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Permit CITY OF TIGARD ELECTRICAL PERMIT 71 COMMUNITY DEVELOPMENT Permit #: ELC2012 -00064 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/27/2012 Parcel: 1 S134DD00100 Jurisdiction: Tigard Site address: 10547 SW TIGARD ST 65 Project: Windmill Apartments Subdivision: 2004 - 050 PARTITION PLAT Lot: 2 Project Description: (4) branch circuits for ductless heat pumps in units 65, 66, 67 & 68. 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 0 • - 95. - • - 0090. You may obtain a copy of the rules or direct questions to OUNC by calling 5003.232.1987 or 1.800.332.2344. Issued By: � Permittee Signature: N /9 Y 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 I Application FOR OFFICE USE ONLY Keccivcd "99 City of'Y'igard ° ` �� Perm & /2 -•Qvod, IN . % nme /H : � - ��O 13125 SW Hall Blvd -, Tigard, OR 9A3C c 15 Other Pcrtnl Phone: 503.718.2a39 Fax: 503.598, l y4U PN � ��o�/�� -- CVO - / inspection Line: $03.639.4175 J i'v Date Ready Illy hos , 1a gee Page 2 for I' f C' A RD Internet: www.ligurd-or.gov ®` �' \C�` witted/Method r+ " er u Supplemental ! r Information n ,1 1,' r/ : f't i41 ,y 7 r.1�P ^ lj iY1 gi a„r... rn . + "( +t; a, ` r'1 t1()'l . t r rl. �i 1 IN rlr) y f p Cif n 1 ,(1 (f I t i, r! i ` ( (),tM M��� i ., 81:Tent l ! � + ��., ,i(fE�� =li���3r,� tYl,' n���r. �l���r, h, f- r, �l����,�itrtf��t�;"�;(t�t. /I��I ,., ; �; , 1 . � . i . i ��� �, (t,��r, ❑ Ncw construction ®Addition /alteratio I, eb v r c anent Please check All that apply (submit / sots of plans whims chucked below); © Service or feeder 400 maps or more Q Budding over throe stories. 0 Demolition ❑ Other: whore the avolloble fault current ❑ Marinas and bootynr<l$, )ihi � t� p { � A ,. (� 4 C ^l P m4 i��r� l� v t{i Alegi Y� nC p ,�u , J f� 1 11w 4W A^� 1 $ r i f j 1 Y� AR Y Y r Y � I A, exceeds 10.000 ilmp% :d 1 50 volts or O Floating buildings, , �fh( rdi 4 Yl'r 1 .,,l Sr ,4^i^at ,erAlw r,l trlle11+11wr, ltrmaat 1 a x+i. llevAt i i1v ��t. eatano 1r lklVallifr.f /ilk ' ,, Imo to ground. or exceeds 1 ex° ❑ Commereod_ use ecrieel orra ❑ I - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings, El Multi family 0 Master builder © Other: D Fie pump. Q Installation of 75 KVA or r+ ^ ,1x c" i Yl l nr n �{a {{, :Yq , r an,1r r Is i s { z � urY Try riz , t" rW{p iY , ry ru »pa rrs t; +i i )r' ,l" Sr' +''I I it r � , 11 , r 0 Adds g cae f trw m, larger xnpa y ved system• ratoi derived j� ,r ^p I r l g Gr 1 1f p j `� ; i 't. �ulq. "U1 "l l/ .,I h) IT r �IG (G+ 1�71W1�} Pt, ( 't r ;l 1 '! , . rand Jeri 1 �u1_11 �1 ,�� i11;E, 1� .1)11 n,,441,1 ,M1at V 1.11A .,,d�r > a�AhAO .. 141 4, / /A tr1,.11 i,� � � 1� 1e � � Q Add of n mot or l oa d o f © "A E Job no,; Job sil.e address: 10547 SW Tigard ST 65 100HP or more, occupancy, © Six or more rexideutixl units. 0 Mre etionnl vehicle parks. O Health -care f;rcilitieS. D Supply voltage for more than City /State /L1P: Tigard, OR 97223 _ � � ❑ Hazardous locations. G00 volts nominal. SUi te/bldgJapt. nu.: Project n me a : u/ / 14........' ['s or teeder GOO ;dmp.Y or more. l,xl i x r mfr r,r r n'S t rj r 1yi'l. t( g1 "l "1 �,I{ t )�y' '� l ° C ({Y � it dliE�i�#fll a 11 „�„ I w sa ion 1 r y13 ,1;� t N,YIf1 d li ' Cross street/directions to job situ: (---,1 6—A/75- nnsrri tion tip® TOW " --T New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: [ no.; 1.000 sq. ft. or less 168,54 4 W. -- FA, add' 300 sq. R. or portion 3392 I Tax map /patt.el no.: - Limited energy. residential �� ' . Yy;' i r r nr( ^r^ I t r r fIu a b r rpgrw,.rr r, w pr fr(IY' u 1 , ot ,� r 1" EI 1 '� i I r )� r 1 ` 1�� r (with above s tt. ) 75.()() 2 ICi�P (r( 1� 1��!tNr� fi rt,Qr tl I M e ' w4 r.rdY; :i .(1t7)worHG. hnYt i(7 1 . d ,. r r, Limitod mOlti- family 75.00 2 Electrical for heat pump installations: Units 65, 66, 67, 68 residential (with above sq. ft.) ' Services or feeders installation, alteration. and /or relocation 200 amps or Ions 100,70 2 }• !1 rp ( � Y %Y;1'q vv a i 1lu Yl t l y wr Y, nnl rnY�) t " , Mr IrIP i i i Mt ll Yf +Y 7 t Y' �Y y {,pr 1 �n1, Y (YY I { 117(f �jrr Y 1 4 1'• {a irr,!�tiei' aropLl �!i r l tt dial/ . 7 11 �l�fil i' .if'� k n i,� � 1 ( a / ; E {I €i IKill 11 a r1Ya r ttiltl lr I�i i ; 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 Name: — 601 amps to 1,000 amps 301,04 2 .. Address: Over 1,000 neaps or volts 552.26 2 - - 'Temporary services or feeders installation, alteration, and/or City /State/LIP: relocation 200 amps or less or less 59,36 1 Phone:{ ) Pax:( ) 201 amps to 400 amps 1 25.08 2 Owner installation: 'Phis installation is being made on property that I own which is not 401 amps to 399 amps 168,54 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. Branch circuits- new, alteration, or extension. per panel f Owner Signature: _ Date: - A. fee for branch circuits with It ' Y' r r P t ', ., , Y r , ,li , " u,r Y , n vrr7 1 til g 1i# 4 ,'. ^z 1 p w,� "4 1� ' •' 4 xxl l ti ul ' r 13 above service or feeder fee. 7.42 2 Y i r111Itfl111w�� ' u(. 11111; ��ilj�ul , llfe i "I� • .'' Grr„t i, 1! Y each branch circuit Business name: B. Fee for brunch circuits without service or feeder foe, tint 1 56.18 56 2 Contact name: branch circuit • Each ad4'1 brunch circuit 3 7.42 22.26 2 Address: miscellaneous (service or feeder not Included) =manufactured or modular City/Stale /ZIP: dwelling, service and/or feeder 67 84 2 x: : ( ) licCOmlCCi only 67,84 2 Phone: ( ) Fa ` -, - r Pump or irrigation circle 67.84 2 E sign or outline lighting 67.84 2 Y E7 }f1r° g ylY Y f t `i I 't I�11r Y 1� lilt r {{ �fP a i r ESEC v ,i'rjt,ll,t(lt , p, , {}r{� pl�r r� 11 t r j ,,, t , ell Y � jt;(p, { ��nzilE 'lt�,� ?��St,rG�l���r., ^iWraPllE rC��i, t�11P�n1?' n. �nn, ra, 1, reMrnrf.' iilwln�rtF. t�aa {�G�eJ3C�(11�'�!'In,r{'�t. � _ _ � �I, Y. (f�t;�'��'�'�!'d����.11� signal circuil(s) or limited-energy Business name: Premier Electric . panel, alteration, or extension. - Puge 2 2 ,_ Each additional inspection over allowable In any of the above Address: PO Box P Additional inspection (1 hr min) 66.25/ hr Investigation (I hr min) 66.25/ hr mm .^ - City /State /ZIP: Corvallis, OR 97339 M - Industrial plant (1 hr m 78.18/ hr Phone: (541) 753 -4284 Fax: (541) 7584433 Inspections for which no tee is 90,00/ hr s. cl(1call listed V hr min) ' CCI3 Lie.: 151749 Electrical I,ic.: 2 -84C — I Suprv. Lie. 4933S _ ; iil.l$'i'1 ti THE IterIw'� wl7 .lam„ bill t�, iC� 1IT' a'il --� — Subtotal: 78.44 Suprv, Electrician signature, required; _ Plan review (2S% of permit fcc): y Print name: Rob Bloom Date: 1/23/12 State surcharge (12% of permit fee) 9.41 (� � , 11 . ems ' Tir Q es PERMIT h`F.F.; within 180 days after It has teen ocetpttd no complete. Print name: Date: /-.. ; / �; . �^ • Number of inspeclious allowed per permit. 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