Permit (92) CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT
Permit#: ELC2018-00145
TIAR.L) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/06/2018
Parcel: 2S 110AD08700
Jurisdiction: Tigard
Site address: 10640 SW CANTERBURY LN 8
Project: Pacific Crest Apartments Subdivision: None Lot: None
Project Description: Adding(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 03/06/2018 $63.60
Specifics: Service or Feeder
1 ea 12%State Surcharge- 03/06/2018 $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 fol• e 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 copy•f the rules or direct questions to OUNC by calling 50322332.119987 or 1.800.332.2144.
Issued By: Permittee Signature: ct� crr�7
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 A Lica ' _...E E.
pp tion FOR OFFICE USE ONLY
illCity of TigardReceived
't 13125 SW Hall Blvd.,Tigard,OR 97223 Date/B : Y✓ j
Phone: 503.718.2439 Fax 503.50144 ' 1 y�ak Plan Review
Inspection Line: 503.639.4175 ! int lb lr Date/B : Related Permit t« ��
TIGARD �� a Read Date/B '
Internet: www.ti and-or. ov f JNC DIVISION y Y•
furs See Supplemental
g g x s.t r NotitiedMethod:
Supplemental Information
TYPE OF WORK PLAN REVIEW
❑New construction ® Addition/alteration/replacement Please check all that apply pp y(submit 2 sets of plans w/items checked):
or more
❑ Demolition El Other: 0 Service or feeder 400 amps
0 Building over three stories.
where the available fault current 0 Marinas and boatyards.
CATEGORY OF 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
amps for all other installations. buildings.
�i�ultl-family ❑Master builder ❑Other:
JOB SITE INFORMATION AND LOCATION 0 Fire Emergencypun ❑Installation se a of 15d KVA or
❑ system. larger separately derived
Job#: I Job site address: iO(0MD 5 AtU�I y C� 0 Addition of new motor load of system.
�jf�lJ- PL100HP or more. ❑.•q„ ..E.. „I �,. .,I t,.
City/State/IIP: "'i' Gp RD i O p—7 Z Z LI a r 0 Six or more residential units. occupancy.
Suite/bldg./apt. #: l ❑Health-care facilities. 0 Recreational vehicle parks.
C7 0 8 I Project name: CO8 ,t/— I) ,r STstL,L 0 Hazardous locations. 0 Supply voltage for more than
9)4� ❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: (0
4 /� 1 1 FEE SCHEDULE
e Ak., C"'C �7�. Description Qty. Each Total j '
V ,J New residential single-or multi-family dwelling unit.
Subdivision: I Lot#: Includes attached garage.
Tax map/parcel#: 1,000 sq,ft.or less 168.54 4
DESCRIPTION OF WORK Ea.add'l 500 sq.ft or portion 33.92 1
-1.5Ticli--L 6Le[- Gt12Cc1t'TS Limited energy, dential 75.00
Ft7 R 1P// St IETZ ,? (with above sqq..fft.) 2
DR tr t Limited energy,multi-family
residential(with above sq.ft.) 75.00 2
il
PROPERTY OWNER ❑ TENANT Renewable Energy ❑ See Page 2
Name: AUK W�� PC- 5 �� LLL Services or feeders installation,alteration,and/or relocation
200 amps or less 100.70 2
Address: (p Ca 9s' VvV IZpOCK 5�-12-E cT 201 amps l0 400 amps 133.56
City/State/IIP: -�`l ARQ 401 amps to 600 amps 200.34 2
t z 601 amps to 1,000 amps 301.04 2
Phone' ( ) Fax:( ) Over 1,000 amps or volts 552.26
12
Email: Temporary services or feeders installation,alteration,and/or
relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36
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
APPLICANT I ❑ CONTACT PERSON Branch circuits-new,alteration,or extension,per panel
Business name: L r s nC A.Fee for branch circuits with
above service or feeder fee,
each branch circuit 7.42 2
Contact name: ,`'�� T'J11_faGi 3(0
B.Fee for branch circuits without (�
Address: 15o i e� 7 service or feeder fee,first 56.18 2
D branch circuit
City/State/ZIP: 'l(y Ar-b t Ok.. 9?z8( Each add'l branch circuit 7.42 2-
Phone:(`j(� ) 3 `7 Miscellaneous(service or feeder not included)
3 ( -??13 Fax: : ( ) Each manufactured or modular
Email: s �+ 01-,(9t1 dwelling,service and/or feeder 67.84 2
r CO Yid Reconnect only 67.84
CONTRACTOR 2
Pump or irrigation circle 67,84 2
Business name: -rtµ ,4,...ie E( Sign or outline lighting 2
,.cL�'�1C..r4C.. �wftkAc`i'0�5 g g 67.84
Address: a q tU Signal circuit(s)or limited-energy
panel,alteration,or extension.
El
Page 2 2
City/State/ZIP: �,� ®5 W C'GQ` b� q 1� 34.) Additional
additional inspection over allowable in any of the above
Additional inspection(I hr min) 6625/hr
Phone:503 ) q C9'dog? Fax: 5-03 ;c y2i_1 Investigation( ) 90.00/hr
-` � ( )� ( 1 hr min
Email: "L t• c 1 1_ v Industrial plant(I hr mill) 78.18/hr 11.
�U: , ri b�Y i lir e is ✓1c ;,CL'�`i Inspections for which no fee is
CCB1,ic.: ((000,4 I Electrical' ic.:),.. -/, /LC, _Suprv. Lic.: 4g9.-7, specifically listed(%z hr min) 90.00/hr
Y ELECTRICAL PERMIT FEES
Suprv. Electrician signature,required: _ � F _
( Subtotal:
Print name: 6Ir-T"---,i A I Gi�tri I( V r Date: 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature:_ -- -- TOTAL PERMIT FEE 7f .Z7
This permit application expires if a permit is not obtained within ISO
Print name: 6rEz I4 LO 13 I LEIZE Date:
ZSl%g � days after it has been accepted as complete.
* Number of inspections allowed per permit.
................ ............I',Buildinu.Nennits,.EIt PerntitApp_ELR_ERE clue Rev 06/17/2015 440-46!5T(t 1/05/COM/WEB