Permit (81) CITY OF TIGARD ELECTRICAL PERMIT
I. ' COMMUNITY DEVELOPMENT Permit#: ELC2017 00700
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/27/2017
Tf � Parcel: 2S110AD08700
Jurisdiction: Tigard
Site address: 10700 SW CANTERBURY LN 2
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
2 crt Branch Circuits wo/Purchase 09/27/2017 $63.60
Specifics: Service or Feeder
1 ea 12%State Surcharge- 09/27/2017 $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 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: <7_, • Permittee Signature: el/NJ ,L- / e'47-77a"if
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 1.1)non.f(1:1'L ON IN
City of Tigard fteeeived
• NMI); 'remit it:2.‘e#24/7_ao_zi5
N 4 13125 SW Hall Blvd.,Tigard,OR 97223 Ita V ,f. . • ,'
Phone: 503.718.2439 Fax: 503.598.1960 .,,.kJ.3 ,r,.:..4.'..... _,.... , Related Permit Wet c.,20/2-.0()712_
Inspection Line: 503.639.4175 ,. , .
Ready Date/By: hart 81 See Page 2 for
TIGARI), Internet: www.tigard-orgov NotiliedAvlethott. Supplemental Information 1
,--ia'
0 New construction 2 Addition/alteration/replacer cll.,..-ic i i, ,k ilii Please check all that apply(submir isms of plans*items checked):
t ill, VIII i PULF1Ak.' 0 Service or feeder 400 amps or more 0 Building over three stones
El Demolition Ej Other: v-;••„all• i 11.-.„ where the available fault current 0 Marinas and boatyards,
'; ::.';: litt MAI 1.!';11.k'.-/'" - exceeds 10,000 amps at 150 volts or 0 Floating buildings.
or.1
leas to mound,or exceeds 14,000 0 Comrocrcial.use agricultural
0 1-and 2-family dwelling 0 Commercial/industrial Accessory building
amps for all other installations buildings
! le Multi-family 0 Master builder 0 Other: 0 Fire pump 0 lustallahon of 150 K VA or
r--- . ------
k. JOB SITE,WORMATIONqt11,11)--1,0%-ittOlq;' • - ,- ': - •- • 0EincrtcocY system-
- 0 Addition of new motor load of larger separately derived
system i
1 Job ft. lob site address: 10 10 0 46N6i CAtkirEefut ti Ls) 100I-FP or more.
()six or more residential units. occupancy.
City/State/ZIP: -1-1(2/412,Q1 0 g Gm 2.7.41 0 Health-care facilities. 0 Recreational vehicle parks,
Suite/bldg./apt.ii: i4 0 'Z. Project name: 140Z. v4/4) andrrsi-L. 0 Hazardous locations. 0 Supply voltage far more than
_ 0 Service or feeder 600 amps or more. 600 volts 000n041,
Cross street/directions to jab site: oDet 44t Av-6- rl'''',:::-1-r,M.-F,7r;.'":7tigt IiWit
Otseriation
Qry. Each Total .
New residential single-or multi-family dwelling unit,
Subdivision: Lot 4: Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel It: -
Ea.addl SOO sq.ft.or portion 11111 33,92 i
......._
4.°°•`, C(..?:,, t , 'bx. '',-I.?: ,4'7*, - t..;11,t-',..;,' Limited energy,residential III 75.00 2
(with above sq.ft.1.,
-ti*VST4'1-1-• t to A zzo c.,*"...4,41 vox v4As146E/PicYe r —
Limited energy,multi-family 11111 75.00 2
residential with above ..ft
— Renewable Energy 0 See Page 2
PROPERTY OWNER 0 TINA-NT ' Services or feeders installation,alteration,and/or relocation
Name. Avii, - g61>t4GOE> PC. 5e e Lt-c.... 200 amps or less 10030 1 2
201 ampe to 400 anips 133.56 2
Address: 1 0(s,ei.5- ' './iit is4vit0Oci ite6-r- 401 amps to 600 amps 200.34 2
City/State/ZIP: "Ii‘ititt„), 4:9a 911-Z q _ 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 matte on property that I own which is not 200 amps 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 16854 2
itt .-; •'.t., ,,,,-„,":„.--,,-„a„I','. -•t,,I .%,,,,i,:,,,,.,„ill..„-,, ,sm4-ng,4• ,,,,,sigt..-,-* Branch circuits-new,alteratiou,or extension, . r panel
•-,.!,,,!-, ,,,,,r...„..-..vr/....4.,4,v4.,tri....,,F-4,..e.- .-t•,,,.ti''''..I.ITYI-',•. ••*--,e,I,-.. ,•-•Ftel`',50Tql,l'44 .17- A.Fee for branch eircuits with
Business name: 1.4.p4b xv%c above service or feeder fee, 7 42 2
each branch circuit
Contact name: Z-44-.1 ViLtmEt e. a.Fee for branch circuits without
service or feeder fee,first t 56 1 8 2
Address: 'PO ,50.,1 z3,e.7 branch circuit
i Each addi branch circuit f 7,42 2
City/State/Z1P: --riGtAlcv tog 11 zsi _
........_ Miscellaneous(service or feeder not included) r--i
Phone'i9:37) 3 k-1-114 , Fax::( ) Each manufactured or modular I 67 84 2 '
— dwelling,service and/or feeder
Email: 1(4)s et, Ca,tok k7,#(1‘ COI", Reconnect only 67 84 2
-' .,.::',,l.l ,,''•,.,,,;••41,14,TRA':(1#;005';I;',,'': .. ,. ''. :;,,,,,,i:••.'.,,,':!.,...:,-'21: Pump or irrigation circle — 67 84 2
Business name: c.,,, , , - - ... . earsirstattcritife Si , Signor outline lighting 67 84 2
Signal circuit(s)or limited-energy 0 see page 2 2
Address: Pco ' OX 1 i S panel,alteration,or extension.
Each additional inspection over allowable in any of the above
_....
City/State/ZIP: LA,AE. 6,%A/4600 e. 4114 74 ... Additional inspection(I hr min) 6625/hr
— .----- .......__.....___....
Phone.(503) 45-1... 40 9*91 Fax:( ) Investigation(1 brim ) 90 00/1u
Industrial plant(1 hr nun) 78 18/hr
.
Email:
4 , Inspections for which no fee is 90.00/hr
CCB Lie.: I to 00 3 1 Electrical Lie. 24,Ill it Suprv.Lie.: LICI t;IS
Suprv.Electrician signature,required: i i si:
11
ti
_ftik,..,12
Subtotal: t 3----
-., -
Print name: ittlY IA-
3 A trdiLA 4 Date: 44.1_11 0 Plan Review Required(25%of permit fee): -c:Ircgir 7-. -3
State surcharge(12%of permit fee): ,...7.4...y`
TOTAL PERMIT FEE: ,.... Lg.. -.-7 1-23
Authorized signature:
— .. This permit application expires if a permit is not obtained within lid
Print narni.....---ti° . Date: g.' ei-7;--i1 days after it has been accepted as complete.
, ' Number of inspections allowed per permit.
1',Su 1 Id inswermi te.kt,c_r erno tApp_ELit._EREdoc Kali 00117(1015 440-46151(1 tiO9COIYUWEB