Permit CITY OF TIGARD ELECTRICAL PERMIT
!p _-"
.•, COMMUNITY DEVELOPMENT Permit #: ELC2013 -00080
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/31/2013
Parcel: 151260000300
Jurisdiction: Tigard
Site address: 9759 SW WASHINGTON SQUARE RD D05
Project: The Art of Shaving Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: 108
Project Description: (1) 200 amp service and (16) branch circuits for TI
Contractor: FRAHLER ELECTRIC COMPANY 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 Services or Feeders - 200 01/31/2013 $100.70
Specifics: amps or less
16 crt Branch Circuits w /Purchase 01/31/2013 $118.72
Type of Use: COM Service or Feeder
Class of Work: ALT 1 ea 12% State Surcharge - 01/31/2013 $26.33
Electrical
Type of Const:
Occupancy Grp:
Total $245.75
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 95 -001 -a!! I Yo may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. _
Issued By: / \' - Permittee Signature: ///V t9t / L /C 2. /
� 7 o w
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.
01- 31 -'13 14:33 FROM- Frahler WE 5036394673 T-163 P0001 /0002 F -506
r --
Electrical Permit Application a for OFFICE USE ONLY
1111 City of Tigard i : e ceiveed r- Perini' No. _
31 20 c 1w10-1 6CC'a0/3 �OO�d
v 1 hone: 503.718.2439 Fax: 503.598.1960 e S50 Hall Blvd.. Tigard, OR 97223 Plan Ravi w ao/ ._ /96
G .• ' Phone: ��11 ate/ay; Other Per
'1'1GA Inspection Line: 503.639.4175 V TI s at
CJ" r i) +ateReady/By: ruds 21 See Page2for
Internet: www.tigard or.gov . BUILDINGDIVIS ONfted/Mcthod: 7]16 Supplemental Information
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DI New construction El Addition/alteration /replacement •1 Please check all that apply (submit 2 sets of plans w/itc ns checked below):
E l Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
:r,: ;;'.'��!,:' ;':(:= ?S:',•;�;;;gt5• :p'. .a�.,.e: ..(, :,t.�: -r: ,• /%,nc•_ •' ? F . + ' Y) ede10000 amps atl5Ovoltsor Flesh build'
r : ;., ta:,,r,,.b.1(.. . «tea:•.,..,..;- r �.... a . r .•., , r, .,. L ... -_t . , , ti.,.., .......: �> ;- r,,.� ..". ,,.r less to ground, or exceeds 14,000 ❑ Commercial -use agiculhtral
❑ 1- 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
;,x ; "; ' }::t: ??Z' H1 9. _� \ ?::` :. x � �, Y <. L`A Imo, t . , *, . ; .,r t 4 "ti r ,. ; ❑ Emergency system. larger separately derived system.
`:n:j %' % : # 7; .,' :S ?::r s�d_�i �, e' I �.. ,,.,....,..,,: 7::..Q ...Q r. Y„` '.b,,.s;r: =G'.� ❑Additionof new motor load of ❑" " „ -2 ,, « -3 „
Job no.: 70197 I Job site address; 9759 SW WASHINGTON SQUARE RD. I00IIPormore. occupancy.
['Six or more residential units. EI Recreational vehicle parks,
City /State/ZIP: TIGARD, OR 97223 0 Health-care facilities. ❑ Supply voltage for more than
❑ Hazudous locations. 600 volts nominal.
Suite/bldg. /apt. no.: D05 Project name: THE ART OF SHAVING ❑ Service or feeder 600 amps or mom.
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Cross street/directions to job site: Description I Qtr. i Yee. 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'1500 sq. ft. or portion 33.92 1
Tax map /parcel no.: Limited energy, residential
. •1 Y`41•1 . w x .-YO . '',- 1 ;?.. ° +.:„. p • ' 1 • iArr hie • , yW eq.` l: •°: y: ''.,'' 7 '' P 7.;iAg (with above Sq. ft.) 75.00 2
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' Limited energy, multi- family 75.00 2
INSTALL NEW FEEDER TO EXISTING ELECTRICAL PANEL residential (with above sq. ft.)
