Permit (91) 1114CITY OF TIGARD ELECTRICAL PERMIT
11` COMMUNITY DEVELOPMENT Permit#: ELC201800143
T-f,CR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/06/2018
Parcel: 2S 110AD08700
Jurisdiction: Tigard
Site address: 10783 SW MURDOCK PL 11
Project: Pcific Crest Apartments Subdivision: None
Project Description: Adding(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 03/06/2018 $63.60
Service or Feeder
1 ea 12%State Surcharge- 03/06/2018 $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 952-001-0090. You may obtai .•• of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By:
Permittee Signature: 4 ,e 404-2.49 .14•41,9
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 603.639.4175 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 Applied-kilt-14'ini 1~4 FOR OFFICE USE ONLY
Cl� Of Tlga1'CI Date/B�
'� 13125 SW Hall Blvd.,Tigard,OR 92 �� / /�� ,
2cy n r Plan Review
Phone: 503.718.2439 Fax: 503.598 0 + li I t) Date/B : Related Permit# A ` I
Inspection Line: 503.639.4175 Ready Date/By: Juris ® See 'age 2 for
TIGARD Internet: www.tigard-or.gov e11 ,'11� ?J " `) Notified/Method: Supplemental Information
JC,.t ��4":�.r
TYP. 1 WI41t,j4(.", *.f)/ ':it.))" PLAN REVIEW
❑New construction Addition/alteration/replacement 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.
❑ 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.
❑ I-and 2-family dwelling ❑ Commercial/industrial ❑ Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
1 Multi-family ❑ Master builder ❑ Other: 0 Fire pump. ❑Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
❑Addition of new motor load of system.
Job 4: Job site address: I0'763 Sw /out 9004 PL iJt) 100HPormore. ❑"A","E","I-2 "I-3',
❑Six or more residential units. occupancy.
City/State/ZIP: T xcatetR7 1 OK w •7Z.Z -/ ❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: 0 1 I Project name: Di f1 ,r-.JS-I-il _L 0 Hazardous locations. ❑Supply voltage for more than
❑Service or feeder 600 amps or more.
600 volts nominal.
Cross street/directions to,job site: (oci +'h FEE SCHEDULE
Description I Qty. 1 Each I Total I
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#: Ea.add'I 500 sq.ft or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential 75.00 2
(with above sq.ft.)
.J MSIt°LL Et-e4- Glpc.UtTS F'0tz i waa514t3R i
Limited energy,multi-family 2
( 7eyeJ�
residential(with above sq.ft.) 7 .00
Renewable Energy 0 See Page 2
Iiii,PROPERTY OWNER E TENANT Services or feeders installation,alteration,and/or relocation
Name: AOKI�ZC-o 'oob i - 5Pe C_t.c 200 amps or less 100.70 2
201 amps to 400 amps 133.56 2
Address: to69S St.J OAV2-00CAC, STYLE 6°7
401 amps to 600 amps 200.34 2
City/State/ZIP: t '61^kg_i) IC a 9 7 Z ZL-l- 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 2
Owner signature:
Date: 401 amps to 599 amps 16854 2
APPLICANT ❑ CONTACT PERSON Branch circuits-new,alteration,or extension,per panel
fliA.Fee for branch circuits with
Business name: 5 G above service or feeder fee, 7 42 2
each branch circuit
Contact name: '-'`}'1 3 i L.66 126 B.Fee for branch circuits without (Z`T4
service or feeder fee,first 56.18 1AO 2
Address: pa 13O}C 2 3)g? branch circuit
Each add'I branch circuit 7.42 2
City/State/ZIP: •-n (,Iia kip s d e 9 7 'z,g
Miscellaneous(service or feeder not included)
Phone:(S03) 3('Z ,-'7113 Fax: :( ) Each manufactured or nodular
67.84 2
dwelling,service and/or feeder
Email: \f‘v 5 0_ cfn'1^i9,,f , Co yvt Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name: fi hµ113 EK,L11-I6 E .&rg.K.e L-. eeVet lei4cr0 R5 Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy
0 Sec Page 2 2
Address: po 9 18 panel,alteration,or extension.
Each additional inspection over allowable in any of the above
City/State/ZIP: LA E Os6,../a (J l 11 IC Ci'10 34-J Additional inspection(1 hr min) 66.25/hr
Phone:(501 £451-ilaA9 Fax:(5 3 ) ct"y2-2.1 Investigation(1 hr mm) 90.00/hr
/ Industrial plant(I hr min) 78.18/hr
Email: prig-4 I'tibe Y� ale,eL /YtG Ce Inspections for which no fee is
t .'. 90.00/hr
CCB Lie.: (60034 Electrical' ic.:) -/, 0G Suprv. Lie.: 44'9J-7 specifically listed(''/u hr min)
r ELECTRICAL PERMIT FEES
Suprv. Electrician signature,required: dI Subtotal:
F-1/-1
V" V W'
Date: 0 Plan Review Required(25%of permit fee):
Print name: �rUiG I Z �, State surcharge(12%of permit fee):
C � 7
TOTAL PERMIT FEE: ( 3
Authorized signature:
This permit application expires if a permit is not obtained within 180
Print name: GxCIL14 ' iL-CaC=L' Date:212.c(// days after it has been accepted as complete.
* Number of inspections allowed per permit.
1`.BuildingV'ei miu ELC PennitApp_ELR_ERE duc Rev 06/17/2015 440-4615T(I I/05/COM/WEB