Permit (2) I, CITY OF TIGARD ELECTRICAL PERMIT
Ig.': COMMUNITY DEVELOPMENT Permit#: ELC2019-00729
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/19/2019
Parcel: 1S136DA02500
Jurisdiction: Tigard
Site address: 11090 SW 68TH PKWY
Project: Red Rock Creek Commons Subdivision: RED ROCK CREEK COMMONS Lot: 1
Project Description: Electrical for a new 4-story multifamily building with(48) 1-bedroom apartments and a community room.
Contractor: JET INDUSTRIES INC Owner: COMMUNITY PARTNERS FOR AFFORDABL
1935 SILVERTON RD NE HOUSING
SALEM, OR 97303 6380 SW CAPITOL HWY, STE 151
PORTLAND, OR 97239
PHONE: 503-363-2334
PHONE: 503-293-4038
FAX: 503-363-2622
FEES
Quantity Description Date Amount
631 sf Permit Fee-Elect(SF or 1st 11/15/2019 $168.54
Specifics: MF dwelling unit)
3961 Each Add! Unit(Multi-Family) 11/15/2019 $3,960.69
Type of Use: COM 2 ea Services or Feeders-200 11/15/2019 $201.40
Class of Work: ALT amps or less
1 ea Services or Feeders-401 to 11/15/2019 $200.34
Type of Const: 600 amps
Occupancy Grp: 1 ea Temp Services or Feeders- 11/15/2019 $125.08
201 to 400 amps
104 crt Branch Circuits w/Purchase 11/15/2019 $771.68
Service or Feeder
1 ea Plan Review Electricial 11/15/2019 $1,356.93
1 ea 12%State Surcharge- 11/15/2019 $651.33
Electrical
Total $7,435.99
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. Youin a cop ules or direct questions to OUNC by calling 50 .32.1987 or 1.800.332.2344.
r/f i
Issued By: ✓ P� l a^ Permittee Signature: l V`� -� J
OWNER INSTALLATION ONLY r;
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 ApplicatiO> ECEIVE . FOi1 Ai•Flc E I S1':ONLY
IICity Of Tigard Date/Bed //as= Permit tqL, l.7 00 7,2 2
• 13125 SW Hall Blvd.,Tigard,OR 97223 NO V 4 2019 Plan Review r ffn
s Phone: 503.718.2439 Fax: 503.598.1960 Date/B : ;, Related Permit 4:
Inspection Line: 503.639.4175 Ready Date ® See Page 2 for
i IGARD' Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: r r Sf G Supplemental information
RJDNG DIyIS1QN t tip« "
TYPE OF WORKrw e ,,—.4.., PLAN REVIEW
❑New construction ❑Addition/alteration/reph. Please check all that apply(submit 2 sets of plans w/items checked):
Service or feeder 400 amps or[Wore Building over three stories.
0 Demolition 0 Other: where the available fault currcm Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
❑ 1-and 2-family dwelling 0 Commercial/industrial 0 Act,. ry bt,:'ding less to ground,or exceeds 14,000 ❑Comnrerrial-use agricuitural
amps for all other installations. buildings.
❑Multi-family 0 Master builder ❑Other: ❑Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system, larger separately derived
❑Addition of new motor load of system.
Job#: ,9 „Di L2 Job site address: I E O St3 (084-t'v {'(a✓} 10(IFIPormore. ❑"A" "F•' "1-2' "1-3"
{ ix or more residential units. occupancy.
City/State/ZIP..c[c�e,v } ye ,, Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: `� Project name: ,,rraa 0 Hazardous locations. ❑Supply voltage for more than
1 4 V ($ 4 3 Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE
Description I Qty. 1 Each 1 Total I *
New residential single-or multi-family dwelling unit.
Subdivision: I Lot#: Includes attached garage.
1,000 sq.ft.or less I / 168.54 4),,f)✓4
Tax map/parcel#: e.-4/7)4.43e)yy e,-i- . 97 fv.,27 j(40‘.kq
DESCRIPTION'OF WORK '' Limited energy,residential
/f� (with above sq.ft.) 75.00 2
Ile-c.) -54r....415 j 2fc t,l l til«ut d 9 re')f " ' f ti Limited energy,multi-family 75.00 2
'' 0 kis i S t-1 c ter �J?, (acre(
r�*vxi- 631,Ft- _ residential(with above sq.ft.)
