Permit CITY OF TIGARD ELECTRICAL PERMIT
a . , COMMUNITY DEVELOPMENT Permit #: ELC2013 -00183
•T J G AR D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/25/2013
Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9302 SW WASHINGTON SQUARE RD V05
Project: Something Silver Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S
Project Description: (7) branch circuits for TI
Contractor: MOUNTAIN VIEW ELECTRIC INC Owner: PPR WASHINGTON SQUARE LLC
2314 NW 1128TH STREET PO BOX 847
VANCOUVER, WA 98685 CARLSBAD, CA 92018
PHONE: 360 - 907 -8439 PHONE:
FAX: 360 - 735 -8439
FEES
Quantity Description Date Amount
7 crt Branch Circuits wo /Purchase 03/25/2013 $100:70
Specifics: Service or Feeder
1 ea 12°k State Surcharge - 03/25/2013 $12.08
Type of Use: COM Electrical
Class of Work: ALT
•
Type of Const:
Occupancy Grp:
Total $112.78
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 9 2- 01 -009 qYou may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: 4° l�1 Jt-C / Sti oQ .l Permittee Signature: Oki /kept / e''4 I lOki
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.
•
L.
Mar 25 2013 8:54AM HP LASERJET FAX p.l
Electrical Permit Applica IVED FoR i il' Foci. I `'. ()v l.,
City of Tigard Received t? s i 3 ' 1 Permit No.: e:LC3o) -,Doi p..3
• 13125 SW Hall Blvd, Tigard, OR 97 2 5 2013 Plan, Re sew a
Phone: 503.718.2439 Fax; 503.598 DateB : Other Pa _ P,,10, 3 - COO e
. I _ , I,. r, Inspection Line: 503.639.4175 �/ OF TIGARD Date Ready/By rurir: B See pa 2 for
Internet: www.tigard- or.gov C6 1 Y OF i GARD Notified/Met od: ¶16 Supplemental Information
fi 1 . i<ir'Y I I :1,7,27y, I ranl,n I .r r 1 1 •r l : c, j l l,t[ .9Irllllir : ,' G 6 1:w y{ • . y , a 1 i.ca1. F 211E 4.;;
t yI III . 1' h1 I I Y S Y.4 1 : 1 1,
v
w 41,t i' a . 1 { � J ) 111nI ,,cut ii ^r1'+> 11ht5 l ulil.,L _. _. ".. .i. uLt. flc, ..�_ � `t' 7 1 • ,,
. ! a,...... . a'.[
. .I ., ._Y .. 1 i.1.,. «T,t.�it3i�lllttrfu s+L,s..�a._... ..�r'�ar,•I.�u..hy �;,��or, G.t,._, ,. „. �.,. ).1i111%Ind .�i. .,ti �,..•.>. �.
❑ New construction ® Addition /alteration/replacement Please check all that apply (submit a seta of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition 0 Other:
where the available fault current ❑ Marinas and boatyards.
r 1 : i ,, p 1 1. V-"!""01 l / 1 x fr{Ur f 1 ry j t i:ffvti n u' . 'r•N .u y .�.l.s� i G it 1•, at , l,il Lf. c-._.� I " f lei el Sl t 150 lt ❑ Fl
IHI ?�i, exceeds 10,000 ,110 amps at volts or Floating buildings.
lSadi Y'lflItg g bildi �'
ID 1- and 2 - family dwelling I Commercial /industrial ❑ Accessory building less s ground, other exceeds ons. ❑ buildings. l -thee agricultural g amps for all alter instellatiorhs.
❑ Multi-family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
ih. 1R � ,.i ;, ":7%- rt- ' i P,TITIli r' .41t r( j. rvq!irgy +; 47 t la " '1 . ? ❑ larger larger "1 -2� m.
.n i?._. i. r 2 ro ar : eA r x� +% . , - 1 111 .:. s'` . . ❑ "A ", "e', '•, "1 -3"
Job no.: Job site address: 9302 WASHINGTON SQUARE ROAD 100HP or more. occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parka
City/State/ZIP: TIGARD OR ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldgJapt. no.: V05 Project name: SOMETHING SILVER 0 Service orfeeder 600 amps or more.
itinitr , { !'I r 7 1 u ,,v,,,;:,0)01...' ,. I
Cross street/directions to job site: WASHINGTON SQUARE MALL ` I d" t it l " "S w 11111 Fee t "' `` i' "f'` + "'
� Q Description q ty Feu Total •
New residential single or malts- family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 16834 4
Ea. add'I 500 sq. ft or portion 33.92 1
Tax map /parcel no.:
. M n Limited energy, residential
r !t a.ts-67:or' T tVi'l y r h 311 f °ts 75.00 2
o° with above ft.
