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Permit CITY OF TIGARD ELECTRICAL PERMIT �. COMMUNITY DEVELOPMENT Permit #: ELC2012 -00053 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/27/2012 Parcel: 1 S 134 D D00100 Jurisdiction: Tigard Site address: 10601 SW TIGARD ST 1 Project: Windmill Apartments Subdivision: 2004 -050 PARTITION PLAT Lot: 2 Project Description: (4) branch circuits for ductless heat pumps in units 1, 2, 3 & 4. 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 0 95 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. // Issued By: .� Permittee Signature: ®N �A6 /C(9 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 OF F•10E USE ONLY - Received #!A City of Tigard V ti oaten+ : •1 �Z7 / , Permif>se.LC /� /%/ 13125 SW Hull Blvd.. Tigard, OR 972 i P hone; 503.718.2439 Fax: 5 03.598.1.60 N Other Perini r_ -,/ do/ ection Lne: .ti503.639A175 ,P Dpte Ready/13y. ® See Pare 2 for 1,1C•:AI:D Ins i 503 p ® C�1G� �I dtitiod /Muehod: Supplemental information tg -or i� n 'Y ^ , r , a ar , n:r X^ �" rata a r aP'{Mri p ', "' { Y YI^ " ' Internet: W W W. e^ ., .eel.. Yrr n'f 1 1 X . f) �� � 1,1". 'ra, a r a ; Y{�' Yi' IY�A J( ,p ( ( t 'r t iY n JA Y'• /I I� . �fr' . F� n �' �{ C}l 11 ^ �i .. 1 "'.''��j �X� ,. � r ri i v. ( (f f f Y l "1� t, Y r'1' I M'11 c ti u r r)I ) , f 1 / ,f { t a ,, : y �t' a , , i . X l ! r fi ' ! 1 ill E tYf!) 1 • j illi 1 il idt 1+;.Ift "ir e n iii8,; Wal Dili �� �f,{llrt�,� il�fit� � a (( - �Wt!i�'��tf d¢,��w,�r;4flt��l�f I�,r�414'�,1!Il.wla3il,� , Wait fl�r �E!,�, aril „I {iX,tit,.trLitll,a�fr�tr(13 lr(,Sl�l ,����� � � � , ❑ New construction ® Addition /altcration/ ,1)t\eernent Ploaxo chock all that apply (submit 2 sets o f plans w /items chocked below)! ❑ Service or feeder 400 ump %or more ❑ Building over three genes. ❑ Demolition ❑ Other. where the available fault current ❑ Marinas and boatyards. } . '+X ' ; iy i 1 $%1 i $i f �1{ i 1Y.i {w ,; r °e n � rh i ltl;. ( ' 'p; ?�71.ni q m�! f r i 1 gg E , r 1: �' ,; r I O y exceeds 10,0(5) amps: at 150 volts or ❑ Floating buildings, r w�1.�' b w +11� /Lr ate: 1 416,61,{ �41164444,ie .rls:.{ vi ml4�r in'tHiodeatiterl ' wd bitlib g11 {1N � fl lrlf�l�XiMIal ii '$�” less to ground, or exceeds 1.1,000 ❑ Commercia1 -use a(piculttual ❑ 1- and 2- family dwelling 0 Commercial /industrial ❑ Accessory building amps for Ali other instntlationx. bt;ildings. ® Mulct fam11 y ❑ Master builder CI Other: in Fire pump, ❑ instaltntion of 75 KVA or ',',fr'l t{ !/R'n'r'� a 'Y ? n'lr, +e X,m. ° "a Yrr t u'tny a ^ r rl tni X 7 Y Y r! " +�QX n r lit . fr< rE ;7 {,p"�t7(�r {'ir''{r, P Emergency symeni, !argot' separately denved syxmuY. , i v gEH�P.lE1 1 �I11�11,E r il1WI 1 1 ( XYr] o� tX (. rl�ieid dG % o � p {�1R ?1G11 ri�Ilt) OAdthtion of new motor loud of Q 100Hr or more occupancy, Job no.: Job site address: 10601 SW Tigard ST 1 • ❑ Six or more residential units. 0 Recreational vehicle parks. City /State /ZTP: Tigard. OR 97223 ❑ Healthcare tacilitics, © Supply voltage for more than ❑ 11,17,,,do0 locutions. 600 volts ,tontinal. Suite/bldg./apt. no.: Project name: D Service or feeder 600 amps or more, �N�� �� 1.iliil l EINENE , EE a""r�°s9 o, TI ER EN 11 '. Cross street/directions to job site: ('1 ' , 77( ./T5 orarnpr - Qtv. rim T?Ixt - New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: — l..ot no.: 1,000 sq. ft. or less 1612,54 4 Eu. add•! 500 sq, ft. or portion 33.92 1 Tax map/parcel no.: • Limited energy, residential • �'�11��jj��;##��pp33 r X" r {r``rrff )r wn,l ri'Yt lvlra r, ura� cwt v7 Y} t " r i lf �'! {'I{ r rean NMI ill 11 W I h ubov S C . tl. 75.00 2 bIApJWWII f ;�'? i 1 3 11tPa 1 ?'"t: il ea Si1nwLiitJ (i 1{ W,1C,W 1Yljli,'r {li�)i{' l 11}' .2tiill2li1 s , 10 F ite — I ) - Limited energy, multldamily 75,00 2 Electrical for heat pump installations: Units 1, 2,3,4 residential (with above sq, _ Services or feeders installation, alteration, and/or relocation 200 amps or less 100.70 t t ('y - Y 2 E , r � ''1 �b� ' ` { f11R,,i� t�w (1 1 ''s ti1,r. uf�i %r t 1�111f i' (�(1�l Ed ,i�,t YI � X i .i. z.fl�li X� 1 '64,' t Ir 1 r t X ! 2U1 am to 4t)0 amps 133,56 _ 2 401 amps to 600 amps 200.34 2 Narne: 601 amps to 1,000 amps 30i.04 2 Address: Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation. altera and /or City/State/Z11': relocation Phone: ( ) Fax: ( ) 200 amps or loss 59.36 I 201 amps to 400 amps 125,08 2 Owner installation: This installation is being made on property that I own which is not 40l amps to 5)9 amps 168.54 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. Branch Cattail!! — new, alteration ►r extension, per Lsanel Owner signature: Date: A. FCC for branch circuits with X 11ir((`` l r qua ui r gnurjq; pr1 j� p 1 } � "1 a. Rpra mIYi +Xlfu a above service War feeder tee, 7.42 2 � k 1lliti i( iiM t �J a l1i E i?41',r " 1i{EtGfldff 'i �.lttmh E�Fr"EM Rau ;X�i. a Cillk?'g' :� " p t each branch c Business name: B. iee for branch circuits without scrvicc or feeder fee, first 1 56,18 56.18 2 branch circuit Contact name: la add'! branch circuit 3 7,42 22,26 2 Address: Miscellaneous (service or feeder not Intrude - •^ Each manufactured or modular ti7,84 2 City /State /ZIP: dwelt ing, service and/or f eeder Phone: ( ) Fax: : ( ) Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 t E mall: Sign or outline lighting 67,84 2 t .., r , M" ) 1 "l+ r 1 f ! "� , r V >; E ow r 1 l S I (� �r iYil�r t r l ,r , 1'!i 1 Y111 1 l�. iE i fir, i 1 . �' f���t�1! �i���"! �1�i111��;.{ s�l�rf���li�if��' �r�rG�; ��I, Y{„> fII�; G1; ��, t~<> � !;�,al „yl�,ti.,r�l4ot,1(i�t�s„( ifs° 1 �4i�. f�” 1�, �, u�r�i�t��is�il�I� ;�i�i si >�rlim;ted�n� Business name: Premier Electric panel, alteration, of extension. Page 2 2 Each additional inspection over allowable In any of the above Address: PO T3ox P Additional inspection (1 hr min) 66.25/ hr Investigation (1 hr min) M 66,25/ hr City/Statc/ZiP: Corvallis, OR 97339 Industrial plant (1 hr m 78,18/ hr Phone: (541) 758 -4284 Fax: (541) 7584433 Inspections for which no fee is 90.00 / hr s. citicall listed 'A hr min INEMEMEM Electrical Lie.: 2 - 84C Suprv. Lie.: 4933S '. ,i r"t l£'i71l i ":.,WXi .1' +w '1 " t rfLMEN ir , t g1' Subtotal: 78,44 • Suprv. Klectrician signature, required: Plait review ( /o of permit fee): i Print name: Rob Bloom Date: 1/23/12 State sureharge(12% of permit foe): 9,41 _. TOTAL PERMIT I•'EE: 87.85 1.' Authorized signature: ' r � -- - This permit application expires if a permit in not obtained within IRO / days Ayr it hoe been accepted ox complete. Print name: Date: ‘9,_,,,,,2 • Number of inxpeetions allowed per permit. r1nui1diniacrmitr \L'r1(:^VOrmitApp.dot 07/01/10 440- 46I)'I'(I I /OS /COM/WM OZ00 /9000 Il DIUIDala 2I3IIl3Ud CCVI'82LTFS XV3 I4d N:Z ZTOZ /C1/T0