Permit CITY OF TIGARD ELECTRICAL PERMIT
! ; COMMUNITY DEVELOPMENT Permit #: ELC2011 -00557
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 10/07/2011
Parcel: 151260000300
Jurisdiction: Tigard
Site address: 9585 SW WASHINGTON SQUARE RD OFFICE
Project: Washington Square - G Block Subdivision:VASHINGTON SQUARE ESTATES NO Lot: 108
Project Description: Add house panel in G Block and connect exhaust fan.
Contractor: FRAHLER ELECTRIC CO Owner: PPR WASHINGTON SQUARE LLC
11860 SW GREENBURG RD BY THOMSON PROPERTY TAX SERVICES
TIGARD, OR 97223 ATTN HILARY RAYMOND
2235 FARADY AVE, STE 0
CARLSBAD, CA 92008
PHONE: 503 - 639 -4627 PHONE:
FAX• 503 - 639 -4673
FEES
Quantity Description Date Amount
1 ea Services or Feeders - 200 10/07/2011 $100.70
Specifics: amps or less
1 crt Branch Circuits w /Purchase 10/07/2011 $7 42
Type of Use: COM Service or Feeder
Class of Work: ALT 1 ea 12% State Surcharge - 10/07/2011 $12.97
Electrical
Type of Const:
Occupancy Grp:
Total $121 09
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 i ccordan = 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 A ENTION Ore. •n la requires you to follow the rules adopted by the Oregon Utility N• . • Center Those rules are set forth in OAR
952 -001 010 through OAR :5 101 -I You may obtain a copy of the rules or direct questions to OUN r -8 1987 or 1 800 3 2 23$4
Issue By: ■ Permittee Sign.
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' e j L' ��lB+^ 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 \\151) . FOR OFFICE USE ONLY
•
City Of Tigard Received
l - ° 13125 SW Hall Blvd., Tigard, OR Y ""
•
Date /By 4 / Penmt No ���
Plan Review
Phone 503.718 2439 Fax. 503 `'t: : i C ` . Date /By Other Permit
TIGARD Inspection Line' 503.639 4175 (Cov S 0 6 Date Ready /By Juris E1 See Page 2 for
Internet: www tigard-or.gov � Notified /Method
Y4' i6TT 'ysq,}kt it "`} P\ Supplemental information
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; .., . r_�� , - ,�.......,r. ���� {,.V.�� k- ,�* r :, , '�xw ':°x's't��,��.1 "`r,' "', °,:st.;�,K
�'{V� `q `��. = �•'' .ax ,�� "� K�. AN� "RE.IEWr�' �
❑ New construction ® Addition /alteratitiy ement Please check all that apply (submit 2 sets of plans w /items checked below)
❑ Demolition ❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Other:
P; pjyi may ,, , , ., -, 4 ; _ where the available fault current ❑ Mannas and boatyards
t�<GONSTR'IjCTIOI\- �+ f— '`�"''srsw = "��'�- '?'�'� exceeds 10,000 amps at ] SO volts or ❑ Floating buddmgs
❑ 1- 2-family less to giound, oi exceeds 14,000 ID Commercial-use agricultural
} dwellin g ® Commercial /industrial ❑ Accessory building amps for all other installations buildings •
❑ Multi- family ❑ Master builder
❑ Other: ❑Fire pump ❑Installation of 75 KVA or
n Vi z:' :t ;; ,`r`k `..v ❑ Emer enc s stem
,' y; ; JOB ;SITE-_INFO' I ' ? 1,sw t," ,., y ,,,. g Y Y larger separately derived system
�� . F: - t
��"rf.�. , ,.._... _ .. ,., r: , ,- ,.,•�;- ;'�, .AND = <I;OGATION�'„ �_'��_ y';� _
ez I . ,, .:q;Fh sf ,,,., a' ?v , ❑ Addition of new motor load of ❑ ., ., ., �,. >.1 _q
Job no.: 68849 Job site add ess• ✓ �9 9t'W WASHINGTON SQUARE RD IOOHP oi more occupancy
❑ 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: G BLOCK ❑ Service or feeder 600 amps or more
Cross street /directions too „` a; "i ' `t �` _. § .. A FEei.$,' EDITLE - ",u , " °' z `;`,•,.
