Permit (164) CITY OF TIGARD ELECTRICAL PERMIT
III q
COMMUNITY DEVELOPMENT
Permit#: ELC2017-00568
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/31/2017
Parcel: 2S 110AD08700
Jurisdiction: Tigard
Site address: 10700 SW CANTERBURY LN 4
Project: Pacific Crest Apartments Subdivision: None Lot: None
Project Description: (2)branch circuits for washer and dryer.
Contractor: TIMBERLINE ELECTRICAL CONTRACTORS Owner: AUK-REDWOOD PC SPE LLC
9414 SW BARBUR BLVD,#100 10695 SW MURDOCK ST
PORTLAND, OR 97219 TIGARD, OR 97224
PHONE: 503-459-4089 PHONE:
FAX: 503-254-4227
FEES
Quantity Description Date Amount
Specifics: 2 crt Branch Circuits wo/Purchase 07/31/2017 $63.60
Service or Feeder
1 ea 12%State Surcharge- 07/31/2017 $7.63
Type of Use: MF Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $71.23
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 throu. i 4.' ! 2-001-0.90. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
o
Issued By: 4 Permittee Signature: `� ' —t
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.
RECEIVED
Electrical Permit Application,1UL 31 2017 1 c)1(,()I 11( 1 I "I ('\I
City of Tigard Received Molifff,„re),0
13125 SW Hall Blvd.,Tigard,OR
9l13 GUY OF TIGARD Pun Review i •• ,
Phonc: 503.7182439 Fax: 5N151411 .")
Related Permit#:ciee2 /7-1)05.5
VING PIVIsION 0° ' :
huipection Line: 503.639.4175 DUIL . — Ready Date/By: Jur
0 See Page 2 far
SI hrtemet: www.tigard-or.gov Notified/Method: Supplements]mformaftos
'
'- - • TYPE,OF W RK
WI RE
0 New construction MAddition/alteration/replacement Elmo check all dud apply(submit a sets of plans wms chocked):
°Service or fisetier 400 amps or more (3 Building over thme stories.
0 Demolition 0 Other.
where the available fault current 0 Marinas and boatyards.
CATEGORY QF CONSTRUCTION exceeds 10.00 amps at 150 volts or OR buildings.
0 11-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less;to mute,or exceeds 14,600 0 Commercia)-use agricultlual
ansps for all other installations. buildings,
Iti Multi-family 0 Master builder 0 Other: 0 Fire pimp. 0 Installation of 150 KVA or
JOB INFORMATION AND LOCATION °EnwraencY sYstexil larger separately derived
- 0 Addition of new motor load of system.
Job#: Job site address: 10 700 50 cAuTesc_15.4x4 Lit 0 b 1001E*or more.
City/State/ZIP: -Ti(tame i 0.01‘ 472 z lig 0 Six or more residential units. occupancy.
1:1Heshh-care facilities. 0%sometime vehkle pints.
SuitelbldgJapt.#: H Cld-i Project name: HO Li WM i/14 S'r/414- CI Hazardous iocations. CI Supply voltage for more than
0 Service or feeder 600 amps or IDOZC. 6°°Vali/nominal
Cross street/directions to job site: (04, *I% A,16-
MK SCH(RULE
Desoto= 1 Q . I Fact, J Total I •
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
1,000 sq.ft.odes' 16834 4
Tax map/parcel#:
33.92 1
75.00 2
. ',1Qtainstiaune.--4/..pro.gr_r_p4=birmeatsmi (with above att.ft.)
_ Limited mangy,mufti-family
75.00 2
ATI-rVir ALL to k z'z.40 F04 4,4 A,,,se../ ag-4ex. residential(with above sq.ft.)
El See Page 2
:**40.1P.ERTYtOtlitNER' ;, ,I .- . 0 TENANT ..,,, .- ,,, . • Reilewabir Emerlei
Services or feeders Installation,alteration,and/or relocation
Name: Au K- 12&12 kvoi) pc_ VC Li...C. 200 amps or less 100.70 2
Address: 10 4•415" 54.3 1/14 V&PDC K.. '3 r 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP: —Fig Av:4 i OK Cl 1 22 q 60l 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 which is not 200=Ps or less 59.36 I
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Owner signature: Date: 401 amps to 599 amps 168.54 2
41,AroCA.Kr- -1-_ C9NTACONTACTBranch circuits-new alteration,, or extension,eer panel
,,,. ..:,.,, -„•,. , : ''' : ' ",] Pi44,59,N - - A.Fee for branch ' its with
Business name: %,-k 95 •i,t.c- above service or feeder fee,
7.42 2
each branch circuit
Contact name: "1--pk,.% "-at Ur:seize B.Fee for branch circuits without
service or feeder fee,first 1 56.18 6;,511 2
Address: To Den4 '-z3till
branch circuit
City/State/ZIP: —Tr&Aser 9/0 c. q-129 I Each addl branch circuit t 7.42 la 4 4 2
Miscellaneous(service or feeder not included)
Phone:(58 3) 3 kl-71 13 I Fax::( ) Each manufactured or modular
67.84 2
dwelling,service and/or feeder
Email: ‘i,f99 a cskrq,4 . cow'.
Reconnect only 67.84 2
- - CONTRACTOR . Pump or irrigation circle 67.84 2
Business name:--rw‘i5Eg4.1ritE el6CSrit-lcAL Co rtlredicrro le Sign or outline lighting 67.84 2
Address: "po 5nr 9 ig Signal circuit(s)or limiled-cnellY El see Page 2
panel,alteration,or mention. 2
Each additional Inspection over allowable in any of the above
City/State/ZIP: Luz 05,446 fr,o , a 0 9-1,0 34
Additional inspection(1 hr min) 66.2.5/hr
Phone:(933) Li 541— 40611 Fax:(sz)3).2_5--114z21 Investigation(1 hr min) 90.00/hr
Ema : Industrial plant(I hr min) 78.18/hr il
Inspections for which no fft is
90.00/hr
CCB Lic.: 14p 0 03 7 Electrical Lic.: IL I(C.- Suprv.Lie.; li yr 7 i- spedfically listed eh hr min) _
ELECTRICAL PERMIT FEES ....
Suprv.Electrician signature,required: t 44 ca.:_k Subtotal: 47)
Print name: I 4, ': k„..1 . 4,cel ikI Date: -713///7 El Plan Review Required(25%of permit' fee): —
State surcharge(12%of permit fee): --7. i 3
Authorized signature: TOTAL PERMIT FEE: -7 1 Z.-,
I Print natty
— -14 - I Dale: .7/30 t/-4- J
Ts
Permit IdPai;sikaafttil"r1;rasktbseernaa=18:91 obtained"1"1 IFS* Number of inspections allowed per permit.
1:1BuiltralgTerm40.III-C_PernaitApp_121.R_ERE.cloe"Lev D6/17/20 15 440-46151/I I*MOM/WEB
— — —
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10700 SW CANTERBURY LN 4, TIGARD, OR,
97224
Record Type: Record ID:
Commercial - Electrical ELC2017-00568
Inspection Type: Inspector:
199 Electrical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor