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Permit CITY OF TIGARD ELECTRICAL PERMIT . 2 COMMUNITY DEVELOPMENT Permit#: ELC2020-00425 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 8/27/2020 I Parcel: 1 S 134BD00100 Jurisdiction: Tigard Site address: 10650 SW 121ST AVE Project: Westwood Green Apartments Subdivision: ENGLEWOOD NO.2 Lot: 158 Project Description: Replace service panel for 53 apartment units and 3 laundry facilities. Contractor: R P ELECTRIC Owner: GLEN GARDEN PARTNERS II LLC 20582 SE HELZER WAY 1337 E PRADO AVE#201 DAMASCUS, OR 97089 TORRANCE, CA 90501 PHONE: PHONE: 503-661-4972 FAX: FEES Quantity Description Date Amount 56 ea Services or Feeders-200 08/24/2020 $5,639.20 Specifics: amps or less 1 ea 12%State Surcharge- 08/24/2020 $676.70 Type of Use: ME Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $6,315.90 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 throu OAR 9552--00 1090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By- ,i /,�'//YLQ. __�.- Permittee Signature: C� � >•�f)L_J 6177t}w� 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 �, �: �rci'i of i ►c►�, i'sl: Oy'1.v City of Tigard ` ..�„ it , D•awn d: . / d1 d Petmsta LC Z(7 ! 'Dt7 1'j25 n 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review : 9 Phone: 503.718.2439 Fax: 503.598.1960 AUG 12 202 Date/13 . Related Permit 4: Inspection Line: 503.639.4175 Ready Date/By: rink Id See Page 2 for_ Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF W011titill i. PLAN RE^i?IEW ❑New construction [Addition/alteration/replacement Please check all that apply(submit 2 sets of plans v/items checked): 0 Service or feeder 400 amps or more 0 Building over three stories. 1 ❑Demolition ❑Other: where the available fault current ❑Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ]B Floating buildings. ❑ 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural 7 amps for all other installations.. buildings. [�1f Multi-family ❑Master builder 0 Other: ❑Fire pump. 0 Installation of I50 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived ❑Addition of new motor load of system. Job#: Job site address: i© 4 ,5cry S ‘.'Z,1 sr 01/4 ve IOOHP or more. ❑"A" "E",'i_2 . 1-3" City/State/ZIP: ❑Six or more residential units. occupy. �5coo4.r- (�, •Frc0 t.. q'1-)7 3 ❑Health-care facilities. 0 Recreational vehicle parks. SUite/bldg./apt.#: Project Hanle: n � ❑S Hazardous ors feeder locations. ❑Sup Supply voltage ltage r more than L.—'e ��.J an!,! v'+(= ['Service feeder 600 amps or more. Cross street/directions to job site: FEE SCHEDULE 8- 5 t _ w-�d1 Description I Qty. I Each I TnTaint�il New residential single-or multi-family dwelling unit. Subdivision: -i- '.; j ,✓K lotr' ‘vj Lot#: Includes attached garage. Tax map/parcel#: C c ` ` 1,000 sq.ft.or less 168.54 4 vC i 1 iTi Ea.add'1500 sq.It or portion 33.92 I DESCRIPTION OF WORK Limited energy,residential 75.00 2 (with above sq.ft.) [( `)F P¢ ✓tic l 5 4'" 3 sAc i1\ AS (with energy,multi-family residential(with above sq.ft.) 75.00 2 t/N ✓>2 icy 0" Renewable Energy 0 See Page 2 ❑ PROPERTY OWNER D TENANT Services or feeders installation,alteration,and/or relocation Name: 200 amps or less lc Le 100.70 2 Address: 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP: 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 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 0 CONTACT PERSON Bra w nch circuits—ne ,alteration,or extension,per panel A.Fee for branch circuits with Business name: above service or feeder fee, 7.42 2 -_----.-.- each branch circuit Contact name: B.Fee for branch circuits without service or Address: branch seder fee,first t 56.18 2 City/State/ZIP: Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( ) I Fax::( ) Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email: Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: p Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy 0 See Page 2 2 Address: p, 0 tQQX, 3Lc,-1 panel,alteration,or extension. lState/ZIP: '''t Each additional inspection over allowable in any of the above Ci C,r>-rc54A i+k w� or [Cl 3 U Additional inspection(i In min) 6625/br Phone:(S-e,3) (a(h t in—)Z Fax:( - ) Investigation(1 hr min) 90.00/hr 7 ,e�� ` Industrial plant(I hr min) 78.18/hr Email:�1�flP 0 i G5&'(,•-3t �T/'�l`_C) r C-'. 1•4^' Inspections for which no fee is 90.00/hr ... ifically listed('/i hr min) CCB Lic.: n(P 0-i 5— Electrical Lic.:fit.—$5 o Suprv.Lic.: 5 2 q j,—�j spec ELECTRICAL PERMIT FEES _ ,#I0 )2�'. Suprv.Electrician signature,required: t Subtotal: Sf 4 3'?, Z® n -l 2_ Z O 0 Plan Review Required(25%of permit fee): Print name�w b fi r Date: State surcharge(12%of permit fee): to-2(„767 Authorized si tare: TOTAL PERMIT FEE: (, 3 j 5 , 90 This permit application expires if a permit is not obtained within 180 Print n Date: 10 days after it has been accepted as complete. * Number of inspections allowed per permit. 1:\Buildiag\Permds\Ef.C_ • II ERE.doc Rev 06117 5 440-4615T(11/05/COMIWEB