Permit (6) , CITY OF TIGARD ELECTRICAL PERMIT
'- COMMUNITY DEVELOPMENT Permit#: ELC2019-00663
Date Issued: 10/07/2019
TI ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S110DB00201
Jurisdiction: Tigard
Site address: 15268 SW ROYALTY PKWY A
Project: Arbor Heights Apartments, Building A Subdivision: WILLOW-BROOK-FARM Lot: 8
Project Description: Wifi metering on water heater circuits to building A units: 1,2,5,6, 11-18, 21-28.
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
20 crt Branch Circuits wo/Purchase 10/04/2019 $197.16
Specifics: Service or Feeder
1 ea 12%State Surcharge- 10/04/2019 $23.66
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $220.82
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 rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
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 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.
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Electrical Permit Application FOR OFFICE USE ONLY
FESPICity of Tigard 0 C 1 2 2019 Received .,
: II Date/B • - ,
II13125 SW Hall Blvd.,Tigard,OR 972
Phone: 503.718.2439 Fax: 503.598. " , OF , Ar[) Plan Review' Related Permit#-:Date8
il
Inspection Line: 503.639.4175 BUILDING DI VISKr Ready Date/BY: Iran 0 See Page 2 for
HOARD Internet: www.tigard-or.gov Notified/Method: sir' _ Supplemental Information
i:n1IRElili;!.;;Asi:';'i.. " ' --7-'-V.;74D:Eilll::',:ill!:.2F WOR 4;Aii4: .::tilgi ,i:'5al!li :;:..!,!:S--,,,,, ',; '.: ' 'NikaEg:ijditseGfmN,REVIEW"
0 New construction 1:0 Addition/alteration/replacement Please check all that apply(submit i sets of plans w/items checked):
0 Service or feeder 400 amps or more 0 Building over three stories.
0 Demolition 0 Other: where the available fault current 0 Marinas and boatyards.
7,311`4,:v,:-., - .. , -.-':',-..:\TAilii2,0 Y OF CON ::.,,Am exceeds 10,000 amps at 150 volts or 0 Floating buildings.
0 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations, buildings.
0 Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or
1111111111%,,-, - Jog' 7-MnaiiiIii'TION IjainirUSS:47 ----'' ' - --"7—'''': '''' 0Emergency system. larger separately derived
o Addition of new motor load of System.
Job 4: 190663 Job site address: 15268 SW Royalty Pkwy 100HP or more.
City/State/ZIP:Tigard,OR 97224 0 Six or more residential units, occupancy.
Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#:A 0 Supply voltage for more than
I Project name:/9-g eo 4 ,4746-7 6fi-rs id Isl=deotoir=teir°161 amps or more.
600 volts nominal.
Cross street/directions to job site: ty-7,96,741---,(1 67,v-7-- ;---,„ ',113.11112MAILVELERNiggigainigaglit
Description Qty. Each Total *
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel 4:
, , Ea.add'I 500 sq.ft.or portion 33.92 1
llinKlOT%'-',"' - A ZarglialaititORK - 'T:' :':''''1' ::rik;'''',"7F777,ttillE0 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
01,02,05,06,11,12,13,14,15,16,17,18,21,22,23,24,25,26,27,28 residential(with above sq.ft.)
-„..,.,.......,„.„ Renewable Energy 0 See Page 2
0 PROPER iMINVIIIMEIP74, " - :--,0,,z'siltwyerrirrvorroor%„:ii:i,1:.: _,„:„,:,,,
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 10400 amps 125.08 2
Owner signature: Date: 401 amps to 599 amps 168.54 2
Branchrcircuitsaiir
i:ncewt,swith
alteration,or extension,per panel
A.Fee
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 first 1 56.18
Address:57096 S.Morse Rd. ct 56.18 2
City/State/ZIP:Warren Oregon 97053 Each add'l branch circuit 19 7.42 140.98 2
Miscellaneous(service or feeder not included)
Phone:(503)577-4311 Fax: :( ) Each manufactured or modular
67.84 2
dwelling,service and/or feederEmail:jerryl@peakelectricgroup.com Reconnect only 67.84 2
CONrRINVENiata4„-!-:-Z„". . ' ' 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 0 see Page 2
2
Address:57096 S.Morse Rd. panel,alteration,or extension.
Each additional inspection over allowable in any of the above
City/State/ZIP:Warren Oregon 97053
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 09 .00/hr
CCB Lic.: 206443 Electrical Lic.: C1109 Suprv.Lic.: 57545 s,eFificalt listed 'A hr min
ill',1*M1'*.t ELECTRII0 i,.1 ''751Vria loili:ES
— - - -
Suprv.Electrician signature,required: /at., ,?„...ta.,e,laSubtotal: 197.16
Print name: Tim Banaszek Pate: 9-26-19 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee): 23.66
TOTAL PERMIT FEE: 220.82
Authorized signature: /,....,.., ga...„ja
This permit application expires if a permit is not obtained within 180
Print name: Tim Banaszek Date: 9-26-19 days after it has been accepted as complete,
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RE~ fpg.N0A r 0P K ONLY ��I .i ti->'.',ti ti r, FEE',SCHEDULE
Qty. Each
Fee for all residential systems combined: $75.00 ney 1 Total
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 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
with OAR 918-309-0040) 552.26 2
❑ 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:
❑ 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(Y:hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT.FEES
Subtotal(Enter on Page 1):
Fee for each commercial system: $75.00 ,
(SEE OAR 918-309-0000) Number of inspections allowed per permit.
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
n Protective 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