Permit CITY OF TIGARD ELECTRICAL PERMIT
111 —
a _` COMMUNITY DEVELOPMENT Permit #: ELC2013 -00185
I G AR D' 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/25/2013
T
Parcel: 1S1260000300
Jurisdiction: TIGARD
Site address: 9585 SW WASHINGTON SQUARE RD OFFICE
Project: Washington Square Mall Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S
Project Description: (2) temporary powers for job trailer.
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
Specifics: 2 ea Temp Services or Feeders - 03/25/2013 $118.72 •
200 amps or less 1 ea 12% State Surcharge - 03/25/2013 $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 cordanc ith 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. AT ENTION: Orego la requires you to follow the rules adopted by the Oregon Utility Notifi - ' -n Center. Those rules are set forth in OAR
952 -001- 010 thro gh OAR 9 -001- . You may obtain a copy of the rules or direct questions to OU • r...:_ _32.1987 or 1.800.3 .2344.
Issued Permittee Si.. . � / , • ,,,y.,,.; 0 % / •
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. ELE WAY Date: ffir 3
LICENSE NO. 5 S
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 FAX NO. :5033315906 Mar. 05 2013 01:02PM P1
—
Electricat Permit Applicati C
EIVED
1.0ItOh,l(,,,,s, '
City of Tigard �� p Received
13125 SW Hull Blvd., Tigard, OR y7r4 R 5 2013 Dato/n : . ' Permit No.: E c 5 —
IS ---- '
11 Phone; 503.7182439 Fax: 503.598,1960 Plan Review J
, Inspection Lino, 503,639.4175 CITY r Ire y' „ — . Other Permit,-127 A
. I 1 i A R • 1, internal' www.tiStltd- er.gov , CIT I' OF TIGARD N ate trendy /17y; l 3— �
;t ".1�'t7�` tY 11'r 1'' i �' 1 ��
; r � a I 1 1 \ Notified ro . r otmv
t ell d see page 2 for
�, 845 �,�11ItC2L�� 1ii tavttt �� 1
I 1.1 `t C t !I t yt:l t } Supplemental 1M Ou-
4 i, r '; t ,.. tt
❑ lVcw construction ❑ Addition/alteration/replacement ,1.� t1 � � �� lt k - 1.I kt t �' t�jta '�` �� ,
t r that t. p i "t ofpla a s J,,i 1 c ke d below);
);
On/1't'I)IaCernent Please check e1( tat ,I �
apply (submit sot. of plans *items chce low;
0
Demolition ❑ Other: Service or 1 P
0 r ibeer 400 nm or mor Building
(r;9� 11ff �, ! } 1 ' t' 1 1 . 4 it 1 . : r a , d Ps D M i ttg over throw stories.
1i !; ail, ��y�! f S l z a , - w l su .r a where the aemlablo fruit current
� �n a ilt.>�'ii I
, e a t3{a�p , 5r` r ;• r '','0!i; nt pMr
tNAt"1.'f , Zl1A:?I Mil i, fl ',4,,W ,ia �� ° �� 1" ' amps at 150 boatyards,
� �� � iN 11 'i ex cee d s 10.0(X) mp colts or
familydwehin .,1 . , Cl bClnAtingbuildge.
buildings.
1 - and 2-
family 0 Commerc,7a1 /Industrial ❑ Accessory building ground, or exceeds o s. p com
Q Multi - family 0 Master builder _uac agricultural
P i m um . other Installations.
❑ Outer: h•• i buildings.
I ,1P , „ y . d :rlt�t lr Ji t�urr�ltli:fbl�t ' t ni t , 1, ,iM t „� rR pump. R
LC n�
pp y �pq���11�,11,, ® / „`�� „ 7 0 pin5n
' rNS',,Q,tiv ii T''lla 1574111421 da,. n 1 ,ulfr , Tj R a 41 � :ttjll`{ a lI ° tZ -1 : In (� Emergency syatettr, or
y 11 tr "ttrtr+l�`Rill i i i lerger9epemtF derived ism,
c ,dit ] t d Addition of new -- load of
o.: 7705 Job site address: 9585 SW Washington Square Rd "p” ”! - 2^ 1 - 3"
100BP or more. occupancy.
1 -: t a • : 97223 0 six or more residential unite. 0 Recreational vehicle parka.
0 Health-care Bacitities, 0 Supply voltaic liar more than
Suite/bldg./apt,
no Prr,ject name: Wx Sq Mall - Temp trailer 0 Hazardous locations, 600 volts nominal,
�.� 0 Service or fader 600 amps or more.
Cross street/dire y,l. �l , t' qua, � v
street/directions to job site: Washington Sq Rd and Greenburg Rd 1 i , 1 .i L . : a f a : r (, t :f t 71 tll! �t� 1' "its " +t
• _ Dmerlpnoe a ty. F Total
Now residential single- or multi - family dwelling unit
Includes attached garage.
Subdivision: 1,000 sq. R or leas
l Lot no.: 168.54 q
Tax map/ parcel no.:
1E
Tax ap/p La Limited energy, sq. ft. or portion . 33,96
�111'4t5tlth11111k11f�' +.; ISiti''p,�»h;i , t l ali� ,, 1, 1 , �, ;t`'t, ':, t i ,. f t . 1i Li mite d ener I -
�� •; ,, „ s Sy, reaidatllul
1 4 , d t ° ,.I ll ,u - with ab a�, ft.) 75.00 2
Temp power for McKinstry job trailor Limited ner mul q ��
residcntiet(wi t above so. f .) 75,00 2
Services or feeders installation c • -
�i' 4 •�� p � „t , , , am �� alteration, and/or relocation
1 ll 1 t' t !ts. fit or less
{E 1 'i!I 1 i kt f� niSrl �t.q4 -'.1 11 '7l1,N1 l' ,:l..1A-1��-.'ll " a Ir '-i ! am 100.70 --4`2 -
m»1rr': ly�,�tlh,- 1 E11e:1 _ i q 201 I>S to 400 amps 133. —
56 2
Name Washington Square Mall fps to 600 amps 200 34
2
Address: 9585 SW Washington Square Rd ti0l amps to 1,000 volt 301.04 2
_Over 1,000 amps or volt 552.26 2
City/State/ZIP: Portland, OR 97223 Temporary services or feeders installation, alteration, And/o .
relocation
Phone: (503)639 -8860 rte: am
2 00
( ) tips er legs 2 59.36 118.72 1
Owner Installation: This installation is being made on property that I iron which is not 20l ° ' 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
circui
11''kk O q � w �p ne { � r s � ig 1 nature Date: Brunch circuits - new, alteration, or extension r
il{1ll l$ilt�l' ;;iit11Ci8 �{ {ru�p ,�r 1 — — Fee for b
A. n circuits with
> panel
i P, t1iN lg , ice > 2 t 1 � l I;;ff 1 3 �t! x1111 11 1 "6 '' �' P ' vv iu«
, � , � � - . ,en is ;.lit � �, ;y�,l ' � ,1; � 1 °i � � above service or Feeder fen,
Business name: Melanstry Co each branch circuit 7.42 2
B. Fee for branch circuits without
Contact name: Harry MCClane sarvice or feeder tor:, lust
_ branch circuit 56.18 2
Address: 16790 NE Mason St., Suite 100 Rauh add'I branch circuit 7,42 2
Miscellaneous (sec v ice or feeder not included)
City /State/Z.iP: Portland, OR 97223 Baeyrnanuf8cmrcd or modular
_�
Phone: (503) 5024305 Fax:
dwelling„ service and /or feeder 67.84 2
( ) Recmnnax ly
E h �— Pump or irrigation circle 67.84 2
``1 'try 1 } ' :!f� 1 tt) y q ! {+ 7 m nq „a, 67.84 2
ri��s�tl 77 „ �1?G1' . i b,t' t ;i,� ' �tr lint i� } E ! k1i� 1 1f�lll lt �rl �nl;i �' VII Sign or outline litdttin 2
, +.M 8 B 67,84
Business name; MCKinst 4 � 3i tam l cl rc,rit(a) or limitcd.encrgy
panel, alteration, or extension,
rY Co
Page 2 l 2
Address; 16790 NE Mason St., Suite 100 L Each additional insuecttorl over allowable in any of the above
Additional inspection (1 hr min) 6625/ hr
City /State/11P: Portland, OR 97223 investigation (I In min)
66.25/ hr
Phone: (503) 331-0234 Industrial plan( (1 hr min) 78,18/1w • -
i Fax: ( ) hutpcclione for which Supr n
C:CB Li o fee to
e,: 148685 E lectrical Lic.: 37 - 930C' s evificall Li sted i4 hrmin 90.00/ hr
C Ir v. Electrician � v. Lie.: 54285 , ��` jN{iiE iii `I t li'�t;ll �' n :� #�' ,,; e), � a ''�t }� ,
1 signature, reyuir - �'.':i , , IG1u�''`ll ";' ly
,.2. CA_ •_t . � t _ / subtotal. f I 5,72
Print name: Andrew T, C:rall J Plan review (25% of permit fee): —
Date: 3/5/13 State surcharge (12% of penult fee): 14.25
Authorized signature- I
r r . 1 I �� / •
.this perm TOTA I,, PERMIT PEP,: 132.97
it application enptree ita Permit Is not obtained within IRO
Print name: Harry McClane • T days after It has been accepted as complete.
Date: 3/5/13
I:S Sr'umitalat.('_
• Number of fnvectiom allowed per permit.
ns rermitup.doc 07/D1/10
4aa•4615T(II/05icow i3
1 Building Division
Development Code Provision Review
TIGARD Commercial Projects - No Associated Land Use Case
Building Permit No: ❑ Expedited Review
Project Name:
Site Address: Suite /Bldg #:
Plans Routed:
Original Plan Submittal Date: Routed By:
1St Revision Submittal Date: Routed By:
2 ° Revision Submittal Date: Routed By:
To the Applicant:
➢ If the proposed use is not permitted within the zone, please contact the Building Division to cancel
the permit application. Building Permit Technicians (503) 718 -2439.
➢ If a land use is required and for all other questions, please contact the staff person listed above the
Planning Review section.
Staff: please check items along left only if approv/ d.
Planning Review (contact ' ' at (503) 718- 3Y or @tigard- or.gov)
Proposal:
Zoning
Permitted Use Yes ❑ No ❑
Land Use Required: Yes - 0' . No ❑
Notes: j M-azi , »7L 4 T� �C^0 e 1(T i s L/ € pi^tol
jT
❑ Approved 'Not Approv- . ❑ DCPR Not Required — No DCPR Fees Due
Date Routed to Building: 3` _ `.
1: \CURPLN\Masters\Development Code Provision Review\DCPR_COM_NoLandUse.doc Rev. 01/16/13