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Permit
CITY OF TIGARD ELECTRICAL PERMIT 712 : COMMUNITY DEVELOPMENT Permit#: ELC2016-00781 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/22/2016 f GARD 9 Parcel: 1 S126DC00900 Jurisdiction: Tigard Site address: 9510 SW GREENBURG RD Project: Greenburg Apartments Subdivision: LEHMANN ACRE TRACT Lot: 5 Project Description: Building 1 -Electrical for new 6 unit apartment building Contractor: PRO TECH POWER CORP Owner: RES-OR TIGARD LLC 16470 ROBB MILL RD 730 NW 107TH AVE STE 400 DALLAS, OR 97338 MIAMI, FL 33172 PHONE: 503-780-6207 PHONE: FAX: FEES Quantity Description Date Amount 590 Electrical Permit 12/22/2016 $589.89 Specifics: 1 ea Services or Feeders-201 to 12/22/2016 $133.56 400 amps Type of Use: MF 181 Plan Review-Electrical 12/22/2016 $180.86 Class of Work: NEW 87 12%State Surcharge- 12/22/2016 $86.81 Type of Const: Electrical Occupancy Grp: Total $991.12 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 OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OU NC by calling 503.232.1987 or 1.800.332.2344. Issued By: -2-04 p..------- ------- -----------.. Permittee Signature: t ivC I 2�! jw, 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. 1 i„rt ayv. _ ( 1 41 Electrical Permit Applicat*4t -,-. = ,. FOR OFFICE i SE.ON I.) illCity of Tigard Received�� 44i Permit#: lei,2C7/6-- r"/ 7�j r -Date/B : /0 /6 Y- . ?016 13125 SW Hall Blvd.,Tigard,OR 98.19 Plan Review „�® Related Permit#: 0�/,S'�3 d C Phone: 503.718.2439 Fax: 503 598 1960 Date/B Inspection Line: 503.639.4175 I ,f, ,i4 ' y �a I ,?,,,,q!) !f Ready Date'7 � ® See e Page 2 for T1GARD Notified/Method:// / ,w4 Supplemental Inf ormation Internet: www.ti and-or. ov i , . ] = .1tYc F TYP I k-714U- /J//La'LAN REVIEW ❑New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): 0 Service or feeder 400 amps or more 0 Building over three stories. 0 Demolition 0 Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. less to ground,or exceeds 14,000 ❑Commercial-use agricultural El1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building amps for all other installations. buildings. ❑Multi-family ❑Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived Q � �QQ� ❑Addition of new motor load of system. Job#: I Job site address: /5/© `51AD CDS ` uA ' L-L� IOOHP or more. ❑"A","E"."1-2","1-3", ❑Six or more residential units. occupancy. City/State/ZIP: f�y��f(,N Di -720) ❑Health-care facilities. 0 Recreational vehicle parks. 0 Hazardous locations. ❑Supply voltage for more than Suite/bldg./apt.#: +� I Project name: (,(t(� 600 volts nominal. ❑Service or feeder 600 amps or more. Cross street/directions to job site: FEE SCHEDULE Description I Qty. I Each I Total I * New residential single-or multi-family dwelling unit. Subdivision: I Lot#: Includes attached garage. 1,000 sq.ft.or less 1 168.54 'Gt.5'v 4 Tax map/parcel#: E .ad1P1500sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential 75.00 2 (with above sq.ft.) El teri C�°}t- F02 a 1'" ld Limited energy,multi-family 75.00 2 f1 residentialRenewable Energy 0 See Page 2 0 PROPERTY O R 0 TENANT Services or feeders installation,alteration,and/or relocation Name: (71[iisi /–� 200 amps or less 100.70 2 ��r,q [.s 201 amps to 400 amps t 133.56 133•c(o 2 Address: 401 amps to 600 amps 200.34 2 City/State/ZIP: 601 amps to 1,000 amps 301.04 2 Phone:( ) Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: relocation Owner installation:This installation is being made on property that I own whic is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 1. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 CONTACT PERSON Branch circuits–new,alteration,or extension, er panel 0 APPLICANT; 0A.Fee for branch circuits with Business name: pec, I 1(j►-( ib 002_ above service or feeder fee, 7.42 2 each branch circuit Contact name: B.Fee for branch circuits without service or feeder fee,first 56.18 2 Address: branch circuit Each add'l branch circuit 7.42 2 City/State/ZIP: Miscellaneous(service or feeder not included) Phone:( ) Fax: :( ) Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email: Reconnect only67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: P(4 Jl']f/ 9,,jL Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy ❑ See Page 2 2 Address: r 7137 5 I,,,) �'I4e EA4=1,,,q ,1}� panel,alteration,or extension. Each additional inspection over allowable in any of the above City/State/ZIP: P42•- ,_,„ 1 4.)a_ .9'722-4 Additional inspection(1 hr min) 66.25/hr Phone:( ) ic,.i az",7 Fax:( ) Investigation(1 hr min) 90.00/hr Industrial plant(1 hr min) 78.18/hr Email: yvl t 161 4.2)'f, ,'C,4 < civ",-) Inspections for which no fee is 90.00/hr CCB Lic.: '5 0l-25f Electrical Lic.: �L Suprv.Lic.: 53/415 specifically listed(YZ hr min) ELECTRICAL PERMIT FEES 2 . 1 Suprv.Electrician signature,required: / f cp1:7a cet FIN Z' u 723,rf Date: y 1 ❑Plan Review Required(25%of permit fee): .i'to. 8-4p Print name: i �� [��S' State surcharge(12%of permit fee): '�f(j,$' TOTAL PERMIT FEE: � f.l of', Authorized signatu /7-'-t--""----- / This permit application expires if a permit is not obtaineuI Print name: /f 7 Date: to /S/'' days after it has been accepted as complete. t ( EaC f ((( *,Number of inspections allowed per permit. // /� \ ,Building\Permits\ELC_PertnitApp_ELR_ERE.doc Rev 06/17/2015 440.4615T(11/05 cOM/WEB �/ ^ ci (�_30/y �1 0 /��`.� j Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Fee for all residential systems combined: $75.00 Description IQa ► Each Tori, Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva 301.04 2 ❑ Garage Door Opener* 50.01 to 100 kva 552.26 2 >100 kva(fee in accordance with OAR 918-309-0040) 552.26 2 ❑ Heating,Ventilation and Air Conditioning * Solar generation systems in excess of 25 kva: System Each additional kva over 25 7.42 3 ❑ Vacuum Systems* >100 kva—no additional charge 0.0 3 Each additional inspection over allowable in any of the above: ❑ Other: Each additional inspection is 66.25/hr 1 charged at an hourly(I hr min) Inspections for which no fee is 90.00/hr specifically listed(%hr min) COMMERCIAL WORK ONLY : ELECTRICAL PERMIT FEES Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): (SEE OAR 918-309-0000) * Number of inspections allowed per permit. Check Type of Work Involved: n Audio and Stereo Systems ❑ Boiler Controls n Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems n Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls n Outdoor Landscape Lighting* ❑ Protective Signaling n Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 1 I:\Building\Permits\ELC_PemtitApp_ELR_ERE.doc Rev 06/17/2015 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 9510 SW GREENBURG RD, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Electrical ELC2016-00781 Inspection Type: Inspector: 199 Electrical final Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor