Permit (14) CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: ELC2019-00667
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/07/2019
Parcel: 2S 110DB00200
Jurisdiction: Tigard
Site address: 15187 SW ROYALTY PKWY E
Project: Arbor Heights Apartments, Building E Subdivision: WILLOW-BROOK-FARM Lot: 8
Project Description: Wifi metering on water heater circuits for Building E units: 1,2,5,6, 11-18,21-28, 31-38.
Contractor: PEAK ELECTRIC GROUP LLC Owner: ARBOR HEIGHTS VENTURE LLC
11007 NE 109TH ST BY SECURITY PROPERTIES INC
VANCOUVER,WA 98662 ATTN BOB KROKOWER
701 FIFTH AVE STE 5700
SEATTLE, WA 98104
PHONE: 360-693-0804 PHONE:
FAX:
FEES
Quantity Description Date Amount
28 crt Branch Circuits wo/Purchase 10/04/2019 $256.52
Specifics: Service or Feeder
1 ea 12%State Surcharge- 10/04/2019 $30.78
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $287.30
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 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:
' — �-�'''J Permittee Signature: r 't',,s�r ,,
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 ApplicatioM .;i .„ 1 n FOR OFFICE USEONI.v
City of Tigard DateB , r,, ii ! _
13125 SW Hall Blvd.,Tigard,OR 97223 ((��C T 1 Plan Review
PIA
`_ Phone: 503.718.2439 Fax: 503.598.1961Y ' Date/B : Related Permit#:
Inspection Line: 503.639.4175 - 0`.;, Ready Date/By: Juris: ® See Page 2 for
I I"ARI) Internet: www.tigard-or.gov C 1 'I' LA i d.4` Notifed/Method: '{. Supplemental Information
, -4. .,,,,,.,
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❑New construction ®Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
❑Demolition 0 Other: ❑Service or feeder 400 amps or more ❑Building over three stories.
where the available fault current ❑Marinas and boatyards.
# 4 - exceeds 10,000 amps at 150 volts or 0 Floating buildings.
❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building less to ground or exceeds 14,000 ❑Commercial-use agricultural
❑Multi-family 0 Master builderamps for all other installations. buildings.
0 Other 0 Fire pump. 0 Installation of 150 KVA or
" ° ) ri , I. g ❑Emergency system. larger separately derived
❑Addition of new motor load of system.
Job 4: 190663 Job site address: 15187 SW Royalty Pkwy IooHP or more.
City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy.
❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#:E I Project name:,..9-4/g®/L ,e7r-&--7 -7/7- 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: (-72t7/,f '7if 73 lit,,I,11111114,,l'i4,:- FRC^ t, t ,_
Description Qty Each Total
New residential single-or multi-family dwelling unit.
Subdivision: I Lot#: Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#: Ea.add'l 500 sq.ft.or portion 33.92 1
= k *tql.Tall,03402'.MI:TCalliiiiigOirtitMilitialkiFs Limited energy,residential 75.00 2
Installing WiFi metering units on water heater circuits for apartment#'s- (with above sq.ft.)
Limited energy,multi-family 75.00 2
1,2,5,6,11,12,13,14,15,16,17,18,21,22,23,24,25,26,27,28,31,32,33,34,35,36,37,38 residential(with above sq.ft.)
Eljnegiilir ROPER .m Renewable Energy 0 See Page 2
Services or feeders installation,alteration,and/or relocation
Name: 200 amps or less 100.70 2
Address: 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP: 601 amps to 1,000 amps 301.04 2
Phone:( ) 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 1
,C': : 1 0 _ Branch circuits—new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name:Peak Electric Group above service or feeder fee, 7.42 2
each branch circuit
Contact name:Jerry Larson B.Fee for branch circuits without
service or feeder fee,first 1 56.18
Address:57096 S.Morse Rd. branch circuit 56.18 2
City/State/ZIP:Warren Oregon 97053 Each add'l branch circuit 27 7.42 200.34 2
Miscellaneous(service or feeder not included)
Phone:(503)577-4311 I Fax: :( ) Each manufactured or modular 67.84 2
Email:jerryl@peakelectricgroup.com dwelling,service and/or feeder
Reconnect only 67.84 2
co s s R Pump or irrigation circle 67.84 2
Business name:Peak Electric Group Sign or outline lighting 67.84 2
Address:57096 S.Morse Rd. Signal circuit(s)or limited-energy ❑ See Page 2 2
panel,alteration,or extension.
City/State/ZIP:Warren Oregon 97053 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(971)328-2001 Fax:( ) Investigation(1 hr min) 90.00/hr
Email:gordon@peakelectricgroup.com Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
speclficall listed %z hr min)
CCB Lic.: 206443 Electrical Lic.: 1109 Suprv.Lic.:57545 ,� ,
4,I TR1cAL PE.,'
Suprv.Electrician signature,required:' ,, 45adt: d Subtotal: 256.25
Print name: Tim Banaszek CifDate: 9/2_5/79CIPlan Review Required(25%of permit fee):
State surcharge(12%of permit fee): 30.78
Authorized signature: /all. a t7, TOTAL PERMIT FEE: 287.30
This permit application expires if a permit is not obtained within 180
Print name: Tim Banaszek Date: 9/25179 days after it has been accepted as complete.
* Number of inspections allowed per permit.
1:�Building�Permits�ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015
440-4615T(I I/05/COM/WEB
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
REIDENTIAL WORK ONLY: PEEHEDL E
Fee for all residential systems combined. $75.00 Renewable to 1 Each Total
3 Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 133.56 2
n A• udio and Stereo Systems* 15.01 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
El Alarm 25.01 to 50 kva 301.04 2
GarageDoor Opener*
50.01 to 100 kva
l] ara O * 552.26 2
gp >100 kva(fee in accordance
with OAR 918-309-0040) 552.26 2
❑ Solar generation systems in excess of 25 kva:
Heating, Ventilation and Air Conditioning
System* Each additional kva over 25 7.42 3
n V• acuum Systems* >100 kva-no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
El Other: Each additional inspection is 66.25/hr
charged at an hourly(1 hr min)
Inspections for which no fee is 90.00/hr
specifically listed('h hr min)
COMMERCIAL WORK ONLY. .' .ELECTRICAL CTRICAL PERMIT PEES
Fee for each commercial s stem: $75.00 Subtotal(Enter on Page 1):
y * Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
n Audio and Stereo Systems
❑ B• oiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
P1 Instrumentation
❑ Intercom and Paging Systems
n Landscape Irrigation Control*
❑ M• edical
❑ N• urse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
1`\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015