Permit CITY OF TIGARD ELECTRICAL PERMIT
2 COMMUNITY DEVELOPMENT Permit#: ELC2014-00312
T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/10/2014
Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9589 SW WASHINGTON SQUARE RD B09
Project: Spec Space Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S
Project Description: Installing(1)600 amp feeder.
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-401 to 06/10/2014 $200.34
Specifics:, 600 amps
1 ea 12%State Surcharge- 06/10/2014 $24.04
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $224.38
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 adooted 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 copy of4tre—rules or direct q estions to OUNC by calling 501987 or .800.332.2344.
Issued By: Permittee Signature:
Ilia 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 O , Olt t)i , ,( ,. I ,t ()NI.
Received
City of Tigard :1," Permit No.: - G Iv t — d , -
DateB :
1 3125 SW Hall Blvd.,Tig `LQ1 Plan Review
a Phone: 503.718.2439 Fax: . 8.196 \,C) O DateB : Other Permit:
f 1 G A R U Inspection Line: 503.639.4175 a� �PP`�� a ate Ready/By: ® See Page 2 for
Internet: www.tigard-or.gov ��G\\�` Notified/Method: Supplemental Information
TYPE OF WOI�i C�Q.'t`- �`� PLAN REVIEW
❑New construction ®Addition/alteratitn/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
❑ I-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.:72172 I Job site address:9589 SW Washington Square Road 100H or 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
❑H ou cations. 600 volts nominal.
Suite/bldg./apt.no.: Project name44ew-690-ampseaxire. , L- is rfee p�armot�
—_ S Pct 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: 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.)
Limited energy,multi-family 75.00 2
Install new 600 amp,120/208 volt electrical disconnect in landlord electric residential(with above sq.ft.)
Renewable Energy ❑ See Page 2
room Services or feeders installation,alteration,and/or relocation
❑ PROPERTY OWNER l ❑ TENANT 200 amps or less 100.70 2
201 amps to 400 amps 133.56 2
Name: 401 amps to 600 amps 1 200.34 o2,06,31.1 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
relocation
Phone:( ) I Fax:( ) 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 _
❑ APPLICANT I ❑ 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'I branch circuit 7.42 2
City/State/ZIP: Miscellaneous(service or feeder not included)
Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Phone:( ) I Fax: :( ) Reconnect only 67.84 2
E-mail: Pump or irrigation circle 67.84 2
CONTRACTOR C/_ j Sign or outline lighting 67.84 2
Business name:J A Tf1C, t .x Frail k r Or(-h-1 L tom Fiji Signal circuit(s)or limited-energy See
panel,alteration,or extension. Page 2 2
Address: 11 86,0 5W G rc�b�rq !CO o„/ Each additional inspection over allowable in any of the above
City/StatelZIP: %Q f2l W Additional inspection(1 hr min) 66.25/hr
D 7 .1-3 Investigation(I hr min) 66.25/hr
Phone:(5a3) .4.8-4-`fGa7 I Fax:(5o3) (€33 q-y!n 73 Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lic.: /I 9/ 7 2 Electrical Lic.: C goo Suprv.Lic.: 5/105 specifically listed(1 hr min)
ELECTRICAL PERMIT FEE
Suprv.Electrician signature,required: Subtotal: ��p,_�
Print name:.Y 1 E.f r Dater/e 91j� Plan review(25%of permit fee): t
.17 7 State surcharge(12%of permit fee):
Authorized signature: TOTAL PERMIT FEE: )J4
Print name: Date: This permit application expires if a permit is not obtained within ISO
days after it has been accepted as complete.
* Number of inspections allowed per permit.
1:\Buildng\Permits\ELC_PamitApp_ELR_ERE.doc Rev 05/21/2013 440-4615T(11/05/COMAVEB
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
9589 SW WASHINGTON SQUARE RD B09,
TIGARD, OR, 97223
Commercial - Electrical
199 Electrical final
PASS - No C of O
ELC2014-00312
Jeff Grove
Violation Summary:
Inspector Contractor