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Permit 12__QA3( i, a - k ----- CITY OF TIGARD ELECTRICAL PERMIT 14 COMMUNITY DEVELOPMENT Permit #: ELC2009 -00333 ,;! Date Issued: 07/07/2009 T j GAAD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 1 S135CA00600 Jurisdiction: Site address: 11200 SW GREENBURG RD OFC Subdivision: Lot: 0 Project: Autumn Oaks Apartments Project Description: Electrical service and (4) branch circuits for new pool house. ADDED (1) 125 amp sub panel to permit 3/19/20. Owner: FEES AUTUMN OAKS PROPERTIES LLC Quantity Description Date Amount 6036 SW MADISON CT PORTLAND, OR 97221 1 ea Services or Feeders - 200 07/07/2009 $80.30 amps or less PHONE: 4 crt Branch Circuits w /Purchase 07/07/2009 $26.60 Service or Feeder 1 ea 12% State Surcharge - 07/07/2009 $12.83 Contractor: Electrical OREGON ELECTRICAL GROUP INC 1 ea Services or Feeders - 200 03/19/2010 $100.70 PO BOX 66157 amps or less PORTLAND, OR 97290 0 ea 12% State Surcharge - 03/19/2010 $12.08 PHONE: 503- 701 -5555 Electrical FAX: 503 - 760 -5986 Type of Use: MF Class of Work: ALT Type of Const: Occupancy Grp: Total $232.51 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 OA 9522 - 0001 -0100. You may obtain copy � of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. ll1 Issued By: Na A -1 ou Vt- L.)-iltQA)L Perm ittee 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' <,.__..e, Q ,� Date: LICENSE NO. , ��� Call 503.639.4175 by 7:00 a.m. for an inspection that business day. 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. 03/19/2010 13:41 13602537503 PAGE 02/02 ,. FOR OFFICE LIST; l)Nl.rl` Electrical P�er>nnit Ai�atio><a 201 1� received Permit No :�G�� • Cit4 of Tigard M AR 19 ag ate_ /t3y' Plan Review Other Permit: 13125 S Hull .417 _ Tigard, 03 97219 , Date /fay: Sec - 2 for a ; Phone 503.63 ; 503 9,4 503.59A. 1960 ltw Date RcodylT3Y' Supplemental tnfnt-mnbnn ' iGA.RD Inspc�tirn 1-inc; 503,639, Notified/Method. Int:Mkt: www.tigard- or I I "+ I H ` � �y r i ' I r ` r , i yy,F.�(y , rr r it Jf � i � ' III, " "I I P p I i ll i � t ry ! r i i LY i l I' W u i , C '' Il r �I T:XI� '' l rr l ei 4'64 ) r' i l l e'a G � alt .. 1 I�t{� duly , g, � 0f ! ' I rI , ' rl r I, f ! p! r t ' ; , ! .. � ,11 ,.,. '� 1II0 ( . ' � r ll ` ' PICfl.._ CIIC CA aII th8l a p01y (Stlbtnh ; '019 plans vv /ItClna Cheel:etl Uclmv): 0 New construction 0 Addition /alterat /replaceme 0 Service or feeder 400 nmps or mare 1:1 Building over three stories, ,rinaa and boatyards, where the available fault enncnl ❑ M. Y Demolition p, M r , ' ,irl r !li!!'' 111 eseeeds 10.000 amps at 150 volts or p Commer al riculturnl ❑Other: , i tr 1° tr l r y i ( , r I l r /�. ; , , ,0, ,' 'd ,, r' less to ground, 01' e xceeds 14,000 l� l I , 11 :';� r n,rl� '11'1' � . �,� ��il�� , ��` ���`'���`���;�'���I „ r �� !� UuiVdin �e a,, • , ,1 AcCCS50tY buildin amps For n11 other rnstalla1Iolu+. 6- 0 1- and 2- family dwelling Commercial /industria ❑ [j amps Fora 171 lns or 75 KVA or 0 Ivi ast cr b uilder Other: larger separately derived system. (] Multi -family ❑ 0sincrp 9 1,.. d r r i i r rl, 1 1 7 If r ^ :�� 1. I.li„ v A„ “E'',"1-2,-,"1-3-. ❑ Addition oC n c, motor load or 0 " it � " y t �,� r � �, y ' � �'�kd .fC�' � �. u�� .. I { nrn � Ii t. , ,,, r (, , �11 f r.v 1,1r1i.