Permit � q
CITY OF TIGARD ELECTRICAL PERMIT
` >z COMMUNITY DEVELOPMENT Permit #: ELC2010 -00223
13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 05/06/2010
[ G ARD Parcel: 1 S 135 BA01802
Jurisdiction: Tigard
Site address: 10101 SW WASHINGTON SQUARE RD
Subdivision: WASHINGTON SQUARE TOO Lot: 0
Project: Bank of America
Project Description:
Owner: FEES
PPR SQUARE TOO LLC Quantity Description Date Amount
BY BANK OF AMERICA, NC1- 001- 03 -81, 101 N
TRYON ST 3 crt Branch Circuits 05/06/2010 $71.02
wo /Purchase Service or
PHONE: Feeder
1 ea 12% State Surcharge - 05/06/2010 $8.52
Electrical
Contractor:
COCHRAN INC
626 SE MAIN ST
PORTLAND, OR 97214
PHONE: 503 - 234 -6564
FAX: 503 - 238 -2098
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp:
Total $79.54
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 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: R v Permittee Signature: �•=f.: c' r---+` C A 7 -- -_37 - c,
OWNER INSTALLATION ONLY I
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.
Cali 503.639.4175 by 7:00 a.m. for an inspection that business day.
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.
FROM COCHRAN- BROADWAY (WED)MAY 5 2010 13: 20 /ST. 13: 20 /No. 7500000842 P 1
ECEI u ,t� , , r �r ; � i : , r ry
Electrical Permit Applicati t�7 � � ' � l` o-+ 1 OR -,0I I It I ' l`tisf Oy1 a d a ! ai
a sv.�1?�h.''u�'� ial� It �� � 4)St i *. BEr n igta,.. ' elt.xu a' 45tr f.:J
City of Tigard Date/By: Pcnnit No.: 6 L - 2 ,. t 30)
0 13125 SW Hall Blvd., Tigard, OR 972 a y _ 5 Plan Review
G Phone: 503.639.4171 Fax: 503.598. I • r U
, Date/By: Other Permit: , l e),0 .
t" Inspection Line: 503.639.4175 Date Ready /By: lure: j l) B � See Page 2 for
"
' ' ' ' `'` ` "''t"
g g .w
� In ternet www h and or. ov CIT OF TIGARD � Notified/Method: Supplemental Information
� :i: - ' c7 2 - s b..3, c; °'-- i 7 _ 'r 7. of ; .-'.-17,:* .�Y._...au..t.. ,---- _ rtr -a-r ______ r
3:." 'x�, ,-, _ d t u z t r s f- ., 1R -;.
�.". ..,.,, _ a a. c � -,. :'�- r.�.._--- c..._W.n ...-.. ......... -r' s ._` _ a_"'4 =_
❑ New construction , /alteration /replacement
Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Service or feeder 400 amps or snore ❑ Building over three storics.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
1-2-4a = s i y 7. o , [g ?` r , ,� •3�,7, exceeds 10.000 amps 150 volts or Floating buildings.
- --•. 1 �- a �a ..1 i
n n£' +6 w s r' s 7 .a - D ❑ 6 ii brs.
��� ~ �Y:F» '�""` ..a . �y y, less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ 1 - and 2- family dwelling ! i Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
0 Multi- falnily ❑ Master builder ❑ Other, 1:1 Fire pump. ❑ Installation of 75 KVA or
3 r -. - w T� 6'e separately system. a r "�` :;�n.� Emergency system. larger se tare l derived s seem.
_'E^c , �[' F, '+ +7 '°-- °:�''� ❑ Addition of new motor load of
-.. :ter'_ t�.__... .._. ❑ " .. ,.
Job no.: f t.rei0 - Job site address: (O� Ol SW � lect 100HP or more. occupancy.
1 ❑ Six or more residential units. ❑ Recreational vehicle parks.
City/State/ZIP: 7,sa (-6( D 2 ' 7 ZZ. j ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations 600 volts nominal.
Suite/bldg. /apt. no.: I Project name: el ) Ary.r ,. J ❑ Service or feeder 600 amps or more
,� �:, ; 'aa-a?� ;a S lei Fie; � t
Cross street/directions to job site: Description Qty fee Total •
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: I Lot no.: 1,000 sq. ft. or less 168.54 4
Ea. add'I 500 sq. ft. or portion 33.92 1
Tax map /parcel no.: Limited energy, residential
!r+F'"a..' ^''�, �i: ltc - �� a:,:z'^'�,-�:...�-- �`.te,'± (with above sq. fl.) 2
�^e��r� , . L imited energy, multi- family 67.84 2
' �tlC:Al� �� ids r t� \ t ( tM1.Vn6' (balm r i?S ' residential (with above sq. ft)
■
S ervices or feeders installation, alteration, and/or relocation
0 ► z moue, p? ' tr 200 amps or less 100.70 2
c -:?rc s , v ss� °�r.• =v
`"- _ @ Y f ear , 3 �.. a a~ .'r + ti"^^rr -a -�r i
g -r;r _ ;;, A.i;s7 .A tra: s • , . r -w4..i : ,fir 201 amps to 400 amps f 33.56 2
-T_ .� P mP
Name: 401 amps to 600 amps 200.34 2
601 amps to 1,000 amps 301.04 2
Address: Over 1,000 amps or volts 552.26 2
City /State/ZIP: Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) I Fax: ( ) 200 amps or less 59.36 1
Owner installation: This installation is being made on property that 1 own which is not 201 amps to 400 amps 125.08 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449. 670, and 701. 401 amps to 599 amps 168.54 2
Branch circuits - new, alteration, or extension, per panel
Owner Signature: Date: A. Fee for branch circuits with
r` $-,. O , 1 - V -N.
a W ' ��R 7f ), ' above service or feeder fee, 7.42 2
each branch circuit
Business name: .Sa ,C a S Ct)ntYa city- B. Fee for branch circuits 56.
without service or feeder fee, ; - J 2
Contact name: Ov. I 56.18
1•-v kl`�S f irst branch circuit
Address: Each add'I branch circuit a 7.42 1 /.I f y 2
Miscellaneous (service or feeder not included) 11
City /State/ZIP: Each manufactured or modular
- 7 dwelling, service and/or feeder 67.84 2
Phone: (j03 )6 2-2- 73�j / I Fax: : ( ) Reconnect only 67.84 2
E -mail: \ 60\4) • QJ Gock\_ - Rtr\ X� , pa-v'1 Pump or irrigation circle 67.84 2
-
> r q��5i
...: ; 5"1 7 ., •' `t, ' - „ Signor outline lighting 67.84 2
Business name: 0 OC-h l 1 n C
Signal p a ne l, al er t o n , or
- energy panel, alteration, or
Address: (0 Vic, 6E matiN s4-., extension. Describe: Page2 2
City /State/ZIP: fork. ta,n Dj 9 721 4 Each additional inspection over allowable in any of the above
34 (95k4 ( 23 Per Inspection 66.25
Phone: ( ) Z Fax: Investigation per hour (1 hr thin) 66.25 _
CCB Lic.: 'I 2942_, I Electrical Lic.: 3754-40 e Suprv. Lic.: 3441$' Industrial plant per hour 78.18
Suprv. Electrician signature, required: Subtotal: j.ergberlti 71.0
Plan review (25% of permit fee):
Print name: % q' n e 'r" Date: State surcharge (12% of permit fee): ° 2- if -S:„Z
Authorized signature: TOTAL PERMIT FEE: 7ycr
This permit application espires If a permit Is not obtained within 180
Print name: Date: days after It has been accepted as complete.
• Number of inspections allowed per permit.
I. - Building Permits El.C- PcrmilApp. 10'01,09 4104615TI1 1.05'COM' WEB