Permit (3) CITY OF TIGARD ELECTRICAL PERMIT
1111 13. COMMUNITY DEVELOPMENT Permit#: ELC2019-00684
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/11/2019
Parcel: 2S 110AC00900
Jurisdiction: Tigard
Site address: 14999 SW ROYALTY PKWY P
Project: Arbor Heights Apartments,Building P Subdivision: None Lot: None
Project Description: Wifi metering on water heater circuits to building P units: 1,2,5,6, 11-18,21-28,31-38.
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
28 crt Branch Circuits wo/Purchase 10/11/2019 $256.52
Specifics: Service or Feeder
1 ea 12%State Surcharge- 10/11/2019 $30.78
Type of Use: MF Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $287.30
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 0,,R 95 $01-0090. 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: 2,"/ 176,G 'Iz--77e/'v
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 Application FOR OFFICE USE ONLY
_City of Tigard gcEIVED DateB : , ► tcI r,- n ,.T t
a 13125 SW Hall Blvd.,Tigard,OR 97 Plan Review
111
>0 Phone: 503.718.2439 Fax: 503.598. 9 Date/B : Related Permit#:
Inspection Line: 503.639.4175 OCT1J Ready DateBy: See Page 2 for
TIGARi� Internet: www.ttgard-Or.gOv Q4Notified Method: �jj, Supplemental Information
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0 New construction ®Addition/altel30101P4G.' 1 1 Please check all that apply(submit 2 sets of plans w/items checked).
❑Service or feeder 400 amps or more ❑Building over three stories.
❑Demolition 0 Other: where the available fault current 0 Marinas and boatyards.
lipk:= I tATEGoW OF ® TRLI OSI t a exceeds 10,000 amps at 150 volts or El Floating buildings.
❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family 0 Master builder 0 Other: El Fire pump. 0 Installation of 150 KVA or
-m 401WE A { ' ► ''''-7---'- '''' 1 ❑Emergency system. larger separately derived
o Addition of new motor load of system.
Job#: 190663 I Job site address: 14999 SW Royalty Pkwy 100HP or more. ❑"A","E","1-z","1-3",
❑Six or more residential units. occupancy.
City/State/ZIP:Tigard,OR 97224 ❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#:P I Project name: Arbor Heights Apartments 0 Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: .-- -_`: E ' �7�
Description1 Qky. I Each I 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'l 500 sq.ft.or portion 33.92 1
:- D 0 IPT1( ,, OF:01110.11: 3
-`� : µ �. „ Limited energy,residential
75.00 2
(with above sq.ft.)
Installing WiFi metering units on water heater circuits for apartment#'s- Limited energy,multi-family
75.00 2
1,2,5,6,11,12,13,14,15,16,17,18,21,22,23,24,25,26,27,28,31,32,33,34,35,36,37,38 residential(with above sq.ft.)
�, Renewable Energy 0 See Page 2
5 ''R �i,':; i,y - TENANT„,h.,,,,. - ? ;
4 � ❑ ' � 2 �""" ! �. Services or feeders installation,alteration,and/or relocation
Name: 200 amps or less 100.70 2
201 amps to 400 amps 133.56 2
Address:
401 amps to 600 amps 200.34 2
City/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
Branch circuits—new,alteration,or extension,per panel
tr ----rit - -04 .. O 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 56.18 2
Address:57096 S.Morse Rd. branch circuit
Each add'l branch circuit 27 7.42 200.34 2
City/State/ZIP:Warren Oregon 97053
Miscellaneous(service or feeder not included)
Phone:(503)577-4311 I Fax: :( ) Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email:jerryl@peakelectricgroup.com Reconnect only 67.84 2
�2 I t -,a `` 6 a i
..n,�ti,���, ��P.�.�n�m�u�°m"�-,om,�¢�° ��nFi ,i n_ . ��s��w"��,dn�m� .�, ., .i.:--,!..-:;:;;;;;-', = Pump or irrigation circle 67.84 2
Business name:Peak Electric Group Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy 0 See Page 2 2
Address:57096 S.Morse Rd. panel,alteration,or extension.
Each additional inspection over allowable in any of the above
City/State/ZIP:Warren Oregon 97053 Additional inspection(1 hr min) 66.25/hr
Phone:(971)328-2001 Fax:( ) Investigation(1 hr min) 90.00/hr
Industrial plant(1 hr min) 78.18/hr
Email: gordon@peakelectricgroup.com Inspections for which no fee is
90.00/hr
CCB Lic.: 206443 Electrical Lie.: 11�9 Su rv.Lie.:57545 specifically listed(%hr min)
C p >1
Suprv.Electrician signature,required: 7yyL e CLQ Subtotal: 256.52
Print name:Tim Banaszek (Date: 9/2_61/91 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee): 30.78
Authorized signature: 9�rt2L TOTAL PERMIT FEE: 287.3
This permit application expires if a permit is not obtained within 180
Print name:Tim Banaszek Date: 9/ //9 days after it has been accepted as complete.
* Number of inspections allowed per permit.
I:\Building\Permits\ELC_PermitApp_ELR_ERE.doe Rev 06/17/2015 440-4615T(11/05/COM/WEB