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Permit •CITY OF TIGARD t• I ELECTRICAL PERMIT el 7111 = COMMUNITY DEVELOPMENT /- dc2'/3. Permit#: ELC2012-00737 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/31/2012 Parcel: 151260000300 Jurisdiction: Tigard Site address: 9585 SW WASHINGTON SQUARE RD Y05 Project: Doc Popcorn Kiosk Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: 108 Project Description: (1)low voltage for Data/Telecommunications and(1)200 amps to 60 amp 120/208 volt,3-Phase feeder to kiosk. Location of kiosk is in hallway next to the William Sonoma store.1/22/13 REPRINT Adding(9)branch circuits inside kiosk Contractor: JRA DBA FRAHLER ELECTRIC CO Owner: PPR WASHINGTON SQUARE LLC 11860 SW GREENBURG RD PO BOX 847 TIGARD, OR 97223 CARLSBAD,CA 92018 PHONE: 503-639-4627 PHONE: FAX: 503-639-4673 FEES Quantity Description Date Amount 1 ea Limited Energy 12/31/2012 $75.00 Specifics: 1 ea Services or Feeders-200 12/31/2012 $100 70 amps or less Type of Use: COM 1 ea 12%State Surcharge- 12/31/2012 $21.08 Class of Work: ALT Electrical Type of Const: Occupancy Grp: Total $196.78 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 OA 52-001- 090. Yourrrn, �yy obtain a copy of the rules or direct questions to OUNC by calling 50/3.232.1987 or 11./800/0.'3322�.2�3/44..�/ Issued By: l.S'C��! Permittee Signature: �l�! aP �-((-.A 1 i o L 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. q CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit #: ELC2012 -00737 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/31/2012 Parcel: 1S1260000300 Jurisdiction: Tigard Site address: 9585 SW WASHINGTON SQUARE RD Y05 Project: Doc Popcorn Kiosk Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: 108 Project Description: (1) low voltage for Data/Telecommunications and (1) 200 amps to 60 amp 120/208 volt, 3 -Phase feeder to kiosk Contractor: JRA DBA FRAHLER ELECTRIC CO Owner: PPR WASHINGTON SQUARE LLC 11860 SW GREENBURG RD PO BOX 847 TIGARD, OR 97223 CARLSBAD, CA 92018 PHONE: 503 - 639 -4627 PHONE: FAX: 503 - 639 -4673 FEES Quantity Description Date Amount 1 ea Limited Energy 12/31/2012 $75.00 Specifics: 1 ea Services or Feeders - 200 12/31/2012 $100.70 amps or less Type of Use: COM 1 ea 12% State Surcharge - 12/31/2012 $21.08 Class of Work: ALT Electrical Type of Const: Occupancy Grp: Total $196.78 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 5 - 001 -0090. You y obtain a copy of the rules or direct questions to OUNC by calling 503.232.19987 1 I ' Issued By: Permittee Signature: D) rT t"1 r! (C { — T�U /�L 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. RECEIVE 1 Electrical Permit Application FOR OFFICE USE ONLY JAN 2 2 2013 Received _ 114 .4 City of Tigard Date/By: I Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 l .6)..a. 3 L�av�d�-ov 737 II g Plan Review Phone: 503.718.2439 Fax: 503.598.1960 CITY 1�IGARD Date/By: Other Permit: I I e ,1 is a Inspection Line: 503.639.4175 BUILDING DIVISICNate Ready/By: luri: //'' 0 See Page 2 for Internet: www.tigard-or.gov Notified/Method: l0 Supplemental Information TYPE OF WORK PLAN REVIEW ❑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. