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Permit (24) CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit#: ELC2018-00310 Date Issued: 06/06/2018 T f i;A R f'Y 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 „,,„en r.`� " Parcel: 2S1060001400 74hi Jurisdiction: Tigard Site address: 13239 SW 169TH AVE Project: River Terrace East Apartments,Building F Subdivision: RIVER TERRACE EAST Lot: None Project Description: Building F: Electrical for new 21 unit apartment building. 1/14/19:REPRINT to change contractor. Contractor: ALAMEDA ELECTRIC Owner: POLYGON WLH, LLC 3415 NE 44TH 703 BROADWAY ST, SUITE 510 PORTLAND, OR 97213 VANCOUVER,WA 98660 PHONE: 503-319-2192 PHONE: 360-695-7700 FAX: FEES Quantity Description Date Amount 1244 sf Permit Fee-Elect(SF or 1st 06/06/2018 $202.46 Specifics: MF dwelling unit) 2025 Each Add'I Unit(Multi-Family) 06/06/2018 $2,024.60 Type of Use: MF 1 ea Limited Energy 06/06/2018 $75.00 Class of Work: NEW 1 ea Services or Feeders-200 06/06/2018 $100.70 Type of Const: amps or less Occupancy Grp: 30 crt Branch Circuits w/Purchase 06/06/2018 $222.60 Service or Feeder 1 ea Plan Review Electricial 06/06/2018 $656.34 1 ea 12%State Surcharge- 06/06/2018 $315.04 Electrical 45 Misc Administration Fee 01/14/2019 $45.00 Total $3,641.74 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 95 001-0090. You ay obtain a c y of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: ^CGC/�G Permittee Signature: CGG1r742;.fiev, 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. • E1eotrical Permit Applica 1 t ' ' ,, E:L.1 I tlit OI I l(I I NI.(}N1,1 City of Tigard111 PJ 1 2019 n�rB Received / %�� `I 13124 SW Hall Blvd..Tigard,QR 9 Plan Review Phone: 503.71$2439 fax: 503.598.0b0, .� Date8 . �ulesneionNww ti sgard a gov75 BULL;° ._J,.� . .: ) d- NM WRIER :4F.p..S m'�.; -U ,a'��...,�g- t '. a i :Ate!, ... _ ksK:- ins ,..T,::,' Ftte...' ®New construction Q Addition/alteration/replacement all that why(submit 2 sus of plans wrnans checked): 0 Demolition 0 Other: Ci Service or feeder cal amps or more 0 Reading ova'three stories. ,� were the available fault current CIMaManuaand boatyards. . k '^' _ 03)($. 10,1034E g4-:::�; • S: tweeds 10,000 amps at 050 volts or 0 Flung butdings- I-and 2-family dwelling 0 Commercial/irtdustriei 0 Accessory building ices to ground,or exceeds 14.000 ❑Commercial-use agricuhund amps for all odea inAatlationc buildings 10 Multi-family 0 Master builder 0 Other: 0 Fire pump. O lastallation of 150%VA or .,; ' s_, 31't{ ' `I '.A11olo- A loi'I - s ` '�_at1 -Iy', ©Emu encysystan. larger separmdyderived Job#: Job site address:132301 51/0 1(0 01 /i a 1 n it/lr/ 0 Addition crow motor logit of system uX!i , itNlHFwmom 0»A•,"£,,,"2,2""2.3^, city/stato/zIP:' shp ❑Six or more residential mats. �'W U bf�q'1 .1 () oHealth-care facilities 0Recrationtdvehicle parks, Suite/bldg./apt.#: I Project name: v ev 1 V LI,J',, 0 Hazardous locations. 0 Supply voltage for more dun 0 Service or feeder 600 amps or more. 600"ha aoraumt. Cross street/directions to job site: ;:; ' Dsreripdoa l�• I. re. Yr'-: . Total I .,. New residential single-or mild-family dwelling unit. Subdivision: 1271 v,ex—te4rrC) Lot#: ..N 0(1,f Includes attached garage. . r (✓, 16854 4 Tax map/parcel#: 1,400 sq,ft.or less tNAWali-;i - ��" 4 ?0 ..'.' t 0. V'I71 .4.i.:,;5:ny4 ..... . .-, . r,�1 Ea.add'1500 sq,ft.or portion 33.92 1 '4.1 4i 0 Al A at) OVUM/ Limited energy,residertiat 75.00 2 t XV W'b .. (with Whore sq.R) 00 f Limited energy,mu1H-famrty e.a e n .°.Y -- "w ; ' w: F:s 71. Yk residential(wilt above sq.it) 75.00 . 2 Name:ADPL Land Holdings,LLC Renewable Energy 0 See Page 2 Address:7600 E Doubletree Ranch Road Services or feeders installation,alteration,and/or relocation 200 amps or less • 100.70 2 City/State/ZIP:Scottsdale,AZ 85258 Phone:(602)694-4031 I Fax:( 201 amps to 400 amps 133.56 2 Email: 401 amps to 600 amps 200.34 2 Owner installation:This installation is being made on property that 1 own which is not 601 amps to 1,000 amps 301.04 - 2 intended for sale,lease,rent,or exchange.,according to ORS 447,449,670,and 701. Over 1,000 amps or volts 552.26 2 Owner signature: Date: Temporary services or feeders installation,alteration,and/or ft .s`:. -*',.1.i .labii .v _0 ':�e "0'. 