Permit qCITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
' COMMUNITY DEVELOPMENT Permit#: ELR2016-00031
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/24/2016
Parcel: 1S136AA00201
Jurisdiction: Tigard
Site address: 10315 SW 67TH AVE
Project: Oak Street Estates,Lot 28 Subdivision: 2007-031 PARTITION PLAT Lot: 2
Project Description: Low voltage for landscape lighting.
Contractor: PACIFIC LANDSCAPE SERVICES INC A WASHINGTC Owner: LENNAR NORTHWEST INC
PO BOX 821903 11870 NE 99TH ST, STE 1170
VANCOUVER,WA 98682 VANCOUVER,WA 98682
PHONE: 360-891-0367 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Restricted Energy Permit 02/24/2016 $75.00
12%State Surcharge-Electrical 02/24/2016 $9.00
Type of Use: SF
Class of Work: ALT
Total Number of Systems:
Audio&Stereo: N
Security Alarm: N
Garage Door Opener: N
HVAC: N
Vacuum System: N
Other Y
Other Desc: Total $84.00
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' ' _ • law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 t '•ugh OAR 95 001-0190. 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 /'� ��/ Permittee Signature: I!
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.
Feb 23 1611:39a Pacific LandscapEl ire SIn 3606041242 p.3
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Electrical Permit A li CE!VE -i
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City of Tigard Erg 2 3 2016 Re q IRrwit M: GQo�O!(o-��1.7 i
1111 13125 SW Rail Blvd.,Tigard,OR 72 Dan K ViC !� \(` ///(
III Phone: 503.7182439 Fax: 503.598.1960 Plan�1e
Dually: Rdated Permit a:t-t��tt7/
Inspection Linc: 503.639.4175d'fry()I. 1 I G M t ReadyDate/By rune I M See Pale 2 err I
Internet www.Ugard o7YPB�Rli FJItR 'Oil/I /it _ Ndifcd/Mdhod Supplemencel Information
,4� l I PLAN REVIEW
❑New construction ®Addition/alteration/replacement Please cheek all that apply(submit asots ofplans w/itemadteckedl•
❑Service or feeder 400 amps or mors ❑Building 0%42fthree stones.Demolition ❑Other:
CATEGORY OF CONSTRUCTIONex ere the available fault cement ❑Mannas and boatyards
exceeds 101,00 amps at 150 volts or 0 Roaring buildings
❑1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commaeiat-use agricultural
Other:
amps for.11 ahem installations. buildings.
❑Multi-family 0 Master builder
❑Ftre pay. ❑installation rd 1.10 K VA Or
JOB SITE INFORMATION AND LOCATION ❑Emergency system. brow separately dived
Job*: I Job site address:eal �
reat-Lt Z8-/03/6-c%.) 7'^^''C ❑�'na of new nailer load of system).
�'lYv 1001U'armore_ ❑"A",`G"."1 2"`t l".
City/Slate/ZIP:Tigard OR 97223 0 Six or more residential units. occupancy.
❑Health-care facilities. 0 Reara ienal vehicle pales.
Suitebldg./ept.#: Project name:Oak Crest ❑Hazardous locations. ❑Supply voltage for more than
0 Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site:SW Oak St and SW 67th
FEE SCHEDULE
Demand.. I Ceras I Kerb I Total I •
New residential sink-or multi-family dwelling unit.
Subdivision:Oak Crest 1 Lot k:28 Includes attacked garage.
