Permit (117) CITY OF TIGARD ELECTRICAL PERMIT
:1111 41. COMMUNITY DEVELOPMENT
Permit#: ELC2019-00568
Date Issued: 09/12/2019
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 1 S135AA03800
Jurisdiction: Tigard
Site address: 8879 SW ELENA LN
Project: Oak Street Condominiums Subdivision: OAK STREET CONDOMINIUMS Lot:
Project Description: Gang meters for building 3.
Contractor: THREE PHASE ELECTRIC Owner: LENNAR NORTHWEST INC
11490 SE JENNIFER ST 11807 NE 99TH ST STE 1170
CLACKAMAS, OR 97015 VANCOUVER,WA 98682
PHONE:
PHONE: 503-760-8522
FAX: 503-762-1823
FEES
Quantity Description Date Amount
11 ea Services or Feeders-200 09/12/2019 $1,107.70
Specifics: amps or less
1 ea Services or Feeders-401 to 09/12/2019 $200.34
Type of Use: SFA 600 amps
Class of Work: NEW 1 ea Plan Review Electricial 09/12/2019 $327.01
1 ea 12%State Surcharge- 09/12/2019 $156.96
Type of Const: Electrical
Occupancy Grp:
Total $1,792.01
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. Th•:- ru- are I.Set, forth in OAR
952-001-0010 through 0 -001-0090. You - •• - =;opy of the rulj s or direct questions to OUNC by calling 503.232.1987 or ;s6<'"2'344
Issued By:
y �� 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.
Electrical Permit Applicati F' ,, r, i
,, FOR OFFICE USE ONLY
City of Tigard Received
`� h Date/By: Q y� P rmit#: j ` -I� _00,f,., tj
13125 SW Hall Blvd.,Tigard,OR 97223 U:G'.22 L Q 19V��ta� /�'�G7� L<l t r aj
Dian Review 1
k 0 Phone: 503.718.2439 Fax: 503.598.1960 DateBy. q. / ,; •'•lated Permit#: , >i ,a3
Inspection Line: 503.639.4175 V—�f !
ReadyDate/By: vis:
TIGARD
i xr '� " Y / o SeePage2for
,� Internet: www.tigard-or.gov ..d No fie ethod:� !� ,�; 'j�>iy Supplemental Information
C%�k� 7 N
TYPE OF WORK.. "" Nv �' "r
PLAN PLAN REVIEW
I ❑New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
❑Demolition LI Other: I Service or feeder 400 amps or more ❑Building over three stories.
where the available fault current 0 Marinas and boatyards.
CATEGORY' OF CONSTRUCTION exceeds 10,000 amps at 150 volts or
P 0 Floating buildings.
❑ I-and 2-family dwelling ❑ Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family LI Master builder ❑Other:
0 Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
NI slob 4: I Job site address: ❑Addition of new motor load of system.
8879 SW Elena Lane (LOT 22) 100HPormore. ❑"A","E","l-2","l-3",
City/State/ZIP:
in
Six or more residential units.
❑Health-care facilities.
occupancy.
0 Recreational vehicle parks.
Suite/bldg./apt.4: I Project name: ❑Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal Cross street/directions to job site:closest address to PANEL
FEE SCHEDULE
Electrical LOAD CALC review for BLDG 3 Description I Qty. i Each i Total I
New residential single-or multi-family dwelling unit.
Subdivision:Cornerstone Condominiums I Lot 4: Includes attached garage.
'� Tax map/parcel#: 1,000 sq.ft.or less 168.54 4
Ea.add'l 500 sq.ft.or portion 33.92 l
DESCRIPTION OF WORK Limited energy,residential
Electric load calc review for Bldg 3 (with above sq.ft.) 75.00 2
Limited energy,multi-family
residential(with above sq.ft.) 75.00 2
® PROPERTY OWNER I ❑ TENANT Renewable Energy 0 See Page 2
\..i Services or feeders installation,alteration,and/or relocation
Name:Lennar NW Inc. 200 amps or less 11 100.70 1,107.70 2
Address:11807 NE 99th St. #1170 201 amps to 400 amps 133.56 2
City/State/ZIP:Vancouver, WA 401 amps to 600 amps 1 200.34 200.34 2
98682 601 amps to 1,000 amps 301.04 2
Phone:(360)258-7900 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
"O Owner signature: Date: 401 amps to 599 amps 168.54 2
la APPLICANT ❑ CONTACT PERSON Branch circuits—new,alteration,or extension,per panel
A.Fee for branch circuits with
k. Business name:Same as above above service or feeder fee,
each branch circuit 7.42 2
Contact name:JulS Call B.Fee for branch circuits without
Address:Same as above service or feeder fee,first
branch circuit 56.18 2
City/State/ZIP: Each add'l branch circuit 7,42 2
'''s Phone:Phone:(360 )258-7906 Fax: : Miscellaneous(service or feeder not included)
( ) Each manufactured or modular
Email:juls.call@lennar.com
AilliKdwelling,service and/or feeder 67.84 2
Reconnect only 67.84 2
lila
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. 0 See Page 2 2
Each additional inspection over allowable in any of the above
City/State/zIP: Clackamas, OR 97015
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(1 hr min) 78.18/hr
Inspections for which no fee is
CCB Lic.: 162368 Electrical Lic.: 3-332C Suprv.Lie.: 6379S specifically listed(1/2 hr min) 90.00/hr
Suprv.Electrician signature,required: G4-4L.,__
ELECTRICAL PERMIT FEES
L.tom_. Subtotal: $1,308.04
Print name: Robert Lane Date: El Plan Review Required(25%of permit fee): 327.01
State surcharge(12%of permit fee): 156.96
Authorized signature: TOTAL PERMIT FEE: $1,792.01
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
* Number of inspections allowed per permit.
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4
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Description Qty. I Each I Total
Fee for all residential systems combined: $75.00 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:
n Burglar Alarm 25.01 to 50 kva 301.04 2
50.01 to 100 kva 552.26 2
n Garage Door Opener* >100 kva(fee in accordance
with OAR 918-309-0040) 552.26 2
n Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System*
Each additional kva over 25 7.42 3
Ti Vacuum Systems* >100 kva—no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
n Other: 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(V0 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
n Boiler Controls
n Clock Systems
Data Telecommunication Installation
Fire Alarm Installation
n HVAC
Instrumentation
Ti Intercom and Paging Systems
Ti Landscape Irrigation Control*
❑ Med1t'21
Nurse Calls
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