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Permit (28) 14 -- CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT ,' � � ,,�'� Permit#: ELC2018-00311 �,� Date Issued: 06/06/2018 TI�_ A I:f) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 liojor Parcel: 251060001400 if Jurisdiction: Tigard Site address: 13223 SW 169TH AVE Project: River Terrace East Apartments,Building G Subdivision: RIVER TERRACE EAST Lot: None Project Description: Building G: Electrical for new 12 unit apartment building. 1/14/19:REPRINT to change contractor. Contractor: ALAMEDA ELECTRIC Owner: POLYGON WLH, LLC 3415 NE 44TH 703 BROADWAY ST, SUITE 510 PORTLAND, OR 97213 VANCOUVER,WA 98660 PHONE: 503-319-2192 PHONE: 360-695-7700 FAX: FEES Quantity Description Date Amount 1244 sf Permit Fee-Elect(SF or 1st 06/06/2018 $202.46 Specifics: MF dwelling unit) 1114 Each Add'l Unit(Multi-Family) 06/06/2018 $1,113.53 Type of Use: MF 1 ea Limited Energy 06/06/2018 $75.00 Class of Work: NEW 1 ea Services or Feeders-200 06/06/2018 $100.70 Type of Const: amps or less Occupancy Grp: 30 crt Branch Circuits w/Purchase 06/06/2018 $222.60 Service or Feeder 1 ea Plan Review Electricial 06/06/2018 $428.57 1 ea 12%State Surcharge- 06/06/2018 $205.71 Electrical Total $2,348.57 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 OA 952-001-0090. 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 L L i .. !//"�4 Permittee Signature: r /`eGL�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 503.639.4176 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. la'tq. p'ICa1 eeirrtli_ 1lpplicati. F'' 'u s ,y i t)it()I I it 1 1 Sl:t)\1.1 City 0/Tigard11 > ��fi si�.� 131235 SW Ball Blvd Tigard,OR 97223. A N 142019 Plan Review • Phone: 503,7182439 Fax: 503.5911.1960 p,., Dida Inspection Lint; 501639.4175 t ) Ready Datcltiy' him f ase 2 for Internet: www.tigrinl ur.gOv �{U La 3 i' i . N iraifkNMerhod Supplemental taforma8ai '1 q,',�..-"4r'r: '.°:,71;;M:4.. li -.`tic tiL`ri.':...iti t ' 4 f -:R.:, 3. ir c- �; ..i-'7:714,.._:,* ,,' T-:: _ �� � ,t ..�, �.'.,."e,+hK :qtr .+ ®New construction 0 Addition/alteration/replacement m " ani amply(submit 2 ses of pls v./Items oohed); ©Senate or feeder 400 amps or more O Bsdtding ova throe stories CI Demolition ©other, . where the inviable fault awmit pimientos and boatyards. 7 ' inowiug batkaAss.a 1;: exceeds 10.000 amps at t50 volts or I .. fir . . .+()� 4jOr1r.S_"�'R�lt�17[t�tl[:„�'�' : =4- it 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building itis a grratnd,or exceeds 14,000 ©comintrui etse agricoltutal <, rts foril other installations. insal tMulti-family 0 Master builder ❑Other. CFac wrap. ❑Installation of 150 KVA or ` I M_-' v! . JD8 ^? ) tt3 OX.O:4i1OIti1 *k '—fi1 0 Emorgeney system larger separately derived ❑Addition citnew motor load of system- Job#: Job site address. 13223 SVS) 1(001- A ve,VtuQ , i ooHP or more. 0"A","E",-1.2","1.3", . �q � /� (� j�. ❑Six or more residential units. occupancy.Ciry/StatetzlP: ���/K�/UUt/` �J��� , t U OHealthearefaciiia� ❑Rerxgtionalvehicleparlrs, Suite/bldg./apt.8: I Project name: F U "rev Ta,() ❑Hazardous locations. CIseppty vnnttage far more nail Service or feeder 600 amps or Thom. 600 units aomiaat. Cross street/directions to job site: ;, ; tf: . -' -. irervrptroa i Qty. I New residential single-or mniti-fatniiy dwelling unit. Subdivision: 121 vex- Irate) Lot#: 4. 10(0,,f. Includes attached garage. Tax map/parcel#: , 1,000 sq.ft.orless 168.54 4 _'Y.�VX:..•-1..!-. .-L'iz�`�*,i^•.bCSCRIiti* �1�4;1Ti1tK.V. .,l.i ..4*_..,.. 1#Vk,zs Ea.add'1500sq,ft.orportion 33.92 1 /IA r 'a N Limited energy,residential 75.00 2 eV E Zo!D -OD 0 _ (with above sq.�) �.� a v 4 F 3 - 7:f7 s a 7 , s, residentimited al above sq ft.) 75.00 2 Name:ADYL Land Holdings,LLC Renewable Energy 0 See Page 2 Address 7600 E Doubletree Ranch Road Services or feeders installation,alteration,and/or relocation 200 amps or less 100.70 2 City/State/ZIP:Scottsdale,AZ 85258 201 amps to 400 amps 133.56 2 Phone:(602)694.4031 Fax:( ) Email: 401 amps to 600 amps 200.34 2 Owner installation:This installation is being made on property that I own which is not 601 amps to 1,000 amps 301.04 2 intended for sale,lease,rent,or exchange,according to ORS 447,419,670,and 70i. Over 1,000 amps or volts 552.26 2 Owner signature: Date: Temporary services or feeders installation,alteration,and/or F�,� :i�;r•�I'3�,�7�_ _ '.�;. tr'�. ����,� :-�"�'?LOI!1�'Al1'i�'�1'iS0Ia1; y. �^�' retocatioo Business name: 1>01 m W tit t 200 amps or less 59.36 1 Contact name: A nrA V I�U ilk V 201 amps to 400 amps 125.08 2 Address: 503 " Y o CA y 11/� S 6 SIO 401 amps to 599 amps 16854 2 City/State/ZIP:Vancouver,WA 98660 Branch circuits—new,alteration,or extension, panel Phone:(360)695-7700 l Fax::(360)693-4442 A.Fee for branch circuits with C /� above service or feeder fee, Email.. 0_14(14)111/ U I I r*II 15 e" / 1 1 lig • each branch circuit 7.4z 2 -1 ,: i.r 4 1 ` q .1st g+, _ B.Fce for branch circuits wfrhaut _*= .Y �d-`, sotvice or fader fee fast Business name:alameda electric branch circuit 56.18 2 Address:3415 ne 44th Each add'(branch circuit 7.42 2 / r J� O"4 /)2. / `i .j /3 Miscellaneous(service or feeder not Included) 2 C /StIIte/ZIP: $ Each manufactured or modular dwelling,service and/or 67'84 , Phone:(503)3192192 I Fax:( ) - Reconnect only 67.84 Reconnect3 Email:solarpdr®mecom Pump or irrigation circle 67.84 ' ' :2- CCB -CCB Lie.: 199188 Electrical Lie,: c923 Suprv.Lie.: /(71$ .-4 Sign or outline lighting 67.84 2 - Stiprv.Electrician signature,required Signalmrcuit(s)nr � O Ser Page 2 ? ' Print name: kik )2,0,0 ,...<, Date: 11 11 I1 panel,alteration,or extezrsiorr— Each additional inspection over allowable la any of the above Authorized signature: �/j Additional inspection(1 br min) 662 V hi Print name: .,1 Dated �' 1 I �" i �oa(i(cretin) 900prhr tlYgelreq(sP�smikkl8t-C litmitApp B.8_E0.E8oe Rar06 t712ats Mn-�biSlt:IitOSIC�M/lt'E6 - CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit#: ELC2018-00311 Date Issued: 06/06/2018 T f C ti R D 7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S1060001400 Jurisdiction: Tigard Site address: 13223 SW 169TH AVE Project: River Terrace East Apartments,Building G Subdivision: RIVER TERRACE EAST Lot: None Project Description: Building G: Electrical for new 12 unit apartment building. Contractor: THREE PHASE ELECTRIC Owner: POLYGON WLH, LLC 11490 SE JENNIFER ST 703 BROADWAY ST,SUITE 510 CLACKAMAS,OR 97015 VANCOUVER,WA 98660 PHONE: 503-760-8522 PHONE: 360-695-7700 FAX: 503-762-1823 FEES Quantity Description Date Amount 1244 sf Permit Fee-Elect(SF or 1st 06/06/2018 $202.46 Specifics: MF dwelling unit) 1114 Each Add!Unit(Multi-Family) 06/06/2018 $1,113.53 Type of Use: MF 1 ea Limited Energy 06/06/2018 $75.00 Class of Work: NEW 1 ea Services or Feeders-200 06/06/2018 $100.70 Type of Const: amps or less Occupancy Grp: 30 crt Branch Circuits w/Purchase 06/06/2018 $222.60 Service or Feeder 1 ea Plan Review Electricial 06/06/2018 $428.57 1 ea 12%State Surcharge- 06/06/2018 $205.71 Electrical Total $2,348.57 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 95 01-0090. You may btain a copy of the rules or direct•uestions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: �� e'/ Permittee Signature: 1 — /a/ 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 RECEIVE I FoR o!FJ('I l sr,o,L\ City of Tigard Received J �I C�ola J -OOJ// 9 Date/gy -57/ / � Permit# IIII � 13125 SW Hall Blvd.,Tigard,OR 97223 j�AY, 2018 plan Rev I Phone: 503.7182439 Fax: 503.598.1960 Date/By: 60411141Related Perm r 1'`-'1`K 1� Inspection Line: 503.639.4175 CITY OF- 'AGAR I;•eady Date y: tors: !a See Page 2 for Internet: www.6gard-or.gov oi.ified/Method/J�� f. Supplemental Information TYPE OF WORK -71. /Oa/04 ' PLAN REVIEW ®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): 0 Demolition ..Service or feeder 400 amps or more 0 Building over three stories. ❑Ottler: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. 0 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. ®Multi-family ❑Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system, larger separately derived Job#: Job site address: / 3 &3 % �tt� motor load of system. /yZ� 1 100HP❑Addition or mof orenew. ❑"A","E","1-2","l-3", City/State/ZIP:Tigard,OR 97224 ®Six or more residential units. occupancy. ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name:River Terrace East -,G14 y-,41 ` 0 Hazardous locations. 0 Supply voltage for more than E1 Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site:Roy Rogers FEE SCHEDULE Description 1 Qty. j.... Each I Total I ; New residential single-or multi-family dwelling unit. Subdivision:River Terrace East BLDG G l Lot#: Includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less _ 1 168.54 168.54 4 Ea.add'1500 sq.ft.or portion _ ( 33.92 93�y I DESCRIPTION OF WORK New 12-unit building J 9 '..['' Pi e/=/-� // /o/a3 //is--- �I f�t/✓/I- / >1 sZ- — e2. j,� * / a Limited energy,multi-family Largest unit=1244 square feet P f'. 1 75.00 75.00 2 9 /� if IV ` /Z p- --- —/a� ?3 residential(with above sq.ft.) I! El PROPERTY OWNER 0 TENANT Renewable Energy 1:1 See Page 2 Services or feeders installation,alteration,and/or relocation Name:Polygon WLH,LLC 200 amps or less 1 100.70 100.70 2 Address:703 Broadway st Suite 510 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Vancouver WA 98660 601 amps to 1,000 amps 301.04 2 Phone:(360)695-7700 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 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 I 0 CONTACT PERSON, Branch circuits-new,alteration,or extension,per panel A.Fee for branch circuits with Business name:Polygon WLH, LLC above service or feeder fee, 30 7A2 222.60 2 each branch circuit Contact name:Nichole Thorpe B.Fee for branch circuits without Address:703 Broadway St Suite 510 service or feeder fee,first 56.18 2 branch circuit City/State/ZIP:Vancouver,WA 98660 Each add']branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 I Fax: :(360)693-4442 Each manufactured or modular Email:Nichole.Thorpe@polygonhomes.com dwelling,service and/or feeder 67.84 2 Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name:Three Phase Electric Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy Address: 11490 Se Jennifer St panel,alteration,or extension. E1 See Page 2 75.00 2 City/StatelZIP:Clackamas,OR 97015 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(503)908-8058 I Fax:(503)762-1823 Investigation(1 hr min) 90.00/hr Email:permits@threephaseelectric.com Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lic.: 162368 I Electrical Lic.: 3-332C I Suprv.Lic.: 3398S specifically listed('A hr min) (,� ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: l 1 . z2•41-442 - ` Subtotal: 16.7 Print name: Dennis Welch I Date: 05/03/2018 ®Plan Review Required(25%of permit fee): 2 8 .-- c�- State surcharge(12%of permit fee): 1 . 0 Authorized signature: -✓i ( +-sem . TOTAL PERMIT FEE: 529.9 This permit application expires if a permit is not obtained within 1 0 Print name: Robert Lane Date: 05/03/2018 days after it has been accepted as complete. * Number of inspections allowed per permit. I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE E Description I Qty. I Each I Total Fee for all residential systems combined: $75.00 Renewable electrical energy systems: 5 kva or less 100.70 2 Check Type of Work Involved: 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 552.26 2 with OAR 918-309-0040) LI 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: Each additional inspection is 66.25/hr 1 • Other: charged at an hourly(I hr min) Inspections for which no fee is 90,00/hr specifically listed CA hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Subtotal(Enter on Page 1): Fee for each commercial system: $75.00 * Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ® Data Telecommunication Installation • Fire Alarm Installation fl HVAC I-1 Instrumentation LI Intercom and Paging Systems n Landscape Irrigation Control* Medical n Nurse Calls n Outdoor Landscape Lighting* Protective Signaling n Other: Total number of commercial systems: _ *No licenses are required. Licenses are required for all other installations I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015