Permit CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: ELC2013 -00166
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/13/2013
Parcel: 1 S 1260000300
Jurisdiction: TIGARD
Site address: 9585 SW WASHINGTON SQUARE RD OFFICE
Project: Washington Square Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S
Project Description: (2) 200 amps or less temporary service for welding equipment. 3/28/13 Add (3) 800 amps temporary service and
route for plan review
4/18/13 REPRINT Temp power for (3) temporary chillers; disconnect/reconnect of (3) existing building chillers
Contractor: MCKINSTRY ELECTRICAL LLC Owner: PPR WASHINGTON SQUARE LLC
16790 NE MASON STREET SUITE 100 PO BOX 847
PORTLAND, OR 97230 CARLSBAD, CA 92018
PHONE: 503 - 278 -3954 PHONE:
FAX: 503 - 331 -6907
FEES
Quantity Description Date Amount
2 ea Temp Services or Feeders - 03/13/2013 $118.72
Specifics: 200 amps or less
1 ea 12% State Surcharge - 03/13/2013 $14.25
Type of Use: COM Electrical
Class of Work: ALT 3 ea Temp Services or Feeders - 04/18/2013 $505.62
401 to 599 amps
Type of Const: 0 ea 12% State Surcharge - 04/18/2013 $60.67
Occupancy Grp: Electrical
Total $699.26
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 Notif.. ti• Center. Those rules are set forth in OAR
952 -001 -0010 through OA 9 2 -0001- 090. You may obtain a copy of the rules or direct questions to OUNC by calling 0 \.1987 or 1.800.332.2344.
Issued By: ^" M n Ih U 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.
CITY OF TIGARD ELECTRICAL PERMIT
1 • COMMUNITY DEVELOPMENT Permit #: ELC2013 00166
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/13/2013
Parcel: 151260000300
Jurisdiction: TIGARD
Site address: 9585 SW WASHINGTON SQUARE RD OFFICE
Project: Washington Square Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S
Project Description: (2) 200 amps or less temporary service
Contractor: MCKINSTRY ELECTRICAL LLC Owner: PPR WASHINGTON SQUARE LLC
16790 NE MASON STREET SUITE 100 PO BOX 847
PORTLAND, OR 97230 CARLSBAD, CA 92018
PHONE: 503 - 278 -3954 PHONE:
FAX: 503 - 331 -6907
FEES
Quantity Description Date Amount
2 ea Temp Services or Feeders - 03/13/2013 $118.72
Specifics: 200 amps or less
1 ea 12% State Surcharge - 03/13/2013 $14.25
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $132.97
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 O / 952 -00 0090. You ay obtain copy of the rules or direct questions to OUNC by calling 503.232.1987 or 11. C !f1( 80 ' 0.3332. -( 2 , 344 4 . , I
Issued By: Y24 I I2.. Permittee Signature: al 4 P2. /cD
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.
FROM :MCKINSTRY 033316906 Mar. 22 2013 07:46AM P1
Electrical Permit Application - FOI. t►r iN ICE USE ()Nil
City of Tigard MAR 2 5 2013 keceived
/ 3
1 Dale/liy;
r " 13125 $W Hnll 81vd•, Tigard, OR 97223 Plan Review ` 1(:44 J)
I t Phone: 503.718,2439 Far- 503•5Eilltpat OF TIGARD Dete /B _ � ( 3 Pc Ckhe rm r itPerNo.mit C o151 "'
r : A K I) Inspeetian Line: 503.039.4175 a a ow. . , I lie f J � r t` N Gate rtea,ryi lty 1 . / ® See page 2 for
Internet: www.tigard•or.guv , o r >, Notified Maeh 4- 4 J h C Supplemental Information
: ,v* w c, , i M pw K _ Apt its /IF
r � ` a Nfi . = n' 419 ar t+s » t r
,n,• ,,.__:i+s -,_, .:...: y c.v.':;.( .a xu. -�c ?, ..,w.:i:,T' , ',,,, , it 1,i" 1.,tam, t„,,,e ,Ml tk 1 ., i.i� ytt. d(�.i
e , . , 0.#
0 New construction 0 Addition/alteration/replacement Please check all char.. ty (snbmtt 2 sots of plans w /{tame clerked below);
tt--tt ❑ Service or Ceeder 401.) amps or mom ID Chilling over three stories.
Demolition l••-► Other where the available fault current
0 Marinas and boatyards. _
a ' . ' < -. • r'= ) ip A ; ,'� ui 7i 7 LI id�K4 s i ` u h. exceeds 10,000 amps at 150 volts Or ❑ Floating huitdin�*8.
"J, u • - a 1 �� � Lem; to fn nund, or exceeds 14.000 ❑ s. l•use Agricultural ,
IN ^
1 and 2- family dwelling ► � CnmmcrCommercial/industrial El Accessory building dope for all othcr installations. bu buildings.
M Firc pump. ❑ Insratlation of 7 v n or
Multi y� �? f ❑, Master builder ❑ t��•; K
i7 + 1 11� i ,. u�i 3 1i' . :ti "a, ' F11 (Il,iwuu itA l rI AR i ' 14.,;13:u;„...1514,1,! � ' ° 1 77 ' r f 9) ' 4` 0 Of new motor load of
❑ Emergency system. larger separately derived system. 1
L ,u,,,. + rV r u : ❑ n F t •2 )_3
Job no.: 531800 Job ske a4drss: 9585 SW Washington Square Rd 1001IPormore. occupancy.
-- .. ❑ Six or more residential alas, ❑ Recreational vehicle parks.
City/State/ZIP: 97223 I ❑ lten -core facilities ❑ Supply voltage for more than
! i] 11,mmlocs locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: W'a Sq Mall - temp power 1 0 Service or feeder 600 amps or more,
u ,t ,'+t . t; a z a • ms e 4 ` , lllttr10 t i, ; i • atM,
Cross street/directions to job site: Washington Square Rd & Greenburg Rd. D r i p i r ?^
q (: Defcrlpdon : Qty. F M Total "
..._
1'.ew residential single- or multi- family dwelling unit, (((
�_, Includes attached garage.
Subdivision; I Lot nu„ 400 sq. ft. or less 168,54 4
.
Tax map /parcel no Ea. add'l 500 sq. [l. or portion 33.92 I
. r Limited energy, residential 75.00 2
•
;, , h u F ,� w it s ) 5i. dPTIb «' r' 4d.. . ' ; 1 t w;, : �: with above tr.)
`
�1 ( " ' Limited encr3Y, multi•tb.rnily 7500 2
i .1 I da r�.i�t / N e
■ . .L1 e�. _Yeiidend (with above sq. ft.)
Services or (ceders f
installation, n /o a
... V' S i n, alteration a d r o� con
S. IL /! / 4110,PC:
74741, , r v ��. �% �� 2
- 1 0 0 amps Or lees ha ' r j /
t t , ,��, .�t�, i 1
, + �r trr<�r� � .,•s, �,�* p1 ( � ® �� � �t�R'.YL
w .F l i . ..a c v I ip .�lCn r,ita'tIK.6 , , ! N {ll ^ , i s a �t .., �c � : ll'i. , .i 7 21)2 amps to 400 stops ; iIY r�
9585 401 amps to 6011 stops I : �(] 00,34 2
Name: Washington Square Mall �� �_� M C
I ji
601 w M 3,000 n - \ '
' ddress: 958a SW Washington Square Rd Over 1,00 amps or v olts 552,26 2 lC
Temporary services or feeders installation, alteration, City/ State/ZIP: Portland, OR 97223 n, and/or
relocation
Phone: (503)639 -8860 i Fax: ( ) 200 amps or less 59,36 t
`-- .. 201 a to 400 amps 125.01 ,� 2
• Owner Installation: This installatiun is being made on property that t own which is not
401 noes - 1�'2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. to 579 antes 6 0 (1 168.54
Branch circuits - n alteration, or extension, p r panel
Owner Swat Date: A. Pee for branch circuits with 3 l ,• +i' tl"dt';lu a IS ;� g • 'v + '1 itt : zi. ' ► `l .15 • b IR �5I , above service or feeder fee, 742 2
i , .e w tech branch circuit
Business name: McKinstry Electric A. Fee for branch circuits without - -
service or feeder fee, first 56,18 2
Contact name: Harry McClano branch circuit .,_ ______
— , Each add'' branch circuit 7.42 2
Address: 16790 NE Mason St., Suite 1011 Miscellaneous (service or fccdcr not included)
Each manufactured or mo
factd dular
City/State/ZIP: Portland, OR 97230 67.84 2
dwelling, service and/or feeder
Phone: (503) 331 -0234 Fax: : (503) 331 -6906 Reconnect only 67.84 2
- --- Pump or irrigation circle 67.84 2
E -mail . :. , bar Inc 7iii nmcldn,try coo &� r� �{�}��,ll��� Sign or outline lighting • 67.84 2
^,�>'I,l t:�t9ni�e?r.4' �t10. , -,:k t,,,Lo., 4 ;iiii d�;�:`. ter r,' _ ? IL li! nn � ii v3ll��r1? !iGMl27s ti 6 o: 6 _..
Signal circuit(s) or limited-energy
Business name: McKinstry Electric panel, alteration, or extension. Page 2 2_
-- --• - Each additional inspection over allowable in any of the above
Address: 16790 NE Mason St., Suite 100 - _ Additional inspection (1 hr min) 1 66.25/ hr
City/Stale /ZiP: Portland, OR 97230 investigation (1 hr min) 66.25/hr
Industrial plant (1 hr min) 78.18 / hr
Phone:(503 )_311 Fax; (503) 331 -6900 - inspections for which no fee is il
I s is c tficall listed 'h hrmin 9_0.00/hr
CCB Lice 148685 Electrical Li. 37 -9300 Supr . * .: 54285 � ill " i . P '1 F;'c; , ��',,:l! t �r dthcli�b�
i _ a _ i< < wire g 'i 1 , .
, required_ N i 't r g *�'
subtotal: �
. Suprv. ' ��
I Electrician signature earwig/0 r easel - -- _.•_ —Pita -review- (25% ofpcnnit fee): • . •
1 nam Andrew L C s II Date; _Stunt surcharge (12°,•O at permit fee): t - 05 4c .1)7
■ Jt —_ TOTAL PERMIT FEE: 1 j' r
Authorized signutur � �% •• �r /r � / _
_ 4 T hls permit application rtion expires If a permit Is not obtained within 180
days after it has been accepted as complete.
Print name: Harry McClane I DatCy ..- • Number of inspections nlWwed per permit. / /_
C ' Duitdlnl1 Permits 1. PLc. 07/01:10 490.45157(7! /C5/CON1/Wt?x
FROM :MCKINSTRY FAX NO. :5033316906 Mar. 13 2013 11:58AM 1
Electrical Permit Application 1,01,1 (11.1.1(-1.: Use ()Nix
City of Tigard D pi " °'l 3 ) 3 S(' Permit No.t:44(2)0/ 3 00/
13125 SW Hall Blvd., T' clan Review
' ` m Phone; 503.718,2439 Fax:. „ 98, 9 60 Date/11 ; Other Permit;
r 1 , ; ,L I Inspecti Lin 503.639.417 Date Ready/By: J / El See Page 2 for
Interact; www.tig.rd- vr.guv LIAR 1 3 201 Notified/Method: SCE Supplemental information
� � r f r _ � Jpl'lt >n t�t�t ih '" t i ..;..:, H • ."