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings. less to ground,or exceeds 14,000 ❑Commercial-use agricultural ❑ I-and 2-family dwelling ®Commercial/industrial ❑Accessory building amps for all other installations. buildings. ❑Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived system. ❑Addition of new motor load of ❑"A","E","1-2","1-3", Job no.:70103 Job site address:9585 SW WASHINGTON SQUARE RD. or more. occupancy. Six or m ❑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/bldgJapt.no.: Project name:DOC POPCORN ❑Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Description I Qty. I Fee. I Total I " 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'l 500 sq.ft.or portion 33.92 I Tax map/parcel no.: Limited energy,residential 75.00 2 DESCRIPTION OF WORK (with above sq.ft.) Limited energy,multi-family 75.00 2 ADDITIONAL (9)CIRCUITS INSIDE KIOSK IN FRONT OF VERIZON residential(with above sq.ft.) Services or feeders installation,alteration,and/or relocation STORE ON WEST SIDE OF MALL. ADD TO PERMIT#ELC2012-00737 200 amps or less 100.70 2 ❑ PROPERTY OWNER I ❑ TENANT 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 ty relocation Phone:( ) Fax:( ) 200 amps or less 59.36 1 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 ❑ APPLICANT I ❑ CONTACT PERSON above service or feeder fee, 9 7 42 66.78 2 each branch circuit Business name: B.Fee for branch circuits without service or feeder fee,first 56.18 2 Contact name: branch circuit Each all branch circuit 7.42 2 Address: Miscellaneous(service or feeder not included) Each manufactured or modular City/State/ZIP: dwelling,service and/or feeder 67.84 2 Phone:( ) Fax::( ) Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E-mail: Sign or outline lighting 67.84 2 CONTRACTOR Signal circuit(s)or limited-energy Business name:JRA INC.dba 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(I hr min) 66.25/hr City/State/ZIP:TIGARD,OR 97223 Investigation(1 hr min) 66.25/hr Industrial plant(1 hr min) 78.18/hr Phone:(503)639-4627 I Fax:(503)639-4673 Inspections for which no fee is specifically listed(/3 hr min) 90.00/hr CCB Lic.: 197172 Electrical Lic.: C861 Suprv.Lic.: 5110S ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: �� a Subtft : 66.78 Plan review(25%of permit fee): Print name: ADAM ETHERINGTON Date: 01/22/13 State surcharge(12%of permit fee): 8.01 TOTAL PERMIT FEE: 74.79 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: • Number of inspections allowed per permit. 1:\Building\Pcrmits\ELC-PemtitApp.doc 07/01/10 440-4615T(I I/05/COM/WEB 12- 28 -'12 11:01 FROM- Frahler Electric 5036394673 T -127 P0001 /0003 F -394 Electrical Permit Application RECEIVED roR OFFICE USE ONLY City Of Tigard Received Pdnnit No Date„3Y /(7 3/ I I ' FLC 6'2" - 6'127 3i `t 13125 SW Hall Blvd., Tigard, OR 97223 DEC 31 Plan Review C Phone 503.718.2439 Fax: 503 598 1960 D Other Permit: TIGARD Inspection Line: 503.639 DateReadyBy: ruts. H See Pagel tot Internet: www.tigard- or.gov C ITY OFTIGA aified/Metho f k v Supplemental lnf abets L�'ar,• i,Fti' ';J -,. v :'ty'.p:i' .�.GV - iii fe { ; � , 1t :6 'f '. _ � v d4 9x ,� V: 9 n ` rL r .�..t.!,:!'i k•:iti 3 t? •G il)..11i. �',.%': +r -i Z'. „ '•1...'' .+v0 ;': 7 '..: �F 3 1 ri r . !A � r, ae?,,a,,, 'at .� • 0 New construction n 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. 0 Demolition 0 Other: where the available fault current ❑ Marinas and boatyards. �. �� yRyG RY r r r r. Uy��� ■. exceeds 10,000aulpsat150 volts or ❑ Floating buildings. V.:; .NS•, :g :k.V. 11 Y.• , 01 .K+'� -rT!. i `O.e C � \T.-�9,.., ) .l!tv, .rlr _ '.,,.'0!it':',::'S less to ground, or exceeds 14,000 ❑ Co:tnnareial -use agricultural 0 1- and 2-family dwelling ® Commercial /industrial 0 Accessory building ynps rrr all other installations buildings. 0 Multi - family 0 Master builder 0 Other: ❑ Fire pump. ❑ Installation of 75 KVA or `.K ?,:c. c;r , s �` , :V , :(S I . r. - ❑ g1neT( eney Sy5[em larger separately derived system .. ,., ..�,,...,.0 .. •c , .• 0 � � Ft:.'