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Permit II : CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit #: ELC2012 -00020 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/13/2012 Parcel: 1 S134DD00100 Jurisdiction: Tigard Site address: 10615 SW TIGARD ST 13 Project: Windmill Apartments Subdivision: 2004 -050 PARTITION PLAT Lot: 2 Project Description: Electrical for heat pump installations: Units 13, 14, 15, 16. Contractor: PREMIER ELECTRICAL INC Owner: RICHARDS, JAMES E & SHARON S PO BOX P BY NORRIS & STEVENS CORVALLIS, OR 97339 621 SW MORRISON ST #800 PORTLAND, OR 97205 PHONE: 541 - 758 -4284 PHONE. FAX: 541 - 758 -4433 FEES Quantity Description Date Amount 4 crt Branch Circuits wo /Purchase 01/13/2012 $78.44 Specifics: Service or Feeder 1 ea 12% State Surcharge - 01/13/2012 $9.41 Type of Use: MF Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $87.85 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 codes or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: _�► - =! — — •ermittee Signature: dam— - e' - 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 Permi catiol Information 1k\ FOR OFFICE USE 011.1' Received ` City of Tigar 2 .. Dale/ey: i 1, /d - _ .'s- w 13 125 SW Hall Blvd Tigard, UE � o plan Review , to ` Phone: 503,718.2439 Fax: 503.9.9> x960 ' °�. othe Pamir. Date/By: 1 Air's. ES Stet Page 2 for I1 GA I: D Inspcction Line: 5U3,1i39,4175 J P N pate Rea /13 y. Internet; www.11gard- or.gov �` 0° r � Notified/Method; - j Supplemcntrtt r "� ur „ I I{r ,,`i 1 , 'r...ltl e rr." idl "'� ° � �, C , 4d + r t n1 t9 ' I 'I li r 7 ale i t'' t t o ! i i c 1 °; y ,,, (' d G 4pi l i ppd l N f i" o ,' i I xCt dl gi lt �(+ rr 4� i� M ° ° ,NE ��fliERV ��P ".!d4i�P! 1 ,j l �i,`∎i' ' ?ff li Lit , /$1 .A. «> Xi .. r .,,1lE,,., f.r.�r inlrl,l��'�ao lOS' ; � ! N +. , ?,1 il..ldt d r + ) Q� "" 7 N s Please check all that a (submit rZ sets of plans w /items checked below): ❑ Ne w construction ^ Addition /alterabbi-N.; ltacement p Service ur feeder 400 amps or more t Building over throe stories. Q nrmoltaon ❑ Other where thu avntlnble titan titan entrant El Merinos and boatyards , " ' ""'" t " G r i n _ iidly ' t >1 hhil ll�t ��„ 'N µv ,I at +v' jr``' y y ! � a � r 4 .'1 'PA d : ! M , 1 exceeds 10.000 amps at 150 vox or ❑ Flea/ +rg buildings n �, , r1' i'iu r,,, r,,, i ail! i "- '' •toes d b eliki:nj�eet dt� i4uhi B less to ground, or exceeds 14,000 0 Commercial -use ag ricultural 0 t- and 2-family dwelling 0 Commercial /industrial 0 Accessory building amp;, for all other mslallnttons. building%. IQ Multi - family 0 Master builder ❑Other: ❑ Fire pump, ❑ Installation of 75 KVA or �+� ' 4� '' Y' ,, " °' ?!p a "'1{ ' rs .., 111 ❑ Emergency system, larger sepantciy derived system. hE "' ", ".d! ot A � 1t M W .. .. ,, v j g , ,i l 41 ;� flll� rlr�l'1r' �tr l Ct "'� +1�' ' f��. ° n � � - d� i.,+ �', ❑ Addition of new motor load of " IOOHP or more. occupancy. Job no_: Job Nite address: / (j(, (p ,- , (\ c; r " to six of more residential units ❑ Recreational vehicle parks. ❑ Health-care facilities. Supply voltage for more than (pity /4tatc /ZIP: ` 0 C' z 3 y 600 volts nominal. AA © Hnremnlous Locations. Y Suite /bldg. /apt. no.: Project name: u J 1�_i ri 1 � ❑ Service or feeder 600 amps or more r ( 1 1 -� -. Iirt I r rrd.r` dl m' T ;"t® tJy rI re °)l9. I �L. t :jrl jr r Grass street /directions to lob site: tMrcrl�, ,.,, it - New residential single- or muttl- family dwelling unit, �1 / 2 f. P f t > -r ,, , includes attached garage. Subdivision: �`�/ J ;Y I Lot no.: 1,000 so. ft. or )cat 16x$4 i E. add' 500 sq, ft or portion 33.92 .. 