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Permit CITY OF TIGARD ELECTRICAL PERMIT • • COMMUNITY DEVELOPMENT Permit #: ELC2013 -00275 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/06/2013 Parcel: 151260000300 Jurisdiction: TIGARD Site address: 9585 SW WASHINGTON SQUARE RD OFFICE Project: Washington Square Mall Chiller Plant Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S Project Description: (1) 200 amps or less and (3) 601 amps to 1,000 amps for work on chiller replacement • 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 1 ea Services or Feeders - 200 05/28/2013 $100.70 Specifics: amps or less 3 ea Services or Feeders - 601 to 05/28/2013 $903.12 Type of Use: COM 1000 amps Class of Work: ALT 1 ea 12% State Surcharge - 05/28/2013 $120.46 Electrical Type of Const: 1 ea Plan Review Electricial 05/28/2013 $250.96 Occupancy Grp: • Total $1,375.24 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. ATTENTI• •: Orego law requires you to follow the rules adopted by the Oregon Utility Notifi = on Center. Those rules are set forth in OAR 952- 001 -0010 rough OAR 952— -01 0 You may obtain a copy of the rules or direct questions to OUNC by calling 5i . ' 1987 or 1.800.332.2344. Issued By: \ - , . / /L�� 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' A rOM,� 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. Electrical Permit Applicatio ECEIVE FOR OFFICE USE ONLY City of Tigard 1-4 1 5 2013 Date/By: 5 /l7 /13 sr. Permit No.: �L C ';)C7( 3 - 41"7-C. ° 13125 SW Hall B lvd., Tigard, OR 97223 , � OF � �y � �/23/ Phone: 503.718.2439 Fax: 503.598. 1 TIGARD Dat e / iew �/ Other Permit TI GARD Inspection Line: 503.639.4175 ; Date Ready /By: a ^ ; kris: RI See Page 2 for Internet: www.tigard- or.gov BUILDING DIVISION Notified/Method: / � �% " Supplemental Information TYPE OF WORK d /` /� PLAN REVIEW ❑ New construction ® Addition /alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked below): ® Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14.000 ❑ Commercial -use agricultural ❑ 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 JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. ❑ Addition of new motor load of ❑ "A ", "E "I -2 ", "l -3 Job no.: 531800 Job site address: 9585 SW Washington Square Rd IOO or or more. occupancy. ❑ Six or more residential units. ❑ Recreational vehicle parks. City /State /ZIP: 97223 ❑ Health -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: Wa. Sq Chiller Replacemen ❑ Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Washington Square Rd & Greenburg Rd Description I Qty. I Fee. 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 Tax map /parcel no.: Ea. add'I 500 sq. ft. or portion 33.92 1 Limited energy, residential 75.00 2 DESCRIPTION OF WORK (with above sq. ft.) Limited energy, multi- family 75.00 2 residential (with above sq. ft.) Renewable Energy ❑ See Page 2 Services or feeders installation, alteration, and/or relocation ❑ PROPERTY OWNER ❑ TENANT 200 amps or less 1 100.70 100.70 2 201 amps to 400 amps 133.56 2 Name: Washington Square Mall 401 amps to 600 amps 200.34 2 Address: 9585 SW Washington Square Rd 601 amps to 1,000 amps ; 301.04 61 Q3: 2 City/State/ZIP: Portland, OR 97223 Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation, alteration, and/or Phone: (503)639 -8860 Fax: ( ) relocation 200 amps or less 59.36 1 Owner installation: This installation is being made on property that I own which is not 2 01 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 ❑ APPLICANT ® CONTACT PERSON A. Fee for branch circuits with above service or feeder fee, 7.42 2 Business name: McKinstry Electric each branch circuit B. Fee for branch circuits without Contact name: Harry McClane service or feeder fee, first 56.18 2 branch circuit Address: 16790 NE Mason St., Suite 100 Each add'l branch circuit 7.42 2 City/State/ZIP: Portland, OR 97230 Miscellaneous (service or feeder not included) Each manufactured or modular _ 67.84 2 Phone: (503) 331-0234. 3 Zf — 31 ' / Fax: : (503) 331 - 6906 dwelling, service and/or feeder Reconnect only 67.84 2 E - mail: harrymcc @mckinstry.com Pump or irrigation circle 67.84 2 CONTRACTOR Sign or outline lighting 67.84 2 Business name: McKinstry Electric Signal circuit(s) or limited - energy panel, alteration, or extension. Page 2 2 Address: 16790 NE Mason St., Suite 100 Each additional inspection over allowable in any of the above City/ State/ZIP: Portland OR 97230 Additional inspection (1 hr min) 66.25/ hr Investigation (I hr min) 66.25/ hr Phone: (503) 331 - 0234 Fax: (503) 331.6906 Industrial plant (1 hr min) 78.18/ hr Inspections for which no fee is 90.00 / hr CCB Lic.: 148685 Electrical Lic.: 37 -930C Suprv. Lic.: 5428S specifically listed (Y2 hr min) ELECTRICAL PERMIT FEES r,Y1 Suprv. Electrician signature, requir� Subtotal: I v S1 3 Print name: Andrew L. Crall Date: 5/8/13 Plan review (25% of p ennit fee): _02 i k /w permit fee): / Y' Authorized signature:�G� State surcharge (12% of TOTAL PERMIT FEE: 137 ---f� Print name: Harry McClane Date: 5/8/13 This permit application expires if a permit is not obtained within 180 ITy days after it has been accepted as complete. " Number of inspections allowed per pennit. I:\ Building\ Permits \ELC_PmnitApp_0409 t 3.doc 440 -4615T(t I /05 /COM/WEB 1 f