Permit v CITY OF TIGARD ELECTRICAL PERMIT
-
Ill t* COMMUNITY DEVELOPMENT . Permit #: ELC2012 -00261
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/04/2012
Parcel: 2S115AA00900
Jurisdiction: Tigard
Site address: 10978 SW DURHAM RD 74
Project: Oak Tree Apartments Subdivision: WILLOW- BROOK -FARM Lot: 27
Project Description: Move (2) branch circuits in kitchen of unit #74.
Contractor: JARMER ELECTRIC INC Owner: OAK TREE APARTMENTS OF OREGON LL
5105 SW 45TH AVE #200 CARR, LEONARD TRUST
PORTLAND, OR 97221 BY CARLA PROPERTIES LTD
633 NW 19TH AVE
PORTLAND, OR 97209
• PHONE: 503 - 246 -5381 PHONE:
FAX: 503 - 244 -8037
FEES •
Quantity Description Date Amount
2 crt Branch Circuits wo /Purchase 05/04/2012 $63.60
Specifics: Service or Feeder
1 ea 12% State Surcharge - 05/04/2012 $7.63
Type of Use: MF Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $71.23
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: n law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -001 - 0010th h OAR 2- -00 0. You may obtain a copy of the rules or direct questions to OUNC by calling 5' .' .1987 or 1.800.332.2344.
By: Permittee Signatur= �_
Issued B �''C� �'
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' —41 ' .r Date:
LICENSE NO.
Call 503.839.4175 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.
05/02/2012 15:45 5032448037 JARMERELECTRIC PAGE 01
Electrical Permit Application RECEIVED ,.-„,„),..}.„.,.i.s„.„..,
City of Tigard Received
Davie : 5Lrigillrellgra Permit No.: e .4 -oo,16
N _,. 13125 SW Hall Blvd., Tigard, OR 97223 , - 2 2012 Plan Review
• • Phone: 503.718.2439 Fax: 503.598.1960 Dare/BY: Other PQM*:
i , , ; A 1 i , Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/B: kik: E See Page 2 for
Internet: www.tigard NotifiecVMethott Supplemental Information
: .... .: .: . . _ ,c.r.,..ioril...._. ..., 7 _.. ..
In n11■10 DIVISIO
, • ,. . . .,., . ..
o New construction 181 Addition/alteration/replacement Please check all that apply (submit 1 sets of plans wiiterns checked below):
0 Service or feeder 400 amps or more 0 Building over three stories.
0 Demolition 0 Other: where the available fault current 1:1 Marinas and boatyards.
.. . . .
'. ' ' • ' ' •.-: extlaOitkidretkorititlItaii ,::„i :,-.:.: •:.'.1: ,:, 1 :- rx..d. 10,000 amps at 150 volt', or 0 Floating buildings.
0 I- and 2-family dwelling 0 Commercial/industrial 0 Accessory building amps for all other installations. building-
1E1 Multi-family 0 Master builder 0 Other: CI FIR purrq;. 0 Installation of 75 KVA or
- 0 Emergency system. tamer separately derived system.
. • • ' -: :: - :.' i••• 14 i...' :" : ' .!•'"'::: • :. :I •;: 0 Addition of new motor load of 0 "A". "E", "1-2". 13",
......
Job no.: 2978 Job site address: 10978 SW DURHAM RD #74 100HP or mote. occupancy.
0 Six or more residential units. D Recreational vehicle parks.
City/State/ZIP: 97224 El Health flicilitim. 0 Supply voltage for more then
I:Hazardous locations. 600 volk nominal.
Suite/bldg/apt. no.: I Project name: OAK TREE APARTMENTS p $ervice or feeder 600 amps or more.
:!'' ::•.' 7 . , : •. .. : I . ,. .00,Igil;:':',.::1:7.:: '... ::'::. • . . .'
Cross street/directions to job site: ocgdpet.. ..... '....... '"-- On I - 14e.. 1 Total I •
New residential single- or multi-family dwelling unit.
Includes attached garage.
Subdivision: I Lot no.: 1,000 51:1. ft. Of lese 168.54 4
Ea. add'I 500 sq. ft, or portion 33.92 1
Tax map/parcel no.; Limited energy. residential 75.00 2
;.. .. ; :,;:; ::..;!: ;i'' •.::.... ,.**Ii001;;:Otti - . •; . 1" '' " - 1.':.': • • • •! . . 1 . 7 '''''' . (with above se. ft.)
Limited energy, multi-family 75.00 2
MOVE KITCHEN CIRCUITS .. residential (with above sq. 0)
Services or feeders Installation, alteration, and/or relocation
200 amps or less 100.70 2
--- - "-- " ' -1 '. ''''' ' , .:•i.: ".. 201 b !tiatiftititi:Oitii :. ' ...!'.- ', ' ;::-.7F::i;f:'::::; .'] : :::: ..1:1.1VV.44:.:' . i'' . ..;:4 : :, .,. amps to 400 amps 133.56 2
., . ,... . . . . , ,
... 401 amps to 600 amps 200.34 2
Name: 601 arrms to 1,000 amps 301.04 2
Address: Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation, alteration, and/or
City/State/ZIP: relocation
Phone: ( ) Fax: ( ) 200 amps or less 59.36 1
1
201 amps to 400 amps
Owner Installation: This installation is being made on property that I own which is not H 125.08 I 2
401 amps to 599 =Ps 161154
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701.
Branch circuits - new, alteration, or extension, per panel
Owner signature: Date: A. Pee for branch circuits with
above service or keder fee,
. .". ' • . rt-A :. ii...::•:. , , .. .:.!:!:-:.i 1A2 2
.. ... each branch circuit
usiness name: B. Fee for branch circuits without
B
service or feeder tke, first 1
56.18 56-18 2
branch circuit
Contact name:
Each add'I branch circuit 1 7.42 7.42 2
Address: Miscellaneous_ jaervice or feeder not included)
Each manufactured or modular 6714 2
City/State/ZIP: dwelling, service and/or tbeder
Phone: ( ) Fax: : ( ) Reconnect only 67.84 2
- ion) or irrigation circle 67.64 2
E Sign or outline lighting 67.84 2
. .: :". ' " .... • .. . i :::' :• ,;.:•• : : ...L : t :i ' ::..,.: .] "; ...•:::'.! . ' i. : ': Signal circuit(*) or limitedenemy
panel, alteration, or extension. Page 2 2
Business name: JARMER ELECTRIC INC. Each sadittonat inopeedon over allowable In any of the above .
Address: 5105 SW 45T AVE #200 Additional inspection (I hr min) 66.25/ hr .
—
Investigation (1 hr min) 66.25/ hr
City/State/ZIP: PORTLAND OR 97221 ,
' -
.. Industrial plant (1 hr min) 78.18/hr
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Phone: (503) 246-5381 /14 I Fax: (503) 2444037 (./ 4/4 €, Inspections for which no fee is
90.00/ hr
CCB Lie.: 6924 I Electrical Lic.: 86 4 Suprv. Lic.: a6 1 : '. :...: .'' '''':..' f . • • • • ::. -
- Subtotal: 63.60
Suprv. Electrician signature, required: — ' Plan review (25% of permit fee):
Print name: STUART JARMER Date: 5/2/12 State sur charge (12% of permit fat): 7,63
TOTAL PERMIT FEE: 71.23
Authorized signature: Thi permit eppiteetion expires If a permit is not obtained within 180
days after It has been accepted as complete.
e4i.....e
Print name: Date: ■ Number or inspections allowed per pm*.
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