! 7 A. i Renewable Energy 0 See Page 2
. `. J PERTY OWNER :; 0 TENANT !". Services or feeders installation,alteration,and/or relocation
Name: v lLL, G p 119/9-,,-44
�, �A�t sr /� /_•� �5� �, �/ t7 �,��`' ��✓�;.S 200 amps or less t� 100:70- _Z-.---�-
1 W �t ®® 201 amps to 400 amps _.133.36- J(y? 2^-
Address:
t` Z(n// .31‘, s+,
r X �y�� 7 = 9tr�t�+ 401 amps to 600 amps / 200.34 2 '4
•
City/State/ZIP: - 601 amps to 1,000 amps 47- ;" 2? -".
Phone:( ) Fax:( ) Over 1,000 amps or volts rf . S57 2 ..�,.
Temporary services or feeders installation,alteration,and/or
Email: 1 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 .i1,.......-- 4 125.08 ‘15,a3 2 4--
Owner signature: Date: 401 amps to 599 amps 168.54 2
APPLICANT ' I (-'CSNrACT PERSON. ;r - Branch circuits-new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name 7c -. ..LIVI-,t u j 1 7s, above service or facdcr fee, 7 42 y I 2
LJ t each branch circuit sic t
Contact name:- Ca.f L,t.., B.Fee for branch circuits without
service or feeder fee,fiixt
Address: t. e` branch circuit 56.18 2
City/State/ZIP:Sout{ { 7 Each add'I branch circuit 7.42 2
L i 1 G/ Miscellaneous(service or feeder not included)
Phone:0,3 )3‘, 3 .- a3.5y Fax: :653).i6Y Z c/ Each manufactured or modular 67.84 2
dwelling,service and or feeder
Email In-,to,C4 s C ( , 4i't'rkt,t5y Reconnect only 67.84 2
CONTRACTOR .. -Pump or irrigation circle 67.84 2
Business nam 1 . Sign or outline lighting 67.84 2
f _ Signal.circuits)or limited-energy 0 See Page 2 2
Address: � �,-.,t �,,c.--1-c,,,„1: J"7 _;Rei panel,alteration,or extension.
City/State/ZIP: / —y { Each additional inspection over allowable in any of the above
Y < le+r"? F ( t 0 Additional inspection(1 hr min) 66.25/hr
Phone: )•? " Fax: �r Investigation(1 hr min) 90.00'hr
. .� �" €"'�. r-f .�...�''�).�(G C'i` 7 La u�r7� t, ) t
Email: p Industrial plant(I hr min) 78.18/hr
yo r/t.or , ( 3r-f" f x.. -r,I r T t C'_ t inspections for which no fee is 9U 00/hr
CCB Lie.: `Cz!'T Electrical Lic.: 7 7 ( , Suprv.Lic.:0c1` ' specifically listed('/2 hr min)
C
' "''' ELECTRICAL sPERMIT FEES ,, ,",,d -
Suprv.Electrician signature,requirete--` ' Subtot- ai r "
Print name: Date: 0 Plan Review Required(25%of permit fee): l '� 4�. .
'lt<1 ,a 1l Est_ / t 4
j State surcharge(12%of permit fee): , (,
Authorized signature: TOTAL PERMIT FEE. 7 r.( dj,J
This permit application expires if a permit is not 4 80
btainid within 1
Print name •y✓1 S f Date: * days after it has been accepted as complete.
i' r Number of inspections allowed per permit.
1:1Building.Pernriis\ELC_PermitApp_Et_R_ERE.doe Rev 06/17/2015 440-46151(11705r`COM:'WEB
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. Each Total I
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
n A• udio and Stereo Systems* 15.01 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
n B• urglar Alarm 25.01 to 50 kva 301.04 2
❑ Garage Door Opener* 50.01 to 100 kva 55226 2
>100 kva(fee in accordance
with OAR 918-309-0040) 55226 2
C Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System*
Each additional kva over 25 7.42 3
(- V• acuum Systems* >100 kva—no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
❑ Other: Each additional inspection is (16,25(hr
charged at an hourly(1 hr min)
Inspections for which no fee is 90,00'hr
specifically listed(%a hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Fee for each commercial system: $75.04 Subtotal(Enter on Page 1):
* Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
n Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
n Data Telecommunication Installation
n Fire Alarm Installation
HVAC
I I Instrumentation
n Intercom and Paging Systems
❑ Landscape Irrigation Control*
n Medical
❑ Nurse Calls
n Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
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