Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
111
COMMUNITY DEVELOPMENT Permit#: ELR2016-00030
T[GARLD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/24!2016
Parcel: 1 S 136AA00201
Jurisdiction: Tigard
Site address: 10335 SW 67TH AVE
Project: Oak Street Estates,Lot 27 Subdivision: 2007-031 PARTITION PLAT Lot: 2
Project Description: Low voltage for landscape lighting.
Contractor: PACIFIC LANDSCAPE SERVICES INC A WASHINGTC Owner: LENNAR NORTHWEST INC
PO BOX 821903 11870 NE 99TH ST, STE 1170
VANCOUVER, WA 98682 VANCOUVER,WA 98682
PHONE: 360-891-0367 PHONE: 360-258-7900
FAX:
FEES
Description Date Amount
Specifics: Restricted Energy Permit 02/24/2016 $75.00
12%State Surcharge-Electrical 02/24/2016 $9.00
Type of Use: SF
Class of Work: ALT
Total Number of Systems:
Audio&Stereo: N
Security Alarm: N
Garage Door Opener: N
HVAC: N
Vacuum System: N
Other: y
Other Desc: Total $84.00
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATT ION: Ore. n law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001- 10 through OAR 9 . 601-1091 You may obtain a copy of the rules or direct questions to OUNC,bycalling .1987 or 1.800.332.2344.
/ 7 /
Issu By: Permittee Signat. e: i�/..TLYST✓i
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale,lease or rent.
OWNER'S SIGNATURE: Date:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR.ELEC' Date:
LICENSE NO.
Call 503.639.4175 by 7:00 a.m,for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
3606041242 p.1
Feb 23 1611:39a Pacific Land p� 4 {w��11 ii IV E
p
Electrical Permit Application::''lI I OI: 01 I:IU.t_ 1 't_ 0\1 1
City of Tigard F F B 2 3 2 016 RDatuBeceived ^ Permit 9: EL.e�l5--0C1636
n 13125 SW Hall Blvd.,Tigard,OR 97223 :p( �,
a Phone: 503.718.2439 Fax: 50 .5�QQ$�tg6p L ! 1U Na'Rorke,
Inspection Line: 503.639.4175 �11 Y Vl �1�7t�i�li eBv: Related Permit e: II60..0 X017-,
TIG!.I;ll Ready DaaaBy. tom: 0 See Page 2 for
Internet: www.tigard-or.gov BUTIIDIN6 DIVIr71O Noaified/Metbod: SapplemrbtaI Information
TYPE OF WORK
PLAN REVIEW
0 New construction ®Addition/alteration/replacement Please check all that apply(submit stn of pins w/ieems checked):
❑Demolition 0 Other la service or feeder 400 sups or prone 0 Beading ova three mode..
CATEGORY OF CONSTRUCTION where the available fault current 0 Morias and boatyards.
exceeds 10.000 amps at 150 volts or 0 Flaming buadinp.
❑ 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory buildingkm togrouoa or exceeds(4.00p
0
commercial-use aRrtetdtaral
amps kr a8 other installations. buildings❑Multi-family ❑Master builder 0 Other:
❑Fisc pump. ❑InslaNataa of 1.50 KVA or
3011 SITE INFORMATION AND LOCATION ❑Emergency system- target neparatdy deram d
Job#: lob site address: L v. ❑Addition of new motor load of system.
X0335 �p7 0-Ad mow ofmote. ❑-p^,•E^,-t.2^,"t_;,
CitylSlatciZlP:Tigard OR 97223 ❑Six el mote residential units_ occupancy.
❑Health-can facilities. 0 Recreational vehick paras.
Suite:bldg./apt.4: Project name:Oak Crest 0 Hazardous locations. 0 Supply hadaage for more than
Cl Cross street/directions to job site:SW Oak St and SW 67th Service or leder amps or wore. 60o volu°or°rmal
FEE SCHEDULE
Oe tnatian I Qty. I_ tam I Toad I •
New residential single-or multi-family dwelBag unit.
Subdivision:Oak Crest J Lot 0:27 Includes attached garage.
Tax map/parcel 0 1.000 aq.R or loss (67154 ( 4
DESCRIPTION OF WORK Ea add'I 500 eq.ftor portion 3392 7
Limited energy,civ IL)residential
transformerInstall low tage (with above sq.11.) 75 2 ,
Limited energy,multi-family 7500
rcsidrntial(with above sq.ft.) 2
❑ PROPERTY OWNER 0 TENANT Renewable Energy D See Page 2
Services or feeders installation,alteration,sod/or Macedon
Name: 200 amps or less 100.70 I 2
Address: 201 amps to 400 amps 133.56 2
City!$tatdZlP: 401 amps to 600 amps 2D0.34 2
601 amps to 1,000 amps 301.04 2.
Phone:( ) I Fax:( ) Over 1.000 amps or volts 552.26 2
Email: Temporary services or feeders installation,alteration,and/or
relocation
Owner installation:This installation is being made on property that 1 own which is not 200 amps or less 5936 1 I
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps I I 12508 2
Owner signature: Date: 401 amps to 599 amps 168.54 I 2
•
® APPLICANT I 0 CONTACT PERSON
Branch circuits—sew,alteration.or enmities,Ors pod
/1.Fee for branch circuits with
Business name:Pacific Landscape Services above service or feeder fee•
each branch circuit 142 2
Contact name Hansen B Fee for branch circuits without
Address:2718 NE Burton Rd service or fates tech first
branch circuit 56.18 I 2
Cit)/Statc/ZIP:Vancouver WA 98662 Each add•l branch circuit 742 I 2
Phone: 360 8910367Miscellaneous(service or feeder not included)
Fax::(360)6041242 Each manufactured or modular
Email:michael'%pacif7clandscapeservices.cos
dwelling,service and/or feeder 67.84 2
Reconnect only 67.84
CONTRACTOR Pump or irrigation.circleI 67.E4 ' 2 i
Business name:Pacific Landscape Services Sign or outline lighting 67.84 ' 2
Address:2718 NE Burton Rd Signal circuit(s)or limited-energypanel,alteration,or extension. 1
❑ See Page 2 7512
City/State/ZIP:Vancouver WA 98662 Each additional inspection over allowable in any of die above
Additional insp,xxion(I hr min) 66.25/hr I 1
Phone:( ) Fax:( ) investigation 11 hr nein) 9000/hr ll{
Email: Industrial plant(1 hr min) 1 78.18/hr .
Inspections for which no foe is 1
CCB Lie.: 8472 Electrical Lie.• J Suprv.Lic.: _specifically listed CAhrmin) i 90hr
Suprv.Electrician signature,required: ELECTRICAL PERMIT FEES
Subtotal: 75.00
Print name: , Da1e: ❑Plan Review Required(25%of permit Tec):
State surcharge(12%of permit fee): 9
Authorized signature: 70.1..C.1.449.17170-41.41.44/ TOTAL PERMIT FEE: 84.00
1 Print name: Tbia permit application expires if a permit is rat obtained within I80
_ Date: days after it has been accepted as amplete.
t 1Bail " Nwnber of inspeerions allowed per permit.
diagtPenuinaaLC Perm¢App_ELK ERE.doe Ren 55117^015 440-46151(11/OS/COM.'WEB
Feb 23 16 11:41a Pacific Landscape Sry Inc 3606041242 p.6
Electrical Permit Application-City of Tigard
Page 2-Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
criptioon
Fee for all residential systems combined: $75.00 —Renews Qty I Esc► 1 Mt21 i
-Renewable electrical energy systee[s:
5 kva or leas 100.70 2
Check Type of Work Involved:
5.01 to 15 kva 133.56 2
❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
❑ Wind generation systems in excess of 25 kyr:
Burglar Alarm 25.01 to 50 kva 301.04 2
50.01 to 100 kva 552.26 2
❑ Garage Door Opener* >IOC kva(Fee in accordance
with OAR 918-309-0040) 552.26 2
[ 1 Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva
System*
Each additional kva over 25 7.42 3
Vacuum Systems*
>101)kva-no additional chasge 0.0 3
Each additional inspection over ahowabk in anv of the above:
7 Other Each additional inspection is
charged at an hourly(1 hr min) 66.25/hr
inspections for which no fee is
specifically listed(14 hr min) 90 00/hr
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Fee for each commercial system: $75.00 Subtotal(Enter on Page I):
(SEE OAR 918-309-0000) • Nein her oficspeutionsallowed per penult.
Check Type of Work Involved:
❑ Audio and Stereo Systems
[7 Boiler Controls
❑ Clock Systems
7 Data Telecommunication Installation
❑ Fire Alarm Installation
LI HVAC
7 Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other:
Total number of commercial systems: t
*No licenses are required. Licenses are required for all
other installations
t 1DuildinglPerrni1AELC_PemsitAN_ELlt LRE doe Rcs.Dali 70:015
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
10335 SW 67TH AVE, TIGARD, OR, 97223
Residential - Electrical Limited Energy
198 Low voltage final
PASS - No C of O
ELR2016-00030
Herb Stabenow
Violation Summary:
Inspector Contractor