� occupancy r ,, Ilrl L r ' , i, , :t i�{r; ,,,A,,,,, L.1., ,c;' 6 '.::: I OOHp or Innt'c. 1 � ��2_`"r 5 `�" �� - �-+ICL ' I�RcOrcattonnlvchlclepnrks. Job site a , ❑ H < or more nw noire. • Cit no.: DHcnllh -core Ihci0tics. 0 Supply voltage for more than 0 000 volts nominal. C ley /Star( /7.TP: hazardous locations, * ❑ Service or fccder 600 amps or +no ,,yyuu M�l� yW r lnC: SUlic/hldg- lapt,nb.: Project n a .1 � i �l r n ,111 Ir Il1 V(tttj .�I! - DCRrrlptlon rep. 'row �� �� Cross strcet/dirc�tionS to site: J New residential single- or multi fnmily dwelling unit. Includes attached garage. _ 4 1 Apo yq or less 145.15 , R. L no.: 33.40 1 Subdivision: 1 =.a. midi 500 00. 6. nr portion residential (with above _ Limited energy. residential 75.00 2 Tax map/parcel f10 y 1, y4 `{ y {.I,y ; I ipr ?r r 1 ;) Wilh above sq. ft) L;i 1 1 ,. ri U I rf 1 ', r I 7I II ry�W14�1'f1101���hi/7l` jM' r I l it rl L , �,, Ir Y , r. " ,r l.'!�; - td energy, mul fn Li ly 75.00 2 li p " � c ' ,` )vc s R.) I 9.� . \ S 1 1 ,C ! -�—' Services or feeders ov a s , 11.) ,alteration, and /or rclocntinn 200 amps or less 80.30 _ 2 y� ,,,,{ ��,, r r r "P I rA ,° { r , c L''u 106.85 2 1 r I r ' , o , Any x, „0,,,, 1, I ' I. ! �ri� „l r ! . �11r51 li(. r,r 'I .... '' .1 ,. jl ,jll' 1 , to 1 I, r , 201 am p s t 4 amps 16060 2 ;I h ,r.. { ; +I .,�.� „ - 401 amps to 600 amps - 240,60 2 Name: - 601 amps to 1,000 amps _ 2 ” _Over 1,000 amps or volts 454.65 ddress: Temporary services or fceders installation, alteration, and /or City /State /Z.if : reloention 2 00 amps or Less 66.85 1 Phone: ( Fax: ( ) 100.30 2 201 am to 400 amps Owner instalhition: Th insta is being made on property that i own which is not 401 amps to 599 amps 133,75 2 intended for sale, lease, rent, or exchange. according to ORS 447, 449, 670, and 701, Branch circuits - new, alteration, or extension. Qcr_pnncl • I • Date A. Fee for branch circuits with Owner cignalutc t{ �y,,,yy�� f 6.65 2 ,, 4y r h , I!'r 1 �? I 1'41iJ9t11� ,rtr: C 1 P ,i 1 0 :1 above seftlice or eeder fee. r✓ r yy,,1 ! !• Il w r111;;%;::: t I.' 1 1 h.: t !Jl`1 it s� I! 1��1 . ILI� IyI'AuA411�1 r r ( .� �' f rt i I ls ;�� ` r � � ' ti 'i � '� each branch y I �� � ��r . r,. 1 ,I 13. Fee for branch circuits Business name: without service or fccder fee. 46.85 z Contact. name: first branch circuit _ 2 Each add'I branch circuit 6.65 Address: Misce ( s e rvice or feeder not included) _ Each manufactured or modular 90.90 2 City /State %L[�: - (twain , Service and /or Feeder Reconnect only Phone: ( ) Fax: 2 - E - m a i l : ' , es ” ( ) Pump or irrigation circle 53.40 2 outline lighting 53 40 2^ � OB' '' '' t t f l I {I'r i,.', 'll J ,,ll. Si tr oro (> �' i i ) I ' ! I i �' .