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Permit (282) CITY OF TIGARD ELECTRICAL PERMIT '11COMMUNITY DEVELOPMENT Permit#: ELC2016-00944 and OR 97223 503.718.2439 13125 SW Hall Blvd.,Ti Date Issued: 12/27/2016 TfC;;\III) 9 Parcel: 2S101 DB00200 Jurisdiction: Tigard Site address: 7582 SW HUNZIKER RD 44 Project: Hillcrest Apartments,Unit 44 Subdivision: None Lot: None Project Description: Reconnect only for unit 44 Contractor: Owner: HILLCREST HOLDINGS LLC 9 SE 3RD AVE, STE 100 PORTLAND, OR 97214 PHONE: PHONE: FAX: FEES Quantity Description Date Amount 1 ea Reconnect Only 12/27/2016 $67.84 Specifics: 1 ea 12%State Surcharge- 12/27/2016 $8.14 Electrical Type of Use: MF Class of Work: ALT Type of Const: Occupancy Grp: Total $75.98 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. AT ON: • .on law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-00 0010 through OAR 9 -001-0.90. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Iss d By: = Lam_ _ _ . Permittee Signature: --try? 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. 44. 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. _ E, i � . r Electrical Permit �1.pplicatio 'FOR OFFICE USE ONLY City of Tigard Received y? f �f �._.. ,r'- 1 + Dare tl 42// /40 Permit bza'7�^*/10.._a 13125 S W Hall Bled 1 igard OR 9722JD F C 3 2016 I , a.�G� ' :its Plan Review wx,vi :: Phone: 03 718.2439 Rax 503.598.1960 Related Permit r: Date .:; tnw ec.tain Line. 503 639.41 75 _..r. .._ ��` � i Basely Marc tiy: 7a3is �'( See F'ane2 for 11 Internet: ursw.tigard-or.gav ° OF - I"I [NotOiied At€�thid_ I Supplemental Information TYPE °,t ...•.4.5 Dt� PLAN REVIEW - _`-`1 ❑New construction D Addition/alteration/replacement _ � Please check all Mak apply(submit 7 sets of plans is`items cln;cked) 0 Demolition 0' Other:Meter Inspect. ❑Serviceor feeder 400 amp ormatt 0 Building user three stones. l t where the available fault ctrrram 0 floating Mass am]boatyards I---- CATEGORY OF CONSTRUCTION exceed,10.0(10 amps is at 150 ions in less to ground.Srxceeds 14 001 ❑tcmrarcdal-aseaprieuFt agricultural I^and 2-la,lltidwelling 0Commercial/Commercial/industrial ❑Accc ,orybuddin I amps fir all other installations. buildings ®+s1 t lit It-mile ❑Master builder ❑Other: ❑Fite pump, 0 Installation of i 50 K's A or JOB SITE INFORMATION AND LOCATION I ❑ismerftncy 45stem. larterseparatets derived t ❑Addition of new motor load of system. Job s: Job site address:7582 SW I'lunrtker Road i I0011 or more. ❑ ...e.. r.7..,F..3. ; C tt}St-fie Il A Tigard/OR/97223 f ❑Six or more residential units_ occupancy. ❑Health art Im:nitwit Recreational vehicle parts. L/4 Suite bldi,l apt 0:44 Project name: Hillcrest Apartments I 011 Izautous locations. SuppIy voltage for more than 0 Service or feeder 000 amps or more. 4013'Pita nominal (`rocs street directions to job site:SW 72`0 Ave FEE SCHEDULE Description iv. IllinSal -fatal * Nese residential single-or multi-family dwelling unit. Subdivision: na I of 4: eta Includes attached garage_ 1,000 sq,tt or less 165.54 1 4 Tax map/parcel 4•na ha.add'I star sq ft.or portion 33.92 I DESCRIPTION OF WORK F Limited cnerg ,residential 0 Meter Inspection needed for apartment#44,to reinstate power with PGE (with abuses,It) _0 ----w--- — _.._ e t unitex;cnce�t,multi Ianrilp° residential(with above sq.ft.) 75'0(F 0, PROPERTY OWNERRenewable Energ, ❑_See Page 2 1_ 0 TENAN`I"' Services or feeders installation,alteration and/or relocation Name: 200 amps earl T too..-70 = 2 Address: 2(11 amps to 40)amps 133.56 ! 401 amps its6t70amps 200.34 __. City tteI_li' 601 amps to 1 (90 snips 303.04 Phone:( ) Pax ( ) Grier 1,000 amps or volts 557 26 s .-m ._- ._ Temporary services or feeders installation,alteration,and/or Email: F .