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Permit (3) ,, CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit#: ELC2019-00658 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/02/2019 Parcel: 2S110AD08700 Jurisdiction: Tigard Site address: 10655 SW MURDOCK LN 1 Project: Hudson Apartments, Building E Subdivision: None Lot: None Project Description: (8)branch circuits for water heater monitoring upgrade for building E units 1-8. Contractor: TICE ELECTRIC Owner: S&P PACIFIC CREST LLC 5405 N LAGOON AVE. 10695 SW MURDOCK LLC PORTLAND, OR 97217 ATTN SHARKANSKY, MAX 700 N SAN VICENTE BLVD STE G460 WEST HOLLYWOOD, CA 90069 PHONE: 503-872-8230 PHONE: FAX: 971-230-3330 FEES Quantity Description Date Amount 8 crt Branch Circuits wo/Purchase 10/02/2019 $108.12 Specifics: Service or Feeder 1 ea 12%State Surcharge- 10/02/2019 $12.97 Type of Use: COM Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $121.09 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 ules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: a r" =.,Y -a - . , - -- 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. 1C*5 Electrical Permit Application i- {:_A t " A z FOR OFFICE USE om x r 1 -N, City of Tigard Received °� 13125 SW Hall Blvd.,Tigard,OR 97223 OCT Date/By: 05317" Permit ll: C �Co 2f11`� i��i� c� r�- s�8' Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Related Permit#: TI CrARL Inspection Line: 503.639.4175 t,'b 1 ` >.�� t' ;� Ready Date/By: Saris: I @J See Page 2 for .. Internet: www.ti and-or, ov l t '\' ,; Notified/Method: g g ; ! I pg � prs ' Supplemental Information TYPE OF WORK PLAN REVIEW ❑New construction ®Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ❑Service or feeder 400 amps or more 0 Building over three stories. 0 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 ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family ❑ Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived Job 14: I Job site address: �U(n`i3- t• ❑Additionofnewmotorloadof system. !(!(gyp si...l rehm,,,ia,,lf 10oHPormore. ❑"A""E""l-2""l-3" ❑Six or more residential units. occupancy. City/State/ZIP: ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: /—57 I Project name:,/ ❑Hazardous locations. 0 Supply voltage for more than ' - ""'5 a A 81tf�i,-a 0 Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: 1/ FEE SCHEDULE • Description I Qty. I Each I Total I New residential single-or multi-family dwelling unit. Subdivision: I Lot#: Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'l 500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential (with above sq.ft.) 75.00 2 J� -'" g''re 41 energy,multi-family 75.00 2 I �) 6//'— 7� '7�/ �✓d7'tt✓ ` '�'74� /7�i1/.Y✓� Limitedbo tif;k f J residential(with above sq.ft.) f i-vt/./ "� Renewable Energy 0 See Page 2 'PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation Name: 200 amps or less 100.70 2 Address: 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP: 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 0 APPLICANT 0 CONTACT PERSON Branch circuits—new,alteration,or extension,per panel A.Fee for branch circuits with Business name: above service or feeder fee, 7.42 2 each branch circuit Contact name: B.Fee for branch circuits without Address: service or feeder fee,first branch circuit I 56.18 �'ip 2 City/State/ZIP: Each add'l branch circuit 7 7.42 In'o 1L 2 Miscellaneous(service or feeder not included) Phone:( ) I Fax: :( ) Each manufactured or modular dwelling,service and/or feeder Email: 67.84 2 Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: Tice Electric Company Sign or outline lighting 67.84 2 Address: Signal circuit(s)or limited-energy 0 See Page 2 2 5405 N Lagoon Ave panel,alteration,or extension. Each additional inspection over allowable in any of the above City/State/ZIP: Portland, OR 97217 Additional inspection(I hr min) 66.25/hr Phone:(503)233-8801 I Fax:(503) 231-3372 Investigation(1 hr min) 90.00/hr Email: adamc@ticeelec.com Industrial plant(lltrmin) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lie.: 166 I Electrical Lic.26-126C I Suprv.Lie.: 3940S specifically listed(Y hr min) • ELECTRICAL P1RMIT FEES Suprv.Electrician signature,required ati105. Subtotal: ii, vi f: Print namc:gp.4, ///c44r-vise Date: /.9©/�/7 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): ld,1 7 Authorized signature: TOTAL PERMIT FEE: r2 GPI This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. * Number of inspections allowed per permit. 1;\BuildingPermits\ELC_PermitApp_E-LR ER6.doc Rev 06/17/20 15 440.4615T(11/OS/COM/WED