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Permit
CITY OF TIGARD .I . ELECTRICAL PERMIT ' 1 t ' COMMUNITY DEVELOPMENT Permit St ELC2011 -00503 Date Issued 09/13/2011 TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503 718 2439 Parcel 1S1260000300 Jurisdiction Tigard Site address 9597 SW WASHINGTON SQUARE RD B13 Project Lush Subdivision Lot Project Description (1) 200 amp service and (16) branch circuits for TI 10/27/11, reprinted to add (2) low voltage systems for fire alarm and stereo ` Contractor FRAHLER ELECTRIC CO Owner PPR WASHINGTON SQUARE LLC 11860 SW GREENBURG RD BY THOMSON PROPERTY TAX SERVICES TIGARD, OR 97223 ATTN HILARY RAYMOND CARLSBAD, CA 92008 PHONE 503 - 639 -4627 PHONE FAX 503 - 639 -4673 FEES Quantity Description Date Amount 1 ea Services or Feeders - 200 09/13/2011 $100 70 Specifics. amps or less 16 at Branch Circuits w /Purchase 09/13/2011 $118 72 Type of Use COM Service or Feeder Class of Work ALT 1 ea 12% State Surcharge - 09/13/2011 $26 33 Electrical Type of Const 2 ea Signal circuit or Limited 10/27/2011 $150 00 Occupancy Grp Energy Panel 18 12% State Surcharge - 10/27/2011 $18 00 Electrical (manual) Total $413 75 Required Items and Reports (Conditions) This permit r . •-• ••- t to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable law All work will be done accordance with ap. •ved plans This permit will expire if work is not started within 180 days of issuance, of if work is suspended for more the 180 days • TTENTI•N Oregon law Ire •• ,to follow the rules adopted by the Oregon Utility Notdicati• • Center Those, rules are set forth in OAR 952 -0 +1 -0010 through OAR 952 -001 •'90 • ma obtain a copy of the rules or direct questions to OUNC by calli• • 32 1987 or 1 800 332 2344 Iss -d By _ /■ Permittee Signatu 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 CONTRACTO 4NSTALLATION 0 Y SIGNATURE OF SUPR ELEC' � Date LICENSE NO / Call 503 639 4175 by 7 00 a in 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 CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit #: ELC2011 -00503 Date Issued: 09/13/2011 T 1CrARD, 13125 SW Hall Blvd , Tigard OR 97223 503 718 2439 Parcel: 1S1260000300 Jurisdiction: Tigard Site address: 9597 SW WASHINGTON SQUARE RD B13 Project: Lush Subdivision: Lot: Project Description: (1) 200 amp service and (16) branch circuits for TI Contractor: FRAHLER ELECTRIC CO Owner: PPR WASHINGTON SQUARE LLC 11860 SW GREENBURG RD BY THOMSON PROPERTY TAX SERVICES TIGARD, OR 97223 ATTN HILARY RAYMOND CARLSBAD, CA 92008 PHONE 503 - 639 -4627 PHONE FAX. 503 - 639 -4673 FEES Quantity Description Date Amount 1 ea Services or Feeders - 200 09/13/2011 $100.70 Specifics: amps or less 16 crt Branch Circuits w /Purchase 09/13/2011 $118.72 Type of Use: COM Service or Feeder Class of Work: ALT 1 ea 12% State Surcharge - 09/13/2011 $26.33 Electrical 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 at 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 OA 52 -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 Issued By: Permittee Signature: (/4/ /5 1 7 C 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 F USE oN V • City of Tigard Received 1114 Y Date/By /o 57 // C,{ / Permit No ELC2011 -00503 1 3125 SW Hall Blvd , Tigard, OR 97223 Plan Review - Phone 503 718 2439 Fax 503 598 1960 Other Permit '' Date/By TIGARD. Inspection Lme• 503 639 4175 Date Ready /By miss ® See Page2 for Internet www.tegard -or gov Notified/Method Supplemental Information a e_ Olga re:.x. k.R:' ":r='rci'r` ,'€-'LYPE ,.1 rr ":":s`;rv k4;.yll it T.4kr v i�ss °:"S' .:s7• v,.f� z _' to °a m'is".'lWr ., � rryq�i - . t .,�-.,��..a4xs.,�°ryse_._������ d _ �_.? su�t„ a�a", �� El New construction Ly Addition /alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below) ['Service or feeder 400 amps or more ❑ Building over three stories ❑ Demolition ❑ Other where the available fault current ❑ Marinas and boatyards ass; m% .g....- 6 F :."t+ rt ' r; l v `CATEGORY' ` OF COrSTRi GTION' /' A : ' .I ° exceeds 10,000 amps at 150 volts or ❑ Floating bah g less to ground, r exceeds ❑ Commercial- agricultural ❑ 1 and 2 - family dwelling IN Commercial/industrial Commercial/industrial Commercial/industrial ❑ Accessory building amps for r all other heer mstallahons Com installations buildings ❑Multi- family ❑ Master builder 0 Other ❑ Fire pump ❑ Installation of 75 KVA or k? • :jm _, -, .,..�. W f 4 t< r1 ❑ Emergency system larger separately derived system y„;„ 5 91111 JOB,SITE INFOW11,0 .1)1LOCATI6N - - - , .. .! 3.�i,�+u (1fA'p:*r d ❑ Addition of new motor load of ❑ "A ". ••&••, "l 2 ","1 - ", lob no 68765 Job site address 9597 SW WASHINGTON SQUARE RD or m °" R c ❑ _Six ix o or r more residential units ❑ Recreational vehicle parks City /State/ZIP TIGARD, OR 97223 ❑ Healthcare facilities 0 Supply voltage for more than ❑ Hazardous locations 600 volts nominal Suite/bldg /apt no Project name LUSH STORE ❑ Service or feeder 600 amps or more Cross street/directions to job site -11 `�3fk`-="f'° NINI. dSGH ; i;, r- 40",;` ;,.,,, 3 Description Qty Fe Total Tr New residential single- or multi- family dwelling unit. ADD AUDIO AND STEREO SYSTEMS AND FIRE ALARM Includes attached garage. Subdivision Lot no 1,000 sq ft or less 168 54 4 Tax map /parcel no ' Ea add'1500sq ft or portion 3392 1 Limited energy, residential €t.',-` ,; #t#-"l';`rv-f"„*,.4„" ',„, ,`kI'4'` DE3_CRIPTIOWOTEIN!ORK� P- ,,, - e ist , 'n ' °r lfru'41"7 (with above sq ft.) 7500 2 Limited energy, multi - family 75 00 2 ADD TO PERMIT # ELC2O11 -00503 residential (with above sq ft ) Services or feeders installation, alteration, and/or relocation AUDIO AND STEREO SYS1'E'MS AND FIRE ALRM INSTALLATION 200 amps or less 10070 2 f' ,lta ` ® rPROPER'BX?OWNLR=; vg =• ' *, 4,51: `"' 4 ,`951 :1 TENANT ( ,4 a 201 amps to 400 amps 133 56 2 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 ( ) Fax ( ) 200 amps or less 59 36 1 201 amps to 400 amps 125 08 2 Owner installation: This installation is being made on property that I own which is not I 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, ;er panel Owner signature Date A Fee for branch circuits with W i '1 �@('APPLICAN'I''("""x,• - W r'''uv �"CONTACT°'+PERSON,„s�w ;,y"��ys above service or feeder fee, t�: - — _ "- s,ra ", ^.:o,.E,.;ral.;,_ i . I_ he each branch circuit 7 42 2 I Business name B Fee for branch circuits without service or feeder fee, first 56 18 2 Contact name branch circuit Each add'I branch circuit 7 42 2 Address Miscellaneous (service or feeder not included) City/State /ZIP Each manufactured or modula 67 84 2 dwelling, service and/or feeder Phone. ( ) F ( ) Reconnect only 67 84 2 Pump or irrigation circle 67 84 2 E - mail a "i'sa -; w= °Ts ; _ r r , Sign or outline lighting 67 84 2 :*- >.t,`,„g,,,tot..`..;mti';. at',`;.rtOMIINCI:CONTRACTOR(a*' ei ;;(>y, '*� 414 11,5: :Inalr4.' Signal circua(s) or limited- energy Business name FRAHLER ELECTRIC COMPANY panel, alteration, or extension 2 Page 2 150.00 2 Each additional inspection over allowable in any of the above Address 11860 SW GREENBURG ROAD Additional inspection (1 hr mm) 66 25/ hr City/S[a[e/ZIP Investigation (l hr min) 6625/hr TIGARD, OR 97223 Industrial plant (1 hr mm) 78 18/ hr Phone ( ) 503- 639 -4627 Fax. ( ) 503 - 639 -4673 Inspections for which no fee is 9000 /hr specifically listed ('A hr min) CCB Lic 37410 Electrical Lic 34 -13C Supry Lic 5110S ":=,2,11 ",i v;`' hitA'?- ELECDRICAL'(PERMITiaF'EES= ;` :- ` vAI' ,Tw Subtotal Supry Electrician signature, required 9/ / 15O . op /9/aft Plan review (25% of permit fee) Print name EII- IFRBSIGT(1N Date 1012 111 State surcharge (12% of permit fee) 18.00 ' Authorized signature TOTAL PERMIT FEE 168.00 Thu permit application expires if a permit is not obtained within 180 days after it has been accepted as complete Print name Date * Number of inspections allowed per permit I U3uddingWermits\ELC- PeemitApp doe 07/01/10 440- 4615T(11/05/COMAvE.B Electrical Permit A licatio l ,...;., _" `� � � FOR OFFICE IiSE ONLY a. > 1 . City of Tigard �� Date /By 7 J� // !�;��4 C _ i'/ -D0� - t om , Permit No . 13125 SW Hall Blvd , Tigard, OR 97223( rD y 201 Plan Review fi .; Phone 503 718 2439 Fax 503 598 196 C f A Date /B Other Permit , Q u pan / D ©/ 7/ I' Inspection Line 503.639 4175 ;y Date Ready /By MI ® See Page 2 for 3TIGARf p c g CI OF Notified /Method. Supplemental information .: k :..�� � � O. Internet www tigard gov ' o �. � y r - 7"ate ` �£a; /'"t` &�1Y sp' `" ` ;:k W. `� ' ;Y'"`y � - .,. . ,e1 ;3 . ` f -A, T TYRE °OF t ® - g ,,, a n ,g .PLAN I2FrULE -.� � �'_�,r >_ � �. � -' ' t''� i : `'��i=:�..: �' `� = �'��g 4 °� c; _.;dr��Y- �.�.�, :-:�„ �q, ��,N L ai: �* � � >�..�. - °, Please check all that apply (submit 2 sets of plans whtems checked below) ❑ New construction ® Addition /alteration /replacement ❑ Service or feeder 400 amps or more ❑ Building over three stories ❑ Demolition ❑ Other: where the available fault current ❑ Manilas and boatyards ' � g: r`� ° '`` �' � W " exceeds 10,000 amps at 150 volts or Floating buildings C` ,,, GOR,- f1F CONSTRt Z, 2 , `, � less to ground. or exceeds 14,000 ❑Commercial -use agricultural ❑ 1- and 2- family dwelling E Commercial /industrial ❑ Accessory building amps for all other installations buildings El Multi - family ❑ Master builder ❑ Other: ❑ Fire primp ❑ Installation of 75 KVA or q i, Jas ,>,, -" _ > �. -_ firki �, „. .Ww - � . ❑ Emergency system larger separately derived system >' 4 r OB ,,, , E IN F tj R A T IO IS ,,4,, A I:+J GATLON,0%. :, `, "4- ° 0 Addition of new motor load of 10OHP or more occupancy Job no.: 68765 Job site address: 1%7 SW WASHINGTON ROAD ❑ Six or more residential units ❑ Recreational vehicle parks City /State /ZIP TiGARD, OR 97223 ❑ Health -care facilities ❑ Supply voltage for more than ❑ Hazardous locations 600 volts nominal Suite /bldg. /apt. no.: Project name: LUSH STORE ❑ Service or feeder 600 amps or more " „ q k 3 e r E e ,EFiE1S ETIII E- . - 4 e Cross street/directions to job site: Description I Qiv. I Fee. I Total j , New residential single- or multi - family dwelling unit. includes attached garage. Subdivision: 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 ' � ,� .. �' " ` x 5 -- `�� (with above s " ���" 1)ESG'RLPTI�N �=631j �- WORD, � ' `" ,�. ' sq ft) 75 00 2 `.' - ' °m- Limited energy, multi - family TENANT IMPROVEMENT residential (with above sq ft) 75 00 2 Services or feeders installation, alteration, and /or relocation 200 amps or less i 100 70 100 70 2 �" ;N4 -4 " --- 201 amps to 400 amps 133 56 2 PRl3PEI2 y M! : 32 . ; " "-" ` ; TE NANT P p 401 amps to 600 amps 200 34 2 Name: — 601 amps to 1,000 amps 301 04 2 Address: Over 1,000 amps or volts 552 26 2 Temporary services or feeders installation, alteration, and /or City /State /ZiP: relocation Phone: ( ) Fax: ( ) 200 amps or less 59 36 1 201 amps to 400 amps 125 08 2 Owner installation: This installation is being made on property that I own which is not intended for sale, lease, t ent, 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 v - a -ry above service or feeder fee 16 118 72 " ❑ A1'PI IGA1SiT .` " ` a, ,er - - g ®` ( GT FERSF? 7 42 2 �.�� %�..���� � . �- ��_� ,�;��.� �,� � ,� � - F� �_�.,� a.e � � �,�i' ,� °.,,� - ,t each branch circuit Business name: B Fee for branch circuits without service or feeder fee, first 56 18 2 Contact name: branch circuit Each add'l branch circuit 7 42 2 Address: Miscellaneous (service or feeder not included) City/State/ZIP: Each manufactured or modular 67 84 2 } dwelling, service and/or feeder Phone: ( ) Fax: : ( ) Reconnect only 67 84 2 Pump or irrigation circle 67 84 2 E - mail: " Sign or outline lighting 67 84 2 .rA g aOI\TR`!G` ORµ `'F".IT 0Ar Signal circurt(s) orlimned- energy Business name: FRAHLER ELECTRIC COMPANY panel, alteration, or extension Page 2 2 Each additional inspection over allowable in any of the above Address: 11860 SW GREENBURG ROAD Additional inspection (1 hr min) 66 25/ hr City /State /ZIP: TIGARD, OR 97223 Investigation (1 hr min) 66 25/ hr Industrial plant (I hr min) 78 18/ hr Phone: (503) 639 - 4627 Fax: (503) 639 - 4673 Inspections for which no fee is 90 00/ hr / / specifically listed (% hr mm) CCB Lie : 37410 Y Electrical Lic.: 34 -13C Suprv. Lic.: SILOS :./4 ; ' :,CfP, `I (.IWYEI2M T FEES $ Suprv. Electrician signature, required: _ Subtotal 219 42 p ) 9 1.��� lv . Plan review (25% of permit fee) Print name: ADAM ETHERINGTON Date: 09/09/11 State surcharge (12% of permit fee) 26 33 ✓/ TOTAL PERMIT FEE: 245 75 Authorized signature This permit application expires if a permit is not obtained within 180 (lays after it has been accepted as complete. Print name: Date: * Number of inspections allowed per permit I \Budding \Permits \ELC- PerniiApp doe 07/01/10 440- 4615T( I 1 /05 /COM /NEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: r ESIDENTIA WToj K ON Y .s ; `-k t�,r ` , Fee for all residential systems combined $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other. reOMMERCIAL WORK°OI AT. 1 1,24-22 Fee for each commercial $75.00 system (SEE OAR 918 309 - 0000) Check Type of Work Involved: • Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation • Ftre Alarm Installation ❑ HVAC ❑ 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 1 \BulldmgWermlls\ELC- Perml(App tluc 07/01/10