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Permit (95) CITY OF TIGARD ELECTRICAL PERMIT 1111 Ill COMMUNITY DEVELOPMENT Permit#: ELC2017-00805 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/30/2017 Parcel: 2S110AA01700 Jurisdiction: Tigard Site address: 10860 SW CANTERBURY LN 43 Project: Maple Tree Apartments Subdivision: CANTERBURY PLACE,AMENDED Lot: 6A Project Description: Replace(1)100 amp panel. Contractor: INLAND ELECTRIC INC Owner: DECE III INVESTMENTS LLC 360 SE BASELINE PO BOX 5668 HILLSBORO, OR 97123 PORTLAND, OR 97228 PHONE: 503-681-4700 PHONE: FAX: 503-681-4738 FEES Quantity Description Date Amount 1 ea Services or Feeders-200 10/30/2017 $100.70 Specifics:, amps or less 1 ea 12%State Surcharge- 10/30/2017 $12.08 Type of Use: MF Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $112.78 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 9 - 01-0 0. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. A,/Issued By: ' ------ Permittee Signature: C ' ,G'l<j 77c A,/ 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 A►pplicati E f:— ' IFOR (WEI(r,USE()NEI City of Tigard (� 7 yt 2017 Received. ; �//u/,�-fy�: /1 .111 • 13125 SW Hall Blvd.,Tigard,OR 97223"C I 3 0 pl anR ie • _' Nt« /���U�' . Phone: 503.718.2439 Fax: 503.5 l6Q ' Date/By: Related Permit 4: Inspection Line: 503.639.4175 y 1 I 1 (.. " 1+ ;la=}`' I R °adyDutc/By: 7o•e: t ®see rage 2 ter T 14AR[) Internet: www.tigard-or.gov atilt i0(1`lx, 1 fit £ricx • , Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW ❑New construction [E1 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans Witco's checked): 0 Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition ❑Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. ❑ 1-and 2-family dwelling ®Commercial/industrial El Accessory building Less to ground,or exceeds 14,000 El Commercial-use agricultural amps for all other installations. buildings. ®Multi-family ❑Master builder 0 Other: D Fire pump, 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived ❑Addition of new motor load of system. Job 6:5678 Job site address:10860 SW Canterbury LN _ i00HP or more. ❑`A"> E","1-a"."1-3'°, City,/State/ZIP•Tigard,Or 97229 0 Six or more residential units, occupancy. ❑Health-care facilities. 0 Recreational vehicle parks. Su te/bld /a t :43 Project name Li~ ❑Hazardous locations. ❑Supply voltage for more than • ❑Service or feeder 600 amps or more. 600 volts nominal, Cross street/directions to job site: FEE SCHEDULE Description I Qty. I Each I Total I • New residential single-or multi-family dwelling unit. Subdivision: Lot#: Includes attached gage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add']500 sq.ft.or portion 33.92 1 _ DESCRIPTION OF WORK Limited energy,residential (with above sq.ft.) 100 AMP Panne!Change 75.00 2 Limited energy,multi-family 75.00 2 residential(with a)ove sq.ft.) Renewable Energy 0 SeePage2 ❑ PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,andfor relocation Name:Maple Tree Apartments 200 amps or less 1 100.70 2 Address:10890 SW Canterbury LN 201 amps to 400 amps 133.56 2 401 amps to 600 amps I 200.34 2 City/State/ZIP:Tigard,OR 97229 601 amps to 1,000 amps 1 301.04 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 1 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 © APPLICANT ❑ CONTACT PERSON i Branch circuits—new,alteration,or extension,per panel A.Fee for branch circuits with Business name: above service or feeder fee, each 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']branch circuit . 7.42 2 Miscellaneous(service or feeder not included) Phone:( ) 1 Fax::( ) Each manufactured or modular dwelling,service and/or feeder 67.84 2 Email' Reconnect only 67.84 , 2 CONTRACTOR Pump or irrigation circle 67.84 I. 2 Business name:Inland Electric Sign or outline lighting 67.84 2 Address:— 360 SE Baseline Signal t(s)or lextens-energy 0 Sec Page 2 2 pane!,alteration,or extension_ City/State/ZIP:Hillsboro,OR 97123 Each additional inspection over allowable in=ad f the above Additional inspection(I hr min) 66.25;hr Phone:(503)681-4700 Fax:(503-)681-4738 ' Investigation(1 hr min) 90.001 hr Email;sew@inlandelectricinc.com Industrial plant(1 hr min) 78.18 hr Inspections for which no fee is 90.00/hr CCB Lic.: 1511632 Electrical Lie-' 34-599c Suprv.Lie.: 3328s apeeificajy hated('Ia hr mint) I� ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: 1.' Subtotal: /0 d.7 p Print name: Steve Word `"���Dattee: 10/30/17 ❑Plan Review Required(25%of permit fee): /c, or Slate surcharge(12%of permit fee): • Authorized signature: TOTAL PERMIT FEE: /1.1,7 This permit application expires if a permit is not obtained within 180 Print name: Date: days after it bas been accepted as complete. • Number of inspections allowed per permit. 11BuildingTernit',ELC PamvtApp ELR_ERE.doc Rev 06/I mars 440-4615T(11r05.'CDMpWEB 6'd 99£0609£09 'ONI 01210313 ONV1NI e 60:14 L I. 0E100 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 10860 SW CANTERBURY LN 43, TIGARD, OR, 97224 Record Type: Record ID: Commercial - Electrical ELC2017-00805 Inspection Type: Inspector: 199 Electrical final Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor