Permit CITY OF TIGARD ELECTRICAL PERMIT
IIIPermit#: ELC2018-00043
a COMMUNITY DEVELOPMENT Date Issued: 01/17/2018
T t GAR 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S110AD08806
Jurisdiction: Tigard
Site address: 10660 SW MURDOCK ST 18
Project: Pacific Crest Apartments Subdivision: None Lot: None
Project Description: (1)branch circuit for washer/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:
PHONE: 503-459-4089
FAX: 503-254-4227
FEES
Quantity Description Date Amount
1 crt Branch Circuits wo/Purchase 01/17/2018 $56.18
Specifics: Service or Feeder
1 ea 12%State Surcharge- 01/17/2018 $6.74
Type of Use: MF Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $62.92
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 f opted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You twin a copy of the rules•r direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
_��_ Permitl -Signature:
Issued By: - f' •__
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
Received .-
City of TigardDate/B ® ion - t
13125 SW Hall Blvd.,Tigard,OR 97223 .,--,,i,r,...'"1 F54:.,` Plan Revie
I 90: k, '14 Date/By: Related Permit#:
III
Phone: 503.718.2439 Fax: 503 5 r � y
Inspection Line: 503.639.4175 -`"' Ready Date/By: Juns El See Page 2 for
TIGARD i (.. - Notified/Method. Supplemental Information
r Internet: www.tigard-or kt°I
TYPE OF WORK - PLAN REVIEW
!k":,p ,tt .,.,,c Please check all that apply(submit 2 sets of plans w/items checked):
❑New construction Addltlon/alterat ol�7 Jl e q 1. 0 Service or feeder 400 amps or more 0 Building over three stories.
.**C0,4
❑Demolition ❑Other: ,�.},\‘‘),—.1, 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
❑ 1-and 2-family dwelling ❑ Commercial/industrial ❑Accessory building amps for all other installations. buildings.
Multi-family ❑ Master builder ❑Other: 0 Fire pump. 0 Installation of 150 KVA or
0 Emergency system. larger separately derived
JOB SITE INFORMATION AND LOCATION ❑Addition of new motor load of system.
Job#: I Job site address: 10(0fo0 5w µkje170(-1t 5T 100HP or more. 0"A","E","1-2',"1-3",
u
0 Six or more residential units.
occupancy.
'-
City/State/ZIP: ne,y,I,e 0 l Q ie 911 z 1 ❑Health-care facilities. 0 Recreational vehicle parks.
Su0 Hazardous locations.
0 Supply voltage for more than
Suite/bldg./apt../a t.#: ;� I Project name: (/J �(,E(7 I/JS�'X1 t.L 600 volts nominal.
❑Service or feeder 600 amps or
g p more.
Cross street/directions to job site: FEE SCHEDULE
Description I Qty. I Each I Total
QCi tI✓et New residential single-or multi-family dwelling unit.
Lot#: Includes attached garage.
Subdivision: 1,000 sqft.or less 168.54 4
Tax map/parcel#: Ea.add'I 500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential 75.00 2
(with above sq.ft)
—7 -1"T ,. cY)4L.Ci c:it V -ci,--- WA 514E I Dr`/Cje Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
Renewable Energy 0 See Page 2
0 PROPERTY OWNER' I ❑ TENANT
Services or feeders installation,alteration,and/or relocation
� 200 amps or less 100.70 2
Name: �V RCS h16Q 0 pc, siert LLC 201 amps to 400 amps 133.56 2
Address: to vis- 51 .7 NUJ R`l7 d c K 5712 r 401 amps to 600 amps 200.34 2
City/State/ZIP: `T1 G.A�D , a'e Z Z Z 601 amps to 1,000 amps 301.04 2
Phone:( ) I Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: relocation
6 1
or less 59.3
Owner installation:This installation is being made on property that I own which is not 200 amps 129.36 2
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 168.54 2
Date: 401 amps to 599 amps
Owner signature: Branch circuits—new,alteration,or extension,per panel
WAPPLICANT I ❑ CONTACT PERSON A.Fee for branch circuits with
G above service or feeder fee, 7.42 2
Business name: ` J �nG each branch circuit
Contact name:
B.Fee for branch circuits without
�yt1-�11 ,�-�`�' service or feeder fee,first
i 56.18 5/t�� 2
Address: 'Pc 5 0C Z J 187 branch circuit ri
q Each add'I branch circuit 7.42 2
City/State/ZIP: '—'1—‘ q gD 9 epe }7 29 I Miscellaneous(service or feeder not included)
Phone:(' 3 j) -�1 1 y I Fax: :( ) Each manufactured or modular 67.84 2
1 dwelling,service and/or feeder
Email: \r,V'S Q. co,, bi ' CA, Ivl Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name: ITtAi8E44 Lime 6t EC't e¢L. CI e4 r r2a4 er0 45
Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy
0 See Page 2 2
Address: 'O to A -1 1 Qj panel,alteration,or extension.
,d Each additional inspection over allowable in any of the above
City/State/ZIP: L Ave; O S )EQ OI 04 970 34/ Additional inspection(1 hr min) 66.25/hr
Phone:(56 3) c-9' L{QQ/q Fax:( )
Investigation(1 hr min) 90.00/hr
j Industrial plant(1 hr min) 78.18/hr
Email: liX ' 4 1 ian ljL y i t yt{ Z`eL L ,C 01/u1 Inspections for which no fee is 90.00/hr
�" - �j • Su rv.Lie.: G�5'7 specifically listed('/:hr min)
CCB Lic.: ��d3 I Electrical Lic.: ' _I ELECTRICAL PERMIT FEES
Suprv. Electrician signature,required: ✓f} ` Subtotal: 5-6, I f
I GI (
c
Da e: 1-11-1 q 0 Plan Review Required(25%of permit fee):
Print name: �Yl �L J W Q State surcharge(12%of permit fee): 6.7ti
—�.
TOTAL PERMIT FEE: (f,:),i,
Authorized signature. This permit application expires if a permit is not obtained within 180
Date: 1—11— 0 days after it has been accepted as complete.
Print name: `' ..-----.12,41 �L * Number of inspections allowed per permit.
440-4615T(11/05/COM/WED
l.\Building\Permits\ELC_PennitApp_ELR_ERE,doe Rev 06/17/2015