Permit •
CITY OF TIGARD ELECTRICAL PERMIT
q'
! COMMUNITY DEVELOPMENT Permit #: ELC2013 00037
T IGARD' 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/17/2013
Parcel: 1 S135BA00102
Jurisdiction: TIGARD
Site address: 10164 SW WASHINGTON SQUARE RD
Project: Hannah Pet Clinic Subdivision: MYERS ESTATES Lot: 5
Project Description: Landlord work, (5) branch circuits to connect 5 rooftop units.
Contractor: JRA INC Owner: PPR SQUARE TOO 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
5 crt Branch Circuits wo /Purchase 01/17/2013 $85.86
Specifics: Service or Feeder
1 ea 12% State Surcharge - 01/17/2013 $10.30
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $96.16
Required Items and Reports (Conditions)
This permit ' _ -_- ubject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be don= n accordance wi • approved plans. This permit will expire tf work is not started within 180 days of issuance, or if work is suspended for more the 180
days ATTENTION: Oregon a req es you to follow the rules adopted by the Oregon Utility Notifica Center. Those rules are set forth in OAR
95 001 -0010 through OAR 95 o may obtain a copy of the rules or direct questions to OUNC by - . .. *_ or 1.800.33 .2344.
I ued By: / � Permittee Sig ature: i , , 1 Arpar(V4
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' i Date:
LICENSE NO. 67 /OS
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.
01-15-'13 16:31 FROM- Frahler Electric 5036394673 T-143 P0001/0002 F-452
Electrical Permit Application RECETV FOR OFFICE USE ONLY
City of Tigard Received
Affsinn
. Permit No.: _ .../...4 g_ 0 033-
.. 13125 SW Hall Blvd., Tigard, OR 97223
1114 aB,,,
JAN 1 5 2 i • : Review
2 , '• Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
Inspection Line: 503.639.4175 ris: See Page 2 to
El gr
TIGARD CITY OF TIG .' MAR=L Ju
:
Internet: www.tigard-or.gov Supplemental Informadon
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El New construction IS] Addition/alteratiOn/replaccment Please check ail that apply (submit 2 sets of plans w/items checked below):
0 S6rViOe or feeder 400 amps or mom ['Building over three stories.
0 Demolition 0 Other: where the available fault current El Marinas and boatyards.
;:•::, ::),, .: , ,:.,;:::. , :,',....:..,;.,. ..C.A'''.f91700'.!0.F:,C .: f .;',,::', .:.:, ,.';:'...`:•:;.::',2::;:';:.:,..;: exceeds 10,000 amps at 150 volts or El Floating buildings. • less to ground, or exceeds 14,000 El Commercial-use agricultural
0 1 and 2 dwelling El Commercial/industrial fl Accessory building amps for all other installations. buildings.
0 Multi El Master builder 0 Other: 0 Fire pump. 13 Installation of 75 KVA or U Em geacy synte large/ separately derived system.
'' ' '''' -.:-:''''''" ''',id.ii )4iSiiii 'LOCATION ''''.. ''..... ' ' ' '':'•• ' "
.;:.: , .;: 7 .:1...);::-.::::•. '1. :' •::;!..-':•,,,....,,, -.. • . / ., • ..-,, , : • .: .• :-•;' •-:.-..,:---T - ' ,•'.•••'•• ''::.'•': ,.: - ,..::. ['Addition of new motor load of 0 "A'', "E", "1 "1-3",
Job no.: 70154 Job site address: >WSW WASHINGTON SQUARE RD. 100HP or more. occupancy.
D six or more residentiat units. 0 Recreational vehicle parks.
City/State/ZIP: TIGARD, OR 97223 (DI &II 0 Health-care facilities. 0 Supply voltage for more than
El Hazardous locations. 600 volts nominal.
SuitelbidgJapt. no.: Project name: WASH SQ H, HANNAH PET D Service or feeder 600 amps or more.
• :: :•,;:::..::•::: :.:.:'.
Cross street/directions to job site: 1:Inscription I On. I Pee, I Tom I •
New residential single- or multi-family dwelling unit.
Includes attached garage.
Subdivision: I 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
75.00 2
., -.. • • - •••, •••• • .' • • • .: ,: .' ,:•!. '••• • .:. :... • . • • ,,:.: .. (with above sq. 11.)
Limited enerw, multi4bmily
75,00 2
INSTALL CONDUIT FOR NEW TENANT SPACE. _ residential (with above sq. ft.)
Services Or feeders installation, alteration, and/or relocation
CONNECT (5) ROOF TOP UNITS. 200 amps or less 100.70 2
0 Amookry, ico; , , ,",, ,:, !•,, .. :..,.., 0 :TigNIANT;‘.-- :::,.;.,, .,, .: • 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
Name:
601 amps to i amps 301.04 2
Address: Over 1.000 amps or volts 552,26 2
Temporary services or feederra 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, 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 panct
Owner signature: Date: A. Fee for branch circuits with
• ::::::,,, ,: :,:::,, : ,. i ti : ::: ,;:: j :.: , .....: . , f, •,.::, ',;. ifi ::i.: ..... tve fco,
7.42 2
Business name: 13. Fec for branch circuits wahcna
. . service or feeder fee, first I 18 56.18
56. 2
Contact name: branch circuit
Each addl branch circuit 4 7.42 29.68 2
Address: Miscellaneous (service or feeder not included)
• Each manufactured or modular
City/State/ZIP: dwelling. service and/or ft eder 67.84 2
Phone: ( ) I Fax: : ( ) Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
E-mail:
Sign or outline lighting 67.84 2
' , !•:,. ;: ,:- , •.T., •... , ' : ,.... .•. ;,,,, :: , .• . • :- , - • ; ..,;,;,,,:..,...- .,, , Signal circuit(s) or limited-energy
Business name: JRA 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 (1 hr min) I I 66.25/ hr j j
I
City/State/ZIP: TIGARD, OR 97223 Investigation (1 hr min) 66,25/ hr
Industrial plant (1 hr mm) 78.18/ hr
Phone: (503) 639-4627
I Fax: (503) 639-4673
Inspections for which no fee is
specifically listed (54 i hr min) 90.00/ hr
_
CCB Lie.: 197172 Electrical Lie.: C861 Suprv. Lic.: 5110S ?:;.:2 •'•;•E1',ZOTRICAL.•:
• Subtotal: 85.,86
Suprv. Electrician signature, required:4 —.—
Plan review (25% of permit fee):
Print name: ADAM ETHERINGTON I Date: 01/15/13 State surcharge (12% ofpennit fee): 10.30
•
TOTAL PERMIT FEE: 96.16
Authorized signature:
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name:. I Date: • Number of inspections allowed per permit.
Uguilding1PerrnitAELG•PormitApp.doc 07101/10 440-46157(11/05/COMAVEB