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Permit
CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit #: ELC2013 00389 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/10/2013 Parcel: 1 S135CA01400 Jurisdiction: Tigard Site address: 11410 SW GREENBURG RD 15 Project: Greenburg Heights Apartments Subdivision: GREENBERG HEIGHTS Lot: 7 Project Description: (11) branch curcuits. Upgrading aluminum to copper. Contractor: TAURUS POWER & CONTROLS INC Owner: WONG, NORMAN K F REVOCABLE LIVIN 9999 SW AVERY WONG, ANN MAH REVOCABLE LIVING TUALATIN, OR 97062 TRUS BY WONG, NORMAN K F & ANN MAH TR 2433 NE 11TH AVE PORTLAND, OR 97212 PHONE: 503 - 519 -6707 PHONE: FAX: 503 - 692 -9273 FEES Quantity Description Date Amount 11 crt Branch Circuits wo /Purchase 07/10/2013 $130.38 Specifics: Service or Feeder 1 ea 12% State Surcharge - 07/10/2013 $15.65 Type of Use: MF Electrical Class of Work: ALT Type of Const: VB Occupancy Grp: R -2 Total $146.03 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 thr• • , OAR - 2-001-00*;. ou obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: 4_ Permittee Signature: � -. �OLA,./ \-2 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 City of Tigard Received nn� �� Permit No.: (,- S /^�/ Q') 2J „ �r ° 13125 SW Hall Blvd., Tigard, OR 97223 Date B /Vt Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Other Permit: TIGARD Inspection Line: 503.639.4175 Date Ready /By: Juris: H See Page 2 for Internet: www.tigard - or.gov Notified/Method: Supplemental Information - . - TYPE, OF IRK _' . • _ • _ -. - PLAN R - - - ❑ New construction j Additio alteration/ eplacement Please check all that apply (submit 2 sets of plans w /items 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 CONSTRUCTION . " exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ❑ I - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings. INt Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of75 KVA or JOB SITE INFORMATION AND LOCATION` - . . ❑ Emergency system. larger separately derived system. . . ❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ", Job no.: Job site address: / /t/ /Q SW k ' v B u4 �# I00HP or more. occupancy. Ti ❑ Six or more residential units. ❑ Recreational vehicle parks. City/State /ZIP: / 4•4-g0 ©e ❑ Health -care facilities. 0 Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: /5 Project name: ❑ Service or feeder 600 amps or more. • - • • - - FEE SCHEDULE. Cross street/directions to job site: Description I Qty. I Fee. I Total l • New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: 6? ,usue 1-474. --TS Lot no.: 7 1,000 sq. ft. or less 168.54 4 Ea. add'I 500 sq. ft. or portion 33.92 1 Tax map /parcel no.: Limited energy, residential 75.00 2 DESCRIPTION OF WORK (with above sq. ft) a em r � Limited energy, multi - family 75.00 2 (//0 ce, 0� / T /L 10 / ' e To 6 _ residential (with above sq. ft.) /1 e3�� N�� C� e�r Services or feeders installation, alteration, and /or relocation 200 amps or less 100.70 2 - ❑ PROPERTY. OWNER` „, ' " ❑ TENANT` 201 amps to 400 amps 133.56 2 Name: 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 301.04 2 Address: Over 1,000 amps or volts 552.26 2 City/State /ZIP: Temporary services or feeders installation, alteration, and /or relocation Phone: ( ) Fax: ( ) 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 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 - . . IN APPLICANT -,.-' ,''`: ; _ - " above service or feeder fee 7.42 10 2 ❑ CONTACT PERSON `' .';:" each branch circuit Business name: B. Fee for branch circuits without service or feeder fee, first 56.18 2 Contact name: branch circuit Each add'I branch circuit 7.42 / O 2 Address: Miscellaneous (service or feeder not included) City/State /ZIP: Each manufactured or modular 67.84 2 dwelling, service and/or feeder Phone: ( ) Fax: : ( ) Reconnect only 67.84 2 E-mail: Pump or irrigation circle 67.84 2 Sign or outline lighting 67.84 2 Signal circuit(s) or limited- energy Business name: / was /' ' J6 c r. / Q l C-s 1N c . panel, alteration, or extension. Page 2 2 bQq Each additional inspection over allowable in any of the above Address: ' ` ` / C vev S / Additional inspection (1 hr min) 66.25/ hr City/State /ZIP: 4/t `y ©E� ?. 7 Investigation (t (I mm) 66.25/ hr f r L Industrial plant (I hr min) 78.18/ hr Phone: (503) ,57f — t‘ 7 7 Fax: (5 ) 77 Inspections for which no fee is �2 — �G �� specifically listed (' /: hr min) 90.00/ hr CCB Lic.: 76 78 ( Electrical Lic.: 3 x/-32$. Suprv. Lic.: . 3Og S ":':• ELECTRICAL PERMIT - FEES :: _.',.. , Suprv. Electrician signature, required: Subtotal: Plan review (25% of permit fee): Print name: . 3 I f / 8 bt T7'&-72 /Et D Date: 7 1 State surcharge (12% of permit fee): / 5 , (e 5' Authorized signature: ` <,/ /� / G TOTAL PERMIT FEE: / L/, , 03 This permit application expires if a permit is not obtained within 180 Print name: / Date: days after it has been accepted as complete. • Number of inspections allowed per permit. I:\ Buildineermits \El.C- PermitApp.doc 07/01/10 440- 4615T(11/05 /COM/WEB City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 11410 SW GREENBURG RD 15, TIGARD, OR, 2013 -12 -05 00:00:00 97223 Record Type: Record ID: Commercial - Electrical ELC2013 - 00389 Inspection Type: Result: 199 Electrical final PASS - No C of 0 Comments: Violation Summary: Inspector Contractor