Loading...
Permit / /AA/ ��r�h ,9 M , f Core Idr- -sS CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT 1 ,, COMMUNITY DEVELOPMENT Permit #: ELR2011 00231 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/09/2011 Parcel: 151260000300 Jurisdiction: Tigard Site address: 9451 SW WASHINGTON SQUARE RD Al 6 Project: Vans Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: 108 Project Description: Data telecommunications system. 11/16/11, reprinted permit to correct address. Contractor: CACHE VALLEY ELECTRIC COMPANY Owner: PPR WASHINGTON SQUARE LLC 6200 SW ARCTIC DR. BY THOMSON PROPERTY TAX SERVICES BEAVERTON, OR 97005 ATTN HILARY RAYMOND 2235 FARADY AVE, STE 0 CARLSBAD, CA 92008 PHONE: 503 - 431 -6600 PHONE: FAX: 503 - 624 -1436 FEES Description Date Amount Specifics: Restricted Energy Permit 11/09/2011 $75.00 12% State Surcharge - Electrical 11/09/2011 $9.00 Type of Use: COM Class of Work: ALT Total Number of Systems: 1 Audio & Stereo: N Boiler Controls: N CCTV: N Clock Systems: N Data & Telecommunications: Y Fire Alarm: N HVAC: N Instrumentation: N Intercom /Paging: N Landscape /Irrigation: N Landscape Lighting: N Medical: N Nurse Calls: N Protective Signal: N Security Alarm: N Other: N Total $84.00 Other Desc: 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 -0090. You may obtain a copy of th or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: i t J 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. 11/09/2011 09:45 FAX 424 9966 CACHE VALLEY ELECTRIC al 001/002 ?Vast -ratic au abetj g peAm-i- IA/LA/A erbmzreaL • • • • • • • - - • : RECEIVED Electrical Permit Application � NOV ® { roltorr cr• u'' Ohl r O 9 20 1 Received a at � © • 1 City of Tigard N � i� iii m� . 13125 SW Hell Blvd, Tigard, OR 97223 Plan Rev Other Permit: i Phone: 503.639.4171 Fax: 503.598 D ated TI GARI) . }uspectionLille: 503.639.4175 LII 'J Data Ready /Bpi 17I Sea Pnga2 For • Intern www.ligard- or.gov R Supplemental Information BUIL DIVISIO Notified/Method: .,..+ < .asst - a: -�...Y.u 7.Y .'- �i - ^. ;;� s` e r . r y >,'� 5 - ?_• _" .� ....� _ _._ : c ;., -. �+aw'ri : ` %1�- �_ �'z,�:" '�.� _.`5 �3r�#'�>W 'r '. �3- �% ��"` t�•' i, �, �s:'�'��,''��--�.�5.' t���io`tf5'�:�e,..;s� �r�A���: M, Y__ =�a .nnea'�raa ❑ New construction Addition /alteration/replacement Plcaea che all that apply (submit 2 sets of plans wltems chinked below): ❑ Service or feeder 400 stops or more (i Building over three stories. El Demolition ❑ Other: wham the available fault current ['Marinas and boatyards. T - _ IR :El :• ya'1;nr;;24rr;'c�$`-'itO' � O . _ - iTtw '4116 - - . -`, itr,. t$. = si exceeds MOOD amps at I50 volts or ❑ Mating buildings. !nil to ground, or exceeds Id,000 ❑ Cmumercial•trseagrictduas! ❑ I - and 2- family dwell big Commercial iindustrial ❑ Accessory building amps for ail other installations. beildings. QMulti- family [3 Master builder 1:=1 Other: ❑ Fire pump. 0 Installation of 75 KVA or o y , O � wi . Lr .: t , ;-.:._ ❑ hlnergeato fnew nt. larger sepamtc derived system. g.lfeet: r — , , z a r, i4,1,_H_.,9,11.,ks , OVIS! 1 r d : , a: t W ir. i I I Addition of new motor load of El " " " 1- 2 ,... 1.3 .. r Job no.: 3 C .3Llob site address:0141a 60 l led Six or or mere, Recreational ., � l !1 a s • 1 � © Sivcor more msidaotial units. 0 Reaealional vehicle perks. City /State/ZIP: liciara u� q�ta ❑Health• core facilities. ❑ Supply voltage fer more that s ❑ Hazardous locations. 600 volts nominal. Suite/bldgdapt.no.: y q- -/4 Project name: AS ttog ❑ Serviceor feeder600ampsormore, sw , ,, 'I aJa `!`P��: t r, atikr�itrr'' S'i 4 ,i f31,: - - q TIC }l.'iC-i:,�ti! Cross : �lkryy�.., �• i��S�; 7+ 4Ka.. i��o' 13: 1. �- K. S.*{�i:N.N.F`.'niN±, ��"'� atreet/tlifeeti.OnS to job site: Description I Qty. I lea I oa New residential single- or multi - family dwelling unit, Includes atlaehcd garage, Subdivision: Lot no.: 1,000 sq. R. or less 168.54 , 4 Ea. add'l 500 sq. ft. or portion 33.92 I Fax map /parcel no.: or ter gy, resident al o a:a;:w, qs, w to e sue` I.II 75.00 2 ' t. �a'�' r :rr•' tai.. 00• .4 e `i .. •13 - ..g..? 4 a t r, ' . _ *7 (with (wit with abbe stn* R) Limited energy, multi-family 75 -c0 2 1 t o ' I a•04 3t. � / t eosidential(wilhabovesq - a) • • ti Services or feeders installation, alteration, and/or relocation 200 amps or less 100.70 2 - sn`C}3'i 1 0/Y 7 �" R 5 .w, - "' .i 'yIl &i�'s i' `'' : +: , "",.z", =.y , ec -.. i 20) mn s to400 amps 133.56 2 ikati ; 'k:-v . j'' ' -d..,l u ,, . o'.- :-.MM 5,a.si i ' ' -, '1•' 0 .1=. •S`-_�:r`' � te.+l; p p Name; 41:4 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 Ci / State /ZIP: Temporary services or feeder's installation, alteration, and/or tY relocation Phone: ( ) Fax; ( ) 20D snips ar lets _ 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 401 amps to 599 amps 168.54 2 intended for stile, lease, rant, or exchange, according to ORS 447, 449, 670, and 701, [trench circuits - new, alteration, or exle,ta}on, per pacer Owner signature; Date: A. Fee for branch circuits With _. t aa:y. -_ :, yr i above service or eeder fee, j 4,,i- ` . 3 :1.7.774.f •$ [Ad_ =s ue ' ; r,di µ 08 as •=7§ T , Q �' p g' 7.42 2 :.h -� . T'n ,, . - each branch circuit f f rcuit Business name: ` , i C.r-L B. Fee for branch circuits Wlkard service or feeder fee, first ! 56.18 2 Contact name: / ] �.d�� , % • (\ branch circuit u& D� c - lid x� s e bench ere 7.42 2 Address: -rl Miscellaneous (service or feeder not included) R Each manufactured or modular City /State /ZIP: 67.84 I 2 1 OC) dwelling, service and/or feeder Phone: Signal 1./ t(J) 00 Fax; • 0 (c, 4 q „ Recamneetonly 67.84 2 E - mail Pump or Irrigation circle 67,84 2 A� �� � Sign or out line lighting . •11 6�l I UAL > L 8 8 B 67.84 2 :: : ' -; ORS , - -' ar . - : i11, ,... 2-''i ..' 4__. e : J r 4 .� t i. N'' } J, 4 : -2 Mi fi r.. ,L, � �,. =. -z . - .., a � - ._ -__.: _ ..,.,� � � ,......- . - i 5w�..,, i '�`�r �; � Signal c or landed-energy I ! Business name: panel, alteration, or extension. Page 2 2 L A . a L / Knell additional inspection over allowable In any of the above Address: Additional inspection (I to min) 66.25/ hr City/State/ZlP: Investigation (i hr lulu) 66.25/ hr Industrial plant (1 lir rain) 78.11! hr Phone: ( ) 74 Fax:( . ` / IIIII pe inspections for which no fee is 90,00 / hr ` 1 sawlike' ly listed 05 hr min) CCB Lie.: N Electrical Lie. ; , . w OGD 5 .z�tT?CIiIS Suprv, Lie.: 5 n �},.-, ' -� P GlA'? GG �`� bsF! Suprv. Electrician signature, regal d: �...'� Subtotal: 1` j op .riitiiiri tt�" Plan review (2S% of permit fee): Print name: , j0p f � • r� Date: State surcharge (12% of permit fee): q O L / TOTAL PERMIT FEE: g44,00 Authorized Signature: This permit application expires it a permit is not obtained within I80 Print name • D a days alter it has been accepted as complete. r Number of inspections allowed per permit. I:\ suildiaBNarmitsdCL .C•PermitApp.do: 07/orh0 440d615r(11Je5K:OMAYB13 ,