�`d I,i d ell) , Ori I {il „ I r O ; 'i l it F i Nt,e ' �1 I 1 1�1 1 ,Y1 r l,�� �ll'1 , ,, r l `' Signal circuit(s) or limited- �jJ) Business name: • e, 0 1 '( ,L(o (�) 14,0 - ---- energy panel. alteration, or 2 JJf '-_ extension. Describe: Page 2 Address: V, Q, , �Q A 66' t7 � � t - Y of the above Each additional inspection over allowable to nnove City /State /71>�:/ �� U � IV Per inspection 62.50 Phone: ( ■ ) (.65 Fax: (5(2) - 760 -61 4 .6 investigation per hour (1 hr min) 62.50 Suprv. L in dustrial plant per hour 73.75 CCB Lie.: ✓+� Electrical J,ic. } ic.: / ��C� tI �9yy�,( �( h�WWyy�u � � lJ �' J — 5!ll' :ll,t/�I I',, ,rill PiiPiPIO�TNIV�r� n I'41�!1''r'�ralS L;j'” ,,r Suprv. ElectrScian signature, required: A d . sr / P / Subtotal: � — Plan review (25;0 of permit lee): (Tint name: r lax) 'yt Date: + �� U . State surcharge (l2 % of permit fee): • Pr rd name si TOTf11 PER� 4fi' hF,.P, I t 'D / R I l Pr;nt name: Dane: This permit n pplicntlnn nnplrnc if n permit is not obtained within 1A0 days after it has been nccepterl 4s complete. '^1 \r..\ g ` Ninnbcr of inspoctions allowed per permit I!tauildirr, cnnitalt- ::il('- narmit des nn /zunr� \. 0 4 (111)5 /COA1/w&a i f, CITY OF TIGARD ELECTRICAL PERMIT ` ''- COMMUNITY DEVELOPMENT Permit #: ELC2009 -00333 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 07/07/2009 Parcel: 1 S135CA00600 Jurisdiction: Site address: 11200 SW GREENBURG RD OFC Subdivision: Lot: 0 Project: Autumn Oaks Apartments Project Description: Electrical service and (4) branch circuits for new pool house. Owner: FEES AUTUMN OAKS PROPERTIES LLC Quantity Description Date Amount 6036 SW MADISON CT PORTLAND, OR 97221 1 ea Services or Feeders - 200 07/07/2009 $80.30 amps or less PHONE: 4 crt Branch Circuits w /Purchase 07/07/2009 $26.60 Service or Feeder 1 ea 12% State Surcharge - 07/07/2009 $12.83 Contractor: Electrical OREGON ELECTRICAL GROUP INC PO BOX 66157 PORTLAND, OR 97290 PHONE: 503 - 701 -5555 FAX: 503- 760 -5986 Type of Use: MF Class of Work: ALT Type of Const: Occupancy Grp: Total $119.73 Required Items and Reports (Conditions) This permit ' ' . - . subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be do - in accordance ' 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 aw -q 'r >- you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 95 001 -0010 through OAR 95 111 -010.. You may obtain a copy of the rules or direct questions to OUNC by callin. -; '6.6699 or 1.800.332.2 44. `�L-S _� 1- ued By: _ � ' Permittee Signatur• • • . ( i '. / l r et r 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. ELEr' _ �1 1 �9 :Ft i 1(0-' '- ,J Date: I/ LICENSE NO. Call 503.639.4175 by 7:00 a.m. for an inspection that business day. 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. L ' - ' or" t'ectrical Permit Application RECE!V ;I.. _ `- .. l(•r ,t.l4,„.O _ _ _ _ .,... . . .- • City of'T'igard JUL 0 1 2009 Dnto/f3 Received 7 � 6 13125 SW Hnll Blvd., Tigard, OR 97223 Permit No.. � �(�� -�aj S Plan Rcvicw • Phone' 503.639.4171 Fax; 503.598.19610 Date/r3 ; Other Permit; 1 GAItD Inspection Line: 503,639,4175 CITY OFTIGARii pmcRcady /By, h,Tlp' Werner; www.tl sec Page 2 for surd- or_g< „' BUILDING DIVISI l 0 c ,tif cd/[victi,od; I ,' n! .c, ,J':La.,:.1', Sapplemcntal Informntlan �.... ' 4 ^�' `,;I.; ,,1 ,+n„ ^.15}'1;' "'ifi ° "';��i',.,I �,.I �y�,W .. , .,� ;111�1F.1' „ ;,,, ",i v, �, �,'I'nGl.1 't" rl1 F.r , ..1 . "al.m„ ,i 1. ,1•'i �"J"li N",. ;�iirl� 1„1� �r �.l �I'� � 41l t'l�E`I �.V �, .1 i 11'� 1 {': �LII.1� „vLC�, 11 , � +„ , i tutu, „, .,.,,• .. , ":', .gY'1 ;;Rlir,, pIi'i,' ail;;K:: �, ,,,,,, , „,,,,,i.,......, Il tits `f ;,'0 : �f 'll,{i.,11',n1 u , 0,1,1,,1 ,,Y-illr, 1{ {1t iI` I L , nI'1” +f , 1 d � , ,,„ K,, I�, iWiia; i,.. h,, ll�' 1!,1 1,,, Jihi9l; fM i{ P�1�1�1 '�111!16.11,)11'dlly�!ll,ly - .,1,1•.��� I, ,�l �., lltll '�llt!Vll,llatlsl�t �t�„�!�('h1�4�y�, �'yy�yW� ����rr L ,; �; :•,„':',,,�,,,, Q New construction ,,. �l�1 t I � 1,1 I:i•F• � {„ ' i . ...,i „� t ,rn ug,,. � 1 }�� �1 .'t- l;u,,,.L,,_'�,y Ila'I11'o:•S e Ad dition /alteration /replacement Flora check all that apply (submit 2 sets &Plana w /item checked below): ■ ❑ De1n01ifion ❑ Other: GI Service Service or feeder 400 am or more El Building over llrrcc stories. "Ii >If.'; "' ,' ;' ;ii;,I;; i; + l +r:' 1 �° ,1 ,)'; , I . , where the available fault current ❑ Marinas and boatyards. lgd 1, +. •, III;, 5�;, _. ; i.�q-. t V 'tt 1: O : W , • �t - 7 , �i r , jC 1 .1.:11i1�"' 1 i�t i I S` 1 �'i;, 1 '4':1' 1 :+' , R exceeds ii5. +A,,. ;' � , ." „r.' .. , . ,.1. • ,,,,�_��..�,�. , ,.: ,.l��i�'d�i� 111,,..,1.; 6111 gl,�li'��;'1�1� 11 decd. 10.(100 amps at 150 volts dFlnnfingbuilcFinls, 0 1 and 2- family dwelling Commercial/industrial Icss to ground, or exceeds 14,000 ❑ Commcrcial•usc agricultural ❑ Multi - fa 0 Ma builder r1 building ❑Fir ump. nuurmstann ens. Installation Accessory in Multi � for all installations. buildings, Other: : ��. �. 1• 'ia " I': n 1 i {i S �p '{'y'f) ,' Y 1' tial � i ��' � ° " {l °�'�+� �y�l , '1 y 'r 1 * 1 �IIp „pJ?J 1yV ; „+- ,r , �1 � tl � ©Installation of 75 fCVA or , 'kl' till• " ,:1 ; "' , i�. 1. „, y11i' I11 /6g •t r l'0lyt'IYi it�l t IJuYoriii�• �i1 c1; ��, ,ll i 1 1 1 '''i” ,i1,, ❑ El117ncy sy9tcm, 144 , 1 ; , "tla ,1 :NVur'.tw .,,,, ,,4W,1,,,,,,,,,,,,,,,til,.. ,.- 1, ... , 1 �11 1`, 1Elf 1 x, 1 icr scpac�tclydcrivadsystcm. �: �nl„H- r ". +. yIU1s „anbel' +Il'.Ia�jSr,,l il, 1 1 (. wi ❑ Addition of new motor load of Job no.: Job site address: 1 , ,0os� � „, l^ IODNP Or'num. occnp;,nc 1i v f r,�/ ❑ Six or more residential Units. ❑ Recreational vehicle parks. City/State/ZIP: ❑ Idcalth -care tflcilitle;:, ❑ Supply voltage for more d,, n Suite/hidg, /a 1.. no.: r 0 Hazordous locations 600 volts no P Project name: urinal. _ �t�'�(�+ �' 1 O IL/� (� ©Scr or lbetior 600 amps or roars, Cross street /directions to oh Site: �` � l AP T-5 ! i�l��! I�IIr�II��1� )l'�i r 1; 1(�il'1� l i iiil '�k 1 9, ^i'✓, " ! +, iiii I�.i::,:'f;1'.i•. .,, 4 1'� !';:�o 1 M 1 ' ; "�, E L; ll�t cl,i .1 ,��n ,, �','' '' �,! , Unscr tlo 'u', •�, ' •,., . l ' J. New residential single- or multi-family dwelling unit. Tnr,n Includes attached garage. Subdivision: 1,000 sq. n, Lot no,: q or less 145.15 4 Tax map /parcel no.: Ea. add'i 500 sq. R, or portion 33,40 j 1 9i' 1 rF'i'� i ''' ;';ial "" " "iii '�'1• a� •�n .,, + , Limited energy, residential . 6„ 4', :. d „ti. rch . ' : "T,�i n ;it5N '1 11 til'''l "d't +r ,I9i , :1'j sari Il ,1 ";c',1r: '; � , 1, ..t''i',,, , . r'.,,, ',i::" .1�, iilll „A,,',1;. l I l rl, 1; ■i 1 1111 ll l,lr'i 7$.00 W' t , l' lur',�,;�I„ �' 1.1,' 1 t,l�,.,,1 1 ;; ' +,i ! J (wuhnhovc a, 2 1.2 , 1� Limited energy, multi- family ►TN _ residential (with above sq, fL) 75 -00 2 �w, yy��,,��y, Services or feeders installation, niters( inn, and /or relocati l {( l + i;lsI i' +i �t(Vh. ,,' "� P ; • ' : aihlld 4 il l l� l' Y; 11P, 111111' I:; , I'{ „ ii'�!1!.i ;l'I• ' ' 'I' �+ 1. 200ampsorless 80.3 won 1, n { /, cl , ll„(,.,. 1 , ,, 1 1 I 11 „ I Idl Id ;1,' 1 C ' { 1 4, ! t! 1 I �� 2 , �'�'�;� (,�t'>E� I , � �) � � 1 I 10.. . A r .'111. ,,,,r 11 ,, i., h ,, ! II iy_� d �AV,I1!l, 1 )1. , , l , I 1 11 �1 11 1� 1 i'h, 0 40� amps 1. �_ r, i r 1r1 + d1EItP; +I r dh 201 am l' n. 106.85 2 - Name; 401 amps to 600 amps 160.60 2 Address: 601 amps to 1, amps 240.60 2 Over 1,000 amps or volts I 454.65 + 2 City /State /ZIP: Temporary services or feeders instalinllon, alteration, and /or relocation Phone; ( ) Prix: ( ) _ 200 amps or less 66, 1 Owner installation: This installation is being made on property that I own which is not 20l amps to 400 amps 100.30 2 intended for sale, ieasc, rent, or exchange, according to ORS 447. 449. 670, and 701. 401 amps to 599 amps 133,75 2 circuits Brsnc caner signatureBranch -ne alteration Owner Date: . or extension ncr�,nnel ;'li: , ,;i: S'l , A. Fee for branch circuits with + + + . 1 _ . " u uJ�r :l1 I not , , � 1 - y „11 ,t. .'iii:011117,i ... ... 1,,, „ ` 1 ► �1�1R. W' a f1kii�� above service or feeder fee Business name: each branch circuit 6 •f 5 •�d 2 R, Pcc for branch circuits Contact name: without service or feeder rec, first branch circuit 46.85 2 Address; Each add'] branch circuit 6,65 2 — City /State /ZIP; Rtisccllat►cnus (service or feeder not included) each manufactured or modular Phone: ( ) dwelling, service and /or feeder 90.9(1 2 pax ;:( ) Reconnect only 1i -mail: - y 66.85 2 ;,1:11:1:” o Pump or irrigation circle 5 �~ ".17� `.:P :;1;'� " "�'l' iAi' ?':";aaiil; '',';i " h��,p W �+ �;'•I ",:nn +'!.Y -, 'r;n' 'Ipr,s . 3.40 2 ++:y 1 �.1fAk l :1 ;. ;,1_ i ';:11„ 1 ;ii I V f;1 KOtOKII! %Al .2 ;tri'o: i i ,• 1 , 1 I,1,, ,h , llli1 ;l °� J",'jg f1 :ii alit, Sign Business name() ,,,.. ��� � . , 1:.,, ���� 4.�A�t.0 Signal circuit(s) or limited - /) '.._____/, 1 1 1 .. ik � �l ,, 1't l „�, tl l E �, {. ,i V g 01' outline lighting - 53.40 `-.`L .,- IL of 2 /) _ energy panel, alteration, or Address r 401 6Q extension Describe. Page 2 2 City /State /ZIP: i / `12.90 Each additional ins eaten over allowable in any of the shove Phone: ( ) 701_5555 Fax (g)3) ( 60 V Investigation inspection 62,50 4 h investigation per hour (1 I»' min) 62.50 CCB Lic -; /�j7 s/ g p Electrical Lic,;ed c Suprv, Lie -• S -. Industrial , 75 u Q L . plant per hour 73, S uprv. electrician si natur u il�ih lyl'! i i'n1 1 'i li i; "•,Y,r�rl�•1 ' 1 i:4XXT ; ; tu > ,.,..,. 1_'- e. required: :. x ,if r. 1 1. -IF;S 1 • A i Subtotal; _y f , ) • 9 4- Print name; r Dale: 2. /Q Q Plan review (25 %of permit fee} �� g - 4,0 Authorized signature: State surcharge ( fee); /A . ' 3 TOTAL PERmiT I'FE: (/ 9 , 7 3 '1'hic permit application expires irn permit n tint obtained Ian Print name: 1�ritC: days after It hut: been accepted as complete. I IDu ldinglPMmitslHl,C- POrmitApp.dec 051 ? /06 • Number of inspcctlen,5 al lowed per permit. 440.4515'r( I /05 /CO \t /Wt;'n