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Permit (10)
CITY OF TIGARD ELECTRICAL PERMIT F Ilt, COMMUNITY DEVELOPMENT Permit#: ELC2019 00679 T 1GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/11/2019 Parcel: 2S 110DB00200 Jurisdiction: Tigard Site address: 15055 SW ROYALTY PKWY G Project: Arbor Heights Apartments,Building G Subdivision: WILLOW-BROOK-FARM Lot: 8 Project Description: Wifi metering on water heater circuits to building G 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 10/11/2019 $256.52 Specifics: Service or Feeder 1 ea 12%State Surcharge- 10/11/2019 $30.78 Type of Use: MF 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//g�2-001-e e s e. 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: _` 2— Permittee Signature: OA/ "CC'1--k7c// 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 ��c!`� ® FOR OFFICE USE ONLY G �f Received City of Tigard Dat. : /d ("1 j„ EINEWEIPMEM_ III 14 13125 SW Hall Blvd.,Tigard,OR 97223 r T 2018 Plan Review 11 Phone: 503.718.2439 Fax: 503.598.196000 1 17 Datem : Related Permit#: T I GA R D Inspection Line: 503.639.4175 C-y"h(�J� Ready Date/By: IFL !� See Page 2 for Internet www.tigard-or.gov CITY OF 1 94J ARA Notified/Method: Supplemental Information o New construction ®Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ❑Demolition ❑Other: ❑Service or feeder 400 amps or more ❑Building over three stories. where the available fault current ❑Mannas and boatyards. t = 'ORYOF CONSTRUCTION C _ -- exceeds 10,000 amps at 150 volts or 0 Floating buildings. ��� �r�iit ❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or ..ilkaiN _ 4 0 S a n ` - '�ei !1 i`�_-,'LICATI(N ���MIN El Emergency system. larger separately derived ............17 g ❑Addition of new motor load of system. Job 4: 190663 I Job site address: 15055 SW Royalty Pkwy 100HP or more. ❑"A","E","1-2","1-s", City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy. y g ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#:G I Project name: - ❑Hazardous locations 0 Supply voltage for more than {�s 600 volts nominal ' �/ '-'� �L� ❑Servrce or feeder 600 amps or more. Cross street/directions to job site: ► "' 101r7777':: Description j,._Qty. I Each Total I * 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 ft.or portion 33.92 1 sq. to F D R "_ ! s.ORK RI „',, -: Limited energy,residential 75.00 2 (with above sq.ft.) Installing WiFi metering units on water heater circuits for apartment 4's- 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.) Renewable Ener ❑ See Pa e 2 "'R, © . p tTY OWNER �ii(ilI� - ., !l����� =TENA'` ,� 1�.y Services or feed es 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 I 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 - or Branch circuits—new,alteration,or extension,per panel .._ -=� � �� - •` . ��.t 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 56.18 2 Address:57096 S.Morse Rd. branch circuit 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 dwelling,service and/or feeder Email:jerryl@peakelectricgroup.com Reconnect only 67.84 2 _: Pump or irrigation circle 67.84 2 Business name:Peak Electric Group Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy ❑ See Page 2 2 Address:57096 S.Morse Rd. 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 CCB Lic.:206443 Electrical Lic.:C1 109 Suprv.Lic.:57545 specifically listed %2 hr min) IIIPTV �, CrliTi P,' Y T :FEES" Suprv.Electrician signature,required:/4m, C'a', 'tom Subtotal: 256.52 Print name: Tim Banaszek Date: 9/2_51/9/ ❑Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): 30.78 Authorized signature:-7-4,,,, as j TOTAL PERMIT FEE: 287.30 This permit application expires if a permit is not obtained within 180 Print name: Tim Banaszek Date:9/ //!9 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