Permit (157) CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: ELC2018-00200
f F GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/26/2018
Parcel: 2S110AD08806
Jurisdiction: Tigard
Site address: 10790 SW MURDOCK ST 11
Project: Pacific Crest Apartments Subdivision: None Lot: None
Project Description: (1)branch circuit 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
Specifics: 1 crt Branch Circuits wo/Purchase 03/26/2018 $56.18
Service or Feeder
1 ea 12%State Surcharge- 03/26/2018 $6.74
Type of Use: MF Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $62.92
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 952-001-009 may obtain a ules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: i��
l Permittee Signature:
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 ci, 4 ,. .0 �`'I' FOR OFFICE USE ONLY
s. .1 " fi
Cl� Of Tigard ` Date/BReceive: c .2.. /1 IE ` '-rmit#CLC, /�e)®
III . " 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598,1960 ��/ 3 2 1 )1,11'!,
Date/B : Au
Related Permit#:
Inspection Line: 503.639.4175 Ready Date/By: 0 See Page 2 for
TIGARD Notified/Method:- ' At '1'r Supplemental Information
a Internet: www.tigard-or.gov 4
TYPE OF WOM
I,( A ( a 14-/L i9-ti PLAN REVIEW
❑ New construction PI Addition/alter iott/t0p1ac'enient 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.
❑ 1-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.
r, l Multi-family ❑ Master builder ❑ Other: 0 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 4: Job site address: 10790 5;,k) yyttiztxGIt 51- 100HPormore. ❑"A","E ,"I-2","I-3",
re: of units. occupancy.
City/Stale/7,1P: C-aARA.> i 04 R "(•"z '
79,9. l r6, eT ealth-care facilities. ❑Recreational vehicle parks.
0 Hazardous locations. 0 Supply voltage for more than
Suite/bldg./apt.#: p Project name: D 1 I i".)�-i7 ,i-v15-T-Ft t L 600 volts nominal.
❑Service or feeder 600 amps or more.
Cross street/directions to job site: l 01 *i^ Au 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
Tax map/parcel#: Ea.add'I 500 sq.ft.or portion 33.92 I
DESCRIPTION OF WORK Limited energy,residential 2
(with above sq.ft.) 7 .00
ixix,= AL'TEg L,ttrrINQ Ct17—et/4 'Gr Limited energy,multi-family
75.00 2
residential(with above sqft.)
to O S1-4E K 4$4 D:NiEle Renewable Energy 0 See Page 2
PROPERTY OWNER ❑ TENANT Services or feeders installation,alteration,and/or relocation
Name: A _200 amps or less 100.70 2
— 201 amps to 400 amps 133 56 2
Address: 10(045- •%,t,) yyW►i pe C a- Si- 401 amps to 600 amps 200.34 2
City/State/GIP: —T-15)4vcie Q 4 q'7 Z Z i, 601 amps to 1,000 amps 301.04 2
Phone: ( ) Fax: ( ) Over 1.000 amps or volts 552.26 1 2
Temporary services or feeders installation,alteration,and/o•
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 168.54 2
Branch circuits—new,alteration,or extension,per panel
APPLICANT 0 CONTACT PERSON A.Fee for branch circuits with
Business name: 1.AQs _ytt- above service or feeder fee,
7.42 2
each branch circuit
Contact name: 3-7,:l1 --a �E'1((( B.Fee for branch circuits without 1
service or feeder fee,first 56.18 2
Address: po - os 2 3 k S Z branch circuit
Each add'I branch circuit 7.42 2
City/State/ZIP: --1-1 c,ittg.f) + 64 4/7Zg Miscellaneous(service or feeder not included)
Phone: ( j'/j3) 3 t'7^ 77 13 Fax: : ( ) Each manufactured or modular
67.84
dwelling,service and/or feeder
Email: .'1/4rt i?5 a. co,,,,toil , coon Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name: -T1µV5E.4itt-1E Gi.. cr '-t _- ex vct-lettetc)e5 Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy 0 See Page 2 2
Address: po q r 8 panel,alteration,or extension.
2 Each additional inspection over allowable in any of the above
City/State/IIP: j_ Q'S 64.,J ...-c.0/ e,IC q"10 3Uj Additional inspection(1 hr min) 6625/hr
Investigation I hr min) 90.00/hr
Phone:ISQ3 ) �5-9'YaA� Fax:(y03 ))5-1" y 2.21g
Industrial plant(I hr min) 78.18/hr
Email: pt:1 .4 t s)i be y'iimi�r_e Lay.✓lam Lril"1 Inspections for which no fee is
(`" (L .. 90.00/hr
1 f) p 44,5-7.1 specifically listed CA hr min)
CCB Lie.: (feUO� Electrical' ic.: /. , Suprv. Lic.: ELECTRICAL PERMIT FEES
Suprv. Electrician signature,required: 1 i Subtotal: Sty r /f
,J j I ? 0 Plan Review Required(25%of permit fee):
s s' L I
Print name: P�l-j;y�+'1 ICS iNj r Date: ZI i State surcharge(12%of permit fee): 7y
1l "�4 TOTAL PERMIT FEE: 6;k_ fP
Authorized signature: This permit application expires if a permit is not obtained within 180
rPrint name: �LG�Pt_7j1 LGE e...6- Date: `2 2 S (8 days after it has been accepted as complete.
J
Number of inspections allowed per permit.
I^.Buildingl'ennit,i-I.C-.PernetApp_ELR ERE duo Rev 06/17/2015 440-4615T(I I/oS/COM/WEB