;1, LI ir u a > .a t l� + ,t. . l.7. 1. 111 {W.! ; i 1 ( sq. )
it :U li'ml7ru, 4,i,�w mm111 .....rtl. :d1r14, rt,a : , r _ s lure Limited energy, multi 75.00 2
TENANT IMPROVEMENT residential (with above sq. ft.)
Services or feeders installation, alteration, and/or relocation
200 amps or less 100.70 2
. ..ir"., " ryy47.'I� v 7r]i.ila _ .: rxnar.,, . ''.iii lt•141 ,,c1 * h : 1, i IA r ,, ' . 4 ` fit , yr , I 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
Name:
601 amps to 1,000 amps 301.04 2
Address: Over 1,000 amps or volts 552.26 2
City/State/ZIP:
Temporary
relocation services or feeders installation, alteration, and/or
Phone: ( ) Fax: ( ) 200 amps or less 5936 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 -
E.. he c i PTily! I 11gt iiii 1 xh t ,x
s a,t^ lii-I, 1 1 ti
s ' s ' ,. f li . above service or feeder fee, 44.52
s. :, i,:i.t11'i ll'31l',.'`,t5,k1, , i..1.1u 6 .'b i l! .: :ft,is f'.: E ua,.. , +i,i1.+,.. i vYl each branch circuit 7.42 2
Business name: B. Fee for branch circuits without
service or feeder fee, first 1 56.18 56.18
Contact name: branch circuit
Each add'l branch circuit r 7,42 2
Address: Miscellaneous (service or feeder not included)
City/State/ZIP: Each manufactured or modular
ty 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
°tt 'r a roiroro?RK; t(;4.-.3:'.' i ` ' %n'-,r 1 , 1r r�,t�ah�urr i r ivt.� Rl I F_e, .r.rr'f7 i'>n Bh g 67.84 2
Sic 1.4410 ;'11._ iIi l' "1"g,t :.- __0... l,_ : a:,l..t, .,Ylmnit.,71 A ll ka:w.._, 3 ,r... ,tf.'tll C..,r...,- ! i signal circuits) or limited energy
Business name: MOUNTAIN VIEW ELECTRIC panel, alteration, or extension. - Page 2 2
Each additional Inspection over allowable In any of the above
Address: 2314 NW l28 STREET Additional inspection (1 hr min) 66251 hr
City /State/ZIP: VANCOUVER WA 98685 Investigation (1 hrmin) 66.25/ hr '
l Industrial plant (1 hr min) 78.18 / hr
Phone: (360)907-84.39 , l d i 1 14 Fax: (360) 735 -8439 /mi ( P l Inspections for which no fee is 90.001 hr
s .- ificall •listed ''Ahrmin)
CCB Lic.. 159093 5 2 ` Electrical Lic.: 37 -1031C ritieti „x';.' w t '.a:.: ° ;...,�'.a:,.,', _.. . ".; `'l . :..... •1:
'r�'1111l� Subtotal: 100.70
Suprv. Electrician signature, =• • rem a �� a . Plan review (25% of permit fee):
Print name: TERRY HILL ��D,Le: State surcharge l of permit fee): 12.09
•
t 3- 5- 3 arg ( permt )
TOTAL PERMIT FEE: 112.79
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.
t: tarw' 'ldingPermiti■ELC- PermitApp.doc 07/01110 440-461sT(11 /05 /COM/WEB I [ - ' r
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
9302 SW WASHINGTON SQUARE RD V05,
TIGARD, OR, 97223
Commercial - Electrical
105 Underground/slab cover
03/28/2013 00:00
ELC2013-00183
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
9302 SW WASHINGTON SQUARE RD V05,
TIGARD, OR, 97223
Commercial - Electrical
105 Underground/slab cover
03/28/2013 00:00
ELC2013-00183
PASS
Violation Summary:
Inspector Contractor