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Permit (164) CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit#: ELC2018-00312 TAG A i<.f3 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/02/2019 I Parcel: 2S1060001400 Jurisdiction: Tigard Site address: 17168 SW SNOWDALE ST Project: River Terrace East Apartments,Building H Subdivision: RIVER TERRACE EAST Lot: None Project Description: Building H: Electrical for new 12 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 03/28/2019 $202.46 Specifics: MF dwelling unit) 1114 Each Add!Unit(Multi-Family) 03/28/2019 $1,113.53 Type of Use: MF 1 ea Limited Energy 03/28/2019 $75.00 Class of Work: NEW 1 ea Services or Feeders-200 03/28/2019 $100.70 Type of Const: amps or less Occupancy Grp: 30 crt Branch Circuits w/Purchase 03/28/2019 $222.60 Service or Feeder 1 ea Plan Review Electricial 03/28/2019 $428.57 1 ea 12%State Surcharge- 03/28/2019 $205.71 Electrical Total $2,348.57 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 - if work is s -•ended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification ter. Those .'ul:- are set forth in OAR 952-001-0010 through OA 952-001-0090. Y u may obtain a••py of the rul::or direct questions to OUNC by calling 503.2 .1987 or 1.800. .2.23 4. Issued By: '/iGft d Permittee Signature: 1 _, OWNER INSTALLATION ONLY 4gllOIFIIW 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 Application hoer of hacl•: 1SE ON1-' City of Tigard , Date/By: " , ,� a; ' t ermit le—E_Z; /j� 6a4gfjZ- 13125 SW Hall Blvd.,Tigard,OR 97223 p i Plan Review _ Phone: 503.718.2439 Fax: 503.598.1960 MA Q Date/By: �y� yl'elated Permit ��n��--� �if Inspection Line: 503.639.4175 Ready Date y:/ ye Juris: la See Page 2 for TI�'i. R I) Internet: www.tigard-or.gov - -irY O ^' 1 GARD Notified/Method: 4s / /i 4•'J'- Supplemental Information TYPE OF WOI 'D! t !slC 4 &74--),c_ .v's(°tfd 1-V PLAN REVIEW ®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ®Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition 0 Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. 0y1-and 2-family dwellingCommercial/industrialless to ground,or exceeds 14,000 0 Commercial-use agricultural ❑ 0 Accessory building amps for all other installations. buildings. ®Multi-family 0 Master builder ❑Other: CI Fire pump. ❑Installation of 150 KVA or t n&F JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived Job#: Job site address: /. s< /6 �''e= ❑Addition of new motor load of system. 1 �" / "9-1/ 1001W or more. ❑"A»"E",`•1-2,,,"1-3„ City/State/ZIP:Tigard,OR 97224 ®Six or more residential units. occupancy. 0 Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: - I Project name:River Terrace East �y ❑Hazardous locations. 0 Supply voltage for more than ®Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site:Roy Rogers FEE SCHEDULE Description ( Qty. I Each ( Total I ' New residential single-or multi-family dwelling unit. Subdivision:River Terrace East BLDG H l Lot#: Includes attached garage. 1,000 sq.ft.or less 1 168.54 168.54 14 Tax map/parcel#: Ea.add'!500 sq.ft.or portion / 33.92 3:4,7.2.1 DESCRIPTION OF WORK i New 12-unit building `& 4z 0%1'2=// /0r.3 /r g Si CJ y� - f ��i'�� �'�y Si--� ` �''7, Limited energy,multi-family � / rr residential(with aboveft.) 1 75.00 75.00 2 Largest unit=1244 square feet <//) t�N/77 Cd /Z 0�/ t ,,,,, ,:Z 3 sq. >'< PROPERTY OWNER ✓ - TENANT Renewable Energy ❑ See Page 2 Services or feeders installationzalteration,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 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 to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 APPLICANT ❑ CONTACT PERSON Branch circuits-new,alteration,or extension,per panel A.Fee for branch circuits with Business name:Polygon WLH, LLC /` above service or feeder fee, 30 7.42 222.60 2 - each branch circuit Contact name:Nichole Thorpe K f C 1 B.Fee for branch circuits without f' Address:703 Broadway St Suite 510 "t).r '"1 1 f service or feeder fee,firstbranch circuit 56.18 2 City/State/ZIP:Vancouver,WA 98660 l Each add'1 branch circuit 7.42 2 . Miscellaneous(service or feeder not included) Phone:(360)695-7700 Fax::(360)693-4442 manufactured or modular 67.84 2 dwelling,service and/or feeder Email:Nichole.Thorpe@polygonhomes.com Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name:slanted*electric �, Sian or outline lig67.84 12 Address:3415 ne 44th Fad/add'1 breath circuit 7.42 2 j Misee la ous(aerviee or feeder rot Included) City/StateIZIP: r+1 ,,JZ /41, 7.2-13Blob manufactured ormodular Phone:(503)3192!92 dwelling service and/or feeder • ..67.84 2 Fax:( ) Email:selarpdx@me.eom Reconnect 67.84 3• PUMP or itrlplioo circle 67.54 • 3' CCB Lic: 199188 Electrical Lac: c923 Suprv.Lie.: Y(7/5 - - Suprv.Electrician signature,requited; Sista or oudioe lighting 67.8E i Print name: / �/ Signal wreaks)or li mtted•� . lo`i dvl. Date: ('I '1/�_. _ panel,Ammon.or extension. O See.Page 2 ' Each additional Inspection over amble la anal the above' Aut erized si , , . ' Additionalimspenion(1 brtan) 662S/br--+••, - Print Num �„� • (I Tmvesttgabom(1 brrrtin) 90Otifhr Iliollb Apayi PACdoc/sv86tlt tis "" 110 K13 111061C01tM•l8 Electrical Permit Application I.OR OFFICE ISE()NI.\- City ofTigard i -1C.I`.eceived ,�^ f N 13125rS Hall Blvd.,Tigard,OR 97223 Date/By:J 'f /61 4 t ermit 4E1 '0/�i-QQi' /''„ UPI g Plan Review GL elated Permit s Phone: 503.718.2439 Fax 503.598.1960 A T 7 1 Q 1 8 Date/By: i / - 4 - A' r.,2 /7"'��,,d ji© T 1 G 1 [) Inspection Line: 503.639.4175 1✓� Ready Date/ y: ` �A kris: Ed See Page 2 for Internet: www.tigard-or.gov C OF TIGARD Notified/Method: (jo( /0 Supplemental information fi5i TYPE OF WORK DIVISIONGam? G A/!( G LAN REVIEW ®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ®Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition 0 Other: 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-familydwellingCommercial/industrialless to ground,or exceeds 14,000 0 Commercial-use agricultural 0 0 0Accessory building amps for all other installations. buildings. ®Multi-family 0 Master builder 0 Other: ❑Fire pump. ❑Installation of 150 KVA or l'-"it( JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived Job#: Job site address: ���n ��s`J �t �>'k--- �/ fir- 0 Addition of new motor load of system. 1C � / / ?-�'�G 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. ❑Recreational vehicle parks. Suite/bldg./apt.#: h l Project name:River Terrace East479/ rj1 j S' 0 Hazardous locations. Cl Supply voltage for more than ®Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site:Roy Rogers FEE SCHEDULE Description I Qty. I Each I Total New residential single-or multi-family dwelling unit. Subdivision:River Terrace East BLDG H I Lot#: Includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less 1 168.54 168.54 1 4 Ea.add'1500 sq.ft.or portion / 33.92 3.:.;,I DESCRIPTION OF WORK �� / -_ !L // c79-#A6 z tl=/�=-/� /°r�, 3 3 444 New 12-unit building C/) atN/ -- /.02 v 'b. ..2, Limited energy,multi-family Largest unit=1244 square feet (is} t(/✓>T3 cf., �/ �Y 3 (withsq. ) 1 75.00 75.00 2 � ��/� ����� residential aboveft. Renewable Energy ❑ See Page 2 ® PROPERTY OWNER 1 • 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 ' 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 to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 APPLICANT I ❑ CONTACT PERSON Branch circuits-new,alteration,or extension,per panel A.Fee for branch circuits with Business name:Polygon WLH, LLC above service or feeder fee, 30 7.42 222.60 2 each branch circuit Contact name:Nichole Thorpe B.Fee for branch circuits without service or feeder fee,first Address:703 Broadway St Suite 510 branch circuit 56.18 2 City/State/ZIP:Vancouver,WA 98660 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 Fax: :(360)6934442 Each manufactured or modular 67.84 2 dwelling,service and/or feeder 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 ® See Page 2 75.00 2 panel,alteration,or extension. 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(i hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lic.: 162368 Electrical Lic.: 3-332C Suprv.Lic.: 3398S specifically listed(1/2 hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: ("� �fJ�e Subtotal: 116.7 Print name: Dennis Welch Date: 05/03/2018 ®Plan Review Required(25%of permit fee): 9 State surcharge(12%of permit fee): 1 00 Authorized signature: t _ Le....,�e TOTAL PERMIT FEE: 52 9 This permit application expires if a permit is not obtai d within 180 Print name: Robert Lane Date: 05/03/2018 days after it has been accepted as complete. * Number of inspections allowed per permit. 1:\Building\Permits\ELC_PennitApp_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 Qty. Each 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 ❑ 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 n G• arage Door Opener* 50.01 to 100 kva 552.26 2 >100 kva(fee in accordance 552.26 2 with OAR 918-309-0040) Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 LI 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 charged at an hourly 0 hr min) Inspections for which no fee is 90.00/hr specifically listed(%hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Subtotal(Enter on Page 1): Fee for each commercial system: $75.00 * Number of inspections allowed per permit (SEE OAR 918-309-0000) Check Type of Work Involved: n Audio and Stereo Systems I I Boiler Controls n Clock Systems ® Data Telecommunication Installation n Fire Alarm Installation n HVAC C Instrumentation H Intercom and Paging Systems C Landscape Irrigation Control* Medical C Nurse Calls n O• utdoor Landscape Lighting* ❑ Protective Signaling O• ther: 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 CITY OF TIGARD ELECTRICAL PERMIT 111411 s COMMUNITY DEVELOPMENT �' r' ELECTRICAL ELC2018-00312 r" �1�` Date Issued: T f t A R.f7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 ‘r''. //� / Parcel: 2S1060001400 Jurisdiction: Tigard Site address: 13187 SW 169TH AVE Project: River Terrace East Apartments,Building H Subdivision: RIVER TERRACE EAST Lot: None Project Description: Building H: Electrical for new 12 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 Specifics: Type of Use: MF Class of Work: NEW Type of Const: Occupancy Grp: Total $0.00 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: 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 -001-00 . Yo may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: r i��.2Z�� Permittee Signature: h[bI.L G(.1 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. k tical Per • mit; pplication : ..., City 0f Tigard111 „ / 9 13125 SW Hail Blvd-,Tigard,OR 97223 1 n 14 y e J' ` Pet�jr � J Phone: 503.714,2439 Fax 503.5911.1960, 8Y Related Perna 4: Inspection Line: 503.639,4175 ; _ Ready 1Jatntgy unit 91'See Page 2 for Internet Nww.tigan)or.gov i Notified/Method. I Supplemental information #. . pat ie." ie ;' ,. e erg , , y,rM�„` ' , ."t.: _ :;irg fft f *? AtOW atlIxi ®New construction Q Addition/alteration/replacement Please check all that apply tsubmit 2 sets of plans w/mama checked!: O Service or feeder 400 amps or more 0 Bu11dmg over r duce stories 0 Demolition 0 Other . where the available fault current ❑td and boatyards. L ; 4',;: .471;:&(, (Stec.co _VX110 i LL r fix.,; 11.�. _. _ l exceeds 10,000 amps at 150 volts a Opus*buildings_ $ I-and 2-family dwelling 0 Commercial!mdustciai ❑Accessory building less to ground,or exceeds 14,000 0 Cammneial.use agricutnual Kryi amps for ell other installations buildings. ig Multi-family 0 Master builder 0 Other: O Fire pump. 0 Installation of 150 KVA or :41WV-i >>'P OVI*1 I A i►ND.;t.O hila i' V f'44- O bmerlemcy syian.or load of largerseparately derived site .131$'► 5 ) 1(001- l A JP,(40 , °Add! 000rmorr, ©system. ,lob#: lob a address: 1081 ^A^.�"."1-2","1-3', C'1 '/State/ZIP' ❑Six It more faclitisresidential units, occupancy. City/State/ZIP: �w r� b(�q� q , Heald,care facilities °Reeseationai vehicle parks. Suite/bldg./apt.#: 1 Project name: U "r, Y V li) O Hazardous locations. 0 Supply voltage for m0M than 0 Unica or feeder 600 amps or more. 600 volts nominal- Cross street/directions to job site: ,::-_ ^ - *r� - _ S ;- ercription I t)tv. I Each 1 Tad 1 0 New residential single-or multi-family dwelling unit. Subdivision: Iva--re rockLot#: ,N' Includes attached garage. Tax map/parcel#g41�"e'-'fF'?-f?' 4: 1,000 sq.ft.or less 168,54 4 $fix x„,445,<x.`,#i A..�.13, • ,• $ x `,:1 t s,+'= It ', ..?-i sq portion(^ 'A v r . r: Ea,add't 500 ft or 33.92 1 ,16 I , if/ A ' OY LIV i/ Limited energy,residential 75.00 2'�j20l - _0-, Limited en ve, R) etgy,mtilti-farm•ly 75.00 Zjev Q,pEit i.'WNP `', .-1; '_.., Es` .9 r residential(with above sq.It.) Name:ADVL Land Holdings,LLC Renewable Energy 0 See Page 2 Address 7600 E Doubletree Roach 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 Fax:( ) 201 amps to 400 amps 13356 2 Email: 401 amps to 600 amps 20034 2' Owner installation:This installation is being made on property that I own which is not 601 amps to 1,000 amps 301.04 . 2 intended for sale,lease,rent,or exchange,according to ORS 417,449,670,and 701. Over 1,000 amps or volts 552.26 2 Owner signature: Date: '�;�wiamPP.L „ & ; � ;p,�o- ' si� ,eOw ��: If3321 ".'�, i ; relmocpaottiomQy services or feeders st riahon alteration,and/or Business name: 'O t l 1OIr��j(tn'w 1.,14- p 200 amps or less 59,36 1 Contact name: ` 1 rn i 1\ �(AV i 1/u 201 amps to 400 amps 125.08 2 Address: 502D YD ���� �'S•62. l a J 401 amps to 599 amps 168.54 2 City/Statz`1LIP.Vancouver,WA 98660 Branch circuits—Dew,alteration,or extension, er panel Phone:(360)695-77008 l I Flax::(360)6934442 A.Fee for branch circuits with aboErnatl . ,,Y V tA0 I/�i"� 15 [\LA B.Feeio anch cF cin nits witkom service or feeder fee, 7 4 N yt � `' :'._:., .# CO3ni)GSGtio.riel\,,,,4% I e; j '. .service or feeder fee,first J�6, 2 2 t yl 56.18 2 Business name:alameda electric branch circuit Each add'I branch circuit 7.42 2 Address:3415 ne 44th ' Miscellaneous(service or feeder not included) City/State/ZIP:BM (j)err..,X join "gyri 7 a�--/3 Each dwelling, service or modular 67.84 2 J dwelling,service amelia feeder ,- Phone:(503)3192192 Fax:( ) Reconnect only 67.84 2 Email:solarpdx®me.cam Pump or irrigation circle 67.842- CCB Lie.: 199188 1 Electrical Lie.: c923 Suprv.Lie.: y f7/5 Sign or outline'lighting 67,84 2 Sttpty.Electrician signature,required kik I Signal oircuigs)or limited energy 0 See Page 2 ? Print name: )Cif{,. ,i7 Date: L J I I �— per'alteration.or extension. g r -)n Each additional inspection over allowable in any of the above Authorized signature: ' Additional inspection(1 br min) 66.25/hr.. t!rtntname; .... , err. Date , ►° bio°(t hr min) t 90.00'ln . Cil 1.1 �eomitApp E.t.a EA/bac RevOtvtWt3als aW6151t1I1U5COMSWFB