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Permit (23) s a CITY OF TIGARD ELECTRICAL PERMIT •' COMMUNITY DEVELOPMENTPermit#: ELC2018-00309 � " a Date Issued: 06/06/2018 TI G A R t) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 10,1 Parcel: 2S1060001401 � Jurisdiction: Tigard Site address: 13271 SW 169TH AVE Project: River Terrace East Apartments,Building E Subdivision: RIVER TERRACE EAST Lot: None Project Description: Building E: Electrical for new 21 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) 2025 Each Add'I Unit(Multi-Family) 06/06/2018 $2,024.60 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 $656.34 1 ea 12%State Surcharge- 06/06/2018 $315.04 Electrical Total $3,596.74 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR -001-0090. u may ob fi a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. l moi ' Issued By: /ti` v �40e " Permittee Signature: OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale,lease or rent. OWNER'S SIGNATURE Date: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR.ELEC' Date: LICENSE NO. Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. .hiee(ricall)ernmit A _ _Jicati 12019 I()I(of 1 1( I. t ,I:0y1,1 City of Tigard111 1.--v--., Rece"ea / �� t Dale/Bv: ( /, nr21 ih1ne5&'1ta11131v4..2439 Tigard,UR 23 Eigiiiiir Phone' 503.71$.2439 Fax: Stl�39� -' Inspection Line: 503.639.4175 Ready DateDy' finis See Page 2 for Internet:: Wl '.ligand or.gnl' NotitiedMahod` Supplemental information -.-7147--:-.,:-,,;"`t,‘,..1'',/1$44.14<' .Y lig ate' fid ' .s..4r=�,:.::. 1.x:; ,,: .-a :i;. {a. 'rr 't`.6pA.A{ i -:r f.t;7,-.';.. ®New construction ❑Addition/alteration/replacement Please chock all that apply(submit 2 sets of plans%•titans checked) ©Service or feeder 400 amps or more 0 Building over three atones ❑Demolition 0 Other where the available fault current ❑Mannas and boatyards '' , - '.' ' `e t ° .x t `,17-.1/1.0.111/st-',,y4-7):".„7„":,r,...it.„1,44.41, -4exceeds 10,000 amps at 150 votes of 0 Floating buildings 10 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. RI Multi-family 0 Master builder 0 Other: ❑Fire pump. ❑installation of 150 KVA or ,.k,749,-,'2::::-..;--..'*, f. s ';y y""g S`jam:�''e . *:'1V''. a 777; f t,e, . , 0 Emergency system larger separately derived I 1 5l i , 10 � A V ,A( . ❑Addition of now motor load of system. Job#: Job site address: 7 JVv CNI iOoHPor more, 1�"A"'E"'"i•Z""1.3", Cite'/StateJ7IP.1 �`I �/ /J /� O Six or more residential units occupancy (SV40! �ot)(!v- lJ�on lql) ❑Health-careresidenti ❑Raaeationalvehicle puks. Suite/bldg./apt. J TA/a t.4: I Pro ect name: VV—rev v"O 0 Hazardous locations. 0 Supply voltage for more than 600 volts nominal. ❑Service or feeder 600 amps or more. Cross street/directions to job site: ,": ' , ; t*', A " ` a Dr,cripnion Qty rod, 1 TOW 'I • New residential single-or multi-family dwelling unit. Subdivision: p1 Jf,,, --tory-ate) Lot 4: R11.9,6 Includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less 168.54 4 S`• .6&.0 , = ,,. + ;+s k r . s , _ W Ea.add'l 500 sq.ft.or portion 33.92 1 41/,+ h V' 01 VIA jT, 0 IA t IA/ Limited energy,residential 75.00 2 '�V ({�tll C Y l�1�.t (with above sq.tt) Jill Ela a 201 - / I a ' Limited energy,multi-family 75.00 2 = =14...` 't s " '7 , t , r residential(with above sq.ft.) Name:ADVL Land Holdings,LLC Renewable Energy 0 See Page 2 Services or feeders installation,alteration,and/or relocation Address:7600 E Doubletree Ranch Road 200 amps or less 100,70 2 City/State/ZIP:Scottsdale,AZ 85258 Phone:(602)694-4031 Fax:( ) 201 amps to 400 amps 133.66 2 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 447,449,670,and 701. Over 1,000 amps or volts 552.26 2 Owner signature: Date: Temporary services or feeders installation,alteration,and/or i:- . - , y .; 4 z-., , < 0,7**. OXIBIO It ;; max. relocation Business name: I'M / 0 1/0 LA+ blk 200 amps or less 59.36 1 Contact name: _ 1 i A. IIc 201 amps to 400 amps 125.08 2 Address: 50 0 L,, f L A,_ . ✓ 401 amps to 599 amps 168.54 2 City/State/ZIP:Vancouver,WA 98660 Branch circuits-new,alteration,or extension,per panel Phone:(360)695-7700 Fax::(360)693-4442 A.Fee for branch circuits with abovEmail:. 5 r. ���ti Feach branch circuiervice or ttder fee, 7.4� - P - '. c-s+-s ti , ,.. w.+-»., Y-1.. . a service oree for fader fee,firsch circuits t 2 ? T�a:,. _.. 56.18 Business name:alameda electric branch circuit - Each add'!branch circuit 7.42 2 Address:3415 ne 44th Miscellaneous(service or feeder not included) City/State/ZIP:ii'Bfd 19,,r-9 la, 1,Ji /, 7 r,Z./3 Each manufactured or modular 67 84 2 dwelling,service and/or feeder Phone:(503)3192192 Fax:( ) Reconnect only 67.84 2 Email:solarpdx®me.com Pump or irrigation circle 67.84 2 CCB Lic.: 199188 Electrical Lie.: c923 Suprv.Lic.: if f7/,,5 Sign or outline lighting 67.84 2 p Suprv.Electrician signature,required: Signal circuit(s)or limited-energy O See Page 2 2 Print name: kr J, i�jp� 2(Z + Date: 1 'I(g panel,alteration,or extension Each additional inspection over allowable in any of the above Additional inspection(I hr mm) 6625:hr Authorized signature: Print name: / /`�� Dater 21 2.� IF investigation(1 hr min) 90 00`hr 1 Y4+t4tnaWumttOELC PrnnMpp•E.A_EAE dor Aar 6Cri7nnot3 HW6t5Tr11A151COMMTh CITY OF TIGARD ELECTRICAL PERMIT `INPermit#: ELC2018-00309 4 ' COMMUNITY DEVELOPMENT 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/06/2018 T f[ ;k 1?pg Parcel: 2S1060001401 Jurisdiction: Tigard Site address: 13271 SW 169TH AVE Project: River Terrace East Apartments,Building E Subdivision: RIVER TERRACE EAST Lot: None Project Description: Building E: Electrical for new 21 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) 2025 Each Add'I Unit(Multi-Family) 06/06/2018 $2,024.60 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 $656.34 1 ea 12%State Surcharge- 06/06/2018 $315.04 Electrical Total $3,596.74 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 -001-0090. Y u may obtain a copy of the rules orrdd�ct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. �i' Ac / Issued By: (/N�f . Permittee Signature: t7 LiGI, c7 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. Electrical Permit Application ived ✓ City of Tigard RECEIVED Date/By:-:- /7 a 'eV/ Permit i l2e/,."-ec73 o9 'I 13125 SW Hall Blvd.,Tigard,OR 97223 9 Plan Revi Imp ,\(Phone: 503.718.2439 Fax: 503.598.1960 l Z�i Date/By: 7 71 Related Pern .e(� /7_4,oe a/ Inspection Line: 503.639.4175 7, Ready Date/B : lens: H See Page 2 for 1 Ili A R D Internet: www.ti d-or. ov CITY /\R� Notified/Meth / gar g l l l l Of' ��fh 01l ocj�0 Supplemental Information TYPE OF w f-DILVNG DMS` E /4. /Irl LAG` PLAN RENEW ®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ®Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition ❑Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. ❑ 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural ®Multi-fami] amps for all other installations. buildings. y 0 Master builder 0 Other: 0 Fire pump. ❑Installation of 150 KVA or JOB SITE INFORMATION'-AND LOCATION 0 Emergency system. larger separately derived 0 Addition of new motor load of system. Job#: 1 Job site address:/3,27/ Si: /(j , , 100HP or more. ❑"A","E","l-2","l-3", City/State/ZIP:Tigard,OR 97224 ®Six or more residential units. occupancy. ,� 0 Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: (' I Project name:River Terrace East s3�k,724Ne- 0 Hazardous locations. 0 Supply voltage for more than ®Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site:Roy Rogers FEE SCHEDULE Description I Qty. I Each I Total I * New residential single-or multi-family dwelling unit. Subdivision:River Terrace East BLDG E I Lot#: Includes attached garage. 1,000 sq.ft.or less 1 168.54 168.54 4 Tax map/parcel#: Ea.add'l 500 sq.ft.or portion / _33, i j '3;4.7,2 DESCRIPTION OF WORK — New 21-unit building �'P lfi(//% � �dZye/ Sr j�.,/ , E '$ 'i.,6) yi eP / ;20) 4)/`3 '.9�C3 Limited energy,multi-family Lar est unit=1244 square feet 7 S!– (with above sq.ft.) 1 75.00 75.00 2 g 9 � L(fir`/TS �' J�� GI��""=- /D/i.s�� residential [� TENANT Renewable Energy 0 See Page 2 ® PROPERTY OWNER 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 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 I ❑ 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 7.42 222.60 2 each branch circuit Contact name:Nichole Thorpe B.Fee for branch circuits without Address:703 Broadway St Suite 510 branch circuit City/State/ZIP:Vancouver,WA 98660 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 Fax::(360)693-4442 Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email:Nichole.Thorpe@polygonhomes.com 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. ® See Page 2 75.00 2 City/State/ZIP: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 Fax:(503)762-1823 Investigation(1 hr min) 90.00/hr Email:permits@threephaseelectric.com Industrial plant(t hr min) 78.18/hr Inspections for which no fee is CCB Lic.: 162368 Electrical Lic.: 3-332C Suprv.Lic.: 3398S specifically listed('A hr min) 90.00/hr ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: k•D.4.af.-rks,:/, /-42.442Subtotal: ' 523. Print name: Dennis Welch Date: 05/03/2018 ®Plan Review Required(25%of permit fee): 3 4 State surcharge(12%of permit fee): 1 . 5 Authorized signature: tG. L TOTAL PERMIT FEE: 087. This permit application expires if a permit is not obtained within 180 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 Fee for all residential systems combined: $75.00 Description I Qty. I Each I Total 1 3r Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 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 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) E 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: n O• ther: Each additional inspection is 66.25/hr 1 charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically listed CA hr min) ELECTRICAL PERMIT FEES COMMERCIAL WORK ONLY. subtotal(Enter on Pagel): 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 n C• lock Systems ® Data Telecommunication Installation E Fire Alarm Installation n H• VAC E Instrumentation ❑ Intercom and Paging Systems n L• andscape Irrigation Control* C Medical n N• urse Calls Outdoor Landscape Lighting* n P• rotective Signaling ❑ 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