,f� f i t e 11 J_l { F'1.;.. .ri... . -'f:{ 11,',. !!!ii::::,t�,.._,.I ,)J.,_ 1 .,,, fr . aitgg gNq ,t ll - ili -agll '! ; °'Cv to ! "(I .A e�:F T m ,unim�
:.' inie +.,'1 ..15 i. e , . J' I 'u e 1 �;l uA ll t �n� d t ". i l •$ I lll ' '''�4, - lJ,� . Jfl7, jliiir u , q 11'! 1 Vi i ;Ii V�. I�UillJir� lln r 1. -Nil ii 41 l ��il, -I
❑ New cunsttuctlon 21 Mt. • Pleame check all that apply (submit Z Rees aroma w /itema checked below):
I ' LYV1J1V1� ❑ Service Or feeder 400 amps or nifty CI rklitding over ! loco emriea.
❑ Demoliti on ID Other:
f
� , nl - I nulrn (' a {+ , um an r wham Ike available fault currant in and boatyards.
le ? I b 1 9 ' i j 111 iii ' ` . f , T• n e , U n �r (l Ui� fiillg r T rUfll t l i"'. Pi Ki01% exceeds 10,000 amps at ISO vales UT ❑ Pleating JO .1 il` t ry� 1 ��� '( � t 1
,{ ` ` { 4 �' t_ �' less to ground, er exceeds 14,000 buildin .
1- a 2 - tami1 dwelling l ❑ Commercial-um agricultural y 1; ®L'dlrnmCl•t:ial/indtlstrial ❑ Accessory building amps for all other installations. buildings.
O Multi family ❑ Master builder 0 Other: �IFire 0 Installation of 75 KVA or
{ r t i W y� aJr tgmt° 1 0 L- „�e I t r y� � ,nJ l : r , ! U Emergency system. larger separately derived system.
�I. i N I !=' II � lli:n A iEC\iP k }.,. , ?M1 , it 1.r p -p. , ,. a li ,. i l,l Ri 'ii' a nll lll:
�IA� , - . _ � �. D Addition of new motor hxid of ❑ "A ", "6", "1-2", °1.1 ",
Job no.: 531800 Job site address: 9585 SW Washington Square Rd lOOHPnrmore, occupancy.
0 Six or rrnrre residential units. ❑ Recreational vehicle parks.
City /State/ZIP; 97223 CI I With-ern facilities. ❑ Supply voltage for more than
. HAM rdous locations. 6(111 volts nominal.
Suite /bldg. /apt, no.; Pmjet:t name; Wa Sq Mall - temp power Nervier or feeder 600 amps or more.
"' ^ Rd ch i n a 1' iilp nn •e r• r u, n m "' i; J, d 1,`+e, r •
Cross street/directions to job site: Washington Square & Greenhurg Rd. New r { cs residential o� m m tltl.fam i `onftl hU•lp 1
8 S q r8 rrpeer eon
Includes attached garage.
Subdivision: 1 Lot no.: 1,000 Sq, 0, or leas , 168,54 ..._ 4
Tax map /parcel no.:
lie._ add'l 500 sq. ft. or portion 33.92 I
t o t m pumgwE+eem f , „ ,,,,,ge ::::: n lhnitedenergy,residential
�f l .... „ , ..: fl I ' ri e. a � ul y til '' .. :.seal: l l�' 1 ( ) 75,00 2
it g ht t1111�ifirt,l6;rllinrri i�iirii!, 10,F n 4ir;' iiiy with ubuve . R.
Limited energy. multi- tamily 75.00 2
Install (2) SOamp breakers for temporary power for spider boxes residential with above ft.)
'• Services or feeders Installation, alteration, and/or relocadon _
200 amps or less 100.70 2
I , ' l l e s e l,eU H ang. n • IHI!'r! wit '4. m ` "ti -i; - n the ,. ' . -7: ;:y le : -.....
{ n SW'7t a r : ! ',i a � h ' I,SIf r ri, r .., r i.� ,, y. - oli Slilllf{ 200 Unix 1.Q 40 e m - -.... 133,$6
11.11 .d � , ,., � , . ''.,u1.; ' -' - le e t - l#i ii i' T�,'� " .. .. J n � . - ,.r' ; l� � 2
401 amps to 600 amps 200.34 2
Name: Washington Square Mall ._ ,....
