Permit CITY OF TIGARD ELECTRICAL PERMIT
III Is • COMMUNITY DEVELOPMENT Permit #: ELC2012 -00352
T LGA.RD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/23/2012
Parcel: 1 S 135ACO2500
Jurisdiction: Tigard
Site address: 9160 SW MANDAMUS CT
Project: Longstaff Apartments Subdivision: ASHBROOK FARM Lot: 25
Project Description: New MF. Building 8 (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 07/23/2012 $708.61
Specifics:
85 12% State Surcharge - 07/23/2012 $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 a ance wi = •proved 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. ATT TION: Oregon la re— ou to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -001 -0 0 thro 'h OAR 952 -00 .090 ay obtain a copy oft a ryes or direct questions to OUNC by calling 503.232.19> or 1.800.332,2344.
Issued B 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' f i /•
i Date:
LICENSE NO.
Call 503.839.4176 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
City of Tigard Received / O Pemtil No. ELC a0L2 -A�3 5:2 13125 SW Hall Blvd., Tigard, OR 9722 Plan Review
C . Phone: 503.718.2439 Fax: 503.598.1960 Da1e/By: Other Pemte3 1,zem,2 - .0003 7
CIGARD Inspection Line: 503.639,4175 Date Ready /By: tuns: 0 See Page 2 for
Internet: wvvw.tigard or.gov Notified/Method: '77 Supplemental Information
'X , .. r .. TYPE- OP':W.ORK . ' ,l:gn , ... 9 ,...., A _.. ._ ..,.. ,..,.kY PLAN,REVIEW. =ti• -`' - .
[] construction ❑ Addition /alteration /replacement Please check all that apply (submit 2 sets of plans wlilems checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
CATEGORY ;OF `. CON - :10 N' � -��`: ` '.t=�3 `�t
exceeds 10,000 amps at ISO volts or ❑ Floating buildings.
a... , ..ter
?`' � ``z „ � \,,., -” '° � '- � �'" " -��� •�` less to ground, or exceeds 14,000 0 Commercial-use agricultural
d 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
Multi- family ❑ Master builder ❑ Other: ❑ Fin: pump. ❑ Installation of 75 KVA or
_ _ - :,•:_ ❑Emergency system. larger separately derived system.
OB` IT T
J ,S EaNEOR1VIATION�eAND<LOCA .I ° ? ;t:;�:� : : ;'
_^ ._., »3Y;,r_i`� ....:......- �.- ,o....,,.._. _,- ,._. -sr: _. ..<.1. -., _. ,,,._ _,....., _....- ❑ Addition of new motor load af ❑.. . -3 .,
IOOHP or more. occupancy. '
Job n0.: Job site address:
q! 86 4i f 2 4/ 78, Ri 7e/ 9/ - 6 ■ Si x or more residential units. ❑ Recreational vehicle parks.
City /State /ZIP: '7 �• , �, a 7 5 v' ..� h c-i. -,,, ealth -care facilities. ❑ Supply voltage for more titan
f • Hazardous locations. 600 volts nominal.
Suit Idg apt. no.: Project name: / /` /`�' _ hr ya- /� 5/4 0 Service or feeder 600 amps or more.
Cross street/directions to job site: 1.1 2 /-7 be:e.,i6✓ Description 1 Qt, I Fee. I Total I •
New residential single- or multi- family dwelling unit.
It d' 1166 / T 16 Sw y1 6 14-10 40,4 4- , 45
Q! Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less ± 168.54 l ,Stti'' 4
Tax map /parcel no.: Ea„gdd'1500 sq, ft, or ponion i 33.92 3.3,472Y I
L imited a rgy, residential 2
' w.a "''` „A': _ ;;a ; - �:,: " ±, = with abo e s . rt.) 75,00
u :L§; _ c.3: , DESCRU'TION QF RIC <` ( q
�-
�,� n - Limited mil , multi - family 75 QO
,lies+` IGa- net./ C6 } 1/C.1 rl — refs(' pit 2OZ,Ye residentia (with abovesq. ft,)
6 $ ca Services feeders installation, alteration, and/or relocation
��� 2 .3) 200 s or less I 100.70 2 i
- `RORERTY- OWNER! = =.'= ® "RTENANT = �,. 01 amps to 400 amps 133.56 _
� `:� �i'= n _�� `r ..n Uzi,,, . -.e- ..,il •: ... - I' , t._. ..,.._. �._., _ - _
Name: 401 amps to 600 amps I 200.34 2
601 amps to 1,000 amps 301.04 2
Address: ,.Z g/€4,/,_, Al Over 1,000 amps or volts - I 552.26 2
City /State/ZIP: GAL Os c — O 97eaC Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( 975-- -7631 f Fax: ($d3) 62 — e)/G12_ 200 amps or less 59.36 I
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2
•
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, Ater panel
Owner signature: Date: A. Fee for branch circuits with
:; : ::. - above service or feeder lee
7
` :_ARP[`1CANTa .' - 'ON - -- - RSUM'; --.. -.42 2
°•�, -� - ��^ • - e TAC each branch circ uit
Business name: j" ---- r - sue, t O B. Fee for branch circuits without
� � ,`, 4 service or feeder fee, first 56.18
Contact name: �,V bunch circuit
`
Each add'I branch circuit 7.42 2
Address:
,„S ���ouJ S e✓ Miscellaneous (service or feeder not included)
Cit / State/ZIP: S - ' � / ,e 9 3-C Each m se a or modular
y l e. � / dwelling, service and/or feeder 67.84 2
(�) 9z--...._ 7 6 3 / ( ?) 6 ?'/ ewoz_ Reconnect only 67.84 2
Phone: Fax:: "�,,')
E-mail: eL j r(' Qy e J S/�/ rh (o r c l or circle 67.84 2
=
Pump o irrigation c rcl 2
Sign or outline lighting
;i _ ; CONTRACTOR ` " ; ':::.: '; =;;
� - • `• Si 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 (1 hr min) 66.25/ hr
City /State/ZIP: Hillsboro, OR 97123 Investigation (1 hr min) 66.25/ hr
Industrial plant (1 hr min) 78.18/ hr
Phone: (503) 648 -4552 Fax: _03) ; 42 -7925 Inspections for which no fee is
911.0l)i hr
specifically listed (%, hr min)
CCB Lic.: 121159 Electrical Lic.: 3' 05C up w Lic,: 3707 -S 6; '._ ELECTRICAL PERMIT TEES::.:: , '
Suprv. Electrician signature, required: �J r Subtotal: 7 7 . 6,/
II .� , Plan review (25% of permit fee): 1 7 7, /
Print name: Chuck Garner Date: State surcharge (12% ofpermit fee): 85 3
TOTAL PERMIT FEE: 19 7y
Authorized signature:
This permit application expires If a permit is not o rained within ISO
days after It has been accepted as complete.
Print name: Date: , if
• Number of inspections allowed per permit.
I: \Building \Permits \ ELC- Pcrmit Apo due 07101/10 440 II/OS/COMI\VEB ,