Permit (82) CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
41
II '' COMMUNITY DEVELOPMENT Permit#: ELR2016-00032
T[CAPD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/24/2016
Parcel: 1 S 136AA00201
Jurisdiction: Tigard
Site address: 10287 SW 67TH AVE
Project: Oak Street Estates, Lot 29 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: •regon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 ough OA' t52-04 .090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued B : -'' /�_i�� r Permittee Signature: / -f�fC�/\
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.
3606041242 p.5
Feb 23 16 11:40a Pacific Land ry
Ep
Electrical Permit Application F(;ie 01 F1( r I .F(,.I ‘
City of Tigard2 3 ?016 Received
• I3125 SW Hall Blvd.,Tigard,OR 9 i223P a Dere/By A5 /CO Permit h: ��i(g•-06 3�
Phone: 503.718.2439 Fax: 503.598.1960 Data Resew
1111 �` � DawB Related Permit 17: o�1`f'JT
S- 1 74t,�/
Inspection Line: 503.639.4175 CI I Y Of i ibARL I Ready Daw,eAnis.y: : See
."+:t_/ Internet: www.tigard-or.gov figtti���� Ivotified/Method:
1 TypI I x1014 I B Page Z for
�it-
Supplemental Information
PLAN REVIEW
❑New construction ®Addition/alteration/replacement Please cheek as that apply(submit 1 acts of plane Wham checked).
❑service or feeder 406 amps or Dolt O Building over[latae stories_
❑Demolition ❑Other.
where the available fault current 0 Marinas and boatyards,
CATEGORY OF CONSTRUCTION exceeds 10,000
❑ 1-and 2-family dwelling ❑Commercial/industrialksa tie Bim, t � ,SO 0 0 orlts 0 Coe meing baj.0 a a.
0 Acccss0ry building A� ❑Coatmeroial-tuc agricultural
CI A9ulti-1Hmih ❑Master builder 0 Other r. amp's for all other
insulations. buildings.
❑Fre puny. ❑Installation of 150 KV 1 or
JOB SITE INFORMATION AND LOCATION ❑Frnagceey system. large-separately derived
Jab�': Job site address:4�/42.87.�,.`/ ❑Addition of stew motor load of systela.
o5uJt!o719'UFi I00HPormore.
-A",•'E;`t-2",`t-3'
City/State/ZIP:Tigard OR 97223 ❑Sot or mons residential units. occupancy. i
❑Health-are facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: Project name:Oak Crest ❑Hatardoas locations. 0 Steeply vdtapc for more the
❑Service or feeder 600 amps or more. 600 voila nominal.
Cross street/directions to job site:SW Oak St and SW 67th
FEE SCHEDULE
gip' I Our. I ties I "1-61.-
New reindeertial single-or multi-family dwelling unit.
Subdivision:Oak Crest , Lot#:29 Includes attached garage.
Tax map/ptuteel k: 1,000 sq.R.or less 168.54 4
DESCRIPTION OF WORK 2
add'1 503 sq.ft.or pomoo 33.92 I
Limited cnergy,how it.&residential
75.00 Qp
Install low voltage transformer (with above sq.EL, /
Limited energy,multi-family
residential(with above sq.R) 75.00 2
0 PROPERTY OWNER 1 0 TENANT I Renewable Energy 0 See Page 2 ,
Services or feeders lostaltatioo,alteration,aad/or relocation
Name: 200 amps or less 100.70 I2
Address: ' 201 amps to 400 amps 133 56 2
401 amps to 600 amps 200.34 2
Coy/State/ZIP: 601 amps to 1,000 amps 301.042-
Phone:( ) I Fax:( ) Over 1.000 amps or volts 552.26 j 2
Email:
relocationTrservices or feeders ittstallatiott,alteration,and/or
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59361
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 apps to 400 amps 1 125.08 } 2
Owner signature: Date: 401 amp?to 599 amps I t 168.54 I 2
® APPLICANT 1 ❑ CONTACT PERSON Breach circuits—new,alteration,or extension.Ler panel
A.Fee for branch circuit:wail '
Business name:Pacific Landscape Services above service or feeder Cee,
each breach circuit 7.52 2
Contact name Hansen B.Fee for breach ciruuts w,rhos% .
Address:2718 NE Burton Rd service or feedrr fee,fns 56.18
branch circuit
City/State/ZIP:Vancouver WA 98662 Each add'I branch circuit 7.42
Phone:(360)8910367Miscellaneous(service or feeder not iadudtd)
Fax::(360)6041242 Each manufactured or modular
dwelling.service arcYor feeder 67.84
Email:michael@padfclaadaeapeservices.com 2
Rucornect only 67 84 2
CONTRACTOR
Pump or irrigation dude 67.84
2
Business name:Pacific Landscape Services Sign or oudint lighting 67.64 I 2
Address:2718 NE Burton Rd Signal circuit(s)or limitcdertcrgy `
pond.alteration,or eatensien. 0 Ser Page 2 17J 2
City/State./ZIP:Vancouver WA 98662
Each additional inspection over allowable in nay of the above_
Addnional inspection(I hr min) 66.25/hr
Phone:( ) Fax:( ) investigation(1 br miry 90 00/hr I ,
Email: Industrial plant(ihrmin) 7iI&•hr It
Inspections for which no fix 6
90.00/hr I —
CCB Lie.: 8472 Electrical Lie.: Suprv.Lic.: specifically Iistal(X hr rein)
Suprv.Electrician signature,required: ELECTRICAL PERMIT FEES
Subtotal: I 75.00
Print name: Date: 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee): 9
,Authorized signature: /lit .-/71 ad14.. d-• TOTAL PERMIT FEE: 84.00
—
Tbis permit application spires if a penult is not obtained within 180
Print name: Dare: days after it hat been accepted as complete
• Number of inspecttoas allowed per wank
I:It011010 beminlELC Pemiutlp_Ej.R_EREdoe Ree(6/11/415 440-4615r(I Ia>VCOWWEB
Feb 23 16 11:39a Pacific Landscape Sry Inc 3606041242 p.2
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Fee for all residential systems combined: $75.00
Description i Om : E.rr 1 rout
Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 133.56 2
❑ Audio and Stereo Systems* . i 5.01 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
❑ Burglar Alarm 25.01 to 50 kva 301.04 2
❑ Garage Door Opener* 50.01 to 100 kva 552.26 2
>100 kv (fix in accordance 552.26 2
with OAR 918-309-0040)
El Heating,Ventilation and Air Conditioning
System* Solar generation systems in excess of 25 kva:
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 ioncpection is 66.25/hr
charged at an hourly(I hr min)
Inspections for which no fee is 90 001 hr
specifically listed(Ys hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Fee for each commercial system: $75.00 Subtotal(Enter on Page t):
* Number of inspections allowed per pennit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
n Audio and Stereo Systems
B• oiler Controls
❑ C• lock Systems
❑
Data Telecommunication Installation
n F• ire Alarm Installation
❑ HVAC
n Instrumentation
❑ intercom and Paging Systems
n Landscape Irrigation Control*
❑ Medical
n N• urse Calls
® Outdoor Landscape Lighting*
❑ Protective Signaling
fI Other:
Total number of commercial systems: 1
*No licenses are required. Licenses are required for all
other installations
I:113uiIii! ',Pami1s1Et.C_PomitApp_ELli_ERE hn:.Rcv%i17/2O15
1
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
10287 SW 67TH AVE, TIGARD, OR, 97223
Residential - Electrical Limited Energy
198 Low voltage final
PASS - No C of O
ELR2016-00032
Herb Stabenow
Violation Summary:
Inspector Contractor