee Signatu r °�i - /
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 _ - F O I a oFFIGE U SG; O Y � � f'
� g Received /� b7 cw, � 0035
C of Ti and
Penult No.:
Date/By
•.,,,, 3 .. e ° 13125 SW HBII Blvd., Tigard, OR 97223 Plan Review
3= ��� /�_ OQO 3
- i 6 Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Perini
i
..:.+,.�,.;. Inspection Line: 503.639.4175 Date Ready /By: lens: fa See Page 2 for
/
r+ ? Internet: www.tigard- or.gov Notified/Method: 77 Supplemental Information
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12-New construction ❑ Addition /alteration /replacement Please check all that apply (submit 2 sets of plans #/items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
_ � ['..� .rte i+ i�'4 \ "YG: "r • _ _ YXC.\W �. Y��av� f�.Y'.0 � .,..ya ]Y':: ....i(`.:i'��:; ?:�Y..• � Z&ryu'
't a " '� +ti „,_, "C�'. a,`t exceeds 10,000 amps 150 volts or Floating buildings.
U* . `'`' '' :> 1 �?. x;':'ai, 'I, 't'CA(I:EGOIt OF / VONSTR'U. `''I ' " CS„ '" a 1:'3 ,. ;,'3 �- P ❑ g x agricultural
c S!..:: v:: S: 7 'a,�.-h:h�.,.,,- dz�a.,,a.,.�.- }... -a"t, ti`X:,o1r - .a, -:v,. Se„ .�.;?�15i'�,:."c+ac..;
`" � "' - ''�' `'"`• less to ground, or exceeds 14,000 13 Commercial-use a
a d 2- family dwelling ❑ Commercial/industrial ❑ Accessory building amps for all other installations. buildings.
Multi- family ❑ Master builder ❑ Other: — ❑ Fire pump. ❑ Installation of 75 KVA or
,, r ^:a :, �, .,:. b , ; . t < w; „,_ {.,_ _ Emergency system. largersepa separately system.
, .:.... . . ra derived
`t� � = = r' �.;.t:. JOB1h' IIgi FU A TI_ O N : AM O:OCATION ; ';c
-4f a m z�3 :,tc r.__� 3 ti.., . ,�,� R.. M,,,,, , --, t..., ..y ,,.....1.,- ....,.. �.,, .. -.... �, - :. ` • Add o n ew motor l o ❑ " ..
Job no.: Job site address: p I00HP or more. occupancy.
Tags,' gy r q Z � Q Z 70 � q 5 � ❑ Six or more residential units. ❑ Recreational vehicle parks.
City / State/ZIP: l � (; 7 M ❑ Health -care facilities. ❑Supply voltage for more than
T� t . 600 volts nominal.
❑ Hazardous locations.
Suit /bid /apt. no.: 0 I Project name:
Cross street/directions to job site: //14,,,,e �yilf— �j S� ❑ Service or feeder 600 amps or snore.
pmer ou FEC i>SGI,IED.. I - Fee. ?/ /_ G• KI t J/ 1r7 1�K/ (Qty. I Fee. I Total p U New residential single - or multi- family dwelling unit.
t Q Z 4 756 5s•/ Mao of air Cam, shad., e,„, Includes attached garage. _
Subdivision: Lot no.: 1,000 sq. tl or less �� 168.54 i6 E Ss f 4
- Tax map /parcel no.: • Ea. add'1500sq. ft. orportion I 33.92 33 .11. r 1
Limited energy, residential
'ftiY�' -ey,� - art; • 'M•:a;,i�s ,;.., _ - rr: ::r'•: -,. 75.00 2
Ea5. z P Fz ;:.. ,q�. - ecf' "4a' i �<aat. `} 1 1 ;x, : -�i ' (with above s . I t.
b "�:,:- � < _� � %,' SCR•11''I'�OIY:OF WORI�,�z_ �•- � ( q )
:.a ax:;�:_._ ':i - °.. �.,. ;r ..,w ,5.�a -�.- ��:tq.:. c.;: E Limited energy, multi- family
��` \ residential b
ential withaoves ft.) 75'00 2
�f�''ca,G CDMS'f'r"VG"l - foVt - Fees ( sq.
Services or feeders installation alteration, d
(14.+A 2.02. A.v 5 A /Q / 23 200 amps or l ess 100an70 /or relocation _
r u : -; -RO ' E EY' OWNER i;;:.:.. ii i - - ;t 1 - ,2 r�> - ry L : %' 201 amps to 400 amps 133.56 2
:;" „�,._.t.: � R� � °_ :, :••= � `n ' si.�. �i.� ENANT - \ _ mP P
kti �,_ � ....•.:,- �w._ �.:. s :,...n.- ..•.__....- _::_ >.::.:,e .' iti::.�.� . a. •�.. ..,?�i...- ,a ,,. ✓� K, �_ :- �.'r'''a�s.., ;=�
Name: r 401 amps to 600 amps 200.34 2 •
601 amps to 1,000 amps I 301.04 2
Address: 5 - Z S' i - 1 i ;• _ ,, Over 1,000 amps or volts I I 552,26 2
�
7 Temporary services or feeders installation, alteration, and/or
City/State/ZIP: �lje OS f.�-�e e, '
O . . / 70�
relocation
Phone: (, j09 97 ( Fax: (5d3) 6ft/ p /UZ 200 amps or less 59.36 1
201 amps to 400 amps 125.08 2
Owner installation: This installation is being made on property that I own which is not 401 amps to 599 amps 168.54 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701.
Branch circuits - stew, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
: - - r t_ 1S' _ above service or feeder fee,
AEPLI i _ ; - • . UNTAC 7.42 2
:.,_...w.:... „ v..:: • , ,5 , .,_: . r..,. :••�'r` .. �.5 .., . . ...... ..:.:.:: each branch circuit
Business name: j----1.— s'j / /4 ea B. Fee ibr branch circuits without
service or feeder fee, first 56.18 2
Contact name: ha. r-f Z ltd.- branch circuit
/� ` Each add'I branch circuit 7.42 2
Address: 5 ,7.-ea a‘. S , c- Miscellaneous (service or feeder not included)
City / State/ZIP: e_ ("95-�e co 97,, Each dwelling, see rviumgns d/ modular
SIR r e rvice e ed and/or feeder 67'84 2
p � 0602_ Reconnect only 6784 2
Phone: () 975- 763 / x:: ($) ( p� O /O
E A Pump or irrigation circle 67.84 2
- mail:
eh ri.cdt� 1.- _ve 40 r Ce. Sign or outline lighting 67.84 2
Signal circuit(s) or limited-energ
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 (1 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 9).Ou, hr
specifically listed (V1 hr min)
CCB Lic.: 121159 Electrical Lic.: 3' 05C up,. .. L Lic,: 3707 -S „ ; :; : :4 �! , ELECTRICAL PER M1,T EES:•:' , :'.. -'
Suprv. Electrician signature, required: V.,";.,1/ '' ° S° Subtotal: 70g. b/
i r •,, p _ — Plan review (25% of pent fee): 177 • IS
Print name: Chuck Gamer - Date: State surcharge (12% ot'permit fee): 8 S_ 03
TOTAL PERMIT FEE:
Authorized signature: This permit application expires if a permit Is not fainted within 80
days after It has been accepted as complete.
Print name: Date: • Number of inspections allowed per permit. •
7?-g,
I:\ Building \Permits \ELC- PermiiApp.doc 07101110 440 -461 Sr11 II01COMIWEB