1 dt p t ..' Limitod energ residential 75.00 li Tax map/ parcel no ill < •' V: :O 'i r' ,, , I +( r t , 1 ' t• : , r1'elnl 11 tr w n rp tS ' 1•'" )I i t rirr t f 1' "1 •! with 'tOVL fl. • I'''' +'; „ i ! i1:f ul iidr d ,xrllld � ' n a, + tr. , ; 4.l,t(l,j• it, r ! !.� "Ilr ! {� �1 . ,, ..t ftdjd! ,1 Limited energy, mu ta m l ty ■M 4. ' r . � ' N� P� S' .A ` G . <A,.._ r v i cc, or ee ri e sins Stl, ft.) Services or fee installation, alteration, and /or relocation 200 amps or loss 100.70 2 r 1 l r, S,° r ar , r , 9' r 2 t ,al '1"t?S"^X 9 I t j �� y iI . dyt 41 !' ?.l del? 2 01 amps to 4 a mps 133,56 I'i 11;. id ' q " nt��� aj l a 1., ,r' atE I "' „ iHAfS , � � � d C r ttj t r . c P _ RNy Wbl 401 amps to 600 stops 200.34 Ei Name: 601 ;Imps to 1,000 amps 301.04 - Address: - OW 1,000 amps or volts 552.26 2 Temporary services or feeders installation, alteration, and /or City /S1tttC / /.I P: relocation , Phone: ( ) Pox: ( ") 200 amps Or less 59,36 MI 201 amps to 400 amps 125.08 Owner installation: This installation is being made on property that I own which is not 401 amps to 599 amps 1613.54 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. Branch circuits- new, alteration, or extension, cr .noel Owner signature: ., 1 : : Dttte : A. Fee for brunch circuits with S;',:..,. rem ::. ;. ,. i . ...... : . ; . xx r:. ,, . , .ir" `j111 itl i , :::. tbuvCServiceor feeder lcc, ' d' . gmlxitit;" f,"llkt .'' d l :•';illt IPi (l • Illilll4 : . 'y� 't; litP " '1inil.1,'tlll° ,iii, , oxCh branch cis oil 7 42 2 Business name: R Fcc for branch circuits without G service or feeder tee. tint 56.1R I 5.4, 10 Contact name: branch circuit -- .— Each add'1 branch circuit ilEINIZEIMS=1131 'ya-1'(p Address. Miscellaneous (service or fee '. er not included • G i r uA l Each manuan:lured or modular 67.84 City/Stale/ZIP; dwelling, 6eryiCe and/or feeder Phone: ( ) Fax: ; ( ) I Rob Reconnect only 87.84 Pump or irri siiktn circle =EMI E-mail; NI 'or )6Vl +9' hr r, "'V11aYA: 8 ' Sig or Outline fighting 67 ... , "�,.;r r I d . , iO ild-„�: r t ; ,I )bill! ",,, ' - ,.........,;, r ,...,:..,- :. �+u i�iagr.,...�. • r ,,: u o ' e r ' ; I I "E { {,:,::Irfl'�dl,ji ;,,' I , ,�, ?�, I rAllyiji {h S lyrfal c or limited-energy .m)el, alteration, nrcxtension. 111 Pa•,e: Business name: ' +2 ( ( �—G C -d' Each additional Inspection over allowable in any of the above Address: Pc � P Additional inspection (1 hr min) 66.25/ hr Investigation (1 hr min) 66.25/ hr Cit /Stale ZIP; y C c i Q e .A . (t ' 677_,_ rj 7 ?) y Industrial Float (l he rain) 78,1R/ hr Phone: a i "I5 �� i L 6 s (5 `1 .5' T ~ ` ILI3 .) Inspections or which no fee ig I hone: ( e. ) � Fax: ) � f f 90.00 / hr specifically listed/, hr min) r ; � lll ,�., ; . � rti'^ r,? i ,, E. r "4" . :? n , �� „„ i. ,, CCB Lie.: f '5' I - IL/ 9 Electrical Lic. '_ - `f < T Sitprv. Lk.: • rf p 5 I„? I Nar .ithis.'C!'s;ii',k`S "It°i fflhl ill ;t +di{ s1g � ( S ) - 7/1 I (0 ° I Subtotal: g 1 1 1 Suprv, f?Iectricial a t re, required: / P lun review (25%ofpermit fee): 1 Date: r State surcharge (12% of permit j fee): i� . . r ( 1 Print name: t�� n)1 notes `., l _ / '. --/ Z TOTAL PERMIT MiT i EE; 1 1 7 E Authorized 'this permit application expires if z permit is out oh d w IRO Print name: Date days after it has been accepted as complete. Nu m b er of inspections allowed per permit. Ill io ∎iieng \Permiti1CLC- rmn1nApp doe 07/0I/10 -140 -4519T(I iron /(:OM/WBD 4:000 /Z000 2 DI2LLa3'I3 2i3IJ4I Id CCb1792LTP9 XV3 KvV17:0T ZTOZ /CT /T0