Tax map/parcel+t:
1.000 sq.ft.Of less t 168.54 4
DESCRIPTION OF WORK •
Li add'I5sq.R or portion 33.92 I
Limited energy.erergy,residential
Install low voltage transformer (with above sq.R.) 7500 '!!� 2
Limited energy.multi-family /
residential(with above sq.II) 7500 2
1
Renewable Enemy I 0 See Panel I 1
b PROPERTY OWNER , 0 TETANY
Services or feeders installation,alteration.and/or relocation
Name: 200 amps or leas 100.70 2 ,
Address: 201 amps to 400 amps 13336 2 I
401 a to 600
City/State/ZIP: '"� as
200.34 2
601 amps to 1,000 arm 301.64 2
Phone:( ) Fax:( ) Over 1,000 amps or volts 552.26 2
-
I Email: Temporary services or feeders installation,*aeration,aed/or
relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less I 59.36 I
intended for salt.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 163.54 r
Branch circuits-Heresy,alteration or cxreasioo,per panel
® APPLICANT ❑ CONTACT PERSON 2
A.Fee for branch circuits with
Business name:Pacific Landscape Services above uervtceor feeder fee,
tach branch circuited7.42
Goofed name:Hansen B.Fee for brands circuits without
Address:2718 NE Barton Rd service or feeder fee.lust
branch circuit 56.18
City/State/ZIP:Vancouver WA 98662 Each add'!branch circuit 7.42 2'
Phare:(360)8910367 Fax::(360)6041242 Miscelbneote(service or feeder not included)
Each manufactured or modular
Email:michael(try'paciftctandscapeservices,eota
dwelling service and/or feeder 67 M 2
Raxonnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84
2 I Business name:Pacific Landscape Services Sign oroutline light;rop 67.84 2
Address:2718 NE Burton Rd Signal circuit(s)or limited-energy 0 See Page 2 ��
panel.alteration,or extension. 2
City/State/ZIP:Vancouver WA 98662 Each additional inspection over allowable in any of dee above
Additional inspection(1 hr min) 6625!hr I
Phone:( ) Fax:( ) Investigation(1 hr min) 90.00v lar
Email: industrial plant(1 hr min) 78.18/hrti
Inspections for which no fee is
CCB Lie.: 8472 Electrical Lie.: Suprv,Lic.: specifically listed(t hr mm) I
Suprv.Electrician signature,required: ELECTRICAL PERMIT FEES
Subtotal: 75.00
Print name: . Date:
0 Plan Review Required(25%of permit foe):
` r ' -7 State surcharge(12"%of permit fee): 9
y(Authorizcd signature: /2 2 ad141--0fi TOTAL PERMIT FEE.: 84.E -
`tThis permit application expires if a permit is not obtained within 180
f
i Print name: Date: Jays aver it has been accepted as complete.
' Number of inspections allowec per permit.
l'ifuilt.l Permitsi01.0 IterahApp ELR_ERE.doe Rev Utt17l2015 440.•6151(11/05/COWVWEB
I
Feb 23 1611:40a Pacific Landscape Sry Inc 3606041242 p.4
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: ! FEE SCHEDULE
deseriw;m, e.ri Tula —i=
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
Check Type of Work Involved: 5 k,a or la" 100.70 z
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:
Fl B• urglar Alarm zs 01 to 50 kva 301.04 I 2
❑ Garage Door Opener* so of to loo kva -
552.26 2
>100 kw.:(fee in accordance 552.26 I 2
with OAR 918-309-0040)
El H• eating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System*
Each additional kva over 25 I 7.42 3
n Vacuum Systems* >100kva—noadditional charge 0.0
11 3
n O• therEach additional inspection over atlowabk in an of the above:
Each additional inspection is 66.25/hr
charged at an hourly(I 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: $75.00 Subtotal(Enter on Page I):
Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ A• udio and Stereo Systems
Boiler Controls
I I Clock Systems
❑ Data Telecommunication Installation
_ Fire Alarm Installation
❑ H• VAC
❑ Instrumentation
❑ intercom and Paging Systems
[i Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
Z Outdoor Landscape Lighting*
I Protective Signaling
❑ Other:
i -
Total number of commercial systems: I
*No licenses are required. Licenses are required for all
other installations
I:18uil dngfermitai LC Perms Alp F.LR ERE.Joc Rc 06r17cOt5
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
10315 SW 67TH AVE, TIGARD, OR, 97223
Residential - Electrical Limited Energy
198 Low voltage final
PASS - No C of O
ELR2016-00031
Herb Stabenow
Violation Summary:
Inspector Contractor