Loading...
Permit CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit #: ELC2010 -00392 Date Issued: 07/29/2010 7EGARD. 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 1S1260000300 Jurisdiction: TIGARD Site address: 9755 SW WASHINGTON SQUARE DR D03 Subdivision: WASHINGTON SQUARE MALL Lot: 0 Project: T- MOBILE Project Description: (6) branch circuits for display fixtures. Owner: FEES PPR WASHINGTON SQUARE LLC Quantity Description Date Amount 2235 FARADAY AVE STE #O CARLSBAD, CA 92008 6 crt Branch Circuits 07/29/2010 $93.28 wo /Purchase Service or PHONE: Feeder 1 ea 12% State Surcharge - 07/29/2010 $11.19 Electrical Contractor: FIVE STAR ELECTRIC, INC. PO BOX 555 BANKS, OR 97106 PHONE: 503 - 324 -0948 FAX: 503- 324 -0973 Type of Use: COM Class of Work: ALT Type of Const: Occupancy Grp: Total $104.47 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 • c 952-001-0100. You may obtain a c• • • .I •r direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By: Permittee Signature: - 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. CaII 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. Lt iCCi rerm>l tau. ><►a E IV IIEDRR BUILDERS Fax:503 -324 -0973 Jul 27 2010 09:05am P002 003 City of Tigard c � R p eived MEN= pe,m;txo.: — L — 13125 SW Hall Blvd, Tigard, ORJ 232 7 L l Plan Review Phone: 503.639.4171 Fax: 503.598.1960 Dat- : : Other Permit ; ' Inspection Line: - OF T1G ARD Pate Ready/By: :. » See Page 2 for Internet www.tigard-nr.gov IVISIGN K_y : mental Inforno t,a II .... F: ,,, . y' .< �� ., c ": .':. � '1 ^ p __,, .'JA':' lr.'.'.: t ° i 1i %',"i L:� ~ :' 7': %�. . [: <:. � , 1;� ":yY.�•.�1^� .. .1.•\ " +�Y{: NYC. :.V .: y.�,'. Y '`i v. .. N�i;�v .� t r y , e '�� ' a'::t: v .4". r.,. ii4.4 . ._ - .,.� F. i'. . lk... ; 67 Y. �4t•S vr.: . \. .Y,:Y^c .::; ;jam, + '• r ;, x.: .w >t. " } , ,.t e: - v ? o ' ' ?, ..ti a r : :.,. y L; �4V n .. :;'S',. ..at - i�� .�i �-y , a.cw;2.•Ai �� >0 ..t:`Pi. � ,'�, , ' . . 7 u � .. i'iP��� ... :as ..,S13::;...., ;:�.,. �•`� : >'.,:. =�.. - " ddition/alteration/re lacero.ent Please cheek all, that apply ( submit ?'sets of plans wlitetas checked below): ❑ New construction P . ❑ Service or feeder 400 amps or more © Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. a ?'rru':t�gI ,.t�- _ ,' ?";?' : - � (� - • t ; ", ''.!il ;; F.tir; ' r, < s c exceeda 70,000 amps at 150 wits or 0 laoatiagbuildings. ` !..S�,t_' :. f t..�. u �'iip 7y is e,Y1F.'�. x, 1 1 2 4 r.. ` .., ., , i' - . ,, i1r,,:,...„ ; ;',_, u.F 4, G aye cultural '1: + ' :: ,.. -,, ,? ,Ii. 1 . 3" " " ' less to ground, or exceeds L 000 ❑ nom or ial agricultural 1- and 2- family dwelling ►+ Commercial/industrial ❑ Accessory building am for all other installations. buildings. CI Multi £et1y 0 iJ Other: Master' builder ❑ Oth 17 Fire pump. ❑ installation of 75 RNA. or ,,.,� „ z . ❑Emergency sy3tena. larger separately derived systen lei 5 ts. 'r ' . Y ea, M0 rik*Otr 1 7 0 "~ !3 i 7 ' J' „� ' ' ,e ° ❑/addition of new motor load of ❑ "A ", "E"> °1-2'e. ••1_3', �. / � • • 11 s 100HP or more. onxupattcy. Job no •: G �l lob site address: i ❑ sic or more rQSieentjal units- ❑ Recreational vehicle parks - V ❑ Health -care facilities. ❑ Soppty voltage for more than CiC} /$fate /Z)P: ,i 1 — 0 Hazardous locations. 600 volts nominal. Suite/bldg./apt .� ♦ • ❑ Setvt or feeder tr0() amps or more, . no.: t . 11i ' ( 5% .'4! -.....: '!a. 1:2=5: a'+3 s t:Y' t;!Y 41 i : : : :? ` " . . . Cross street/directions to job site »caci±pston 4n, Rm. . 7 "'"" New residential single- or multi - family dwelling unit lne{tydi ttttace ggrage. Subdivision: Lot no.: 1,000 sq. ft. or less 168.54 -7 Ea add' i 500 sq. R or portion 33.92 Tax map /parcel no.: Limited energy, residential 75.00 ., ? } rrp , t+F `� rW, ' iY :� p t M14 r � i ' / , ' A j ,,. ‘ , d :` .} . : s r ' , '• t .' "� k}i3,G (with above sq. ft) . _ Limited energy. multi family 75.00 residential (with above sq ft) L. b _ .ilk L _. 4 • 1 S- . A. 0 � I - - i .. AIL 4. ' Services or feeders installation ; alteration, and/or relocation 200 amps or less _ 100.70 i% ir ' 7' , . ,' „a , ? ,;r a ,7 201 mnpS 400 amps 133.56 — 401 amps to 600 amps 200.34 Name: 601 amps to 1,000 amps 301.04 Over 1,000 amps or volts 552.26 Temporary services or feeders installation, alteration, and/or relocation 200 amps or less 59.36 ' 201 amps to 400 amps 125.08 Owner installation: This installation is being )made on property that 1 own which is not * 401 amps to 599 amps 168.54 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. Branch circuits -new alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with ;�� ;i ';� :Nett* • ;• .... ' P.. ,�,;; above service or feeder fee, 7.42 each tip _. ; m ss f a ;t r !t;n.,.; `'�'�.s +i5"[5,v'v l *.w , ±�',< , *: ,ei .. d^"t% above f feeder Business name: B. Fee fbr branch circuits without service or feeder fee, first , 56.18 . g Contact name: branch circuit Each add'1 branch circuit 5 7.42 81: 1 Address: • • rsedianeous service or feeder not included .. Each manufactured or modular III 67.84 City /State/ZIP: d , : service and/or feeder Reconnect only. II 67.84 Phone: Pump mirrlgation Circle 67.84 Sign or outdate lighting . 67.84 i; i;' a ' Signal circuits) or limited- energy ane altetati • . or extension. Business name: pi c e y Each additional j !ptetian over allowable in an of the above Address: . ` i Additional inspection (1 hr min) NE 66.25/ hr Irrvesirgation (1 hr min) II. 6625/ hr City /State/ZJP: 1! 43 V � i CA:L 1 1 D EO Industrial plater (1 hr min) Ell 78.18/ hr 1 Phone: ( • . - a ■ . I Fax: (`St 734. ""0 Inspections ibr which no fee is • s 90.00 / br a�..,ls listed ii. 54 hr mitt CCB Lie.: (, Electrical Lich— . `, Suprv. Lie.: ..' 22 MILIM- '” " .:.' Aa^ ;f : : 4 ., ,,' � A.. Subtotal: r .s - 3- - $uprv. Electrician signature, required: ", , Plan reviea/25% of permit fee : Print name: 6 y • fit .oi_rr Date: 10 State surcharge (12% of permit fee): NUM TOTAL PEWIT FEE: 0 . Authorized signature: This permit nppTieation empires if a permit le not obtained...lei° 1St . days: after it bas been accepted as complete; . Print name: Date: •. Number of inspections allowed per permit r: \Buiid"tvgl8mmitsuQGemnhApp.dec 07 /01/10 440- 46151(11/05/COMAWEB �iJ C . r vcA cus � F.u-e g+Zvf Ett( ,