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Permit CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit #: ELC2012 -00262 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/04/2012 Parcel: 2S 115AA00900 Jurisdiction: Tigard Site address: 10986 SW DURHAM RD 85 Project: Oak Tree Apartments Subdivision: WILLOW- BROOK -FARM Lot: 27 Project Description: Move (2) branch circuits in kitchen of unit #85 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: 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 throug • • 952 -00 -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: iS / i I' ..d L Permittee Signature: -as 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. 05/02/2012 15:45 50324, s 7 JARMERELECTRIC PAGE 03 Electrical Permit Application CEIVED FOR tll'I It l: 1 51:. („1. City of Tigard M — 2 2012 © • Pam'itNn.: �'�j �1G�(oo2 • 1 3123 SW Hall Blvd., Tigard, OR 9722 elan Review Other.Permit: Phone: 503.718.2439 Fax: 5039 1 F TIGARD Date/BY: Jam: see age x far inspection Line: 503,639.4175 BUILDING DIVISION Notifled/Metod: Supplemental Information Internet: www,ligard- or. gov TYNti . a� , , • Please check all that apply ( 't 2 sea of plans *rains checked belo w): • ❑ New construction ® Addition /alteration /replacement l7 Service or feeder 400 amps or more ❑ Building over three stones. ❑ Demolition 0 Other: w �M; available t oh curreM volts or 0 Floating Marina s and be e �. ',. GAI :° ; G ..,,, , , .... , .... ;" ' i ''' c less to ground or exceeds 14,000 0 commercial-use agricultural ❑ 1 - and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all otter installations- buildings. i of 75 KvA or MUltl- family ❑ M i Other: , , 1 " 7 , -- E m g � ysy m separately system. ,..,;.: , ..,.w - r,.,t i',` - e i ., .. • f . :: Addition of new motor toad of ❑ "A "1-3". . .:::: ... .....::. . ., , . ............ il - ;.;:.:: 100HP or mare Job no.: 2978 Job site address: 10986 SW DURHAM RD #85 ❑ Six or more residential units. ❑ Recreational vehicle park. 1:1 Health-care facilities. ❑ Supply voltage for more than City/State/ZIP: 97224 0 Hazardous locations. 600 volts nominal. APARTMENTS O Serviceorfeadcr600anrpso . Suite/bldg,/apt. no Pro ject name: OAK TREE "lu :•" - "---. Cross street/directions to job site: otacrIpnon tta. 1 m r Total I • New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: I Lot no.: 1 a ft. or less 168.54 4 33.92 I t;a. add'1500 sq. R. or portion Tax map/parcel no.: Limited energy, residential 75.00 2 • :::;�. • :.,.:: ...................... .. .. ..... � ..... ...... .. ,.. ., edenergy, multi-1>+mil • �" r Limited Y .: ' � .,.. .. 75.00 2 MOVE KITCHEN CIRCUITS - residential (with abovesq. ft.) Services or feeders Installation, alteration, and/or relocation 200 amps or lrxs 100.70 2 0 PAEIfII f°.:0t9NER .. :::. .: ; ..1 200.34 2 201 amps to 400 amps 133.56 2 401 amps to 600 amps Name: 601 amps to 1 ,000 a mps 301.04 2 Address: r Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation, alteration. and/o City/State/ZIP; relocation Phone: ( ) I Fax: ( ) 200 amps or less 59.30 1 201 amps to 400 amps 125.08 2 Owner installation: This installation is being made on property that i own which i s not — 401 amps to 599 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 Owner signature: Date: A. Fee for branch circuits with 7 42 .... above service or feeder fee 1rep4jCl1! : lriEll¢t1w .. •, : 0 •;�1F1!'GiCAN'[.: • : 1 �: ; • : .1. � _ each branch circuit , B. Fee for branch circuits without BuslnCSS name: service or feeder fee, first i 5618 56.18 2 branch circuit Contact name: branch add branch circuit 1 7.42 7,42 2 Address: , Mlsceilaneous (service or feeder not included) Each manufactured or modular 6764 2 City/State/ZIP; dwelli : service and/or feeder Reconnect only 67.84 2 Phone: ( ) Fax: ( ) Pwnp or irrigation circle 67.84 2 E-mail: _ Sign or outline lighting 67,84 2 . . • Signal eireuX) or I itcderlergy Business name: JARMER ELECTRIC INC, Panel, alteration, or =deflated). Page 2 Each additional inspection over allowable In any of the above Address: 5105 SW 45 AVE #200 Additional inspection (1 hr min) 66.25/ hr _ Investigation (1 hr min) 6625 / hr City /State/ZIP: PORTLAND OR 97221 - _ Industrial plant (1 hr min) 78.18/ hr F ax: 503 244 - 8037 Inspections for which no fee is 90,00 / hr Phone: (503) 246 5381 ( ) - s iflcall listed A hr min CCB Lie.: 6924 Electrical Lie.: P^' Lie.: 26-144C :1(77:-!. ' • _ Subtotal: 63.60 Suprv. Electrician signature, required: - _ Plan review (25% of permit fee): Print name: STUART JARMER Date: 5/2/12 State surcharge (12% of permit fee): 7.63 TOTAL PERMIT FEE: 71.23 Authorized signature: Thls permit application expires If a permit is not obtained within I80 j J days after It has been accepted as complete. Print name: , Date: J • Number of inspections allowed per permit. t•Ieuitdinecrtti ELC•Pc.m +App.d0C 01/01/10 440.451Sr(11 /(i3/rOM/WEB