00'44-': 'If80t1. .A 4., relocation Business name: �Q 1 101/1 V V � 200 amps or less 59.36 I \(rn Contact name: v�� fum,Wk,V 1 201 amps to 400 amps I25.08 2 Address: 50 Vy ypotot, 9k-siclS l p 401 amps to 599 amps 168.54 2 City/State/ZIP;Vancouver,WA 98660 Branch circuits—new,alteration,or extension, panel , Phone:(360)695-7700011 ' I Fax:::(360)693-4442 A.Fee for branch circuits with Email . 1 Y to 1 AL Pli 15i • We. m• 7.42 2 above service or feeder `, I , ,L each branch circuit _ r j- r r ,� B.Fee for branch circuits ., .-�. : .. ,. . .. x. :_1 z.,r� , P.FA.-_; service or feeder fee,first Business name:alameda electric branch circuit 56.18 2 Address:3415 rte 44th Each addl branch circuit 7.42 2 / Miscellaneous(service or feeder not included) City/State/ZIP:A$ )44.0t/pl Z / 2 2,/3 Each manufactured or modular dwelling.service and/or feeder 67.84 - 2 ' Phone:(503)3192192 Fax:( ) Reconnect only 67.84 , . 2 Email:solarpdx@me.com ' Pump or irrigation circle 67.84 a' CCB Lie.: 1991:': Electrical Lie.: c923 Suprv.Lic.: 2f f7/.5 • Sign or outline lighting 67,54 2 Suprv.Electrician signature,required: . Signal Wreaks,or limited-energy ❑ Set'Pa e 2 ? Print name: kik_ J7[, Acte: 7 /f _ tom,alteration,or extension. g .- Each additional inspection over allowable la any of the above t _ ' ' Additional inspection(I hr nun) 66251 hr -•. Authorized&ignfate: , Print name: ttaewaµwemiekcpFEdoaav116t1712015 Datc5 I ` (PLI 4404615T11(051OAUkE Investigation(1 hrmin) 00.001 hr CITY OF TIGARD ELECTRICAL PERMIT ■ COMMUNITY DEVELOPMENT Permit#: ELC2018-00310 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/06/2018 T I c.;ti r l 7 g Parcel: 251060001400 Jurisdiction: Tigard Site address: 13239 SW 169TH AVE Project: River Terrace East Apartments,Building F Subdivision: RIVER TERRACE EAST Lot: None Project Description: Building F: Electrical for new 21 unit apartment building. Contractor: THREE PHASE ELECTRIC Owner: POLYGON WLH, LLC 11490 SE JENNIFER ST 703 BROADWAY ST, SUITE 510 CLACKAMAS, OR 97015 VANCOUVER,WA 98660 PHONE: 503-760-8522 PHONE: 360-695-7700 FAX: 503-762-1823 FEES Quantity Description Date Amount 1244 sf Permit Fee-Elect(SF or 1st 06/06/2018 $202.46 Specifics: MF dwelling unit) 2025 Each Add'I Unit(Multi-Family) 06/06/2018 $2,024.60 Type of Use: MF 1 ea Limited Energy 06/06/2018 $75.00 Class of Work: NEW 1 ea Services or Feeders-200 06/06/2018 $100.70 Type of Const: amps or less Occupancy Grp: 30 crt Branch Circuits w/Purchase 06/06/2018 $222.60 Service or Feeder 1 ea Plan Review Electricial 06/06/2018 $656.34 1 ea 12%State Surcharge- 06/06/2018 $315.04 Electrical Total $3,596.74 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 9 -001-0090. You may obtain a co y of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: i/�."4/2-r. Permittee Signature: Tt hiC GG 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 Applicatiow[1� t E FON OFFI( F l sl:o IA City of Tigard !! � 9 Received - 7 LQ�� Date/B .// / �',rmit#�Lt%` ���"_4003/(1 14 w 13125 SW Hall Blvd.,Tigard,OR 97223 MAN Plan Review �/ C Phone: 503.718.2439 Fax: 503.598.1960 h Date/B : '� � �C`elatedPerm ty, �/7,_(� O-WO Inspection Line: 503.639.4175 1,t�A c Read Date By: furs TTC./1RD CITY O � y y:,-/ p � 0 SeePage2for Internet: www.tigard•or.gov U1L��*'G 1 1t..) Notified/Methodly / rp 4. ,. Supplemental Information TYPE OF vvORK el19//_ AJ/CtitDGC-PLAN REViE'W E New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): 0 Demolition ❑Other: ®Service or feeder 400 amps or more D Building over three stories. where the available fault current 0 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 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. ®Multi-family 0 Master builder 0 Other: ['Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived Job#: Job site address: /333' Sic) /j;/'r--- "/,� 0 100Addition mf oew motor load of system. !nom � I OOHP or more. ❑"A","E","1-2","1-3", City/State/ZIP:Tigard,OR 97224 ®Six or more residential units. occupancy. 0 Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: .- Project name:River Terrace East /9/q.9-,e„77,9--A,7-5 ❑Hazardous locations. 0 Supply voltage for more than E0 Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site:Roy Rogers FEE SCHEDULE Description t..Qty. I..,. Each I Total I *- New residential single-or multi-family dwelling unit. Subdivision:River Terrace East BLDG F Lot#: Includes attached garage. 1,000 sq.ft.or less 1 168.54 168.54 4 Tax map/parcel#: - _ Ea.add'1500 sq.ft.or portion _/ 33.92 33,5 ,I DESCRIPTION OF WORK - New 21-unit buildingi� � Ly 67")-1,13.6C. yi lC"-!: . .2-e) /L)/ Cly'/,I (J /4.11/// C" 42.79 Sr :"--- `` . /( Limited energy,multi-family Largest unit=1244 square feet (5,20 It ci 3 6c) YZ � /Sr-e /6,, .i 3 residential(with above sq.ft.) 1 75.00 75.00 2 >:a PROPERTY OWNERRenewable Energy El See Page 2 0 TENANT' Services or feeders installation,alteration,and/or relocation Name:Polygon WLH,LLC 200 amps or less 1 100.70 100.70 2 Address:703 Broadway st Suite 510 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Vancouver WA 98660 601 amps to 1,000 amps 301.04 2 Phone:(360)695-7700 Fax:( ) Over 1,000 amps or volts 552.26 2 Email: Temporary services or feeders installation,alteration,and/or 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 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 Branch circuits-new,alteration,or extension,per panel ® APPLICANT ❑ CONTACT PERSON A.Fee for branch circuits with Business name:Polygon WLH, LLC above service or feeder fee, 30 7A2 222.60 2 each branch circuit Contact name:Nichole Thorpe B.Fee for branch circuits without Address:703 Broadway St Suite 510 service or feeder fee,first 56.18 2 branch circuit City/State/ZIP:Vancouver,WA 98660 Each add'I branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 Fax::(360)693-4442 Each manufactured or modular dwelling,service and/or feeder 67.84 2 Email:Nichole.Thorpe@polygonhomes.com Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name:Three Phase Electric Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy Address: 11490 Se Jennifer St panel,alteration,or extension. ® See Page 2 75.00 2 City/State/ZIP: Clackamas,OR 97015 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(503)908-8058 Fax:(503)762-1823 Investigation(1 hr min) 90.00/hr Email:permits@threephaseelectric.com Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is CCB Lic.: 162368 Electrical Lic.: 3-332C Suprv.Lic.: 3398S specifically listed(r'/hr min) 90.00/hr Suprv.Electrician signature,required: v /)4 .•tsue./4/.:44--4' ELECTRICAL PERMIT FEES Subtotal: 523 Print name: Dennis Welch Date: 05/03/2018 ®Plan Review Required(25%of permit fee): 3 . 4 State surcharge(12%of permit fee): 2. Authorized signature: _ TOTAL PERMIT FEE: 087.5 This permit application expires if a permit is not obtained within 180 Print name: Robert Lane Date: 05/03/2018 days after it has been accepted as complete. * Number of inspections allowed per permit. I:\Building\Permits1ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/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 De Fee for all residential systems combined: $75.00 I Qty. ) Each Total I )' 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* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: n 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: TI 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('/s hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): 3' * Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: n Audio and Stereo Systems ❑ Boiler Controls n Clock Systems FI Data Telecommunication Installation n Fire Alarm Installation ❑ HVAC Instrumentation • Intercom and Paging Systems ❑ Landscape Irrigation Control* r Medical ❑ Nurse Calls n Outdoor Landscape Lighting* LI Protective Signaling n 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 06/172015