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Permit (277) . CITY OF TIGARD ELECTRICAL PERMIT � ''> COMMUNITY DEVELOPMENT Permit#: ELC2016-00784 T13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/22/2016 �f ° Parcel: 1S126DC00900 Jurisdiction: Tigard Site address: 9570 SW GREENBURG RD Project: Greenburg Apartments Subdivision: LEHMANN ACRE TRACT Lot: 5 Project Description: Building 4-Electrical for new 24 unit apartment building with 1 office Contractor: PRO TECH POWER CORP Owner: RES-OR TIGARD LLC 16470 ROBB MILL RD 730 NW 107TH AVE STE 400 DALLAS, OR 97338 MIAMI, FL 33172 PHONE: 503-780-6207 PHONE: FAX: FEES Quantity Description Date Amount 1 ea Services or Feeders-601 to 12/22/2016 $301.04 Specifics: 1000 amps 2531 Electrical Permit 12/22/2016 $2,530.75 Type of Use: MF 708 Plan Review-Electrical 12/22/2016 $707.95 Class of Work: NEW 340 12%State Surcharge- 12/22/2016 $339.81 Type of Const: Electrical Occupancy Grp: Total $3,879.55 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 952-001-0090. 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:r-n-,4'^-Y'er-i.., /`(� Permittee Signature: 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 Appli s,a lj V 1.0R c 1 F F I( 1: t S I OM 1 Received City of Tigard 4��,' Pemrit# . u 13125 SW Hall Blvd.,Tigard,O 3 Date/13 : �� /� �� � �-'/��`L7i/��! _ g 16Plan Review �,w Related Permit#: r ��/5= Phone: 503.718.2439 Fax: 503.1960 Date/B : OG 3J? Inspection Line: 503.639.4175 r: , t .i,,t g Ready Dat_ Juris: ® See Page 2 for I I(;ARI) g g "'ti,,ro W . 4.);1" k _V5 �s7CW' !j,./ Internet: www.ti and-or. ov ' � � Notified/Me ��:�'( �/�, Supplemental Information 0 New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): 0 Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition 0 Other: where the available fault current 0 Marinas and boatyards. ,a.i r . - e4 TE 'R'f yO QN I I : , exceeds 10,000 amps at 150 volts or 0 Floating buildings. 0 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. 0 Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or g i 3 Ti s y 4 .,t"1'p At g T y- ' „i . ❑Emergency system. larger separately derived Job#: Job site address. ❑Addition of new motor load of system. c, ,AJ 6�.tp4, �j 100HP or more. ❑`•A» E» 1-2»`1-3> City/State/ZIP: 7166{7,6 ©e .9 -7 2020 Six or more residential units. occupancy. 1 ' 0 Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: I 1 Project name: (getA 13,4D 0 Hazardous locations. 0 Supply voltage for more than 0 Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: "'7 , "� '; mss .-..z' a -- _ OS, r s ._�?,"`� Description I Qty. Each �_� Total f' New residential single-or multi-family dwelling unit. Subdivision: Lot#: Includes attached garage. Tax map/parcel#: '1,000 sq.ft.or less / 168.54 //a S 4 ,r, 4 Ea.add'1500 sq.ft.or portion 33.92 g,,,./ 1 "t �'itir nF ,:.�ig-1�?.,7 , a gnq�r ,i •, .>}? i r ; 'e Limited energy,residential II EIEC 1G 1 0 L 4/!r'1C�1�" Y�I S with above ft. 75.00 II 75.00 ( with energy,multi-family III 11 residential(with above ..ft. 75.00 Renewa le Ener A 4 x 1 r tit r *-,: ,. .,_"' 'i.7--(r.'4.‘• .,. -`c^', , Services bor feeders installation,alteration,on,and/or relocation Name: ("Las1 &,4(26 Li—e..— 200 amps or less 100.70 2 Address: 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP: 601 amps to 1,000 amps i 301.04 30/:x 2 Phone:( ) I Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: relocation Owner installation:This installation is being made on property that I own which s not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 711. 201 amps to 400 amps 125.08 1 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 y +- , Branch circuits—new,alteration or extension ,er ,anel = , _ A.Fee for branch circuits with Business name: Pte '/. A above service or feeder fee, 7.42 2 �'l1..( � each branch circuit Contact name: B.Fee for branch circuits without Address: service or feeder fee,first 56.18 2 branch circuit City/State/ZIP: Each add'l branch circuit 7.42 2 Phone: Miscellaneous(service or feeder not included) ( ) Fax::( ) Each manufactured or modular dwelling,service and/or feeder 67.84 2 Email: Reconnect only 67.84 2 'CONTRA C ' R' Pump or irrigation circle 67.84 2 Business name: 1 /'1,/ / a Sign or outline lighting 67.84 2 7�5 l�,A 0� dd Signal circuit(s)or limited-energy Address: I 7 s Me_ E-0" 'tel 1 4- panel,alteration,or extension. ❑ See Page 2 2 City/State/ZIP: pp/t.l ✓tel ©2 °f��1� Each additional ins,ection over allowable in an of the above Additional inspection(1 hr min) 66.25/hr Phone:( ) ' Gt07 Fax:( ) Investigation(1 hr min) 90.00/hr Email: l I/441 �� /fdX c...00-1 Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is CCB Lic.: /5 0��� Electrical Lic.: /a, Suprv.Lic.: 5-32.115 s.-ificall listed(%hr min ■ 90.00/hr . / ELECTRICAL PERMIT FEE"--2,,I, ,,2;, t/ Suprv.Electrician signature,required:' ��A_ �' e'/ -4-' ',2 Su. . .L i, Print name: „Ii+ h=i Date: (0 5^ i-C 0 Plan Review It,.uired(25%of permit fee): 70'7.95- State 0'7.qS"State surcharge(12%of permit fee): 3 3zt, (f/ Authorized signatu TOTAL PERMIT FEE: C't 5 This permit application expires if a permit is not obtained within 180 Print name: /� �f I Date: `0 /$ , days after it has been accepted as complete. C ( Ili * Number of inspections allowed per permit. I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-46151(11/05/COM/WEB )-C \ City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 9570 SW GREENBURG RD, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Electrical ELC2016-00784 Inspection Type: Inspector: 199 Electrical final Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor