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Permit , CITY OF TIGARD ELECTRICAL PERMIT `' � COMMUNITY DEVELOPMENT Permit #: ELC2012 -00051 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/27/2012 Parcel: 1 S 134D D00100 Jurisdiction: Tigard Site address: 10609 SW TIGARD ST 9 Project: Windmill Apartments Subdivision: 2004 -050 PARTITION PLAT Lot: 2 Project Description: (4) branch circuits for ductless heat pumps in units 9, 10, 11 & 12. 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 - 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 52,E i c •0. Y•u may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. / Issued By: . - r d.[/ d'c —� Permittee Signature: Q �/° ./e /O ill 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 A licationn I UR°Frier, USE ONLY i ND City of Tigard ro ��i1 .!� ; � ,,, ParmitNo. °Z.-- ee#5 w 13125 SW Hall Blvd., Tigard, OR 97223 nn\\ 2 Plan Revie Phone: 503.718.2439 Fax: 503.598,1960IA" . Date /11 : Other Permit* el; / , — it J /,T Inspection Line: 503.639.4175 -` �j rs� Date Ready /1fy: fie See Purr 2 for Internet; www,ti rd-or. 6 oar o il I' S < : +11217 o� I Non te dmaei h t 5d. `supplemental I nformation oil j v � , , rrrar MaoYOrr. � ;rr •!r � -; „ , r y;. ,,..,., .. � it ,,.4. � �i� !' It �' 1 7. �, 1rP.. r•.� ;r y�}n} {t'•;, n.c tt�n�'�i l A.i r .'� � :. j ' "aa � lI.iyr..gr{�ptiplr,41 ']r,l i .,,.. it ;,r r ;,l ;r lie(�I f ] +'..r� � �. ;i� , :j l a,t�a u if,�� , p; r. � . 11.E'� F. P ir,.,,, z gil a �� ��l,Rr ra =021 r X14, i# rli�d]{ l�iliflli]] P4yaIt' Cdtli�l .,IluK ;i!t :�w �bl, # ���ilrt� Please check all that apply (submit J seen of plans w /itemK Chucked below)' 0 New construction E Addition /alteration /replacement C Service or feeder 400 :imps or more ❑ lluilding over threw; stories. 0 Demolition ❑ Other: where the available fault current 0 Marinas and boatyards. i r h" O+ivmrp?tp npnsr n'+ (�jFtr'(i(Yltr,r•a.Me a i "a(trl it +. tf EWE {? e " seeed$ 10.000 amps at 150 voIi or ❑ Fl0lun buildings. ]l� r a e r ,; o l M�,"� �i t , i ��t '' , { �ll i l ](.Ea . 17 @1 l �1 f t r`7�11 i( Gt, t +S .d m.rCcrrA ,a rr , twrmt�HA r Stu.¢, aadr,mSl, . „ X l oss to ground, or exceeds 14.000 ❑ Commercial -use agricultural 0 1 and 2- family dwelling Q Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ® Multi- family ❑ Master builder ❑ Other: 0 Fire pump, 0 Installation of 75 KVA or 1 � t yyv . • r yPlue ' mu e r T M ur , { i st ] pi a,c,' t�rr a +,r,,r ,. l t , .., ❑ Emergency system. larger separately derived system, l�klR I11Er 1 l lii4 ' � 'must*. calr,N � a1 al�,Il:�y +" fl ih�rh+ M l ug g ro i Nt� r7 Job [ �ild r !n l ifddrG ( � 10609 SW Tigard � �'r. r. 1'llar�P ., ): ' �Addltlen ore. tOCloadet' ❑ occu p a ° "1.2" "I -3 rd 9 V iOOHPormorn Recreational 0600.; Job site n ❑ Six or more residential units. Roaroatiennl vehicle perks. d ileallh.carc facilities. 0 Supply voltage Ike more than City/State/ZIP: Tigard, OR 97223 ❑ Hazardous locations. 600 volts nominal. Suite /bldg./apt, no.: Project name; �/ /ft. /y/ L, L ❑ Service or feeder 600 amps or more � .l 1 jil;l""K'I;` ( " ' it +C ; il7it tn'ri'r,��,{,t(rK ;t {a"3l'' }P1, rlyrsjlltr ;tt� tt'( ;1{'1 Lcr�, rt I wE l�,�Ez :,tll��E,�aPi.,,�r� It* ;fwd) :'Jr�aa ? i, , iI , 1i��lGl ;�ElfilL; .t r , Cross street/directions to job site: 4—� Tj / j s email tton t 211.1 1 ^ New residential single- or multi - family dwelling unit. includes attached garage. — Subdivision: I Lot no.: IIEZEIMMIll=IM 168.54 MEW Ea. add'l 500 so ft or portion NM 33.92 MOM pf' Tax map/parcel no.: } r{� �t9 yr�,�9� ¢¢11 Limited energy, residential 75.00 MEI : d' n ge ! �' , �4P.i l r Y � f fl", i 1111' 15 r o i r? a ),,^„' i r " ,„ r 1 «t .;ti ' hl jh t rMrolwrl i ,a 4t i,( r l3feli0Wa1 , t 1 ra 1 kr 6r+j,:1��1111 with above , ft. t�si1 ,�� r f r N ip } �j,""2� { �� P Lim itud energy, muhi.thlnity = Electrical for heat pump installations: Units 9, 10,11,12 residential with above... ft. Services or feeders installation alteration, and /or relocation 200 amps or less 11111 100,70 ■mu s to 400 dings r •r • r 1 n rrMpr rqnrr u +rn wlalne , 1 ,, 1 +'.r } l" ' ;, 1 + r i rl 1; �„(4lrlYd "' "' f1`' ri' ({11tRj 201 lam 10�%I++i �il` ;ivi��t( ,c wrl4hi�2iQu'4#�i�fi1P i ?fi{�iiidi(!c .rlGii� lMPjtf(rl7rltl atlaa'lsdu�}7i {i��J E iilim p 401 amps to COO amps — 200,34 — Name: 601 amps to 1,000 amps _ 301.04 In Address: Over 1,000 amps or volts 11. 552.26 © ^ Temporary services or feeders installation, alteration, and /or City /State /ZIP: _ relocation , Phone: ( ) ( 200 amps or less � 59.36 � Fax: 201 amps to 400 amps 125.08 © Owner installation: This installation is being made on property that 1 own which is not 401 amps to 599 amps IIMI 165.54 El intended for sale, lease, rent, or exchange, according to ORS 44'7, 449, 670, and 701. B is _ I • t r , , , sl 1. Owner signature: Date: A. Fee for branch circuits with 17 ,iA +II ! 1 (1my ",ryap�r Ytltttt } f r°1r(,` lY hurl ,ill) p Ij : ' +r,MM+Yxw ,11� ^(1 I t* l ) q {r Y MM li acrid' s 7.42 or feeder fee, �cil� �lt�ElQ f3 rt� y' Ii4�It�d ril?u�mldtii�l, 11�M�iJil�f' '"F :�1!" Piti;,(I I'41�i�1 ;1�di�a r �"E� t�if,'(` rrnF; {bi ltri i IIr:M1,fr"rtr��lMerr,lu9atrr L' ��;Lnll� +ltl r�E n Cad' branch circuit Business name: B. Fee for branch circuits without _ r � service or feeder fee, first 56.18 • Contact name: branch circuit Each add' branch Circuit K1 7.42 22.26 Address: Miscellaneous service or feeder not included — — Each manufactured or modular ti7.84 © City /State /ZIP: d well in: service and/or feeder 111 ( ) Reconnect only me 67. MIME I Phone: Pax: ( ) Pump or irrigation circle MI 67.84 IIMEI E-mail: {{ SiPn or outline lighting Man I+ ) 1 14` ` id r' "] I P ]Ili ( 1 r ,I7�' 1 rh ! !I diu+fta� ' it II 1 w I r i n 1 M i ��"��f ;rE!ds�E.;�iPPi��I�� :�,,� iF1i,�I,all,���f,Ej�`,�i;,'.� rr: - � „�,,i�fi�'t"�+l��hii�l�ll F'l�itl ;�P�i�,CI�M�fIE� �+i�����M si dirduit(a) ar 'mned•enersy Business name: Premier Electric anal, alteration or extension. 2 Each additional ins • eetion over allowable in any of the above Address: PO Box P Additional inspection (1 hr min) Mill 60.25/ hr ■ Investigation (1 hr min) - 66.25/ hr ■ City /State /ZIP: Corvallis, OR 97339 Industrial plant (I hr min) In 73.18 / hr MIN Phone: (541) 758 -4284 Fax: (541) 7584433 Inspections for which no fee is ■ 90,00/ hr - II s.. ificall listed ''A hr mm CCI3 i,ic.: 151749 Electrical Lie.: 2 -84C — 1 Suprv. L'+.c.: 4933S NER, I Nt , „; MMEl�ri' 3t*„ i lgiir!9P }l�' t�i _ f d _ Subtotal; Suprv. Electrician signature, required: Plan review (25 %of permit fee): MIME Print name: Rob Bloom Date: 1/23/12 _ ✓ 11111.13:12=3=C2151M Authorized signature: ..1”' Phis permit appliWtion expires if n permit is not obtained within ISO days after It has been accepted us Complete. Print name: Date: 7 / • Number or inspections illlowdd per Pom••i I. lk5uilding1Permits \L'LC PormitnPP.doc 07/01110 440- 4515'I imicoM/wf.R OZ00 /V000 2] DI2LLDd'Id 2IdIJtI Id CeVVBSLIVS XYd Ind TZ: Z ZTOZ /CZ /T0