Permit CITY OF TIGARD ELECTRICAL PERMIT
-- COMMUNITY DEVELOPMENT Permit#: ELC2012 -00351
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/14/2012
Parcel: 1 S 135ACO2500
Jurisdiction: Tigard
Site address: 9208 SW MANDAMUS CT
Project: Longstaff Apartments Subdivision: ASHBROOK FARM Lot: 25
Project Description: New MF. Building 7 (6 units).
Contractor: GARNER ELECTRIC Owner: J.T. SMITH CO
2920 SE BROOKWOOD AVE A 5285 MEADOWS RD SUITE 171
HILLSBORO, OR 97123 LAKE OSWEGO, OR 97035
PHONE: 503 - 648 -4552 PHONE: 503-g78-7639
FAX: 503 - 642 -7925
FEES
Quantity Description Date Amount
709 Electrical Permit 08/14/2012 $708.61
Specifics:
85 12% State Surcharge - 08/14/2012 $85.03
Electrical
Type of Use: MF
Class of Work: NEW
Type of Const:
Occupancy Grp:
Total $793.64
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 OA 9 2 -001 -0 0. 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: ��JI�C. /1 Permittee Signature: o'er` iAPPL-Ib ' ` D�
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 > �, r10 -sE GIN 10 atK� tl
TA-7,7;1R3 Rece ived
City of Tigard J ��'' Permi No
lig ‘%!''''''' h' g Datc/By: A /aZ LG O/. �D���
v 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review "
'' C '• Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Pemn ®D�
= - Inspection Line: 503. 639.4175
I `
I ARD, p Date Ready /By: )urir ® See Page 2 for
:X .f.i. - ,`:, T7`.t;l Internet: www.tigard - or.gov Notified/Method: % ( 6-- Supplemental Information
•
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E: -_New construction ❑ Addition /alteration /replacement Please check all that apply (submit z acts of plans w/iletns checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
? ' f''I • "*�" _ ` ,. , - N:i� t' " *'' � ^ : `S°x ` exceeds 10 000 amps 150 volts or ❑ Floating buildings.
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less to ground, or exceeds 14,000 ❑ Comtncrcial• use agricultural
d 2- family dwelling ❑ Commercial/industrial ❑ Accessory building amps for all other installations. buildings.
Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
< », -: . r q t M; ; >,r -•, ,, �w ,.,.. >,,, .. -.�:; , ;.: _ ❑ Emergency system. larger separately derived system.
O� AIHDY 1:0 @ATION•
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�' .;- ��_,:: r •.'., ❑ Addition of new motor load of ❑ "A" "E". "1 - 2" "I - 3"
100HP or more. occupancy.
Job no.: Job site address: Zt f Z / q 2.30 I Q Z2 t} r a'' Q zit, 9 '� ' ['Six or more residential units. ❑ Recreational vehicle parks.
City /State /ZIP: 7 ' a � F 7 `� P 54..... Nt'Ot'Nd•^ fM et ❑ Health -care facilities- ❑ Supply voltage for more than
J � ❑ Hazardous locations, 600 volts nominal.
Suit Id /apt.no.: 7 Project name: �jr�a �j si � ,4, ❑ service or feeder 600 amps ormore.
EEE =:SCHEDULE ":.
Cross street/directions to job site: •f ( 7 e G S y Description I Qt ;. I Fee. I Tool I •
New residential single- or multi - family dwelling unit.
Q L2 , 0► 2 O8 Sc.. dh'awada'rn ✓l' el Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less f 168.54 Mo • 5 4 # 1 4 .
Tax map /parcel no.: Ea. add'l 500 sq. ft. or portion I 33.92 . 33 ,y 2 i I
Limited energy, residential •
75.00 2
anti • -K;g •;.., l.DESCRYPT Xiti YORl;f4M 's:. , , r ti,:;i' 40 (with above sq. ft.)
Ited energy, multi - family
75.00 7
Ei ; �-L Nett/ Go,,ot� o re-es sidentiat (with above sq. ft.)
Services or feeders installation, alteration, and/or relocation
I ui'�Zoz.'+b a� �at' /. 27 20 amps or less r' 100.70 2
v „ _ o. >?tY``. �`�::f \`�� T ,;���: tit -_ C.� } } -. ... :. x -: u,�. ';:u�,. \:x;' -`f. R - ^/, 2
w t1 RO SE - �OWNER=.� f _ „�.,., _ +. ® :EN „ T: ��' ;t',::�ti`a 01 ampsm400amps 133,56 2
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Name: 401 amps to 600 amps ( I 200.34 2
601 amps to 1,000 amps 301.04 2
Address: ,�z b',5 / 7e % ". Over 1,000 amps or volts I ° 1 552.26 2
City /State /ZIP: L QS �� � 7U� Temporary services or feeders installation, alteration, and/or
e_ f� relocation
�
( 3 97s =7631 ($a3 6Pi oi0z 200 amps or less 59 1
Phone: � Fa x:
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2
Branch circuits - new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
::.�:.' _�,,� _ r Vii:; •av' - - - � ,�,: > _� s ;; =; above service or feeder fee,
ap i:r• cs!= 6: : �.;;:: .42 2
,,:� LIGANT. I�:', TA Ca''�l'ERSON.,�
.,.�i ,:,.;1a:a�z::,.,�"n -.- • �.. ......_ ...,v..�'',,;5 .... ... -.. ,,. : � I '� ; r:'' , r._ s "': :....._ -...,. {, ....,v ... .............:.r.::�r. each branch circuit 7
Business name: j---7-- SA ,t Ca, . B. Fee for branch circuits without
service or feeder fee, first 56.18 2
Contact name: C...17 a - y l ,64-,'‘:-/-e,--4--- branch circuit
Each add'I branch circuit 7.42 2
Address: ,_< F5' ,k�.a s /ee� Miscellaneous (service or feeder not Included)
/ State/ZIP: S ( ® / 9 67.84 2
Each ing, service manufactured or modular
Y �e D e
Clt / dwelling, service and/or feeder
( ,5 � ) 9 /LJ - 76 3 % I ( '3 ) 6� 0/02_ Reconnect only 67.84 2
Phone: F ax::
E - mail: /� //AA Pump or irrigation circle 67.84 2
`h ��('�PH e J 1- _sie r� 0 I Sign or outline lighting 67.84 2
.;j:C .`- , \;.1: -iii- :.',,': `-1 n'7/:.`: :.f, r ,,,,,.. _ , i3L t:� ": -={:�
- ., . _ - ,..- . -,__.. ,..w. - �. -� -' •. ' -�:'� Y Signal circuit(s) or limited-energ
Business name: Garner Electric panel, alteration, or extension. Page 2 2
Each additional inspection over allowable in any of the above
Address: 2920 SE Brookwood Ave. #A Additional inspection (I hr min) 66.25/hr
City/State/ZIP: Hillsboro, OR 97123 Investigation (I hr min) 66.25 /hr
Industrial plant (I hr min) 78.18/ hr
Phone: 503 648 -4552 F ax: . 03 ;42 - 7925 I for which no fee i s ,
Phone: ( 503) ) )O.QOr hr
specifically listed (i, hr min)
CCB Lie.: 121159 Electrical Lic.: 3' 05C ,Sup Li c.: 3707-S k;`.` r: +: ; : ` ; ; ; i ELEC;rRICAL-;yPE10111 rE :` ' • -
Suprv. Electrician signature, required: ,::,/„."( Subtotal: 70 a 'f
- r F s P lan review (25% of permit fee): / 7 /5
7 '
Print name: Chuck Garner Date: State surcharge (12% ofpermit fee): 8S • 03
TOTAL PERMIT FEE: bT
Authorized signature:
This permit application expires If o permit Is not o aired within ISO
Print name: Date: • days after it has been accepted as complete.
Number of inspections allowed per permit.
793. y
t:\ Building \PermitstELC- PcrmitApp.duc 07/01/10 440.4615T(III133/COM /WCl
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TIGARD
City of Tigard
INVOICE DATE: 06/06/2012
Project Name: Longstaff - Building 7
Fee Item Fee Amount Fees Paid Fees Due
Building Permit Fees: BUP2012 -00038
Permit Fee - RES - New Construction $ 3,271.04 $ - $ 3,271.04
12% State Surcharge Building $ 392.52 $ - $ 392.52
Plan Review $ 2,126.18 $ 2,075.85 $ 50.33
Plan Review - Fire Life Safety $ 1,308.42 $ 1,277.44 $ 30.98
Park - Multi Family Unit - Apartments & Condominiums $ 19,525.20 $ - $ 191____525.20 ;01_
TDT - Transportation Development Tax $ 25,950.00 $ - $X25.9550.01 -0- � c�
DC Provision Review, COM New - Bldg $ 129.00 $ - $ 129.00
DC Provision Review, COM New - Ping $ 129.00 $ - $ 129.00
DC Provision Review, COM New - LRP $ 38.00 $ - $ 38.00
Info Process /Archiving - Lg $2.00 (over 11x17) $ 64.00 $ - $ 64.00
Info Process /Archiving - Sm $0.50 (up to 11x17) $ 24.00 $ - $ 24.00
Erosion Control $ 184.00 $ - $ 184.00
Erosion Plan Review CWS $ 59.80 $ - $ 59.80
Erosion Plan Review COT $ 59.80 $ - $ 59.80
Metro Const. Excise Tax - Residential Use $ 785.74 $ - $ 785.74
Tig -Tual School CET - Residential $ 6,494.90 $ - $ 6,494.90
Total Building Permit Fees: $ 60,541.60 $ 3,353.29 $ 57,188.31
— 25 95o .v0
City Contact: Dianna Howse, Building Division Services Supervisor, 503- 718 -2430
13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.639.4171
TTY Relay: 503.684.2772 • www.tigard- or.gov
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C
• TIGARD
INVOICE DATE: 06/06/2012 City of Tigard
Project Name: Longstaff - Building 7
Fee Item Fee Amount Fees Paid ' Fees Due
Mechancial Permit Fees: MEC2012 -00304
Range Hood /Other Kitchen $ 200.34 $ - $ 200.34
Clothes Dryer Exhaust $ 200.34 $ - $ 200.34
Single Duct Exhaust (Bathrooms, Toilet, Utility Rooms) $ 373.12 $ - $ 373.12
12% State Surcharge - Mechanical $ 92.86 $ - $ 92.86
Sub - Total: $ 866.66 $ - $ 866.66
Electrical Permit Fees: ELC2012 -00351
Electrical Permit $ 708.61 $ - $ 708.61
12% State Surcharge - Electrical $ 85.03 $ - $ 85.03
Sub - Total: $ 793.64 $ - $ 793.64
Plumbing Permit Fee s: PLM 2 00161
Sewer service $ 62.54 $ - $ 62.54
Storm and Rain Drain $ 62.54 $ - $ 62.54
Water Service $ 62.54 $ - $ 62.54
Clothes Washer $ 150.12 $ - $ 150.12
Dishwasher $ 150.12 $ - $ 150.12
Expansion Tank $ 12.51 $ - $ 12.51
Garbage Disposal • $ 150.12 $ - $ 150.12
Hose Bib $ 50.04 $ - $ 50.04
Sink $ 150.12 $ - $ 150.12
Lavatories $ 350.28 $ - $ 350.28
Tub /Shower /Shower Pan $ 125.10 $ - • $ 125.10
Water Closet $ 250.20 $ - $ 250.20
Water Heater $ 225.12 $ - $ 225.12
12% State Surcharge - Plumbing $ 216.16 $ - $ 216.16
Sub - Total: $ 2,017.51 $ - $ 2,017.51
Sewer Connection Permit Fe es: SWR2012- 00
Sewer Connection Fee $ 27,000.00 $ - $ 27,000.00
Sewer Inspection - Commercial $ 45.00 $ - $ 45.00
Sub - Total: $ 27,045.00 $ - $ 27,045.00
Total Mechanical, Electrical, Plumbing & Sewer Fees : $ 30,722.81 $ - $ 30,722.81
City Contact: Dianna Howse, Building Division Services Supervisor, 503 - 718 -2430
13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.639.4171
TTY Relay: 503.684.2772 • www.tigard- or.gov