Permit CITY OF TIGARD ELECTRICAL PERMIT
114
COMMUNITY DEVELOPMENT Permit #: ELC2011 -00620
TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503 718 2439
Date Issued: 11/03/2011
Parcel: 151260000300
Jurisdiction: Tigard
Site address: 9597 SW WASHINGTON SQUARE RD B13
Project: Lush Subdivision: Lot:
Project Description: (1) sign lighting
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 Sign or Outline Lighting 11/03/2011 $67 84
Specifics:
1 ea 12% State Surcharge - 11/03/2011 $8.14
Electrical
Type of Use: COM
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $75 98
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable law All work will
be done in a rdance with approved plans This permit will expire if work is not started within 180 days • ssuance, or if work is suspended for more the 180
••"t
days ATT TION Oregon F w uires you to follow the rules adopted by the Oregon Utility '∎'rr=tton Center Those rules are set forth in OAR
952 -001 -0 0 throu h OAR 952- 1 -0090 may obtain a copy of of the rules or direct questions to OUN• •y calling = 2 _ 1987 or 1 800 2 2344
Issued y: L_4L- .. Permittee Signature:
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease or rent.
OWNER'S SIGNATURE Date:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC' ` Date:
LICENSE NO.
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Electrical Permit Application
FOR OFFICE USE ONLY
(
City of Tigard NO V q Received //
D ate /B • `' . /+� / O 6/ 2„2,0
ilii ®2 i c,
a 13125 SW i lall Blvd., Tigard, OR 97223 2 � �� Plan Review ice" PPenult No C...3 s� Q��
Phone: 503 718.2439 Fax: 503.591g1y�� Date /B Other Permit- /o1L[/�o?0�1—ef61 ?/
T EGARD Inspection Line. 503 639.4175 i g d O F TIGA Date Ready /By Jens El See Paget for
. B U
Internet. www.tigard -or gov LDING DIVISION Notified /Method Supplemental Information
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❑ New construction ® Addition /alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories
❑ Demolition ❑ Other: where the available fault current
❑ Marinas and boatyards
+ ' ' "$ - , ._' .. 3`• `-`,'a , VI _ - °dt-�- c'4 - - - ;p ; r'' - :N
z� ° '.�_ a;, °v ,� : ` * >y t s -T q a�'' `, ` ° 1 ? exceed 10 000 amps I oO volts or Floating buildings,
,
>�.u.�' _ � 1 , _ V
;�,_'- . CA <ORk „OF= COIVSTBUCTIO1V,a�° <�, , P ❑ b b
.ar:” f ? -,:,e .,:_., _;.- r <.,,.> . _ a„ _ - °. >; v m> u, less to round, or exceeds 14,000
❑ I - and 2 family dwelling ® Commercial /industrial III Accessory building g ❑ Commercial - nse agricultural
Y g amps for all other installations buildings
❑ Multi family ❑ Master builder ❑ Other: ❑ Foe pump ❑ Installation of75 KVA or
;'; - =e su` , f 4, : ti �r`` 7, ,g , ❑ Emergency system larger separately derived system
0 ;,', • ``JOBp = I N F OR'M <; .`T ,, E ° =;
; 1 F T IOIV��ANIiy %LOCATION` 4,7 ��,,,,�f
,�. �� _,.�g.xs °.- .i:, - r`= .� - >_ -,.° ';<�:��'�*�`=- .'�b _ 0 Addition of new motoi load of ❑..A„..E„.,i_J„,.1.3,-
Job no,: 68765 Job site address: 9597 SW WASHINGTON SQUARE RD i00HP or inure 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: LUSH STORE ❑ Service or feeder 600 amps or more
Cross street /directions to tI '" '_ "'`, ,-.- ° F=,F E' ..2 .�����,
O iob site: � Description r Qtr. 1 Fee. �.. Total 1 "
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision. Lot no.: 1,000 sq ft or less 168 54 4
Tax map /parcel no.. Ea add'l 500 sq ft or portion 33 92 1
Limited energy, residential 2
_ ; = _ = �� . c°- r ;. °; 5 - ; , � M .#
y- .t ` ,1' o e ODE 4 iIPs° - = ; , ! i i<. ' "f`° ±:,
: -rtY<-- (with above sq ft
�'r� {," .�.� SGR , 210NzOF ; ,WQ RK`;4;�k:. x >; , �a . :t °° " e .' � �r ( q •)
75 00
- "�` Limited energy, multi -family 75 00 2
INSTALL SIGN CIRCUIT residential (with above sq ft )
Services or feeders installation, alteration, and /or relocation
200 amps or less 100 70 2
- •�_ :- iPRtbl'R�t Y `OWN1 12` - - ' x• 5.41 201 amps amps 133,56 2 s to 400 am
,; E �. ��1�• ..�,. ;����`�= ' n ® P P
401 amps to 600 amps - 200 34 2
Name: ,
- - - - - - - 601 amps to d ,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
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
< _% - =,; ;t -nt, above se
feeder f
ce or eeeee,
—.." PING a ,; _ -
m Ali C;' _ = ®" CON TACTERSOI\: = ` "° 7 42
�„�•: , - �= '� =a;_ - ,_u,a . -� � _ �� � � : � - ° " -s -. _$_;� ..� ° „ _ -� , � , >� . _ � , � �_ . � ��s,� °� ea ch branch circuit 2
Business name: B Fee for branch circuits without
service or feeder fee, first 56 18 2
Contact name: branch circuit
Each add'] branch circuit 7 42 2
Address: Miscellaneous (service or feeder ;iot 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:
3 *. - - . °, v _ _ ,* i , Sign or outline lighting 1 67 84 67 84 2
4 �_ , RACOR, = _ ; 1 , :; _ _� ,_ : , 1 . -= 21
. - � .w,.. . - .�. � ,.� - a x, � �.. < ,-, -„5,1--:1 1 .-1- 1 .1,-1 ., . ._. _ .,� _M;�����` ,n: _a;;r
, 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 hr min) 66.25/ hr
City /State /ZIP: TIGARD, OR 97223 investigation (1 hr mm) 66 2�/ hr
- - - industrial plant (1 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 min) - - -
CCB Lie. 27410 Electrical Lie,. 34 - 13C Suprv. Lic 5110S a , 'a. =:ELECTRICAL PERM 14 r a
.� - - Subtotal 67 84
Supry Electrician signature, required. ' �,, l % � _ - Plan review (25% of permit fee) -
Print name: ADAM ETHERINGTON .. Date: 11/01/11 State surcharge (12% of permit fee). 8.14
TOTAL PERMIT FEE: 75.98 I
Authorized signature.
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name Date
l' Numbei of inspections allowed per permit
1 \Bud ding \ Permits \ELC- PermaApp doe 07/01/10 440 -461 ST(11/05/COM /WEB