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Permit CITY OF TIGARD ELECTRICAL PERMIT • COMMUNITY DEVELOPMENT Permit#: ELC2016 00123 T IGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/18/2016 Parcel: 1 S 1260000300 Jurisdiction: Tigard Site address: 9477 SW WASHINGTON SQUARE RD A07 Project: Yankee Candle Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S Project Description: (23)branch circuits for TI Contractor: ARON ELECTRICAL CONSTRUCTION LLC Owner: PPR WASHINGTON SQUARE LLC 15704 NE 70TH ST PO BOX 847 VANCOUVER,WA 98682 CARLSBAD, CA 92018 PHONE: 503-516-3139 PHONE: FAX: 360-882-7978 FEES Quantity Description Date Amount 23 crt Branch Circuits wo/Purchase 02/18/2016 $219.42 Specifics: Service or Feeder 1 ea 12%State Surcharge- 02/18/2016 $26.33 Type of Use: COM Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $245.75 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 a • --• - 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. AT NTION: Orego law r-•.ire you to follow the rules adopted by the Oregon Utility Notification Cen er. Those rules are set forth in OAR 952-001 0010 through OAR 952-.r 0090. Y• may obtain a copy of the rules or direct questions to OUNC by calling 503.23 .198 or 1.800.332.2344. Issue, By: / / / / 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' Date: LICENSE NO. 7Y- 5 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 FOR 01 1'1( I ISI ()NI.) City of Tigard ��Iu�R./ Dateive� 4211.7 �� Permit#: 66 ��/ p-ta0l 13125 SW Hall Blvd.,Tigard,OR 97223 y 4 Plan Review s Phone: 503.718.2439 Fax: 503.598.1960 FEB 1 O 2016 Date/B : Related Pennit#: di cp19/4,a ,- Inspection Line: 503.639.4175 Ready Date/By: Janis: ® See Page 2 for I I , \k I) Internet: www.tigard-or.gov {C�ITY OF TIGARD Notified/Method: Supplemental Information W l TYPE OF itDING DIVISION PLAN REVIEW ❑New construction 'ddition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): O Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition ❑Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. ❑ 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family ❑Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE:INFORMATION AND LOCATION 0 Emergency system. larger separately derived Job#: Job site address: 4 7 7 s vitil1N G or`-I 5q. 2 U ❑Addition of new motor load of ❑system. ? IOOHP or more. ❑Six or more residential units. occupancy. City/State/ZIP: 0 Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: A-07 Project name: YA,$ILt i'1-1\(\ ./.,L 0 Hazardous locations. 0 Supply voltage for more than 0 Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: J tk-SA-(N CST D f- S c. rk \-L FEE SCHEDULE Description I Q4. i Each I Total 1 * New residential single-or multi-family dwelling unit. Subdivision: Lot#: Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add]500 sqti or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential e /f (with above sq.ft.) 75.00 RLeCf,,,Cov ' Nit!l(\P �t o ,f Y �14 & Ct �h LE a Limited energy,multi-family 2 o eW C T c k e+S/ V residential(with above sq.ft.) 75.00 ❑ PROPERTY OWNER ❑ TENANT Renewable Energy 0 See Page 2 Services or feeders installation,alteration,and/or relocation Name: 200 amps or less 100.70 2 Address: 201 amps to 400 amps 133.56 2 --- - 401 amps to 600 amps 200.34 2 - City/State/ZIP: 601 amps to 1,000 amps 301.04 _ 2 Phone: ( ) Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 APPLICANT' ❑ CONTACT PERSON Branch circuits—new,alteration,or extension,per panel A.Fee for branch circuits with Business name: P-fZfl ti) ALL c12_I c�L co STYL U CT I 0 Ai above service or feeder fee, 7.42 each branch circuit Contact name: E-.L it1!LD M B.Fee for branch circuits without Address: (5?Q Li ^(L 7 0 - s t service or feeder fee,first 56.18 67 .1 2 branch circuit City/State/ZIP: Vii-N1 GOO\(L (2- '/J 4 t qg cb e Each add]branch circuit , 2Z 7.42 /, .Let 2 r Miscellaneous(service or feeder not included) Phone:(5'03) 5 )6—3 39 Fax: :(3 t6D)gg -79 74:S Each manufactured or modular 67.84 2 dweEmail: A)Z-.c) f'4 C C 6 Y A-1+0 . CO 1-t Reconnect t onlye and/or feeder Reconnect 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: A-2.ON 6?�Cr1 C, -L C,.0 Pt S t 1Q b CT) D h'! ,L LC_ Sign or outline lighting 67.84 2 Address: /`)- 70 l/ Al E 7©fl S Signal circuit(s)or limited-energy Page alteration,or extension. 0 See Pa e 2 2 fl O v�C ep_ t r q( 6 Z Each additional inspection over allowable in any of the above City/State/ZIP: 1V C 1 V 7 p Additional inspection(1 hr min) 66.25/hr Phone:(5 7j ) 5 I 6-31 3 9 Fax:(360)gg 2 ^ O—7q l Investigation(1 hr min) 90.00/hr Email: A F_o N_Ec_ Q y/ct-t©o . Com Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lie.:(2 2_14g Electrical Lie.:(,8 f 1 Suprv. Lie.: 5.--78g $ specifically listed(1/2 hr min) ELECTRICAL PERMIT FEES Suprv. Electrician signature,required: r--''-- Subtotal: c2 19,y"- Print name: WSi T - 14 cz- N Date: 2(t% , (o 0 Plan Review Required(25%of permit fee): --- State surcharge(12%of permit fee): a[p.35 Authorized signature: TOTAL PERMIT FEE: 62Z/3,7 5' _ This permit application expires if a permit is not obtained within 180 Print name: Q S\ Z-. n A a t.--\ Date: 2. (g l ( (p days after it has been accepted as complete. ` * Number of inspections allowed per permit. I:Building Permits ETC PennitApp FER ERE.doe Res 06 172015 440-4615T(11 05-COMA WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIOINUAL` VORIKONLY: ; .EEE.SCHEDULE Description I Qty. I Each I Total Fee for all residential systems combined: $75.00 Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 ❑ A• udio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva 301.04 2 50.01 to 100 kva 552.26 2 ❑ Garage Door Opener* >100 kva(fee in accordance 552.26 2 with OAR 918-309-0040) ❑ Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 ❑ V• acuum Systems* >100 ka-no additional charge 0.0 3 Each additional inspection over allowable in any of the above: ❑ Other: Each additional inspection is 66.25/hr charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically listed(1/2 hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES 5; Fee for each commercial system: $75.00 Subtotal(Enter on Page I): * Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation n F• ire 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:Building Permits FLC PerinitApp ELR_ERE.dos Res 06 17 2015 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 9477 SW WASHINGTON SQUARE RD A07, TIGARD, OR, 97223 Commercial - Electrical 199 Electrical ﬁnal PASS - No C of O ELC2016-00123 Jeff Grove Violation Summary: Inspector Contractor