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Permit
CITY OF TIGARD ELECTRICAL PERMIT 1� r COMMUNITY DEVELOPMENT Permit#: ELC2021-00137 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 3/23/2021 Parcel: 1 S135DA04600 Jurisdiction: Tigard Site address: 11163 SW HALL BLVD Project: Village at Washington Square Subdivision: 1998-038 PARTITION PLAT Lot: 1-2 Project Description: Community Room: New lighting,water heater connections, and power. Contractor: INDUSTRIAL COMMERCIAL ELECTRIC COMPANY Owner: VILLAGE AT WASHINGTON SQUARE PO BOX 21282 LIMITED PARTNERSHIP KEIZER, OR 97307 BY CPAH PO BOX 23206 TIGARD, OR 97281 PHONE: 503-981-2383 PHONE: FAX: 503-981-0053 FEES Quantity Description Date Amount 6 crt Branch Circuits wo/Purchase 03/18/2021 $93.28 Specifics: Service or Feeder 1 ea 12%State Surcharge- 03/18/2021 $11.19 Type of Use: MF Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $104.47 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 thr\ouuuh OAR 952-001-0090. You may obtain a coov of the rules or direct auestions to OUNC by callina 503.232.1987 or 1.800.332.2344. Issued By: 'Q1 -4,` Permittee Signature: 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'N 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. • f -3i -t w Electrical Permit Application City of Tigard lvdtl� l at '�,��,�1 Pe:m t a it v 1 (}l i 3 7 r� ,.^ • 13125 SW Hal B439 Ti OR 97223 {,{E� 1' 1 a Phone: 503.718.2439 Fax: 503.598.1960 l Data/gy; Related Permit M: € T1CAR17 Inspection Line: 503.639.4175 Ready Pate/By: Ark Si See Page for a Internet www.tigard-or.gov lik 1 0 ZOZi Notified/Method: j I Supplemental Information TYPE`OF WORK P�IlF�� 1`` 'MARL PLAN REVIEW 0 New construction (5)Addition/alteration/replt nV q�1 Please dads all that apply(submit 2 sets of pima w/acme checked): ❑Demolition ❑Other: � ��l R Islor ❑Service or feeder 400 amps or more ❑Bmldmg over three stories. . r� where the available auk cement ❑Marinas and boatyards, r- CATEGORY'.`OF CONSTRTIC ITON exceeds 10,000 amps at 150 was or 0 Floating buildings. ❑ 1-and 2-family dwelling ❑Cotnmcc�ial/industrial ❑Accessory building teas to ground,or exceeds 14,000 0 Comvnercial•une agricultural t amps for all other installation. buildings. i,,it i Multi-family ❑Master builder ❑Other. ❑Fee pump. ❑Installation of 150 KVA or l.l.i JOB SITE INFORMATION`AND LOCATION 0 Emergency system. Urges separately derived k. ❑Addition'Anew motor load of system. Job# ICE-5176 Job site address: 11163 SW Hall Blvd 1001rnmmore. ❑"A",•E',"1•z',"1-3-, Gity/State/ZIP: ❑Six or more residential units. occupancy. (t( Tigard O 97223 ❑Heath-care facilities. 0 Recreational vehicle pane. d„'. Suite/bldg./apt#Community �ProjeJi�:Village at Washington Square ❑ -dos, is i°na• ❑ warn more than R ❑S mini or feeder 600 amps or more. 600 Cross street/direcfi'nsOto job site: Description I Ore. t End I Total 1 • (-; New residential single-or multl-family dwelling unit. V Subdivision: Lot 4: Includes attached garage. Tax map/parcel 11: I,000 sq.ft.orless 168.5E 4 Ea.eddl 500 sq.ft.or portico 33.92 1 DESCRIPTION OF.WORK Limited energy,residential (with above so.ft) 73.00 2 Community-install lighting, water heater connections, PTHP connection, . .tea energy,multi-family 75.00 general power residential(with above sq.ft.) PROPERTY OWNER 0`TENANT Renewable Energy ❑ See Page 2 Services or feeders Instalatio, alteration,and/or relocation Name: Community Partners for Affordable Housing 200 amps or less 100.70 2 I� Address: SW Capitol Highway 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2' I City/State/ZIP: ty Portland, OR 97239 601 amps to i,�0 neaps 301.04 2 Phone:(503) 293-4038 Fax:( ) over i3Oo0 amps or volts 552.26 2 i 1' 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,lase,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 tip APPLICANT 0 CONTACT PERSON Branch circuits-new,alteration,or extension,per panel A.Pee for branch circuits with Business name: Industrial Commercial Electric Company aboveb ranch service feeder fee, 7circuit .42 2 eachContaetname: Tom Griffith E.Fee for branch circuits without Address:29030 SW Town Center Loo E Suite 202#159 service orfe rfee,rmat 1 56.18 5s.1s 2 p branch circuit }- City/state/ZIP:1/`i/ilsonville, OR 97070 Each add'l branch circuit 5 7.42 r47 1n 2 Miscellaneous(service or feeder not included) Phone:(503)981-2383 Fax::(503)981-0053 Eacdwellh and/or feeder 67.84 2 Email:victoria@ icecoelectric.com Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 �.. Business name: Industrial Commercial Electric sign or outline lighting 67.8E 2 Signal etrnmm(s)or limited-energy ❑ See Page 2 2 Address:29030 SW Town Center Loop E Suite 202 #129 panel alteration.or extension g cityrstate/zIP:1/ViIsonviIle, OR 97070 Each additional inspection over allowable in any of the above I Additional inspection(1 tar min) 66.25/hr Pam:(503)981-2383 Fax:(503)981-0053 Investigation(1 bricip) 90.00/hr Email:tom® icecoelectric.com Inspectio plant(1 icmno 78.18/hr Inspections for which no fee to 90.00/hr GCB Lie.: 164304 Electrical Lie.:%h)yy`(;52 supra.Lie.: 53185 specifically fisted(li hr min) Er EcrrRlcwr PERhuT-FEES Suprv.Electrician signature,required: Subtotal: 93.28 Print name: Tom Griffith Date: 2/26/21 ❑Place Review Required(25%of permit foe): i; /� State surcharge T 2°h of permit FEE: 11 . l=F Authorized signature: !(f/ TOTAL PERMIT FEE: d.104.47 ([ TAU permit application expires If a penult b not obtained wltbra 180 Print name: Tom Griffith J Date: 2/26/21 days after lit W been accepted as complete. • Number of inspect.oro allowed per permit. I:1aullding\PernMAEtC PermitApp PLR._ERF doe Rev 06/17R015 440<e I elt11/0S/COM/WEB Branden Taggart From: Branden Taggart Sent: Thursday, March 18, 2021 2:50 PM To: 'Victoria Bradbury' Subject: RE:Village at Washington Square REVISED Permit Apps Attachments: Invoice.pdf Hi Victoria, The Electrical permits for Village at Washington Square are ready to issue now. I have attached invoices above for you to reference, and the fees due are as follows: Village at Washington Square Permit# Fees Due ELC2021-00135 $ 137.72 ELC2021-00136 $ 87.85 ELC2021-00137 $ 104.47 Total: $ 330.04 The above fees can be paid online through our website: https://aca.accela.com/TIGARD/Default.aspx. From there, click on the Building tab, enter the permit numbers in the Record Number field, and click Search. Once paid, please notify us at tigardbuildingpermits@tigard-or.gov, and we will email the permit paperwork to you. Thank you, Branden Taggart a City of Tigard Senior Permit Technician Community Development TiCtARD 13125 SW Hall Blvd Tigard, OR 97223 (503)718-2449 b randentttigard-o r,gav From:#Building Permit Technicians Sent:Wednesday, March 17, 2021 5:28 PM To:Victoria Bradbury<victoria@icecoelectric.com> Subject: RE: Village at Washington Square REVISED Permit Apps Victoria, Thank you. I will work on processing these permits tomorrow. Thanks, 1 Branden Taggart 1111 q City of Tigard IN ;• Senior Permit Technician Community Development t lCIAMI 13125 SW Hall Blvd Tigard, OR 97223 (503)718-2449 brandent@tigard-or.gov From: Victoria Bradbury<victoria@icecoelectric.com> Sent: Wednesday, March 17, 2021 8:06 AM To:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov> Subject: Re: Village at Washington Square REVISED Permit Apps Caution!This message was sent from outside your organization. Yes,that is correct. Victoria Bradbury Industrial Commercial Electric Company Office:503-981-2383 x5 Direct:503-902-0285 www.icecoelectric.com OR CCB# 164304 WA EC INDUSCE875PN From: #Building Permit Technicians <TigardBuildingPermits@tigard-or.gov> Date: Tuesday, March 16, 2021 at 7:13 PM To: Victoria Bradbury<victoria@icecoelectric.com> Subject: FW: Village at Washington Square REVISED Permit Apps Hi Victoria, It appears the Electrical Permit Application for Building B changed from 7 units down to 3 (23, 24,and 25). Building C appears to have changed from 3 units to 1 (unit 19). Is this correct? We were anticipating receiving unit numbers for the original quantities. Thank you, Branden Taggart ■ City of Tigard 9 .^ Senior Permit Technician Community Development T WAR r) 13.125 SW Hall Blvd Tigard, OR 97223 (503)718-2449 brandent©tigard-o r.goy 2 From:Victoria Bradbury<victoriaPicecoelectric.com> Sent:Wednesday, March 10, 20218:42 AM To:#Building Permit Technicians<TigardBuildingPermits@tgard-or.gov> Subject:Village at Washington Square REVISED Permit Apps Importance: High Here are these revised permit applications. Victoria Bradbury Industrial Commercial Electric Company Office:503-981-2383 x5 Direct:503-902-0285 www.icecoelectric.com OR CCB#164304 WA EC INDUSCE875PN DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained by the City of Tigard in compliance with the Oregon Administrative Rules "City General Records Retention Schedule." 3