Permit l a CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: ELC2010 -00112
k Date Issued: 03/11/2010
T t GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 1S 135CA00600
Jurisdiction: Tigard
Site address: 11200 SW GREENBURG RD, UNIT# 8
Subdivision: AUTUMN OAKS APARTMENTS Lot: 0
Project: Autumn Oaks Apartments
Project Description: (2) branch circuits to install cadet heater and outlets.
Owner: FEES
LVL LLC Quantity Description Date Amount
7327 SW BARNES RD #122
PORTLAND, OR 97225 2 crt Branch Circuits 03/11/2010 $63.60
wo /Purchase Service or
PHONE: 503 - 421 -5121 Feeder
1 ea 12% State Surcharge - 03/11/2010 $7.63
Electrical
Contractor:
REDS ELECTRIC CO INC
6336 SE 107TH AVE
PORTLAND, OR 97266
PHONE: 503 - 233 -6467
FAX: 503 - 233 -1281
Type of Use: MF
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 follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -0010 through OAR 952-001-0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: ` Y — •� -- r- nCt;�- 4%VL'8 -�iv1 Permittee Signature: Cam— •-6 r • I�
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 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.
Mar. 10. 2010 8:08AM Reds Elect No. 0874 P. 2
Electrical Permit Application ' ' -,r "l ' 1_i ;f FOR OFFICE LISE ONLY
City of Tigard - °` Ved io , Permit No.: e� eie /o -ee 1 /A
14 ii �Y $ Datei :.^3 O i
13125 SW Hall Blvd.,, Tigard, OR 97223 M 1 :0 2013 Plan Revicw Oder Permit:
' Phone: 503.639.4171 Fax: 503 598.1960 Date/B :
TIGARD inspection Line: 503.639 DatcReady/By; El See Page 2for
lntcmct: www.tigard - or, gov - , ,i Notified/Method; Supplemental Information
NJ I.: — J' T :�e . .. l) mi :J'S.ettol W:Q 1 0C :41'F'1 D ,._ S.S .Ir � . . . ,.. ,� ' . . _. " . -yLLW..:. \a. : ..'. ,,:<:'J.
111 New construction
ddition /alteration /replacement
Please check all that apply (submit 2 sets of plaits whims checked below):
❑ Service or feeder 400 Amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the nvnilable fault current ❑ Marinas and boatyards
r i 4 '" �;� mite+ ',: ti ? + ' exceeds 10,000 amps at 150 volts or 0 Floating buildings.
, �,..z , Ix i.,i4T �'r . G 1k It " '41.'4"''''''''' " . .. !?. .r.'"4 \7.' ; Y :T'''' ' less toground, o ❑ g
• � - t 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: ❑ Fine pump. ❑ Installation of 75 KVA or
a • �,J t i' r SW ❑ Emergency system. larger separately derived system.
`' (f m t ` " ai r y eillf *i,.00. 4 i A1S () t . l T ' ❑
if .. ` . "' {' 0i g � �'��� ;� " @. ❑Addition of new "n' "E" "1 - 2" ''I
1001-11' or more. occupancy.
Job no., 6'..78 Job site addresf/ ?.0 6 s ( i2. fj
dr El Six Of more residential units. 0 Recreational vehicle parks.
- City/State/ZIP:—?" t' C, ? a . 3 ❑Health -care facilities. ❑ Swply vnhage for more than
❑ liarardous locations. 600 volts nominal.
Suite/bldg./apt. no.. Project ec name: \ // n ❑ Service or feeder amps or snore.
g /a p P �LC �t! F i �
!J t!clr v r 1 f � m ap r Y s : q ` 600 ' 7 � �EFf'ICI1 EbY7LE `
,tae'' ,.. n o .. :"i,�fu. 1s:, . . ...
Cross Street/directions to job site: _ Description _ Ury. Fee. Tntal ^
- New residential single- or multi - family dwelling unit.
includes attached garage.
Subdivision: Lot no -: 1,000 sq. It. or less _ 145.15 4
Ea. add'I 500 sq. fl. or portion ' 33.40 I
Tax map/pared no.: � _ Limited enerbry, residential
1 r1 :� i � Il?EiEi , TllJ : V4S..s.. O � "a M ? w ith above . ft)
_ 75.00 2
Limited energy, multi - family 75.00 2
'rie -/
/ /f,C{ G ee th I /� /( � 0 .7( .S residential (with above Eq. fl.) _
J Services or feeders installation, alteration, and /or relocation -
200 amps or less 80.30 _ 1_2_
4 ; ', "= 4 " , ; , `; a o e i f r 201 amps to 400 amps 106.85 2
Name: G VL G. Q.C. 401 amps to 600 amps 160.60 r 2
601 amps to 1,000 amps 240.60 , 2
Address: -7,5 Z 7- SC. k1' e /tic¢ S kd / 2- Over 1,000 amps or voles 454.65 2
City/State /ZIP: � �D Al /a 7 (4 Q,6 9 2 1 � — Temporary services nr feeders installation, alteration, and /or
relocation _
Phone: (56 4 /Z/ — ,5/.2, / Fax: ( ) 200 amps or less I 66.85 _ 1
Owner installation: This installation is being made on property (hat I own which is not 201 amps to 400 snips 10030 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701 401 amps to 599 amps 133.75 2
Branch circuits - new, a or extension per panel
Owner signature: Date: A. Fee for branch circuits with
s ma ' � `,� - 'A r above service or feeder fee,
2
;ark s;:., 1 i s t ts»a t ° + ,RV 6.65
each branch circuit —
Business name: B. Fee for branch circuits
without service or feedcr fee, / g0 7° '
Contact name: first branch circuit
2
Address; Each add'I branch circuit / 7.d'? 2
Miscellaneous ( service or feeder nut included
City /State/ZIP: Each manufactured or modular 90.90 2
dwelling, service and /or feeder
Phone: ( ) Fax: : ( ) Reconnect only 66.85 2
&mail: Pump or irrigation circle _ 53.40 2
3 F ' kg"k>J r,t ws' tO+D � .q�` e , ' �mFlf.0 ' p y� ,fx Sign or outline lighting 53.40 2
Signal circuit(s) or limitcd-
Busini energy panel, alteration, or
RED'S ELECTRIC CO. INC. extension. Describe: Page 2 2
Addre 6336 SE 107TH AVE — T - —
City /S PORTLAND, OR 97266 Each additional inspection over In any of the above —
503 -233 -6467 FAX 503 - 233 -1281 POT inspection _ 62.50
Phone CCB# 4443 ELECRICAL LIC 26 -152C SUPRV LIC 5010S
Investigation per hour (I hr min) 62.50
CCBi_
Industrial plant per hour 73.75
t Si ( :d" ry 7 44t itAI titgIsrPt i11' W F .,,_. r i ti, te0
Suprv. Electrician signature, required: — Subtotal _31
plan review (25% of permit fee):
Print name: _ Dale: State surcharge (12% of pennit fee): ( Z G
Authorized signature: TOTAL PERMIT FEE 3 cz...
— This permit appticritiun etplrex if a permit is not obtained within 180 A
Print name: Date: days otter it has been accepted as complete /
• Number of inspections allowed per permit. (l • ', _
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