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Permit (281) CITY OF TIGARD ELECTRICAL PERMIT 71COMMUNITY DEVELOPMENT Permit#: ELC2016-00785 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/22/2016 Tf g Parcel: 1S126DC00900 Jurisdiction: Tigard Site address: 9580 SW GREENBURG RD Project: Greenburg Apartments Subdivision: LEHMANN ACRE TRACT Lot: 5 Project Description: Building 5-Electrical for new 12 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 1 ea Services or Feeders-401 to 12/22/2016 $200.34 Specifics: 600 amps 1316 Electrical Permit 12/22/2016 $1,315.99 Type of Use: MF 379 Plan Review-Electrical 12/22/2016 $379.08 Class of Work: NEW 182 12%State Surcharge- 12/22/2016 $181.96 Type of Const: Electrical Occupancy Grp: Total $2,077.37 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 OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: i�� Z,t74a�G— ice—� Permittee Signature: At. 4**,'‘...": ".6: 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 503.639.4176 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 Applicati� , '� s e .- r : rolz orrlcl: I SI,oil., CityofTigard Received �� 131S Hall Blvd.,Tigard,OR 9722�3 � CC Date/13 : /04(e.: 6 -.... Permit 4:Ele j eP©7e5 : ■ Phone: 503.718.2439 Fax: 503.598.1 3',((�, 0 f7')'t� Plan Review 1 Y9u DateB � ��� Related Permit#: att 190/5"—CC)33 Inspection Line: 503.639.4175 Rea Date/B 1i IlGAKI) ,. s ,., t ,, ��r oSeePage2for Internet: www.tigard-or.gov .. yi,7� #e��° 9 Notified/Me .. j i yy Supplemental Information 42�y, v. ..«�.Y li, .4..,., x,. '0 . �,.,�.�." TAV I 7 t !'L F.. , z... 1r..,, ;'4 5,Ve t,,seh;•' ; '= ME.. ❑New construction El Addition/alteralroidreplacement Please check all that apply(submit 2 sets of plans w/items checked): ❑Demolition 0 Other: 0 Service or feeder 400 amps or more 0 Building over three stories. where the available fault current 0 Marinas and boatyards. -d a ,1 <.,,_.,-a s -:t OR * ***1* - .w r .. -1,:,,,,,,: :1::::: exceeds 10,000 amps at 150 volts or 0 Floating buildings. 1-and 2-familydwellingCommercial/industrialless to ground,or exceeds 14,000 0 Commercial-use agricultural ❑ ❑ 0Accessory building amps for all other installations. buildings. 0 Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or A sw= y ,, xtW `P7:1,14,1*WAWOW Q ❑Emergency system. larger separately derived Job#: Job site address: 9 c o �(.0 C .&pa 2T ❑Addition of new motor load of system. -"� 100HP or more. ❑"A","E","1-2","1-3", City/State/ZIP: *-17-6,112617 rfj�7 ❑Six or more residential units. occupancy. © `t/ 0 Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: &QUA bot,-b- 0 Hazardous locations. 0 Supply voltage for more than 0 Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: 7r - ��,, .} 'y , , , see a .�' Description l; .:Qty. Each I Total ,1 * New residential single-or multi-family dwelling unit. Subdivision: I Lot#: Includes attached garage. 1,000 sq.ft.or less ( 168.54 / 54/4 Tax map/parcel# �?' Ea.add'1500 sq.ft.or portion ( 33.92 3 3,c2 1 a'�i.4 3. 2,;Z , 3=TA :xfi i7;f <, iXi "c r df-'4 Limited energy,residential 75.00 2 .l SLj 2 it 4A�q,��wifi") S (with above sq.ft.) 9 �C 1 Limited energy,multi-family 75.00 2 /TS residential(with above sq.ft.) x Renewable Energy 0 See Page 2 � I, , .,s, � �� � Ay" > M Services or feeders installation,alteration,and/or relocation Name: �fZi aid(Z6 /-f /� 200 amps or less 100.70 2 Address: 201 amps to 400 amps 133.56 2 401 amps to 600 amps / 200.34 2 ;i, 3y, 2 City/State/ZIP: 601 amps to 1,000 amps 301.04 2 Phone:( ) I Fax:( ) Over 1,000 amps or volts 552.26 2 Email: Temporary services or feeders installation,alteration,and/or relocation Owner installation:This installation is being made on property that I own whict is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 101. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 ` p�l t Branch circuits-new,alteration,or extension,per panel �� D _ � �^ A.Fee for branch circuits with Business name: f `/ l./ A�� above service or feeder fee, 7A2 2 ��( each branch circuit Contact name: B.Fee for branch circuits without service or feeder fee,first Address: , branch circuit 56.18 2 City/State/ZIP: Each add'l branch circuit 7.42 2 1 Miscellaneous(service or feeder not included) Phone:( ) Fax::( ) Each manufactured or modular dwelling,service and/or feeder Email: 67.84 2 1 Reconnect only 67.84 2 CONTRA Og..,- . 1.- Pump or irrigation circle 67.84 2 Business name: P� --ie I,/ A iji Sign or outline lighting 67.84 2 `-'—�l,,A Signal circuit(s)or limited-energy Address: /713? s 0 M E0 e J ?iv 4- panel,alteration,or extension. 0 See Page 2 2 City/State/ZIP: p } ®2 c--�21�( Each additional inspection over allowable in any of the above (}� f' Additional inspection '/ ""✓� \ spect on(1 hr min) 66.25/hr Phone:( , ) 6 z.,7 I Fax:( ) Investigation(1 hr min) 90.00/hr {1� Email: Wli/42__&1 Pb /'� % .v, Ins f (1 min)) 78.18/hr / � Insspecpectiol tions forr which no fee is i CCB Lic.: ''`cr75f Electrical Lic.: /0, Suprv.Lic.: 515 ,, :;1'ficail listed('/z hr min 90.00/hr r IA \ p ELECCRICAL PERMIT M '.t v Suprv.Electrician signature,required:, �� °:;,.. X )0/ .2 dotal: .44.c --7-5-;,-re. /1�� Print name: /VII 1Z=Z Date: (0 5 1-4 0 Plan Review Required(25%of permit fee): ,�gf'igv State surcharge(12%of permit fee): 7,( . Authorized signatu TOTAL PERMIT FEE: // This permit application expires if a permit is not obtained within 1 0 Print name:/ � Date: to /S/// days aftertions a has d per accepted as compiete.7^within 1 !2 L ( v * Number of inspections allowed per permit. (�S V� « I:�Buiiding�Permits�ELC_PernnitApp_ELR_ERE.doc Rev 06/17/2015 440-46151(11/05/COM/WEB r