__-_._.__._.___ relocation E Owner installation:This installation is being made on property that I own which is not 200 amps or less s9-361 intended for sale,lease.rent,ore change.according to ORS 447,449,670.and 701. 201 amps to 400 amps 12 Owner signature Date l 4111 amps to 599 snips 168.54 i _2 I 0 APPLICANT .. CONTACT PERSON Branch circuits new,alteration,or extension,per Farrel -- A.Fee for branch circuits with 1 1 Business name: Templeton Property Management I above serriec or feeder Fee, -. each branch circuit 7.42 s �C ontact name:Shallena Cunningham&'Feliciano Tencos-Garcia 13 bee be branch circuits without service or feeder tee,first ` I Address 9 SE 3r1 Ave 56.18 2 brat}Ch circuit fit's State IIP: Portland/OR/97214 Each add'i branch circuit 7.43 -- ---------T-------------- _ ------ .__.._ Miscellaneous(sersice or feeder not included Phone:(971)254-4208 I( ( ) Each manufactured or modular a_ r 67.84 f &Aening,service anctrrtexicler 1 Pin til scunninghant(i templetonmanagtment cont Rcuronnect only I 67.84 t,i, 2 t CONTRAC TOR ----1) I u np or irrigation circle 84 Business nameSi not authne lighting63.84 h --�_- .__.__ _.____ _4il,isii circus{s}or limited-energy Address: petnc E,aticrattcii7.or ext Hyden. © See Page,Z j ? Each additional ins cctien ober,allowable in an.of the above I City/State/ZIP: P C Additional inspection cticui( lir nun) 1 66.25;hr € i Phone':( "" hex'( ) It r esti�att'tti{1 hr tntnl v0 00'far r — [mail _. Intl niriai pit i t i hr to hint 78.18/hr --r.._� _ _ ' Inspections for vitt ie:h n fee is i{ slecificali listed hr mm) 90,00/er CCH F3 I tc Electrical Lie.: Suprv. Lie.: � __ ] v ELECTRICAL PERMIT FEES Supry Electrician in stgnMurc.required: Subtotal: r Print name:- Date: 0 Plan Review Reeunel(25es 0/Permit ice) _ i State surcharge I i2°e of permit fee) ! i Authors/ed signature . ``�'�" .. tO1 AE PERMIT TEE: 7 r ' sittef -,,� -------- —This permit application expires if a permit is not obtained rrithEtl 180 Print Mattel Feliciano'I Oleos-Garcia Date. stays after it has been accepted as complete_ I - a Number of anneal tans allowed per permit I Fish-i t rz,tsr.I.t to mitAinirrt r:RE.dz kitits 17_ I' ISt-+675911 ;,.s COM 44't Il Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Docri,tinn " Ems Eath :=.1 Total "7"1tH Fee for all residential systems combined: $75.00 Renewable electrical energy systems: 5 kva or less 10(1.70 2 1 Check Type of Work Involved: 5.01 io 15 kva 133.56 1 ! Audio and Stereo Systems* , to:5ta Ino.34 MI 2 Wind generationsystems in excess of 25 kva: r Burglar:Alarm 25.01 to 50Li 301U4 Ito IOU kva i 52 20 2 ri Garage Door Opener* „ k‘alley in accordance 1-- 552.'6 ah OAR 91S-309-0040) Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 to . System* Each additional kva(Aer 25 7.42 3 [11 Vacuum Systems* IOl1 kva -no additional charge 3 Each additional inspection over allowable in anv of the above: [ Other: Each ackhtional inspection is 66 25, hi char,cd at Jfl mud>(I hr min) Invectionit rot which no fee is 0000r hr specilically listed 1 hr min) Onk14MERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Subtotal(Enter on Pave I I: Fee for each commercial system: $75.00 4 Nunther inspet-tion, cd per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: Audio and Stereo Systems Boder Controls 1I Clock Systems ri Data Telecommunication Installation Fire Alarm Installation fl HVAC Instrumentation [1 Intercom and Paging Systems Landscape Irrigation Control* n Medical I Nurse Calls I Outdoor Landscape Lighting* Protective Signaling I Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations Ii,o;JrfT LI( l'crmeApp it R 1121.do, No CY, 2Q:5