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Permit (144) CITY OF TIGARD ELECTRICAL PERMIT •11111 COMMUNITY DEVELOPMENT Permit#: ELC2018-00100 T I i;A h D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/15/2018 Parcel: 2S 110AD08701 Jurisdiction: Tigard Site address: 10665 SW CANTERBURY LN 7 Project: Pacific Crest Apartments Subdivision: None Project Description: (2)branch circuits for washer and dryer. Lot: None 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 Specifics: 2 crt Branch Circuits wo/Purchase 02/15/2018 $63.60 Service or Feeder 1 ea 12%State Surcharge- 02/15/2018 $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 OAR -001- 090. Yo ay obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: PP7 Permittee Signature: Sr /.- _T7. �%�/�� C 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 USE ONLY ceived 011113 Of Tigard nate/By a/ /�� Permit#: !L�2Ui "CJC)tC1L s) 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ET Phone: 503.718.2439 Fax: 503.598.1960 2RE c EivE .Date/By: Related Permit#: erb-fAx)e ,. AA) ti Inspection Line: 503.639.4175 FEB 1 2018 Ready Date/By: Juris Ei See Page 2 for 1�-z TIGARD t, Internet: www.tigard-or.gov Notified/Method: T'-Cs Supplemental Information 1 TYPE OF WORdH OF TIGARD PLAN REVIEW ❑New construction 04AdditionialteratriuMPING DIVISION Please check all that apply(submit 2 sets of plans w/items checked): ❑ Demolition 0 Service or feeder 400 amps or more 0 Building over three stories. ❑ Other: where the available fault current ❑Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. c) 1-and 2-family dwelling ❑ Commercial/industrial ❑ Accessory building less to Ground,or exceeds 14,000 ❑Commercial-use agricultural amps for all other installations. buildings. II&Multi-lam ily ❑ Master builder ❑ Other: 0 Fire pump, 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived ❑Addition of new motor load of system. Job 4: Job site address:1oA c 510.) G4Vt-rE�ijl'ty Lgnc 100HPormore. ❑"A" "F" "I- "."I-3" ■Six or more residential units. occupancy. City'/State/ZIP:T(G Qet� ®Q Onz�➢-f 0 Recreational vehicleparks. >< - -:.._ .... 7 Health-care facilities. i ❑Supply voltage for more than Suite/bldg./apt.4:/4e)7 Project name: i - ■Hazardous locations. PP Y g 0 Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: I 9 4'/' A,/e. FEE SCHEDULE Description I Qty. I Each I Total New residential single-or multi-family dwelling unit. Subdivision: Lot#: Includes attached garage. 1,000 sq.ft.or less 168.54 4 fax map/parcel#: Ea.add'I 500 sq.ft.or portion 33.92 I DESCRIPTION OF WORK Limited energy,residential 75.00 2 . _ 1Q LI- I t U "f Z ZQ Fc e. y�C►45 i-le a_ (with above sq.ft.) Limited energy,multi-family 75.00 2 -D 2_4L4_ residential(with above sq.ft.) ® PROPERTY OWNER ❑ TENANT Renewable Energy 0 See Page 2 n Services or feeders installation,alteration,and/or relocation Name: A t) -R ow oci 0 pc SPE LLC 200 amps or less 100.70 2 Address: I©&gR'S 5Gi yvtue_ooc_. s� 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/Slate/ZIP: 11 6.14124) f (o 91 .-Zit 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 is not 200 amps or less 59.36 I intended for sale, lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 21 Owner signature: Date: 401 amps to 599 amps 168.54 2 APPLICANT ❑ CONTACT PERSON Branch circuits-new,alteration,or extension,per panel - A.Fee for branch circuits with Business name: 1/4..-\P5 ,�y1C above service or feeder fee, 7.42 7 each branch circuit Contact name: 't Lc 1E n2.-G, B.Fee for branch circuits without service or feeder fee,first t Address: pU -Bo-4 2,3 le"7 branch circuit E 56.18 Lj(p 2 City/State/ZIP: "�'"t C-zK1 t f►i2 9`-j Z8 / Each add'I branch circuit ( 7.42 Z 'L 2 Miscellaneous(service or feeder not included) Phone: 60)) -3 11 ---ri 1-3 Fax: : ( ) Each manufactured or modular dwelling,service and/or feeder 67.84 Email: t 5 a Cpn079 . C.6 PK Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: ^-1-'1 x„)}16 e- .Ele3'g.i ill.... aK4(TO(ES Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy See Page 2 2 Address: po q )S panel,alteration,or extension. 0 g Each additional inspection over allowable in any of the above C'it�'/State/ZIP: L.,A 05 eGd I e,k q.70 3� 1 Additional inspection(I hr min) 66.2>/hr I Phone:( t�j am. -iii,g9 (57) ))C�Lj y2 7 Investigation( 90.00/hr 3 ) Fax: I hr mm) Entail �%� d, )) ( Industrial plant(I hr min) 78.18/hr 6 dt` 1 rel hc,v 1 V3f I Ls/v1c .,Ct'iJl Inspections for which no fee is 90.00/hr CCB I,ic.: (6005.4. Electrical ic.':).QW/; /IC Suprv. Lic.: 4q'9"7g specifically listed(%hr min) r ELECTRICAL PERMIT FEES Suprv. Electrician signature,required: r Subtotal: (47 3_( C Print name: . .IL4 i t t.-1~ Date: L--Z8-1,8 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit tee): 7 Authorized signature : yA--amu TOTAL PERMIT FEE 1 This permit application expires if a permit is not obf."-Ig ned within 180 Print name: �C,�tq.;.,, "BA`( p,, ff' Date: 1 ' -(8 days after it has been accepted as complete. * Number of inspections allowed per permit. 1^13uildins0l'crmiis',.EI.0PermitApp_ELR_ERE due Rev 06/17/2015 440-4615T11 I/05/COM/WEB