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Permit CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit#: ELC2016-00782 D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/22/2016 T[[ � k?° 9 Parcel: 1S126DC00900 Jurisdiction: Tigard Site address: 9520 SW GREENBURG RD Project: Greenburg Apartments Subdivision: LEHMANN ACRE TRACT Lot: 5 Project Description: Building 2-Electrical for new 4 unit apartment building 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 506 Electrical Permit 12/22/2016 $506.15 Specifics: 160 Plan Review-Electrical 12/22/2016 $159.93 77 12%State Surcharge- 12/22/2016 $76.77 Type of Use: MF Electrical Class of Work: NEW 1 ea Services or Feeders-201 to 12/22/2016 $133.56 Type of Const: 400 amps Occupancy Grp: Total $876.41 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: G OWNER INSTALLATION ONLY L� The installation is being made on property I own which is not intended for sale,lease or rent. OWNER'S SIGNATURE Date: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR.ELEC' Date: LICENSE NO. Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Electrical Permit Applica , -�_i -_r r, ,_ 1.0R 01 1 1( 1: 1 S I 0 y 1.1 City of Tigard '.... �... .. .: nac ve /oh 0 /4, Av. Permit#:tzz'o o/t,-4,7Q ,4?,„1„., 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review• j///0 II Phone: 503.718.2439 Fax: 503.59$, 9 0 Dat y: I/ IG' Related Permit#:,6{196/57-00 3 3/ ;A It i 1 Inspection Line: 503.639.4175 ii 16 Rea Dat Jul.'s: Ed See Page 2 for l I Internet: www.tigard-or.gov Notified/M od:// f"C4 I Supplemental Information "� irc -r zs,_ a .,'� t rJ .. ..",�9�e„�N�a-- t� 1_ m`�� ��* w � ,a.� .:4:«�^'>?..�,.,��a.-.,. .+�.vi-,_- 0 New construction ❑Addit / (tf f �` 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. 0 Demolition 0 Other: where the available fault current 0 Marinas and boatyards. ..4 exceeds 10,000 amps at 150 volts or 0 Floating buildings. ❑ l-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. ❑Multi-family ❑Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or yy; i s p, kss 1 r -¢*f..rti a i f q 0 Emergency system. larger separately derived . _ , u, . ks� .. Job#: I Job site address: '5C O� / �-(O ,ti 0 Addition of new.motor load of system.A IOOHP or more. ❑"A" "E» «1-2""1-3„ City/State/ZIP: '�— ❑Six or more residential units. occupancy. ✓a l,u� ' ©� / 72o7 ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: I Project name: &Eiji 1314a- 0 Hazardous locations. 0 SSupplylts voltage for more than 0 Service or feeder 600 amps or more Cross street/directions to job site: i"r v i m m r ,u- a � �Ott..=..>��;.�.M ,�,.,.�,.. , ...��. ���� ��'- Description I Qty. Each I Total r* New residential single-or multi-family dwelling unit. Subdivision: Lot#: Includes attached garage. - Tax map/parcel# 1,000 sq.ft.or less I 168.54 &k-,St4-4 Ea.add'l 500 sq.ft.or portion / 33.92 33. rr✓1 � , r.s A14" . rolt3'. V. :�.) n'(a ,._*. j ' Y &A::al .- Limited energy,residential E./R.-T./2101i— ^/�� 1� i F� n i �� (with above sq.ft.) 75.00 2 F l I 191/ N/ S Limited energy,multi-family 75.00 2 L/ U./J,1:.,c residential(with above sq.ft.) �� R s a .- � . Renewable Energy ❑ See Page 2 2. ., . /��� ,/.:7,_.s.,s ,_ ,, i t, „ ja g# Services or feeders installation,alteration,and/or relocation Name: �..�LE • 1 e>/e4 R6 200 amps or less 100.70 2 Address: 201 amps to 400 amps i 133.56 /33,S(p 2 401 amps to 600 amps 200.34 2 City/State/ZIP: 601 amps to 1,000 amps 301.04 2 Phone:( ) 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 7 1. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 j za- mt � �� Branch circuits-new,alteration,or extension,per panel e z, µ. �r . ,--• - . . ?. - �„-_ : '3'jl A.Fee for branch circuits with Business name: pec, i /J? above service or feeder fee, "�leach branch circuit 7'42 2 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:( ) I Fax::( ) Miscellaneous(service or feeder not included) Each manufactured or modular dwelling,service and/or feeder 67.84 2 Email: Reconnect only 67.84 2 t CON :RANT R, Pump or irrigation circle 67.84 2 Business name. � /i/ OE& Sign or outline lighting 67.84 2 Address: 7�3 .1411 "-'l ,,A Signal circuit(s)or limited-energy ❑ See Page 2 2 / 7 s 0 /r!, E0 eel 7zo 4- ` panel,alteration,or extension. City/State/ZIP: ®d2 t 1 O� Q 7zz ` Each additional inspection over allowable in any of the above `�✓� Additional inspection(1 hr min) 66.25/hr Phone:('R6 ) X07 I Fax:( ) Investigation(1 hr min) 90.00/hr Industrial plant(1 lir min) 78.18/hr 1' t i� U`X` cool Inspections for which no fee is 90.00/hr CCB Lic.: /5 '-'7 ,/r Electrical Lic.: o Suprv.Lic.: 35 (specifically listed(Yhrmin) Suprv.Electrician signature,required: / m ELECTRICAL PERMIT FE 3 X3.1.04/ �..� ,. a": .v SfFt x /dbts S Dial: ,"jb.3'f 7t 4 Print name: fill 44.... !lz Date: (0 5 a 0 Plan Review Required(25%of permit fee): j I7,co - State surcharge(12%of permit fee): 7 t / ?_ Authorized signatu7/--"'r--------- TOTAL PERMIT FEE: =76,, `2 //4. This permit application expires if a permit is not obtainea witnin tau Print name: / of I Date: to /$ days after it has been accepted as complete. ` * Number of inspections allowed per permit. I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/CO ^ CA C.,r l�l ,&cr C1/y.- ' l�L J (4') J City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 9520 SW GREENBURG RD, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Electrical ELC2016-00782 Inspection Type: Inspector: 199 Electrical final Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor