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Permit f • ELECTRICAL PERMIT CITY OF TIGARD 14 q 11 COMMUNITY DEVELOPMENT Permit#: ELC2014-00093 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/27/2014 Parcel: 1S1260000300 Jurisdiction: Tigard Site address: 9767 SW WASHINGTON SQUARE RD D07 Project: AMERICAN EAGLE OUTFITTERS Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S Project Description: (3)service or feeders,200 amps or less and(60)branch circuits.2/27/14,reprinted to add(3)low voltage systems. data,fire and paging. Contractor: COLLIER ELECTRIC INC Owner: PPR WASHINGTON SQUARE LLC 849 HARRITT DR NW#306 PO BOX 847 SALEM, OR 97304 CARLSBAD, CA 92018 PHONE: 503-269-9410 PHONE: FAX: FEES Quantity Description Date Amount 3 ea Services or Feeders-200 02/27/2014 $302.10 Specifics: amps or less 60 crt Branch Circuits w/Purchase 02/27/2014 $445.20 Type of Use: COM Service or Feeder Class of Work: ALT 3 ea Signal circuit or Limited 02/27/2014 $225.00 Energy Panel Type of Const: 1 ea 12%State Surcharge- 02/27/2014 $116.68 Occupancy Grp: Electrical Total $1,088.98 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 accor 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. ATTEN N: Oregon requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-001 throu h OAR 952-0 0 Yo ay obtain a copy of the rules or direct questions to OUNC by calling 503. . 987 or 1.800.332. 344. Issued B Pennittee Signature: 244 i 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: C TRAC •" /r CATION 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. Electrical Permit Application l (1lt Ol 1 ic i I si (1\l 1 City of Tigard Received Date/By: - p77 /,3 Permit No.: ad eW-e2'1)3 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: Inspection Line: 503.639.4175 Date Ready/By: June: ® See Page 2 for 1 I I Inte Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK 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 150 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived system. ❑Addition of new motor load of ❑"A","E","1-2","1-3", Job no.: Job site address: 9 76 7 l'JA. < A Six or or more. occupancy. ❑Six or more residential units. ❑Recreational vehicle parks. City/State/ZIP: ❑Health-care facilities. ❑Supply voltage for more than ❑Hazardous locations. 600 volts nominal. Suite/bldg./apt.no.: Project name: G 4`C'o Lt: GusA 7x25 ❑Service or feeder 600 amps or more. TEE SCHEDULE Cross street/directions to job site: 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 Ea.add'I 500 sq.ft.or portion 33.92 1 Tax map/parcel no.: Limited energy,residential 75.00 2 DESCRIPTION OF WORK (with above sq.ft.) 1' / Limited energy,multi-family 7500 2 (3) W JOt'-rrrt 5rf �AT� �,e� residential(with above sq.ft.) 47-51D 496/ e / / Renewable Energy ❑ See Page 2 4 A.J( , 'TD C4 C.-P-O/41--UG093- Services or feeders installation,alteration,and/or relocation Q PROPERTY OWNER • I © TENANT 200 amps or less 100.70 2 201 amps to 400 amps 133.56 2 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:( ) Fax:( ) relocation 200 amps or less 59.36 l 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, .er panel ❑ APPLICANT I 0 CONTACT PERSON A.Fee for branch circuits with above service or feeder fee, 7.42 2 Business name: each branch circuit B.Fee for branch circuits without Contact name: service or feeder fee,first 56.18 2 branch circuit Address: Each add'l branch circuit 7.42 _ 2 Miscellaneous(service or feeder not included) City/State/ZIP: Each manufactured or modular 67.84 2 Phone:( ) Fax: :( ) dwelling,service and/or feeder Reconnect only 67.84 2 E-mail: Pump or irrigation circle 67.84 2 CONTRACTOR Sign or outline lighting 67.84 2 Business name: Signal circuit(s)or limited-energy 3 See ee panel,alteration,or extension. Page 2 '��S 2 Address: Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr City/State/ZIP: Investigation(1 hr min) 66.25/hr Phone:( ) Fax:( ) Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lic.: Electrical Lic.: Suprv.Lic.: specifically listed(V:hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: ‘2a.6.--,'lle) Print name: Date: Plan review(25%of permit fee): f State surcharge(12%of permit fee): p??,oU Authorized signature TOTAL PERMIT FEE: 016�,-dv Print name: Date: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Number of inspections allowed per permit. I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 05/21/2013 440.4615T(l1/05/COM/WEB 11 CITY OF TIGARD ELECTRICAL PERMIT li s COMMUNITY DEVELOPMENT Permit#: ELC2014-00093 -`(G AR O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/27/2014 Parcel: 151260000300 Jurisdiction: Tigard Site address: 9767 SW WASHINGTON SQUARE RD D07 Project: AMERICAN EAGLE OUTFITTERS Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S Project Description: (3)service or feeders,200 amps or less and(60)branch circuits. Contractor: COLLIER ELECTRIC INC Owner: PPR WASHINGTON SQUARE LLC 849 HARRITT DR NW#306 PO BOX 847 SALEM,OR 97304 CARLSBAD,CA 92018 PHONE: 503-269-9410 PHONE: FAX: FEES Quantity Description Date Amount 3 ea Services or Feeders-200 02/27/2014 $302.10 Specifics: amps or less 60 crt Branch Circuits w/Purchase 02/27/2014 $445.20 Type of Use: COM Service or Feeder Class of Work: ALT 1 ea 12%State Surcharge- 02/27/2014 $89.68 Electrical Type of Const: Occupancy Grp: Total $836.98 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 accord 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. ATTE N: Oregon : re (es you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set fo in OAR 952-001-0 0 thro •h OAR 952-0r '0090. • ay obtain a copy of the rules or direct questions to OUNC by calling 03.23tor 1.800.332.234/ l // Issue By: � /A4 _ ! ', Permittee Signature: ------- A. �-_ w 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: CONT- OR I. - A ION ONLY SIGNATURE OF SUPR.ELEC' _ "r:Awl- Date: Alp 74. LICENSE NO. 5.`yeP^s Call 503.839.4175 by 7:0�0ja.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 ApplicationRECEIVED I OR 411 l 1( I I .I Il\I 1 Received Permit No.: City of Tigard Date/By: � �7 /y �LD) ES-�-aol -off 9 3 IN 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review J�,�� I Phone: 503.718.2439 Fax: 503.598.196 Date/By: Other Permit: Idup /?j-6es30% I i \r 1 Inspection Line: 503.639.4175 hEB 2 7 2014 Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF rW�� 'OF TIGARD PLAN REVIEW ❑New construction Pi `ddition/alttll a�IIIYISION Please check all that apply(submit a sets of plans w/items checked below): 1 ❑Service or feeder 400 amps or more ❑Building over three stories. ❑Demolition IA Other: —r 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 El Accessory building amps for all other installations. buildings. El Multi-family /❑Master builder ❑Other: ['Fire pump. ❑Installation of 150 KVA or JOB SITE AND LOCATION ['Emergency system. larger separately derived system. ❑Addition of new motor load of ❑"A","E","I-2","1-3", Job no.: 1 Job site address: q 7�7 W W115 toiv 100HP or more. occupancy. l `J/V�.➢(Y(/F r� ❑Six or more residential units. ❑Recreational vehicle parks. City/State/ZIP: '71610A i 0-1(%. DO7 ❑❑Health-care facilities. ❑Supply voltage for more than `' Hazardous locations. 600 volts nominal. Suite/bldg./apt.no.: I Project name: Am fkKtoy E,,tc 100 H jrf IF'5 ❑Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Description I Qty. I Fee. I Total I • New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: 1 Lot no.: 1,000 sq.ft.or less 168.54 4 Ea.add'l 500 sq.ft.or portion 33.92 1 Tax map/parcel no.: Limited energy,residential 7500 2 DESCRIPTION OF WORK (with above sq.ft.) Limited energy,muav (fir / T 0 i // iE FP r esidential(with above sq.ft.) 75.00 2 Renewable Energy ❑ See Page 2 Services or feeders installation,alteration,and/or relocation *PROPERTY OWNER I ❑ TENANT 200 amps or less 3 100.70 3 0,2./O 2 kV )�ll/�/ 7(Q � OVE 11.6 401 amps to 400 amps 200.34 2 Name: 'f rat la' 401 amps to 600 amps 200.34 2 Address: p o BO,( -LJ 7 601 amps to 1,000 amps 301.04 2 CAj 5) /l D( /( /L q�Ol Over 1,000 amps or volts 552.26 2 City/State/ZIP: L J p 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 A.Fee for branch circuits with / APPLICANT I CONTACT PERSON above service or feeder fee, 60 7.42 �yS °� 2 Business name: C Off,E IP L£Ci�1� / h„,, each branch circuit B.Fee for branch circuits without Contact name: m U'lZ— L I CI? service or feeder fee,first 56.18 2 �i ',1J ,p�� branch circuit Address: ?5�N 11?f) 1 1 n- b i Ivy) , :# Each add'l branch circuit 7.42 2 City/State/ZIP: 5ALFw1 ok 97 3(2Z/ Miscellaneous(service or feeder not included) Each manufactured or modular 67.84 2 Phone:(GO) ,, ,G?,Qq/0 I Fax: :( ) dwelling,service and/or feeder / /' c Reconnect only 67.84 2 E-mail: cc/heir. 5 y S tem 5 l�y a k O 0 , o' ^ Pump or irrigation circle 67.84 2 CONTRACTOR Signor outline lighting 67.84 2 Business name: Cott_Iv IR rLEC ti /( �v c.. Signal circuit(s)or limited-energy See / panel,alteration,or extension. Page 2 2 Address: Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr City/State/ZIP: Investigation(1 hr min) 66.25/hr Phone:( ) Fax:( ) Industrial plant(1 hr min) 78.18/hr 9/y/� ��/ /O���/G Inspections for which no fee is 90.00/hr CCB Lic.: /C(7$3 7 I Electrical Lic.: Cgga Suprv.Lic.: .56a5/ specifically listed(%:hr min) �� ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: �� l -Cr.el-1 Subtotal: 7L/7. So Print name: """��\ Date: Plan review(25%of permit fee): .}}iti UV_ roLL IP1'� C 02 7 /y State surcharge 12%of permit signature: ( Pe fee):PERMIT FEE: p g4•to g Authorized si g TOTAL PERM( p 3/p,9 g Print name: Date: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. • Number of inspections allowed per permit. I:\BuildinePermits\ELC_PermitApp_ELR_ERE.doc Rev 05/21/2013 440-0615T(I 1/On s/coe�uwE6 ,���b,co (I 834.y 9 _ i'c3.c Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Fee for all residential systems combined ... $75.00 Description I Qty. I Fee I Total I • Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 ElAlarm Wind generation systems in excess of 25 kva: 25.01 to 50 kva 301.04 2 ❑ Garage Door Opener* 50.01 to 100 kva 552.26 2 >100 kva(fee in accordance with OAR 918-309-0040) 552.26 2 ❑ Heating, Ventilation and Air Conditioning - System* Solar generation systems in excess of 25 kva: Each additional kva over 25 7.42 3 ❑ Vacuum Systems* >100 kva—no additional charge 0.0 3 Each additional inspection over allowable in any of the above: ElOther: Each additional inspection is charged at an hourly(1 hr min) 66.25/hr 1 Inspections for which no fee is 90.00/hr specifically listed('A hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system $75.00 Subtotal: (SEE OAR 918-309-0000) Plan review,if required(25%of permit fee): State surcharge(12%of permit fee): Check Type of Work Involved: TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 ❑ Audio and Stereo Systems days after it has been accepted as complete. • Number of inspections allowed per permit. ❑ Boiler Controls ❑ Clock Systems 1$Data Telecommunication Installation p. Fire Alarm Installation ❑ HVAC ❑ Instrumentation Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling n Other Total number of commercial systems: 3 *No licenses are required. Licenses are required for all other installations I:\Building\Permits\ELC_PermitApp_ELR_ERE.doe Rev 05/21/2013 Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Fee for all residential systems combined $75.00 Description I Qty. I Fee I Total I • Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 ElAlarm Wind generation systems in excess of 25 kva: 25.01 to 50 kva 301.04 2 ❑ Garage Door Opener* 50.01 to 100 kva 552.26 2 >100 kva(fee in accordance with OAR 918-309-0040) 552.26 2 ❑ Heating, Ventilation and Air Conditioning System* Solar generation systems in excess of 25 kva: Each additional kva over25 7.42 3 El Vacuum Systems* >100 kva—no additional charge 0.0 3 ❑ Each additional inspection over allowable in any of the above: Other: Each additional inspection is charged at an hourly(1 hr min) 66.25/hr 1 Inspections for which no fee is 90.00/hr specifically listed(%3 hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system $75.00 Subtotal: (SEE OAR 918-309-0000) Plan review,if required(25%of permit fee): State surcharge(12%of permit fee): Chec ype of Work Involved: TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 /40T. Audio and Stereo Systems days after it has been accepted as complete. • Number of inspections allowed per permit. ❑ Boiler Controls ❑ Clock Systems Data Telecommunication Installation Fire Alarm Installation ❑ HVAC ❑ Instrumentation Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:\BuildingPermits\ELC_PermitApp_ELR_ERE.doc Rev 05/21/2013 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 9767 SW WASHINGTON SQUARE RD D07, TIGARD, OR, 97223 Commercial - Electrical 199 Electrical final 2014-04-17 (null) ELC2014-00093 PASS - No C of O Violation Summary: Inspector Contractor