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Permit CITY OF TIGARD ELECTRICAL PERMIT 1e: COMMUNITY DEVELOPMENT Permit#: ELC2018-00047 Date Issued: 01/18/2018 T t G. fO 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S110AD08700 Jurisdiction: Tigard Site address: 10765 SW MURDOCK LN 7 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 01/18/2018 $63.60 Specifics: Service or Feeder 1 ea 12%State Surcharge- 01/18/2018 $7.63 Type of Use: COM Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $71.23 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the ules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You ma fain a py of the r les or direct questions to OUNC by calling 503.232.1987 or 1.8t2,32 44. Issued By: Permittee Signature: OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale,lease or rent. OWNER'S SIGNATURE Date: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR.ELEC' Date: LICENSE NO. Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Electrical Permit Application FOR OFFICE USE ONLY CI 0 Tigard * Received ,_ �J f g t 1..,,,`. Date/B : fit/ ��'�1F E: REI 1111 '" 13125 SW Hall Blvd.,Tigard,ORA 37 ' Plan Review Phone: 503.718.2439 Fax: 9$ 9 (�" '), Date/B : Related Permit#: ,di , -- 1114Inspection Line: 503.639.417 el L\3`jReady Date/By: ® See Page 2 for TIGARD Internet: www.tigard-or.gov \ y ,t'} Notified/ Method: Supplemental Information 04.0:4,,:,,i,,.,,:::,:. ` TYPE'OF WOl tt t*,,tt i I. ..'. a i Pj.' ?''' �� � P?a` It��tEW.� ; �,�� ❑New construction IR Addition/al's i 04TitC't irient Please check all that apply(submit 2 sets of plans w/items checked): l,k`p :t 0 Service or feeder 400 amps or more 0 Building over three stories. ❑ Demolition ❑ Other: t ! where the available fault current 0 Marinas and boatyards. CATEGORY 10F CONSTRUCTION • exceeds 10,000 amps at 150 volts or 0 Floating buildings. ❑ I-and 2-family dwelling ❑ Commercial/industrial ❑ Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural Multi-family amps for all other installations. buildings. Master builder ❑Other: ❑Fire pump. 0 Installation of 150 KVA or j013,1--SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived ; ❑Addition of new motor load of system. Job#: Job site address: I©'1(,S $s„ Iuh ttfc(scls 144A3 E I00HP or more. ❑"A","E","t-z","1-3", ❑Six or more residential units. occupancy. City/State/ZIP: TiCAg. ideQ7ZZy ❑Recreational vehicle parks.❑Health-care facilities. Suite/bldg./apt.#: (3 0 1 Project name: 0 Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: Nt �`. FEE SC LLE 1 Al o-k AU Description Qty. I Each I Total 1 * New residential single-or multi-family dwelling unit. Subdivision: Lot#: Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'I 500 sq.ft.or portion 33.92 1 2t , DESCRIPTION OF WORD ''[' '` Limited energy,residential 75.00 2 (with above sq.ft.) 5+'157 AU- I ASk614 PR y r. Gt r-C-V 1+ Limited energy,multi-family residential(with above sq.ft.) 75.00 2 Renewable Energy 0 See Page 2 IN PRORERTY;OWNER ❑-TENANT • Services or feeders installation,alteration,and/or relocation Name: At}K— 1 &I,t oo iP . Pc 5?e (...t...e, 200 amps or less 100.70 2 201 amps to 400 amps 133.56 2 Address: (D 6 9 5 5 tAj YID Ve 9 0 CI. 57K, 401 amps to 600 amps 200.34 2 City/State/ZIP: '(G,A,g 0 q.1. 9 7 ZZ 1 601 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 which is not 200 amps or less 59.36 1 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 APPLI . ❑',CONTACT PERSON Branch circuits—new,alteration,or extension,per panel DANT, A.Fee for branch circuits with Business name: above service or feeder fee, 7 42 2 P C. each branch circuit Contact name: ... --1-A_u "I(.GetB.Fee for branch circuits without service or feeder fee,first I Address: 'P at)4 23(g 7 branch circuit56.18 / ' �`D f+ City/State/ZIP: -1- 167tAgP f OK 9.7 Z 9 I Each add'I branch circuit i 7.42 (7 42 Miscellaneous(service or feeder not included) Phone: (56') 31-7,.- 7r I ' Fax: :{"---4—.—. Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email: 1,„e5 e. C c lr1 b e co YN Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Busi ess name: 11 M�'jE-Q,4-tom]€ E'C'rgx.s4 .. eeyrtKgcTO(ES Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy ❑ See Page 2 2 Address: pa 607( 9 t8 panel,alteration,or extension. 2 Each additional inspection over allowable in any of the above City/State/ZIP: LA Os W€Gd/ b►� ci'10 34) Additional inspection(1 hr min) 66.25/hr Phone:503 ) 59-1089 Fax:(5D3 )?.cii y 2"7 Investigation(1 hr min) 90.00/hr / L Industrial plant(I hr min) 78.18/hr Email: [air -1i McYh ht;Z [Lctric,,!, .LU Inspections for which no fee is �"` specifically listed Cs hr mm) 90.00/hr CCB Lic.: (67‘30,74 Electrical ic.:), -/ f)C Suprv. Lic.: 4 y`7 ,. ELECTRICAL J ERM_IT FF.aES Suprv. Electrician signature,required: } Subtotal: 3, (a; Print name: , ,,,, Ivl' Date: %.-11—6 0 Plan Review Required(25%of permit fee): �Ui //�t I"J° t State surcharge(12%of permit fee): 7.„C;3 Authorized signatureTOTAL PERMIT FEE: '7 , , 23 � -- This permit application expires if a permit is not o rained within 180 Print name: ZI(,_CCJCL. Date: 1.o— 18 days after it has been accepted as complete. * Number of inspections allowed per permit. I.\Building\Permits\ELC PermitApp ELR_ERE.doe Rev 06/17/2015 440-46151(11/05/COM/WEB