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Permit (18) " CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT COMMUNITY DEVELOPMENT Permit#: ELR2016-00055 Date Issued: 03/14/2016 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 T[� � g Parcel: 1S1260000300 Jurisdiction: Tigard Site address: 9477 SW WASHINGTON SQUARE RD A07 Project: Yankee Candle Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S Project Description: Low voltage for fire alarm 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 Description Date Amount Specifics: Restricted Energy Permit 03/14/2016 $75.00 12%State Surcharge-Electrical 03/14/2016 $9.00 Type of Use: COM Class of Work: ALT Total Number of Systems: 0 Audio&Stereo: 0 Boiler Controls: 0 CCTV: 0 Clock Systems: 0 Data&Telecommunications: 0 Fire Alarm: 1 HVAC: 0 Instrumentation: 0 Intercom/Paging: 0 Landscape/Irrigation: 0 Landscape Lighting: 0 Medical: 0 Nurse Calls: 0 Protective Signal: 0 Security Alarm: 0 Other: 0 Total $84.00 Other Desc: 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 - .- - • 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: Oregon - requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are se rth in OAR 952-00 -0010 through OAR 952-041 ••0 You may obtain a copy of the rules or direct questions to OUNC by calling 503.232. r 1.800.332.2 . CorIs-ued By: — ���I // 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. 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 Applicat CEIV 14)12 0141( II l SI..01I.1 City of Tigard ReceivDate/Bea . �,�� Permit#: 6-.,�cJ fc eX 2 5 III13125 SW Hall Blvd.,Tigard,OR 9 aa qq Plan Review B Phone: 503.718.2439 Fax: 503.59��U 1 4 ,i1 1`� Date/B : Related Permit#: �/�>`aCJ��p Gti't')�S Inspection Line: 503.639.4175 Ready Date/By: Juris: ® See Page 2 for I 11:1) Internet: www.tigard-or.gov Cif V 01- lit 1 t3 Notified/Method: Supplemental Information O i ✓/� iJ i�(� D /I'YPEj { r!WWW I' Please check all that apply PLAN REVIEW ❑New construction Addition/alteration/replacement pp y(submit 2 sets of plans w/items checked): 0 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. ❑ I-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 ❑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:14 7 7 SW 4.4. 11r.)DA .95- (LSIIO0HP. ❑A HP o of new motor load of system. or more. ❑"A" "E" "1-2" "I-t" City/State/ZIP: (�ji t� ❑Six or more residential units. occupancy. f _ ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: A 07 Project name: .1/4-1•04 L E CO,n Gi I e 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: ULU,let 11.11--0... 517 so... -C H os_t I FEE SCHEDULE Description I Qty. I Each I Total I * New residential single-or multi-family dwelling unit. Subdivision: Lot#: Includes attached garage. 1,000 sq.0.or less 168.54 4 Tax map/parcel#: Ea.add'i 500 sqftor portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential 75.00 IV �� 1 n ( �S ��QTI o 1) Ot li 001.A ),c0,1_,,.0 C0.1_c0 crC OA 0.l 6.4.A. (with above sq.ft.)Limited energy,multi-family 75.00 2 de,/tee ;O _5,c,1 e.s ctre6, ., t✓V-- T9 CAm. amici ✓e sat,"� residential(with above sq.0.) Renewable Energy 0 See Page 2 0 PROPERTY OWNER I 0 TENANT 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 2 401 to 599 amps signature: Date: amps 168.54 2 Branch circuits-new,alteration,or extension,per panel 0 APPLICANT I 0 CONTACT PERSON _ A.Fee for branch circuits with Business name:4-{LION e LE (�t cit. U co N STIR v CT(0 M above service or feeder fee, 7.42 2 /�- each branch circuit C Contact name: i A_Zip NI B.Fee for branch circuits without service or feeder fee,first Address: /5'7 0 4 ^( L 'l Q 4A4� TT branch circuit 56.18 City/State/ZIP: V (w`l E2 Vii A- 9e b' . Z Each adcl l branch circuit 7.42 2 1i Miscellaneous(service or feeder not included) Phone:( 3) 5/e - 3139 Fax: :(%O) 832_—7 cl Z g Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email: �K�J-QN�--- C p �1{fl0- cfl� • C'ONTkAReconnect only 67.84 CTOR Pump or irrigation circle 67.84 2 Business name: A20 M g C, t c k L coS �T(Q t-1 Sign or outline lighting 67.84 2 --� Signal circuit(s)or limited-energy 2 ��� 2 Address: r�70£ E 7047 i1 panel,alteration,or extension. See Page City/State/ZIP:oNC©V V eR di c g 68 , Each additional inspection over allowable in any of the above ( I Additional inspection(1 hr min) 66.25/hr Phone:(5b 3) 916 --"1 3R Fax:(3 b0)88 Z— 7? 7g Investigation(I hr min) 90.00/hr L' y,/T t�LOO! ek Co Industrial plant(1 hr min) 78.18/hr Email: AR @h(` !7 i Inspections for which no fee is p- specifically listed(/-hr min) 90.00/hr CCB Lie.: 19 Z�4�' Electrical Lic.: C 6/5 Suprv. Lic.: �"7g$"S � ELECTRICAL PERMIT FEES Suprv. Electrician signature,required: Subtotal: 75aO Print name: -F-04„;--1-.. .---- Date: ?')/Lf/ / 1j ❑Plan Review Required(25%of permit fee): `"— - ! State surcharge(12%of permit fee): •d0 Authorized signature: TOTAL PERMIT FEE: S?c0 _ This permit application expires if a permit is not obtained within 180 Print name: O,y G i - A-99 ILi Date: ?�1 141 f b * days after it has been accepted as complete. Number of inspections allowed per permit. 1:Building Permits,ELC_PermitApp_ELR_ERE.doc Res 06 17 2015 440-4615T(1 105 COM WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: Description 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 ❑ Audio 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 ❑ Vacuum Systems* >100 kva—no additional charge 0.0 3 Each additional inspection over allowable in any of the above: n 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(%hr min) COMMERCIAL WORK ONLY: ELEgRICAL PERMIT FEES Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): * Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: n Audio and Stereo Systems ❑ Boiler Controls n Clock Systems n Data Telecommunication Installation yr Fire Alarm Installation n HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* Ti Medical n Nurse Calls n Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 1:Building Permits ILC PermitApp ELR_ERE.doc Res 06 17 2015