Permit If CITY OF TIGARD ELECTRICAL PERMIT
11111 = COMMUNITY DEVELOPMENT Permit #: ELC2013 -00290
'TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/23/2013
Parcel: 151260000300
Jurisdiction: Tigard
Site address: 9618 SW WASHINGTON SQUARE RD G -5
Project: Helzberg Diamonds Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S
Project Description: (1) 200 amp service and (40) 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 05/23/2013 $100.70
Specifics: amps or less
40 crt Branch Circuits w /Purchase 05/23/2013 $296.80
Type of Use: COM Service or Feeder
Class of Work: ALT 1 ea 12% State Surcharge - 05/23/2013 $47.70
Electrical
Type of Const:
Occupancy Grp:
Total $445.20
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 52- -0090. You 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: d N �P /e..fe ew
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.
05- 22 -'13 08:12 FR01- F Le r 5036394673 1-252 P0001/0005 F -847
Electrical Permit Appllica FOR OFFn_:r us1.ON1.1
City of Tigard I Rec eive d s , ,� , - permit N . t
��/� Dat eJB : a 4 �� / � 0.
T 13125 SW Hall Blvd., Tigard, OR 97223 2 2 2013 p Revie v
F Phone: 503.718.2439 Pax: 50308.1960 • ;� Date RcadyBy: Date/Bv: Other Perm 1 /3 L00//
Inspection Line: 503.639.4175 C ITY O .� iGA O Juri e 2 for
1 i OF s: fa See Page
Internet; www,tiga d- Or,gpv rti , i I 1 f • a ;#11 , Notified/Method: 776- Supplemental information
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❑ New construction /14 Addition /alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ID Building over three stories.
El Demolition ❑ Other where the available faith current ❑ Marinas and boatyards.
3 fl% . J • / // �,, t ; , i. , I ' Air* , y' J • exceeds 10,000 amps at 150 volts or Floating buildings.
14/t 5. l�i,'G�nnl�ll�,l � r r d
r • '' t , N'lr7Jli'; i , ,,7p,� r � P 15 ❑ B bs. g
less to ground, or exceeds I4,000 ❑ Colmnercial -use agricultural
❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder El Other: ❑ Fire pump. ❑ Installation of75KVAor
V' ' re/ 7:71471 U, v, � ' m J , ; t J "c , u n z •. Emer enc system. larger separately derived system.
,/� I .h;' i x 1 7 , r r, s s s,r rr ;�u . y / S' r 1 q, �' g Y y g p Y Y
L7' 277.�bf7 r L.' • , J , •
• , ' ' S,, dh 4n3d. ,V A PkQs9, 4,11,4 t , 11 2 .r l , a �ie3 I' `, r ' I.Y2.r . ❑ Addition of new motor load of ❑ ' A , "li , «1 _�„ "t -3 "
Job no.: 70584 Job site address• ' ; SW WASH SQ RD 10011POrmere. occupancy.
/� ❑ Six or more residential units. ❑ Recreational vehicle parks.
City /State/ZIP: TIGARD, OR 97223 ?4P/ ❑ Health -care facilities. ❑ Supply voltage for more than
El Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: 57 Project name: BELZBERG DIAMONDS ❑ Service or feeder 600 amps or more.
Cross street/directions to n
job site: � /� Y 'Wfrl 5 4 r . ai-';.fi? l a MI le"// , l/�zrti
J rscripuon 1 07.1 Pee. I Thal 1 •
` - New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: I Lot no.: L000 sq. R. or less I 168.54 4
Ea. add'l 500 sq. R. or portion 33.92 1
Tax map /parcel no.: Limited energy, residential
lI Y�9 1 U P rn Cy / /r�{ gyy'j {yJ!/ , !!�ggJp //��/y� J uin !'.r *NSW r .J � , m : g / S' %� '! y '� ] y/�� Y' 75.00 2
y / Miff/ Ad.T!/rf'+F.q.NrnWd� L7yeA5 " t *N .' a � ' ' kJ' . ,!�/!. 'U ', l'r : I '' �'lniAl ,'' ,'% h MP l�/' 1�. (with above SQ. i1.)
Limited energy, multi - family 75.00 2
INSTALL NEW,120 /208'VOLT ELECTRICAL PANEL residential (with above s.. ft.)
4 . ' li A illEMZMO f '+ .1.i_ }P. 1
• INSTALL NEW LIGHTING AND RECEPTACLES MIN Services or feeders installation alteration and /or relocation
, y , ' J T; ,, F d d u 4 .'' , I,fi / /a , S ik I r N Yob di r y / b w i 7 d ' ' ! ,: f y � r p , ' : ! ' 4 Y 1 3 � 4 µ ' f IN 200 amps or less 1 100.70 100.70 III
201 amps to 400 amps 133.56
Name: 401 amps to 600 amps 200,34 2
Address: 601 amps to 1,000 amps 301.04 2
Over 1,000 amps or volts - 552.26 2
City /State/ZIP: Temporary services or feeders installation, alteration, and /or
•
Phone: ( ) I Fax ( ) relocation
200 amps or less 59.36 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
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
7N /fi Y l /N l ' AdN� N , , N fig , 7 " J q,/ l s} M' 1 ���
f 'r/ .4', 14�• ;N d ,f) '' ' ar t ; ' L lilt , (I��f�'� ri l „Jya #1 �!' > ;+y 7pdh A. Fee for branch Circuits with
above service or feeder fee. 40 7 42 296.80 2
Business name: each branch circuit
- -- B. Fee for branch circuits without
Contact name: service or feeder fcc, first 56.18 2
branch circuit
Address: Each add'I branch circuit 7.42 2
___
City /State /ZIP:
Miscellaneous (service or feeder not included)
Each manufactured or modular 67.84 2
Phone: ( ) I Fax:: ( ) dwelling, service and/or feeder
Reconnect only 67.84 2
E • Pump or irrigation circle 67,84 2
' 4 f 7 7 ! f 'yF n• Axr/ w Jn v� / p �A yq,��y�g�y�A '� Ny q , � , �n p'
'.,> ,, 'r �� '�,� - r �/ c � ' µr ' „r' , J' , 5, %}E' r;'f/r' J`�1 ;� YG6l�'xiCS�7„��'J� i%'� N r'J/.� 1% 9.r!. Sign or outline lighting 67.84 2
Business name: JRA, INC. dba FRAHLER ELECTRIC COMPANY Signal circuit(s) or limited energy
- panel, alteration, Or extension. Pane 2 2
Address: 11860 SW GREENBURG ROAD Each additional inspection over allowable in any of the abov
Additional inspection (1 hr mitt) 66.25/ hr
City /State /ZIP: TIGARD, OR 97223 - Investigation (1 hr min) 66.25/ hr
P • one: (503) 639.4627 Fax: (503) 639 -4673 Industrial plant (I hr min) 78,18/ hr
CCE Lie.: 197112 I Electrical Lie.: C861 Supry Inspections for which no fee is
I iC.: 51105 9
specifically listed lS hr min , , ,.,,
Suprv. Electrician signature, required: Subtotal: 397.50
Print name: ADAM ETHERINGTON Date: 05/21/13 Plan review (25% of permit fee):
State surcharge (12% of permit fee): •" .•0
Authorized signature: TOTAL PERMIT FEE: 445.20
This permit application expires if a permit is not ob : ined withi. : I
^ Print name: Date: days after it has been accepted as comple -
• Number of inspections allowed per permit.
1: 'a0ilding1Permits\ELC_PermitApp 040913.doc - 440.461ST(ll /05/COMAVEB