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Permit CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit#: ELC2014 00098 T I G A RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/03/2014 Parcel: 1S1260000300 Jurisdiction: Tigard Site address: 9309 SW WASHINGTON SQUARE RD T01 Project: CHEESECAKE FACTORY Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S Project Description: Installing monitors in bakery. Contractor: OREGON ELECTRIC GROUP Owner: PPR WASHINGTON SQUARE LLC 1709 SE 3RD AVE PO BOX 847 PORTLAND, OR 97124 CARLSBAD,CA 92018 PHONE: 503-234-9900 PHONE: FAX: 503-234-1001 FEES Quantity Description Date Amount 1 ea Signal circuit or Limited 03/03/2014 $75.00 Specifics:, Energy Panel 1 ea 12%State Surcharge- 03/03/2014 $15.74 Type of Use: COM Electrical Class of Work: ALT 1 crt Branch Circuits wo/Purchase 03/03/2014 $56.18 Service or Feeder Type of Const: Occupancy Grp: Total $146.92 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a-•py of the r - •r direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. / T Issued By: i _ Permittee Signature: ejw OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale,lease or rent. OWNER'S SIGNATURE Date: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR.ELEC' Date: LICENSE NO. Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Electrical Permit Application �$ FOR tli ru:e USE(J\l l Reteivad City of Tigard �� Penult No. • _ ,, , .. 13125 SW Hall Blvd.,Tigard,rd,OR 97223 Dana•: t ' !-a Yian Review Phone: 503.718.2439 Fax: 503.59: *'1 qc.\Ot Date/B•: Other Permit Il 1;;I Inspection Line. 503.639.4175 %� y .tc Ready/By: Juris: El See Page 2 for Internet: www.tigard-or.gov ♦ tc,/ti.*' =�i/Method: /' Supplemental Inform mien / T of w9.P..*..... ❑New construction ®Addition/alteration/replat Please check all that apply(submit 2 sets of plans*litmus checked below): ❑Service or feeder 400 amps or more ❑Building over throe stories, ❑Demolition ❑Other. G N where the available fault current ❑Marinas and boatyards '..'"':;CATEGORY`OF CONSfRU 1;,, is�� ,.; exceeds 10,000 amps at 150 volts or% 0 less to ground,or exceeds 14.000 ❑Commercial-use agricultural ❑ 1-and 2-family dwelling ®C:ommcreial/industria) IN Accessory building amps for all other installations. buildings. ❑Multi family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 75 KVA or JO$;SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived system. ❑Addition of ucw motor load of ❑"A""1" "1-2"'1-3 Job no.:86325 Job site address:9309 SW Washington Sq.Rd loofa'or more. occupancy. ['Six or more residential units. ❑Recreational vehicle parks, City/State/ZiP:Tigard,OR 97223 ❑Health-care facilities. ❑Supply voltage for more than ❑I Iazardous locations, 600 volts nominal. Suitetbldg.!apt.no.: Project name:Cheesecake Factory ❑Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Description 1 Qtr, 1 Fee. New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1.000 sq.ft.or less 168.54 Tax map/parcel no.: Ea.add'l 500 sq.ft.or portion 33.92 I Limited energy,residential 7.5.00 DESCRIPTION OF WORK (with above sq.ft,) - Limited energy,mufti-family Install monitors in the bakery area residential(with above sq.ft.) 75.00 2 Services or feeders installation,alteration,and/or relocation 200 amps or less 100.70 _ El PROPERTY OWNER [ ©;tENA..1 r::. 201 amps to 400 amps 133.56 2 Name:The Cheesecake Factory 401 amps so 600 amps 2W.34 2 601 amps to 1,000 amps 301.04 2 Address: Over 1.000 amps or volts 552.26 _ City/State/ZIP: r]mp Temporary services or feeders installation,alteration,and/or Phone:(503)620-I100 Fax:( ) 200 amps or less 59.36 1 201 tarps to 400 amps 125.08 2 Owner installation:This installation is being made on property that I own which is not intended for sale,lease,rent.or exchange,according to ORS 447,449,670,and 701. 401 amps m 599 amps 168.54 Branch circuits-new,alteration,or extension,per panel _ Owner signature: ----------_______________ A.Fee for branch circuits with above service or feeder fix, ❑ APPLICANT I Q CONTi#CT l'E8SO 7.42 2 • each branch circuit Business name: 13.Fee for branch circuits without service or feeder fee,first 1 56.18 56.18 ,l Contact name:Joel Frank branch circuit Each add'I branch circuit 7.42 _ 2 Address: Miscellaneous(service or feeder not included) Each manufactured or modular 67$4 City/State/Z1P. dwelling,service and/or Water _. Phone:(503)793-5706 Fax::( ) Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E-mail:joel.frank_oregon-electric.com Sign or outline lighting 67,84 2 CONTRACTOR Signal circuit(s)or limited-energy panel,alteration,or extension. 1 Page 2 75.110 ., Business name:Oregon Electric Constriction,Inc. Each additional inspection over allowable in any of the above Address: 1709 SE 3`d Ave Additional inspection(1 hr min) 66.25!hr investigation(1 hr min) 66/5/hr City/State/ZIP:Portland,OR 97214 Industrial plant(1 hr mm) 78.18!hr Phone:(503)234-9900 Fax:(503)234-1001 lnspcctious for which no fee is 943A0!hr - specifically listed t vi hr min) CCB Lie.: 203 Electrical Lie.: 26-95c .pry.Lie.: 4818s ELECTRICAL:.PERMIT FEES Subtotal: 131.18 Suprv.Electrician signature,required: /,if `/, ,�/f Plan review(25.3 of permit fee): Print name: Mark Weinbender Date: 01/30/14 State surcharge(12%of pennit fee): , 1c41T 111 / TOTAL P E R M I T FEE: /' ,,� Authorized signature: t / /—_- ' "" ['his permit application expires if a permit is not obtained within 180 ��'��`��,111 ((�� days after it has been accepted as complete. Print name: Mark Weinbender Date: 01/30/14 • Number of inspections allowed per permit l:iRutlding\Prrmitdtlld:-PennitApp.doc 07 101110 1404615T1Il/05%<R)M/WGII