Services or feeders installation, alteration, and/or relocation
INSTALL NEW LIGHTING AND RECEPTACLES 200 amps or less 1 100.70 100.70 2
:!;V: r; ill; ' y - '; 5g 9 '` :: a ' ' • X t. ' :% d,, f: ;,:. ,i ll 201 am Ps to 400 amps 133.56 2
°: ��; c• �.; ; rrF, PI�O� ,��l�'�it': ? �t, ,`�;;. :.;rx��,d. ;a,;lj�'• < < P P
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Name: 401 amps to 600 amps 200.34 2
601 amps to 1.000 amps 301.04 2
Address: M over 1,000 amps or volts 552.26 2
Temporary services or feeders installation, alteration, and/or
City /State /ZIP: relocation - _
Phone: ( ) I per: ( ) • 200 amps or logs 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 sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701.
Branch circuits - new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
}`,, v r x;.: , �: ; (, above service or feeder fee 16 118.72
2
'( \ <5 55; , �., „ ` ` Sip 1 < ' ?:'> ': i'' >.',i• S a�Q �� , 5:,. e:' 7.42
> ;1s':r ,.<... �a7 i.X?..:'. ±l1`r,.,, . , . • ..,. �.....:.... „ , r R ..,91. ;::''.;:.� :.. 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 2
Pump Or irrigation circle 67.84 2
E-mail: ,1'r l`. : r :, . .,, _ : T;.t , :yr' , . ,, .. Sign or outline lighting 67.84
>sm j , r.�C•t :4'',.Y,... , . . ...,.. .. . , . , ; 1 \sr:.�. t: ri S (s)orl •
Business name: JRA, INC . . . • ' • • t. )ELECTRIC COMPAN panel, alteration, or extension. Page 2 2
Each additional inspection over allowable in any of the abov
Address: 11860 SW GREENBURG ROAD Additional inspection (1 hr min) 66.25/ hr `
City/State/ZIP: TIGARD, OR 97223 Investigation (1 hr min) 66 ,
Industrial plant (I hr thin) 78.18/hr _
V " /one: (503) 639 -4627 Fax: (503) 635.4673 Inspections for which no fee is 90.00 / hr
s . • cificall listed ('h hr min)
CCI3 Lic•: 197172 Electrical Lie.: C861 Suprv. Lic.. 51105 ` \ " ? ' ,; < i ?`PY; :..C470: I ,...)F_' -r -/ "r < . ' .:_1':
Suprv. Electrician signature, required: // Subtotal; 219.42
(r Plan review (25% of permit fee):
Print name: ADAM ETHERINOTON I Date. 01/31/13 State surcharge (12% of permit fcc); 26.33
TOTAL PERMIT FEE: 245.75
Authorized signature: This permit application expires if a permit is not obtained within 180
Print name I Date; days after it has been accepted as complete,
Number of inspections allowed per permit.
rlayildingulormin \ELC 07/01/10 440- 441iTtr1 /Os /COM/WUU
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
9759 SW WASHINGTON SQUARE RD D05,
TIGARD, OR, 97223
Commercial - Electrical
130 Ceiling cover
02/21/2013 00:00
ELC2013-00080
PASS
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
9759 SW WASHINGTON SQUARE RD D05,
TIGARD, OR, 97223
Commercial - Electrical
120 Electrical rough-in
02/19/2013
ELC2013-00080
PASS
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
9759 SW WASHINGTON SQUARE RD D05,
TIGARD, OR, 97223
Commercial - Electrical
120 Electrical rough-in
02/19/2013
ELC2013-00080
PASS
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
9759 SW WASHINGTON SQUARE RD D05,
TIGARD, OR, 97223
Commercial - Electrical
130 Ceiling cover
02/21/2013 00:00
ELC2013-00080
PASS
Violation Summary:
Inspector Contractor