Permit (7) •
ii
CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: ELC2019-00664
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/07/2019
Tfl+CitLRL� Parcel: 2S110DB00201
Jurisdiction: Tigard
Site address: 15270 SW ROYALTY PKWY B
Project: Arbor Heights Apartments, Building B Subdivision: WILLOW-BROOK-FARM Lot: 8
Project Description: Wifi metering on water heater circuits for building B 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 10/04/2019 $256.52
Specifics: Service or Feeder
1 ea 12%State Surcharge- 10/04/2019 $30.78
Type of Use: COM 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 OAR 952-001-0090. You may obtain a co v of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: `7 Permittee Signature: C-.LL,,. --
..4
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 , ‘i, . ._ FOR OFFICE USE ONLY
City of Tigard , •
. •t Received
�, a 2
II 4 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
•' Phone: 503.718.2439 Fax: 503.598.19' :I1C2019 DateB : Related Permit#:
T IGARD Inspection Line: 503.639.4175 Ready Date/By: ® See Page 2 for
,.. Internet: www.tigard-or.gov .y d of ('yl., i x..If;,i-+ w) Notified/Method: MOM
Supplemental Information
.' ®. , t ` ` ;._d- `' ° .,:. REVIEW ''..it:AilirlantirE
0 New construction ®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 ❑Building over three stories.
where the available fault current 0 Marinas and boatyards.
CATTOORV,v#. E C, ::1 exceeds 10,000 amps at 150 volts or 0 Floating buildings.
0 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: 0 Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION?'' i :OCATIO ❑Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: 190663 1 Job site address: 15270 SW Royalty Pkwy 100HP or more. ❑"A","E","1-2","1-3",
City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy.
❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#:B 1 Project name:,!J4 Jtr dit1S ❑Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: j- 73-- _ : a MAX ',2,15101t'
Description rv'I Qty. I Each Total 1
New residential single-or multi-family dwelling unit.
Subdivision: I Lot 4: Includes attached garage.
Tax map/parcel# 1,000 sq.ft.or less 168.54 4
Ea.add'I 500 sq.ft.or portion 33.92 1
al( �,, l ri u' 'DESCTI.IPTIOI+I:OF-:WORK -- ,, .
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
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
' 4 `` bi; -TENANT ., 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
City/State/ZIP: 601 amps to 1,000 amps 301.04 2
Phone:( ) 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, er panel
_ ►1„A'PLICANT-= -Q:CONTAGT"PERSO a, 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
Address:57096 S.Morse Rd. service or feeder fee,first 1 56.18 56.18 2
branch circuit
City/State/ZIP:Warren Oregon 97053 Each add'I branch circuit 27 7.42 200.34 2
Miscellaneous(service or feeder not included)
Phone:(503)577-4311 Fax::( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email:jerryl@peakelectricgroup.com
Reconnect only 67.84 2
CONT`.. i iRTV �a, III y(� ' .
. .. ,. Pump or irrigation circle 67.84 2
Business name:Peak Electric Group Sign or outline lighting 67.84 2
Address:57096 S.Morse Rd. Signal circuits)orlimited-energy ❑ 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 Lic.:206443 Electrical Lic.:C 1 109 Suprv.Lic.:57545 s.ecificall listed '/z hr min
t ,: lin 4IIT..FE it
Suprv.Electrician signature,required: 7G,1'N� r3, , Subtotal: 256.52
V L
Print name: Tim Banaszek ate: 9/25//9 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee): 30.78
Authorized signature:—7"-alt, ria. u TOTAL PERMIT FEE: 287.30
This permit application expires if a permit is not obtained within 180
Print name: Tim Banaszek Date: 9/ //9days after it has been accepted as complete.
* Number of inspections allowed per permit.
I:\Building\Perndts\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(t 1/05/COM/WEB
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY:,r .w FgE SCHEDULE
Fee for all residential systems combined: $75.00 Description Qty. I 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
n 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
C 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(1 hr min)
Inspections for which no fee is 90.00/hr
specifically listed('h hr min)
COMMERCIAL WORK ONLY:
;'ELECTRICAL PERMIT FEES t
Fee for each commercial system: $75.00 Subtotal(Enter on Page 1):Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
n Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
• Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
l.\Building\Permits\ELC_PermitApp_ELR_EREEdoc Rev 06/17/2015