Permit CITY OF TIGARD ELECTRICAL PERMIT
.',> COMMUNITY DEVELOPMENT Permit#: ELC2017-00699
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/27/2017
TEGARD 1d` g Parcel: 2S 110AD08700
Jurisdiction: Tigard
Site address: 10700 SW CANTERBURY LN 6
Project: Pacific Crest Apartments Subdivision: None Lot: None
Project Description: (2)circuits for washer and dryer.
Contractor: TIMBERLINE ELECTRICAL CONTRACTORS Owner: AUK-REDWOOD PC SPE LLC
9414 SW BARBUR BLVD,#100 10695 SW MURDOCK ST
PORTLAND, OR 97219 TIGARD, OR 97224
PHONE: 503-459-4089 PHONE:
FAX: 503-254-4227
FEES
Quantity Description Date Amount
2 crt Branch Circuits wo/Purchase 09/27/2017 $63.60
Specifics: Service or Feeder
1 ea 12%State Surcharge- 09/27/2017 $7.63
Type of Use: MF Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $71.23
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OA- - 2-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
/ I /
Issued By: A,.... - - f' ,(.77-‹ Permittee Signature: LCA! /97 /4 /(9 e-/�LfN
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale,lease or rent.
OWNER'S SIGNATURE Date:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR.ELEC' Date:
LICENSE NO.
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Electrical Permit Application FOR OFFICE LSE ONLI
-i+ ‘.,'4
City of Tigard 11E, 4 i 11 ,,,,....„ ,,,,,,, ,, _
i ' • 7.- 66.77
Ritr.:4‘......-o.:44. ...-,, 2,,,7 ..2_5711/1,1 Permit SI. it-eipetY
,101 g 13E25 SW Hall Blvd.,Tigard,OR 97223 Plan Review
N' Phone: 503.718.2439 Fax: 503.598,1960 ...04#13.__Y: Related P'ermit 4. //...,0071/
TIGAP.D
Inspection Line: 503.639.4175 Ss E P 2 5 e.10 - DaterBY: Juria. ss See Page 2 fri-r
' Internet wavw.tigard-or.gov r ifted/Minhoth Supplemental Information
-1:-011:' tit ''''4,,. ....'r,,.7 kl'aViei.-*::?ii;$''.-41`..PL4PC".. :: ''':'-',,
• „...„
Li New construction g Addition/alteration/repitofcrreti mic n,!ITT c i 0 N Please check all that apply(submit 2 sets of plans wlitems checked):
L
sa iv t k.4 r,...:•t i 1 J ,Z f 3.',...,.,. 1 , aService or feeder 400 amps or niore 0 Building over three stories
O
1_,j Demolition 0 Other: where the available fault current 0 Marinas and boatyards
1 -r..t;:;y.i,:,4',:r,•!:0,tktfgdfi,Tegf.datrr,i,„.,'rit:-;r It.,,', :Arlak....ii?,,,Airk„.,,.„,; „, ,..,,,,,,,,. exceeds 10,000 amps at 150 volts or 0 Floating buildings ,
1
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.
531.Multi-family 0 Master builder 0 Other: 0 Fire pump, 0 Installation of 150 KVA Of
,V, lk. 0 Emergency system.
,, -- ,kf.;./A2giogectrfai.ar,,r.,..',144c:,„, ,,.,,,,,4,t,,,,t larger separately derived
systtin
Job ii: Job site address:10100 SW CigittiEr iftiAl LA 100HP
City/State/ZIP:Ti(est412.0 L0 9 izz 4f 0 Six or more residential units.
0 Health-care facilities. 0 occupancy
Recreational vehicle parks.
Suite/bldg./apt.#: ROc--L" .-Project name: 14067 1/444/1) /N51',41.4.. 0 Hazardous lor.sitions.amps or mom. 0 Supply voltage for more than
- ..- 0 Se • or feeder 600 600 volts nominal.
Cross street/directions to job site: 161 44‘ .46- .
.‘;z:.1-,47,,,l.yEti:1 _,-, *ED,scobo,. .,
Dasetiption (Qs. f -Vara I 'final ' I •
New residential single-or multi-family dwelling unit.
SubdivisionLot#: Includes attached garage.
1,000 sq.II or less 168.54 4
Tax map/parcel 4: 4X0P4 . ..
Ea.arldl 500 sq.ft,or portion 3392 1
—
' --I,WISCAlt:110:$42•40 " -•'"',.4.Y• •:::,.' ";•.;''''''' ,.i- , ,:,:' Limited energy,residential
75.00 2
(with above sq.ft)
Iisl'4A-1-124,t-t-. ite) .: t Jo ate c-tit..r FO 414 / t Limited energy,multi-family
r 75.00 2
i residential(with above sq.ft.)
Renewable Energy 0 See Page 2
- ',04XX41; ' ''i ',.24,...Pgiawait-317,, • - , k''1'''''' "v•i 4 '"',
Wit,4L, ,. ki,- •.....,.• ,,,,.. -., - ., Services or fetclers installation,alteration,and/or relocation
Name: iit Lie.- p wool) Pc- ,, e- jallk, Lt-c- 200 arno or less ___._..... 100.70 2
201 amps to 400 amps 13356 , 2
Address: 1 0(79 5 ,Np-i P1/41,112 0 CiC.K ST/ZEE 1- 401 amps to 600 amps ... 1 200,34 ' 2
City/State/ZIP: 11‘4144)I 0 g 4zr1z Z,(4 '_ 601 aMpS to 1,000 amps i
1 301.04 2
Phone:( ) Fax:( ) Over 1,000 amps or volts I 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 is not 200 amps or less 59.36 1
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701, 201 amps to 400 amps 125.08 2
Owner signature: ___ Date; 401 amps to 599 amps 168.54 2
nt.,.,,,,riv . Branch circuits-new,alteration,or extension, r panel
''D'CQN.40-''''''''''Y''' ' A.Fee for branch circuits with 1
Business name: 4.Ap*..5 ._Tneabove service or feeder fee, 1 7,42 I 2
---- i each branch circuit
....... ...,........
Contact name: .1-1,4%.44. -eovi...4.ex 0 B.Fee for branch circuits without 1
service or feeder use first
i 56.18 2
Address:?o '3(3.4 Zr I ca.11 branch circuit
— Each WWI branch circuit / 7.42 ,
eity/State/Z1P: --n 6 2,e Aft)?raft 11 1 i
- Miscellaneous(service or feeder not included) 2
Phone:( )3) 3 k-I -1•1 I 7 Fax::( ) Each manufactured or modular 6784 2
dwelling,service and/or feeder _
Email: 1 • .5 O_ C ,-%\pi• cal$4.4 Reconnect only 67 84 2
dEliffliAdTbR„.,1 •. - ---.'- -,,,,-.,,..,:: , , ',..- . Pump or irrigation circle 67.84 2
, . , • . . .„ ,
- -i
Business nrune: -7,1...ik 05c,itzt_site. EIE-crit ics,c 61,,,,,er It etc.rogs Sign or outline lighting 67.54 _ .._... 2
- ‘ Signal circuit(s)or limited-energy
0 See Page 2 2
Address: Pil 'Foces. c::r(8 panel,alteration,or extension,
._._ Each additional inspection over allowable in any of the above
City/State/ZIP: Li4,46. 0,-,w6-rdc, oc 91O3 Additional inspection(I hr min) 6615/hr I i
Phone:(5j 5) 4445.1.- Lio 99 Fax:( ) Investigation(1 hr mm) , 90.00/hr i
Industrial plant(I hr min) 78.18/hr
__... ..._
i Email: Inspections for which no fee is
4 —- 9000/hr
Ceti Lie.: /4f 60 31 Electrical Lit.:;Lb.-1411 c, I , , ic,: 1 ,
,,),iv ,spec,, ificya.11stertV:Echrlin.titinicAL, :T, FEES
1 it
1
Suprv.Electrician signature,required: ,1
Iii re j!/,t , . ' Subtotal: 4, 4,,e,.,., .
name. kr-0, , t(It. I,
Print 9 ' ,, I Aate: q..,),1 d---) 0 Plan Review Required(25%of permit fee): 1----W1--77.. (.,, )
, — State surcharge(12%of permit fee): :,
TOTAL PERMIT FEE -Ii -2:32
Authorized signature:
This permit application expires if a permit is not obtai—'-'- ned within Inn
Print name: 'L: --' h'' Date: ?/2i/ / s?'- days after it Ms been accepted as complete.
,.„........+ * Number of inspections allowed per permit
I\EtitilthrisTar an taTICittriviitapp_EIR_ERE doe Re w 06/17e2015 440-4615TO 1/05/COM/WEB
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10700 SW CANTERBURY LN 6, TIGARD, OR,
97224
Record Type: Record ID:
Residential - Electrical ELC2017-00699
Inspection Type: Inspector:
199 Electrical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor