Permit (43) CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: ELC2018-00229
TI ARC) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/09/2018
Parcel: 2S1060001400
Jurisdiction: Tigard
Site address: 17051 SW APPLEDALE RD
Project: River Terrace East Apartments,Building A-Clubhouse Subdivision: RIVER TERRACE EAST Lot: None
Project Description: Building A: Clubhouse and 7 units-Electrical
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 05/09/2018 $202.46
Specifics: MF dwelling unit)
607 Each Add'I Unit(Multi-Family) 05/09/2018 $607.38
Type of Use: MF 1 ea Limited Energy 05/09/2018 $75.00
Class of Work: NEW 1 ea Services or Feeders-200 05/09/2018 $100.70
Type of Const: amps or less
Occupancy Grp: 30 crt Branch Circuits w/Purchase 05/09/2018 $222.60
Service or Feeder
1 ea Plan Review Electricial 05/09/2018 $302.04
1 ea 12%State Surcharge- 05/09/2018 $144.98
Electrical
Total $1,655.16
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 Cente ••se rules are set forth in OAR
952-001-0010 through 95 00 You may obtain a copy of the rules or direct questions to OUNC by calling 503.23 1f�:r 1.800 S 32.234.
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' Date:
LICENSE NO.
Call 603.639.4175 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—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
FEE SCHEDULE
I I
RESIDENTIAL WORK ONLY: Description I Qty. I Each Total
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
100.70 2
5 kva or less
Check Type of Work Involved:
5.01 to 151m 133.56 2
0 Audio and Stereo Systems* 15.01 to 25 kva 20034 2
Wintlicieration systems in excess of 25 kva:
301.04 2
25.01 to 50 kva
0 Burglar Alarm
50.01 to 100 kva 552.26 2
Garage Door Opener* >100 kva(fee in accordance
552.26 2
with OAR 918-309-0040)
Solar generation systems in excess of 25 kva:
E Heating,Ventilation and Air Conditioning
System* Each additional kva over 25 7.42
3
0 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
E Other: charged at an hourly(1 hr min)
Inspections for which no fee is
90.00/hr
specifically listed(V hr min)
gmcntitAL PgRmri FEES
COMMERCIAL WORIONLYI
Subtotal(Enter on Page 1):
Fee for h commercial system:
$75.00
* Number of inspections allowed per permit
eac
(SEE OAR.918-309-0000)
Check Type of Work Involved:
0 Audio and Stereo Systems
[1 Boiler Controls
Clock Systems
It Data Telecommunication Installation
Li Fire Alarm Installation
El HVAC
0 Instrumentation
Li Intercom and Paging Systems
0 Landscape Irrigation Control*
O Medical
O Nurse Calls
O Outdoor Landscape Lighting*
O Protective Signaling
0 Other:
Total number of commercial systems: 1
*No licenses are required. Licenses are required for all
other installations
1:93wIdnig\P its\ELC feemeApp_ELR_ERE.doc Rev 06/17/2015
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
17051 SW APPLEDALE RD, SHERWOOD,
OR, 97140
Record Type: Record ID:
Commercial - Electrical ELC2018-00229
Inspection Type: Inspector:
199 Electrical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor