ELC2023-00630 CITY OF TIGARD ELECTRICAL PERMIT
' COMMUNITY DEVELOPMENT Permit#: ELC2023-00630
Date Issued: 12/27/2023
T I c9i\Rj3 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 1 S136DD02900
Jurisdiction: Tigard
Site address: 6835 SW CLINTON ST
Project: Dartmouth Crossing Apartments Subdivision: DARTMOUTH CROSSING Lot: 28
Project Description: Electrical for an 85-unit apartment building.
Contractor: AFFORDABLE ELECTRIC INC Owner: DARTMOUTH NORTH LIMITED PARTNERSHIP
PO BOX 1870 4150 S MOODY AVE
FAIRVIEW, OR 97024 PORTLAND, OR 97239
PHONE:
PHONE: 503-351-1078
FAX:
FEES
Quantity Description Date Amount
608 Sf Permit Fee-Elect(SF or 1st 12/27/2023 $168.54
Specifics: MF dwelling unit)
7079 Each Add'I Unit(Multi-Family) 12/27/2023 $7,078.68
Type of Use: COM 3 ea Services or Feeders-200 12/27/2023 $302.10
Class of Work: NEW amps or less
Type of Const: 5 ea Services or Feeders-201 to 12/27/2023 $667.80
Occupancy Grp: 400 amps
2 ea Services or Feeders-Over 12/27/2023 $1,104.52
1000 amps or volts
165 crt Branch Circuits w/Purchase 12/27/2023 $1,224.30
Service or Feeder
1 ea Plan Review Electricial 12/27/2023 $2,636.49
1 ea 12%State Surcharge- 12/27/2023 $1,265.51
Electrical
Total $14,447.94
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 (he
180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification CenteAdmi hose rules are set forth in OAR
952-001-0010 throuah OAR 952-001-0090. You may obtai a coov oft a rules or direct ouestions to OUNC by callinc 5 . 3 .
Issued By: 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.
Electrical Permit Application RECEIVE B FOR OFFICE USE ONLY �'i `:a�
Received q
Cityof'Tigard Date/By: t0 1 t a-- % Pert tN��� _�(o�p ;
III 13125 SW Hall Blvd.,Tigard,OR 97223 OCT 19 2023 Plan Rcvicw
nelated Permit 4:
,alrone: 503.718.2439 Fax: S03.598.]960 DateBy r r/2( /2,3 , �' 1
Inspection line 503 6394175 Readv Data/R - Ill 'nit, 0 See Page 2 far
TI(i-ARI7. p OFTIGARD Notified/blc[had: SutilrntartallnWlmotion
_p Internet' v I nFerd-or gov CITY , i 7 11
UILDINC DIVISIO r�
TY�PF 01"WORT`: &�4r ,� PLAN REVIEW
L1 New connslltictioll ❑ t Lit1011.tt1 claUo ''ioin:Pc:imam rl.,._u 1 I k L.1l;hat app9(aubnu 2 '..ts atpl as t'•itcnlssh cl. dl
❑Service or feeder 400 amps or more ®Building over three_tortes.
❑ UCtilohllon ❑ lhhcr, where the available fault current D Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts Cr ❑Floating buildings.
❑ 1-and 2-family dltic bog ❑ ( oitinin et I dust. ii ❑ Accciisory [nubbin! Less to ground,or exceeds 14,000 ❑Commercial-use agricultural
amps for all other installations. buildings.
❑ Vlulii-Iii:A. ❑ 'olaslce budder Li t)that: ❑Fire pump. ❑Installation of 150 KVA or
.10B SF1 E INFORMATION AND LOCATION 0 Bmergeney system. larger separately deri ned
❑Addition of new motor load of system.
Job#: Job site address: 6835 SW Clinton St:tunr I00HPormore. ❑"A","E","L2 , 1.3",
®Six or more residential units. occupancy.
City/State/ZIP: T i gar d, OR 9'/2 2 3
❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: Project❑amp: Dartmouth Crossing ❑Hazardous locations. 0 Supply voltage for more than
" 0Service m feeder 600 amos m mote 600 volts nominal.
Cross street/directions to job site: AP tnwN rH-r FF E SCHEDULE
Description ) Qty. I Each I Total I ,.
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
1,000 sq.ft.or less 1 168.54 168.54 4 0
Tax map/parcel#: Ea.add'1 500 sq.ft.or portion ,..-8 4 3192 %=Y97-211—T
DESCRIPTION OF WORK - Limited energy,residential
---- -- -- - 75.00 2%
(with above sq.ft.)
Provide electrical wiring tor 85 housing units . _L;mitedenergy,mutti-family
residential(with above sq.ft.) 75.00 2
v Renewable Energy LI See Page 2
r El PROPERTY OWNER 1 ❑ TENANT Renewable
or feeders installation,alteration,and/or relocation
Na led REAC It Commu !iey Develc ,rent 200 amps or less 100.70 S402.90 2
201 amps to 400 amps 133.56 $934.92 2
,)..
Address: 4 15 0 S Moody P.ve 401 snips to 600 amps 200.34 2
V City/State/ZIP: Portland, OR 97239 601 amps to 1,000 amps 301.04 2
l Phone:(503 )231-0682 Fax: (503 )236-3429 Over 1,000 amps or volts �/' 552.26 s552.26 2
Temporary services or feeders installation,alteration,and/or
Nt Email:
relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 t
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
n ,Qwner signature: _ Date: 401 amps to 599 amps 168.54 2
❑ APPLICANT 0 CONTACT PERSON Branch circuits—new,alteration,or extension,per panel
-.a - - - - A.Fee for branch circuits with
' Business name: Affordable Electric, Inc. above service or feeder fee, "id„j,<--
7.42 $2,211.76 2
each branch circuit
Contact name: Jean-wildy Malary B.Fee for branch circuits without
-- --_-- service or feeder fee,first
Address: 14942 SE 82nd Drive branch circuit 56.18 2
City/State/ZIP: Clackamas, OR 97015-9665 Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(5 0 3 ) 3 0 5—6 9 7 9 Fax: :(5 0 3 )7 4 4—0 2 4 0 Each manufactured or modular 67.84 2
dwelling,service and/or feeder
linai A jrli. y3 tl^'.l—, Reconnect only 67.84 2
CON'FRA('I OR Pump or irrigation circle 67.84 2
Businessuarne: AfforClab_c mlectric, Inc . Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy ❑ See Page 2 2
Address: 14942 SE 82nd Drive panel,alteration,or extension.
City/State/ZIP: Clackamas, OR 97015-9665 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(503) 305-6979 Fax: (503)744-0240 Investigation(1 hr min) 90.00/hr
Email: jmalary@affoelect . co mdustdalplant p hrmin) 78.18/hr
Inspections for which no fee is 90,00/hr
CCB T.ic.: 178321 Electrical Lie C 69 uprv. Lie.: 38305 s.ectficall listed 'Ahr min
Suprv. Electrician signature,required: 4(17 e -e- Subtotal: $7 118 . %6
Print name: Jerry ,hams y Date: 1 0/ /2 02 3 ®Plan Review Required(25%of permit fee): $1 7 7 . 7 4
State surcharge(12%of permit fee): $ 8 ,4 . 2 7
% Y e , , \ TOTAL PERMIT FEE: ' 752 , 97
�.
This permit application expires if a permit is not o. mood within 180
Print name: Jean-wi y l 1.ary Date: 10/11/2023 days after it has been accepted as co .lete.
* Number of inspections allowed per permit.
1:18uilding6PermitstELC_PermitApp ELRERE.doc Rev 06/17/2015 440-4615T(I I/05/COM.WEB 1
I
Electrical Permit Application FOR OH.ICE USE ONL.l
City of Tigard Received
DateB : 1111r211=
NI " 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
■ ' Phone: 503.718.2439 Fax: 503.598.1960 Date/B : ,Related Permit#:
Inspection Line: 503.639.4175 Ready Date/By: runs: ® See Page 2 for
1 11,A It Il Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK 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
.- i sir/ �.,, where the available fault current ❑Marinas and boatyards.
i f4If t � , r+ ' l q l*i }�.,'�l "" t ;z f N l:' exceeds 10,000 amps at 150 volts or ❑Floating buildings.
❑ 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
ngs.
❑Multi-family ❑Master builder ❑Other: amesump.or other installations. Inbustallation
❑Fire pump. 0 Installation of 150 K V A or
JOB SITE INFORMATION AND LOCATION ❑Emergency system larger separately derived
Job#: I Job site address: ❑Addition of new motor load of system.
100HP or more. ❑"A","E","i-2" "l-3"
City/State/ZIP: 0 Six or more residential units. occupancy.
0 Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: I Project name: 0 Hazardous locations. 0 Supply voltage for more than
0 Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE
Description I Qty. I Each i Total i •
New residential single-or multi-family dwelling unit.
Subdivision: I Lot#: Includes attached garage.
Tax map/parcel#: <idt.1V cj5L''1` - 1,000 sq.ft.or less i 168.54 143;f 444
Ea.add'I 500 s .ft or onion °
DESCRIPTION OF W It
to rl s 0 Cl at 1 D O x I y a •2 Immo mulit-rzmily 75.00 2
3 7
431_ residential(with above sq.ft.)
t�..� p� vy Renewable Energy 0 See Page 2
0 PROPERTY OWNER De TENANT
r,NANT
[[ 1.D l Services or feeders installation,alteration,and/or relocation
Name: i_ 200 amps or less 3 100.70 3oa,(p 2
Address: 201 amps to 400 amps 133.56 46,7 $4 2
4 401 amps to 600 amps 200.34 2
City/State/ZIP: i �51 - ' . t f,)./601 amps to 1,000 amps 301.04 2
2...
Phone:( ) I Fax:( ) ,� 1 , Over ,000 amps or volts ` 552.26 j o'tS1#2
-1�r .fto "7 emporary services or feeders installation,alteration,and/or
Email:
7l D foe 48 �^G -r9i relocation
Owner installation:This installation is being made on property that I own which_ _is not r 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
El APPLICANT ❑'CONTACT PERSON Branch circuits—new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name: above service or feeder fee, r �]a�
each branch circuit [� 7.42 I�w-1,�02
Contact name: B.Fee for branch circuits without
Address: service or feeder fee,first 56.18 2
branch circuit
City/State/ZIP: Each add'1 branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:( ) 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: Sign or outline lighting 67.84 2
Address: Signal circuits)or limited-energy ❑ See Page 2 2
panel,alteration,or extension.
City/State/ZIP' Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:( ) Fax:( ) Investigation(I hr min) 90.00/hr
Email: Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90,00/hr
CCB Lic.: Electrical Lie.: Suprv.Lie.: specifically listed('/z hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Subtotal: l U1•CL.,
Print name: Date: ❑Plan Review Required(25%of permit fee): a)G 341 Liaj
State surcharge(12%of permit fee): I I a('S/
Authorized signature: TOTAL PERMIT FEE: (L(I 1.JL�a, Ili
This permit application expires if a permit is nut obtained within 180
Print name: Date: days after it has been accepted as complete.
* Number of inspections allowed per permit.
I:\Building\Permits\ELC_PermitApp_ELR_ERE.dse Rev 06/17/2015 440-4615T(I I/n5/COM/WEB
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information 45
•
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: `:- ` " `Lit
`- `E
Description Qt.
Fee for all residential systems combined: $75.00 Each Total
yRenewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 00.70 2
5.01 to 15 kva 133.56 2
n Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
❑ Burglar Alarm 25.01 to 50 kva 301.04 2
50.01 to 100 kva 552.26 2
❑ Garage Door Opener* >100 kva(fee in accordance
with OAR 918-309-0040) 552.26 2
❑ Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System* Each additional kva over 25 7.42 3
❑ Vacuum Systems* >100 kva—no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
❑ Other: Each additional inspection is 66.25/hr I
charged at an hourly(1 hr min)
Inspections for which no fee is 90.00.'hr
specifically listed(1 hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Subtotal(Enter on Page 1):
Fee for each commercial system: $75.00 Number of inspections avowed per permit
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
E Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
E Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
1:1BoiIding\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015