�: y . : El Addition of new motor load of © "/+' >. "E ", "1•2", "1.3 ", Job no.; 70103 1 Job site address; 9585 SW WASHINGTON SQUARE RD. 10011P or more. occupancy. ❑ Six or more residential units. ❑ Recreational vehicle parks. City/State /ZIP; TIGARD, OR 97223 ❑ Health -earn facilities. ❑ Supply voltage for more than [] Hazardous locations 600 volts nominal. Suite /bldg. /apt. no.: y 0 5" Project name: DOC POPCORN KIOSK ❑ Service or feeder 600 amps or more. 4 Cross street/directions to job site: Description I sty. I Pre. i TOW I - -"""" New residential single- or multi - family dwelling unit. Includes attached garage, Subdivision: Lot no.; 1.000 sq ft or less 168.54 1 4 Ea. add'1500 sq. ft. or portion 33.92 1 Tax map /parcel no.: m residential v �� r s Limited energy, 75.00 2 �y��' i ,r r� cS 1, I �N F 1 1 s *Ail e Y •� ! ti,=:' � t4.i'1 (with above s4- R.) • '.i , A zi';,l. ... 1"11.. . ,�•Y„N., �� ,/, - .'.. -e.i �f•i•r. 1 .i',., .. • Limited energy, multi - family 75.00 2 PROVIDE 60 AMP, 120 /208 VOLT, 3 - PHASE FEEDER TO KIOSK AT WEST residential (with above sq. ft.) Services or feeders installation, alteration, and /or relocation SIDE OF MALL. PROVIDE (1) DATA CONNECTION. 200 amps or less 1 100.70 100.70 2 .a :7).,. :,„.„. ' !.':1 ; C 1't'Yi:',v: il'• *7.'ti ..., t,, i ...,, rf ,.�. r .. + . r is + . It R + !�: ;? C l •z ?!;s /.r 4 %R O1 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 Name: . I 601 amps to 1.000 amps _ __ll 301.04 Y 2 Address: Over 1,000 amps or volts 55226 12 c� 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 bcing 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 amp to 599 amps 168. 54 2 Branch circuits - new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits inch above service or feeder fee, Q APpI ICANI_ Q'r0\ YAt l ')p$iON a '. 7.42 2 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'I 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 Pump or irrigation Circle 67.84 2 Email ' Sign or outline lighting 67.84 2 • rfi ti ot..ik•' .,.. V.fRAG...O i �...ws.• Signal circuit(5) or limited energy Business name' IRA dha I1RAHLER ELECTRIC COMPANY panel, alteration, or extension. 1 Page 2 75 2 Each additional inspection over allowable in any of the above Address: 11860 SW GREENBURG ROAD Additional inspection (I hr min) 66.25/ hr City /State/Z1P: TIGARD, OR 97223 Investigation (l hr min) 66.25/ hr Industrial plant (l hr min) 78.18/ hr _ Phone (303) 639 -4627 Fax; (503) 639 - 4673 Inspections for which no fee is 90.00 / hr �ecincally listed (h hr min) CCB Lie,: 197172 Electrical Lie.: C861 Su �xCS rv. Lie. 5110 ; f:''' ; l l r lei 1~RE P .. • •:� �,aEC7� .�AY -';� �;c S'ir;• a's7sii Suprv. Electrician si required: /// �� Subtotal. 175,70 W'(G - :44§.., Plan review (25% of permit fee): _ _ Print name: ADAM ETHERINCTON Date: 12/28/12 State surcharge (12% of permit Ice): ^ 21.08 Authorized signature! w� ----_.. TOTAL PERMIT FEE: 196.78 This permit application expires if a permit is not obtained within 180 Print name: Date: s days after it has been accepted as complete. Niunber of inspections allowed per permit. 1 : lauadina\PermitsELC -Pecs tApp.doc 07/0 'no 440 451sT(urOs/COM/Wb8 12- 28 -'12 11 :01 FROM- Frahler Electric 5036394673 T -127 P0002/0003 F -394 Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: `: R: ESTpENTIAL� :;WQ ...... ..;':�:;�:. •1 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: �; CO1V11VIERCIALWORfi;`OIVLY .. 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 ❑ Fire 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: .1 *No licenses are required. Licenses are required for all other installations 1:111uildinglP rmita5ELC•PermitApp.doe 07ro1110