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Permit CITY OF TIGARD ELECTRICAL PERMIT !PI COMMUNITY DEVELOPMENT Permit #: ELC2012 -00056 1 3125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/27/2012 • TIGARD 13125 1S134DD00100 Jurisdiction: Tigard Site address: 10579 SW TIGARD ST 33 Project: Windmill Apartments Subdivision: 2004 -050 PARTITION PLAT Lot: 2 Project Description: (4) branch circuits for ductless heat pumps in units 33, 34, 35 & 36. 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: 503 - 624 -9856 FAX: 541 - 758 -4433 FEES Quantity Description Date Amount 4 crt Branch Circuits wo /Purchase 01/27/2012 $78.44 Specifics: Service or Feeder 1 ea 12% State Surcharge - 01/27/2012 $9.41 Type of Use: MF Electrical Class of Work: ALT Type of Const: Occupancy Grp: R -2 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 • ' 95 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 oor� r1.8800.332.2344. Issued By: ,i ' Permittee Signature: (1A. r7 4 > t) e-- , .Cy wr1 / 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 FOR OFFICE USE ONLY Ill Re rived P ermiS N, City of Tigard ,, !✓ . I� L��2d /� �D ©OS .. • 13125 SW hall BIvd.. Tigard, OR 7 Pion Revru (7y p ermi Phime: 503,7182479 Fax; 543.5 (:09 A �� rte /13v: r � C� ' � �� Inspection Line: 503.639,4175 A � �Y Date Ready /By; lurie• // la See Page 2 fur C'SG /\J.JY fied/Method: V S Intone! www,ligard•or.gov ,P \� A 1%� Notified/Method: , .'. Y I , rr . + 'MY�: . � 1 r �.' .� ,. r•r , r C , 1 S 1.'.'< / : ! r 11 �rnrrr f +.. +are nr. l 1Y l�f9 "I 71t'. $!!`,:)? , . , .ra„ ,,.•. . , m ar ,rs,;..� /r y , , � , I71a.t)r.r y. , .tl� 7FjE )I 1..�,�.....� �f �r,,l {..1T1P,.j''�, !u',1? {r,i{n :1e�M1e.j�,/ �.), r � 1 `t � , (( p ' r 4 r ( (11111 y r 1 . J t ) ff r) F r � r . , , S ( ni l, f {r , 1 1T`p , rj r 1 {j 9,�r`� is I ;rltflEl� r aaaft,r.>, C,u7 r„r,lak ll {� r lkA'rl{ l fl'Qi it { 4., .r lrlI �� �... J , 1 .. Jiff'!rr 1!' t' �r I t � f !!,, Ar f , 1�t)��! p r! , 0,424,1)lr l�ti � {. r t( EI wt �4 ' hl4rl,lr, �. �Je {pL.�Csfl��.v r4! �l l��,if1��+tivr r, a':e 7.V( Qr�(,r. riA'm1 � ,et� r,�.(4G11... ,.J�� V rr ^r ,4 {fvw�:� , t � � , �] New construction ®Addition /niteratio p ep��.. . t Please chuck all that apply (submit 7 sent of plans whims chocked below): Q CI Servitx Or feeder 400 amps or more V ❑Building over throe stories. © Demolition ❑ Other: the available fault current ❑ Marinas Lind boatyards. err i Y r ,a' q l a G, V{ I t'C r ao,! rrrl I,q k it Hr s f r,� { rr r , 'a , i, ERR" 1f e'tevut[ 10.000 amps It 150 volts or ID Floating buildings. !If P tf d1ii �1P 1 i 9 c ' i ► f j , �� iti J t(� � ` aS r 9 I I a p �r g> e r�{� f9��,r P , �! y h �� r. 9 h i it S LI 1 r era ua IS/ 1 m 7 h 4=IIIII0 z I I t it '' G, rl 1 ( �, ITdI !4 / , t . ion to ground. or exceeds 16,000 0 Commercial -use agricultural ❑ l- and 2- family dwelling 0 Commercial /industrial ❑ Accessory building amps for all other installations. buildin El Multi- family ❑ Master builder 0 Other: 0 Fi pomp, 0 Installation of 75 KVA J� (r r l r ..plr {`{{ ``, nl "il MIT N7 m ^ rF q V C !a r �r eJ it'p { l O ltmargottcy system, larger ecptrra•oty derivem. � �'(! 9fl il j.;Cjf)1'l$I� 4 'i j1 �9�1� tf' I {j� 'Mean 1 )7 0 " i ` 0 { r 1 1IW1A Ck 'tf 1i �G ❑A dditi on of now motor l d system. :. larger se erive i r• , , li.l r.r 1 il!nit._ -ry Vi:itr 0 silk satrailr 1 'tint r 1(10111 or men. ee6ep;urdy. Job no.: Job site address: 10579 SW Tigard ST 33 0 Six or ■,oro residential umtx- 0 Recreational vehicle packs. OR 97223 ©Hon1th -care facilities. 0 Supply voltage for more than City/State/ZIP: Tigard, ❑ Hazardous loc: 600 oohs nominal. Suite/bldg. /apt, no.: G(��n/1� Ai/ ✓L! amps Or name: � ii 0 Service or feeder 600 a or more no.: r � rp mrr V,r r Yd' • "r " O'"�grG t t 1 r 'y 1 V t � r C I1 1 1iri11:l: r';fW'�i ,Iffy! � IZEM IEZE alt iN Cross street/directions to job site: t — ` l leneriptlon KMIII=Zf Mod EN New residential single- nr multi"family dwelling unit • . Includes attached gaaw c. Subdivision: "Lot no.. _1,000 sq. Ii or less 168.54 lin - En. acid'1500 sq. ft. or portion 33,92 Tax map /parcel no.: Limited energy, residential + Y g C rrr�I nyrrry. } n iwaE ww Mrr w w ugtr 6[a l I mrrE nY isrf+ 1 t r r r t11 i !c 75.U(} i I it l II +'/ ` "lS , k r,. l i, r s,,, JI rr n 1 i ss r I . T 0) 1 ( • with alxwe... ft. f' ,v tidti�6 l�b�I�d�+ alit Rrtr� /11 ,rjf {PAttkAw � pA , /14 , � , Ylgr t ',/ 1h�f411�d �� lai ∎AS o.4 T imitalenctgy, multi- tiimily iiiMMI0 Electrical for heat pump installations: Units 33, 34, 35, 36 residential with above . R. — " Se rvices or feeders installation. alteration. and /or relocation 200 amps or less li 100.70 Ill= 2 G CtSi� r + . ur t°aty a , . i;( ll� u Yh a I`t 1 1 "r.j?1i 1 rkf� ��{G')li i �ry ltflrclVtrJ�i rrS ril: ,^>I rx r r li ° Yr � "j /IrL o S t p r,', , . , . g t l 1 1 201 amps to400am s 133 56 2 MaltI1�11 1V5 ri ^,!Wtr,t/MrMflilrlr ilripttll,40 ,'(ifkV 1 `V1r�wf1 i`r�Id}" 200000 !`itenVi� frrr�4! PI91i. If pr,', 1 p 20054 1 2 401 amps to 600 amps Name: " 601 amps' to 1,000 amps 301.04 Address: over I ,000 amps or volts 552.26 2 Temporary services or feeders instillation, alteration, and /or City/State / %1P: relocation Phone: ( ) Fax: ( ) 200 amps or less MI 59.36 MM. _ 125.08 201 to 400 amps � p Owner installation: This installation is being made on property that 1 own which is not 401 amps to 599 amps 168.$4 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. Branch Circuits — Clew, Alteration, or extension. I er panel Owner signature: Date: A. Fee for branch circuit` with �� f� 1 wv �r�v ll q � pn,t r, {r I „ e a N , tl fly ° t { ^ yt l a bove satviCC or f fee. 7.42 2 9 s 9�9 ,a ' # 1 1 i ` k`.trX1 / 0 e ,t I � iliS{iSytgl. I .0" 9111 i ,s,rlrr./I!I wthLOAAi, Ziftt0 Ar ' • . fll, • 1 4 each branch C Business name; B, Fee for brunch circuits without service or feeder lee. first 1 56.18 56.18 Contact name: branch circuit Each add', branch circuit 3 7,42 22.26 2 Address: Miscellaneous service or feeder not included — Each manufactured or modular 67.84 City /State /ZI P: _dwciUOt,. s ervice ur d/ot fcodaT R Phone: ( ) Fax: : ( ) econneCt only 67,84 Pump or irrigation circle 67.84 E -mail Signor outline lighting 67.84 - i 1j Moor h ;ii i� fi i919�StI iiS4 i9 ' aM larlwu " °M� t +ll� #I� 31 £1 ,91 "Rr ,�{� Olin; i 9491 � 31i ' Si circkat(s) or limned- energy Business name: Premier Electric panel, altcration or extension. Pax 2 Each additional inspection over allowable In any attic above Address: PO Box P Additional inspection (1 hr min) 6625/ hr Investigation (1 hr min) __}r. City/Slate /ZIP: Corvallis, OR 97339 industrial plant (1 hr min) ■111 Phone: (541) 758 -4284 Fax: (541) 758 -4433 Inspections for which no fee is 111 .11I a. ctficall liste % hr thin CCB Lie.: 151749 Electrical Lie.: 2.84C Suprv, Lie.: 4933S dir . r(J r` i91i "i 1.11 Ip y; � riti MairME, r l?j f }nift _ Subtotal: Suprv. Electrician signature, required: Plan review (25% of permit fee): Print name: Rob Bloom Date: 1/23/12 State surcharge (12% of permit fee): 9.41 TOTAL PERMIT FFiE: 87.8$ Authorized signature: �.. This permit application expires if a permit is not obtained within 15(5 .- days after It has been accepted as complete. Print name: Date: /- • Number of inspections allowed per permit. cl auildinUbrrnite \CLC•PnrtnitApp.doc 07/01/10 440.4615T(n /WS/COM/WEN OZ00/6000 0 DI?I,LDala 2IdIRid2Id CCFVr85LTVS XVd Rid CZ:Z ZTOZ /CZ /TO