— 601 amps to 1,000 amps 301.04 2
Address: 95115 SW Washington Square Rd Over 1,000 amps or volts 552.26 2
City/State/ZIP: Portland. OR 97223 'Temp services or feeders inatallarinn, alteration, and /or
.- relocation
relocntlon
Phone: (503)639 - 8860 Fax: ( ) 200 amps or leas 2 5936 118.72 1
Owner installation: This installation is being made on property that T own which is not 201 amps to 400 amps
_ 125,08 __ 2
intended for sale, learn, rent, or mtchange, according to ORS 447, 449, 670, tend 701. 401 amps t o 599 amps 168.54 2
Branch circ - new, alteration, nr extenston,_per panel
Owner signature: Date: .. A. Fee for branch circuits with
,
MUM i , u,ii\ , . -._.: � � l � � � -m I 1 1 �• � 0 rte .. t ,u',u e.:: , -.::: � 4 feeder ft:
�i ,, ` .. I .' " ,;; t; +''J:.r. i above r f
r „a, , �Fv;m' a �!,! "�: -.a:� {.i �.' era - � N, •R. o :. a
4
" i each brunc circuit 7.42 2
Business name: McKinstry Electric 13. Fee for branch circuits without
service or feeder fee, first 56.18 2
Contact name: Harry MeClane branch circuit
W Each add'l branch circuit 7,42 2
Address 16790 NE Mason St, Suite 100 y _ _ Mlsccllancoua (service or feeder not included) — . .
City /State/2 IP: Portland, OR 97230 Each manufactured or modular 6784 2 '
dwelling, service and/or feeder
Phone: (503) 331 -0234 Fax:: (503) 331 -6906 Rceortneci only 67,84 2
"
E-mail: harrymcc(n�mckinstry.eotn - ram or irrigation circle 67.84 2
:ilk IIuu11 ��ii`,`{ ... , fig. �� i:11.. l if i +Jil li,l , t I
I . 4q , ,, ,, t ,- r ._, or o utlin e lighting r iW�I(llf I U.� eu41 ll( i A i,�l f.I - . L.mu�,.� U. ! "' , e e,u U) .. I Sig g 67,84 2
,,, { hl, i ! e,.te �, � � 19 I e n L .. :. .hi'irii i . l L 1 i 11m i�� ° liii i, . ' i' If ii "'�i� �{t��!:Jii1 � ��- :hiilnpH' I�i•'� {l
Signal circuits) cr limited
Business name: McKinstry Electric panel, aliemtion, or extension. Page 2 2
• • w.— Each additional inspection over allowable in any of the ah_ Or
Address: 16790 NE Mason St., Suite 100 Additional inspection (I hr min) 6625/ hr
City /State/ZIP: Portland, OR, 97230 Investigation (1 hr min) 66.25/ h r "
industrial plant (1 hr min) 78.18 / hr
Phone: (503) 331 - 0234 -1 Fax: (503) 331 - 6906 inspections for which no Ice is
af eificall listed ''/ h min 90,00 / hr
CCB Lic.. '148685 Electric i + ,„-.,
' u 1 i' .: 37 -93U Sup 54285 � - i "' ' '��r����ty • gt'� ,;
_. t � • I;r,,r.�I�. ,,.c. i, i s1111 �• i , , '��X,,^ {�� f
u ° , .ws -uiiJ1 56;N.Wk; ,.::.141111 N1111. ��tl
Suprv. Eiecirittian signature, required: s. �� Subtotal: 118.72
- (25% •iV , J , ' ' "� � < Plan review of permit fee):
Print name; Andrew L Call Date; /13/13 State surcharge (12% of petvrit fee): 14.25
Authorized s1gnsittm.. TOTAL PERMIT FEE: 132.97
This permit application expires if n permit is net amid ned within 180
Print name: Ha McClane days after it has been accepted as complete.
rTY "` DACe 3/13/13 a Number of inspections allowed per permit,
,:\Klee., line \t45mita\Ei.C- rermiIA{i0,d 07101/10 440.4613111i/05 /COM/we0