job site. a "u. .:,.r,
Description I Qtr I Fee. I Total
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision. Lot no.: 1,000 sq ft or less 168 54 4
Tax m no.: Ea add'l 500 sq ft or portion 33 92 1
z ;:' '' map/parcel /pa f ,,` i.: ;s, aA ,: -< Limited energy, residential
,, _ : ^' n;3 >=t: -w, >r - DESCRIPTliON F O - ; • 75 00 2
. _ ,. .. . ,., ,," �,.,.,, � °;��;?_��'� �� A . ���zT /1'?? %;�'�'.._ ,_ �r %a�f "�4' - (with above sq ft )
ADD HOUSE PANEL IN G -BLOCK AND CONNECT EXHAUST FAN Limited energy, iv s
residential (with h a boove e sq ft )
75 00 2
aq
Services or feeders installation, alteration, and /or relocation
200 amps or less I 100 70 100 70 2
"s-1.tft L,.1_4,— '��`PROPER7'cIA `Ai " = ay A `,'Ag. , _t ' I IMI. =; .=3 <;
+.i ce,._ ' , .. - >:.w.-,, ,...,;W V t V l =r r ' ® 1\AN„ e; fe t t�x x 201 amps to 400 amps
- .a. - >,� , �, .� �. _ <,; t�� 133 56 2
Name: 401 amps to 600 amps 200 34 2
601 amps to1,000 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 l
Owner installation: This installation is being made on property that I 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
�:�, �2r'.h �z;"�'`��';`%: %',> 'y "' - N, - _ =, ��:1.k 1 '�'A�'- = ...v"',+�N�:� b = � M.�;,sw''.; {;,i - '.;.v ,• e a:� : mat -
;; ,,,. i ",, % , .� Fi"AP:P,LICANT,-= „r : ;,,_ •. Y.,r_ ";'�t r; above service or feeder fee, 1 0
"x, .._, _..: ,., _> ®'''COIVTAGT ;PERSON- ~._ ri- 4� 7 4_
"" ` ' ' =' each branch circuit 7 2
Business name: B Fee for branch circuits without
service or feeder fee, first 56 18 2
Contact name' branch circuit
Each add'1 branch circuit 7 42 2
Address. Miscellaneous (service or feeder not included)
City /State /ZIP: Each manufactured or modular 67 84
dwelling. service and /or feeder
Phone: ( ) Fax . ( ) Reconnect only 67 84 2
E-mail. Pump or irrigation circle 67 84 2
', -. h - 't gin,:, Sign or outline lighting 67 84 2
LL e4 _ :r, %% _; ::CO <" -<, L; °- r, - , .
• ...,_. _ -.> 4.. . " „3 �_. . ,., ' >� 3�. r , n9'+' >` r.; .'.:'; Fi�..'(�,;a '.-
i � �: � -���� � � � , a•�'sl't; Signal circuit(s) or limited-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 lirmin) 6625/hr
City /State /ZIP TIGARD. OR 97223 Investigation (1 hr mm) 66 25/
- industrial plant (1 hr mm) 78 18/ hr
Phone (503) 639 - 4627 - Fax: (503) 639 4673 Inspections for which no fee is .
specifically -listed (% h/ min) -- > 90 00/ hr
CCB Lic.: 37410 Electrical Lic. 34 - 13C Suprv. Lic : 5110S yq:';`ELECTR1C&L PE101 T.FEES ::.=;;, - 4:W., ;:;4
Supr Electrician signature. required. �� 7 Subtotal 108 12
Plan review (25% of permit fee)
Print name: ADAM ETHERiNGTON / Date: 10/05/11 State surcharge (12% of permit fee) 12.97
Authorized signature TOTAL PERMIT FEE 121 09
Phis permit application expires if a permit is not obtained within 180
Print name: days after it has been accepted as complete.
Date. - Number of inspections allowed pm perms
I \Bulldine\Permlts \ELC- PermnApp doc 07/01/10 440- 4615T(i I /05 /COM /NEB