Permit (156) CITY OF TIGARDELEAL P
l .`
''' COMMUNITY DEVELOPMENT Permit#: ELC2018-00201CTRICERMIT
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/26/2018
Parcel: 2S 110AD08806
Jurisdiction: Tigard
Site address: 10660 SW MURDOCK ST 9
Project: Pacific Crest Apartments Subdivision: None Lot: None
Project Description: (1)branch circuit 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: 1 crt Branch Circuits wo/Purchase 03/26/2018 $56.18
Service or Feeder
1 ea 12%State Surcharge- 03/26/2018 $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 follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through 0 952-001-0090. You may obtain copy orfft rules or direct questions to OUNC by calling 503.232.1987 or 1.800.3 344. \ /
Issued By: ` Permittee Signature: . tT-1��l
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' a, FOR OFFICE USE ONLY
Received Permit#
City of Tigard i Jt i Date/By: 3��3 la "le, C,2Ox�' ,2e/
Eir 13125 SW Hall Blvd.,Tigard,OR 97223 '' `.+ ` Plan Review
Phone: 503.718.2439 Fax 503.598.1960 - Date/By: Related Permit#:
tuns:
specLine: 503.639.4175 Ready Date/By: ,� G 0 See Page 2 for
TIGARD Internet: www.tigard-or.gov Notified/Method �'.-7/" "'� Supplemental Information
TYPE OF WORK C?+eil/C-.. 6r."--9Z-1.3 PLAN REVIEW
❑New construction Addition/alteration/replacement . Please check all that apply(submit 2 sets of plans w/items checked):
0 Service or feeder 400 amps or more 0 Building over three stories.
❑ Demolition ❑ Other: 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 pound,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
*!Multi-family ❑ Master builder E Other: ❑Fire pump. 0 Installation of ISO KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
0 Addition of new motor load of system.
Job 4: Job site address: 10(p(op 5IN) f.AtJraaCt . ST 100HPormore. ❑"A E". 'I-z 1-�
,y nt-caa ' ential units. occupancy.
City/State/ZIP: TIi I4,,-J j 6 g q 77 g 1 ,,L'/ /6, Gyje %T/ � cilities. 0 Recreational vehicle parks
Suite/bldg./apt.#: PFO 1 Project name: I 1iJ 0 Hazardous locations. 0 Supply voltage for more than
I' �Q Th`�'r L�.-
0 Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: 10 1 1' A U6- FEE SCHEDULE
Description I Qty. I Each I Total
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
DESCRIPTION OF WORK Limited energy,residential
/ (with above sq:ft.) 75.00 2
-Vt .1 ALL-- l C l Y CA/ t.\" r' / • Limited energy,multi-family
75.00 2
residential(with above sq,ft.)
Renewable Energy 0 See Page 2
0 PROPERTY OWNER ❑ TENANT Services or feeders installation,alteration,and/or relocation
I Name: Itk J 11, — 'R'el) t")(56 15 pc 5p e (,Z c- 200 amps or less 100.70 2
201 amps to 400 amps 133.56 2
Address: (p( q 5 j t�1 wt(j i'.1)oC 5
401 amps to 600 amps 200.34 2
City/State/ZIP: --r(St.IAVdi e) 9128 f 601 amps to 1,000 amps 301.04 2
Phone: ( ) Fax: ( ) Over 1,000 amps or volts 552.26 I 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 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
Branch circuits—new,alteration,or extension, _er panel
6 APPLICANT ❑ CONTACT PERSON A.Fee for branch circuits with
Business name: VA 5 _TN C above service or feeder fee, 7 42
each branch circuit
Contact name: '1 k Lh6J°-.6" B.Fee for branch circuits without
service or feeder fee,first 56.18 2
Address: 'pp -a,07( 2_3 to ' branch circuit
' Each add'I branch circuit 7 42 2
City/State/ZIP: '—'ni 4 V J 1 e7e Gj''7 08
Miscellaneous(service or feeder not included)
Phone:( 3(7-Z71 3 Fax: :( ) Each manufactured or modular 67 84
dwelling,service and/or feeder
Email: \ATS 0 Ca r) b„j C D 41 Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
--rt 01/4:175-00_14_165-L1' iUR(i R Sign or outline lighting 67.84 2
Business name: IC14C� �Qw�TT 0 7
Signal circuit(s)or limited-energy
0 See Page 2 2
Address: po sox q 03 panel,alteration,or extension.
22 Each additional inspection over allowable in any of the above
City/State/LIP: L. E0 5 t�J tG((1 eic q 10 3 Additional inspection(I hr min) 66 25/hr
Phone.503 ) £_( 2fe,g9 Fax:(q p3 ))5l(if 221 Investigation(I hr min) 90.00/hr
// Industrial plant(I hr min) 78.18/hr _I
Email: A,, c. i T �„
(�d ,� p >'jIz S��f tO�Z �G YtC�,:L� Inspections for which no fee is 90.00/hr
CCB Lic.: 160054 Electrical' ic.:)- I /)C. Suprv. Lic.: y4,y-7,Q specifically listed CA hr min)
ELECTRICAL PERMIT FEES
Suprv. Electrician signature,required: t Subtotal: .51.7 rhi"
yr- 0 Plan Review Required(25%of permit fee):
Print name: 06—Fa-
4 I Date: 3��t���j
State surcharge(12%of permit fee): 6 r 7Y
TOTAL PERMIT FEE: 0)-d /.?"----
Authorized signatur
This permit application expires if a permit is not obtained within 180
Print name: Gz At,J1' I 1.-Graf(' Date: 3 J.2,7/is days after it has been accepted as complete.
* Number of inspections allowed per permit.
I\Building I'crmitstEl,C__PermitApp_ELR-ERE due Rev 06/1 7/2015 440-4615r(11/05/COM/WEB