Permit (15) CITY OF TIGARD ELECTRICAL PERMIT
:'; COMMUNITY DEVELOPMENTIhi
Permit#: ELC2019 00668
Date Issued: 10/07/2019
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S110DB00200
Jurisdiction: Tigard
Site address: 15161 SW ROYALTY PKWY F
Project: Arbor Heights Apartments, Building F Subdivision: WILLOW-BROOK-FARM Lot: 8
Project Description: Wifi metering on water heater circuits for Building F units:2,5,6, 11-18,21-28,32,34, 35,37.
Contractor: PEAK ELECTRIC GROUP LLC Owner: ARBOR HEIGHTS VENTURE LLC
11007 NE 109TH ST BY SECURITY PROPERTIES INC
VANCOUVER, WA 98662 ATTN BOB KROKOWER
701 FIFTH AVE STE 5700
SEATTLE, WA 98104
PHONE: 360-693-0804 PHONE:
FAX:
FEES
Quantity Description Date Amount
23 crt Branch Circuits wo/Purchase 10/04/2019 $219.42
Specifics: Service or Feeder
1 ea 12%State Surcharge- 10/04/2019 $26.33
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $245.75
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. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
1
Issued By: j. Permittee Signature: 1 , rc,Y„,
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.
t��i &ham ` i .,...
Electrical Permit Application 1i ,,j L LFOR OFFICE USE ONLY
City of Tigard 2 Received y .
13125 •S W Hall Blvd.,Ti rd,OR 97223 0�,T 2019 Dan R : ' r,;,,> , ,
®IN e Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 ., uak. DateB Related Permit#:
I I G A R I) Inspection Line: 503.639.4175 z b k OFi(ry t tC �= Ready Date/By: ® See Page 2 for
Internet: www.tigard-or.gov :�i ll€r ll ltfi-�` tdilSIt .' otified/Method: A� Supplemental Information
s r- _ ,E .: r--. REVIE:"_
❑New construction ®Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
0 Demolition 0 Other: ❑Service or Feeder 400 amps or more ❑Building over three stories.
where the available fault current ❑Marinas and boatyards.
iti:! ,-.„1-.. A41;s.w _6� ,,u )IiIJa� A4liziaiv,,,: , .,,:::-1-14111,6; exceeds 10,000 amps at 150 volts or ❑Floating buildings.
❑ 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building less to ground or exceeds 14,000 ❑Commercial-use agricultural
0 Multi-family 0 Master builder ❑Other: 0 Fire
all other installations. buitdings.
Pump. 0 Installation of 150 KVA or
113 5 H t i M O _•OI I A$D iOCATIO'')i'rrnitigiapt< 0 Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: 190663 I Job site address: 15161 SW Royalty Pkwy I00HP or more. ❑"A","E","I-z", 'l-3",
City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy.
❑Health-care facilities. ❑Recreational vehicle parks.
❑Hazardous locations. ❑Supply voltage for more thanSuite/bldg,/ pt.4:FI Project name: � �7G
600 volts nominal.
❑Service or feeder 600 amps or more.
Cross street/directions to job site: 51.....r-stii€A./��— R:=%!-!-AAr"tl
Description Qty Each Total
New residential single-or multi-family dwelling unit.
Subdivision: I Lot#: Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#: Ea.add'I 500 sq.ft.or portion 33.92 1
t ON+N ; :A
itK.' Limited energy,residential 75.00 2
Installing WiFi metering units on water heater circuits for apartment#'s- (with above sq.ft.)
Limited energy,multi-family 75.00 2
2,5,6,11,12,13,14,15,16,17,18,21,22,23,24,25,26,27,28,32,34,35,37 residential(with above sq.ft.)
2SMZKRPiZ =3wE':14':'
Renewable Energy ❑ See Page 2
.1I a -� - =r"-LL •''WE Services or feeders installation,alteration,and/or relocation
Name: 200 amps or less 100.70 2
Address: 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
Clty/State/ZIP: 601 amps to 1,000 amps 301.04 2
Phone:( ) 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
�� i i�� Branch circuits—new,alteration,or extension,per panel
"' A.Fee for branch circuits with
Business name:Peak Electric Group above service or feeder fee, 7.42 2
each branch circuit
Contact name:Jerry Larson B.Fee for branch circuits without
service or feeder fee,first 1 56.18
Address:57096 S.Morse Rd. branch circuit 56.18 2
City/State/ZIP:Warren Oregon 97053 Each add'l branch circuit 22 7.42 163.24 2
Miscellaneous(service or feeder not included)
Phone:(503)577-4311 Fax: :( ) Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email:jerryl@peakelectricgroup.com Reconnect only 67.84 2
1c;.,- d '''CONTRA.1::,!ry x'11V,:, --'''--":4112 _ Pump or irrigation circle 67.84 2
Business name:Peak Electric Group Signor outline lighting 67.84 2
Signal circuit(s)or limited-energy
Address:57096 S.Morse Rd. 0 See Page 2 2
panel,alteration,or extension.
City/State/ZIP:Warren Oregon 97053 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(971)328-2001 Fax:( ) Investigation(1 hr min) 90.00/hr
Email:gordon@peakelectricgroup.com Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lie.:206443 Electrical Lie.:01109 Suprv.Lie.:57545 s ectficall listed '/z hr mm)
,yL t'
Suprv.Electrician signature,required: 7---raa,,,,,,,,,,,,„‘
/ t Subtotal: 219.42
Print name: Tim Banaszek lr�ate: Q/ S �Q 0 Plan Review Required(25%of permit fee):
/ State surcharge(12%of permit fee): 26.33
Authorized signature: 7-2,01,,, ���c TOTAL PERMIT FEE: 245.75
This permit application expires if a permit is not obtained within 180
Print name: Tim Banaszek Date: 9/24179 days after i lhas been accepted as complete.
* Number of inspections allowed per permit.
I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(I1/OS/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 *
Fee for all residential systems combined: $75.00Each Total RenewableQty.electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 133.56 2
n Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
❑ Burglar Alarm 25.01 to 50 kva 301.04 2
50.01 to 100 kva 552.26 2
❑ Garage Door Opener*
>100 kva(fee in accordance 552.26 2
with OAR 918-309-0040)
n Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System* Each additional kva over 25 7.42 3
n 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 66.25/hr 1
charged at an hourly(1 hr min)
Inspections for which no fee is 90.00/hr
specifically listed('h hr min)
COMMERCIAL WORK ONLY:
ELECTRICAL PERMITi ,; i , ,AMIPW
Fee for each commercial system: $75.00 Subtotal(Enter on Page 1):
y * Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
ri D• ata Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
n Landscape Irrigation Control*
n Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ P• rotective Signaling
❑ Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
1:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015