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Permit (44) CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit#: ELC2016-00468 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/30/2016 Parcel: 1 S135BA00102 Jurisdiction: Tigard Site address: 10154 SW WASHINGTON SQUARE RD Project: Pier 1 Imports Subdivision: OAKBURG Lot: 9 Project Description: (1)sign lighting Contractor: FRAHLER ELECTRIC COMPANY Owner: PPR SQUARE TOO 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 Sign or Outline Lighting 06/30/2016 $67.84 Specifics: 1 ea 12%State Surcharge- 06/30/2016 $8.14 Electrical Type of Use: COM Class of Work: ALT Type of Const: Occupancy Grp: Total $75.98 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 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:copy o tle rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. • Issued 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 Application i Lt R O I F t I. I;I (),,n City .i- City of Tigard RECEIVED . ,_I1 om Permit 0: f' ilio -45 5169 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.196�, Date/B . Reared Permit rt: ,- ~" Inspection Line: 503.639.4175 MQY 26 2016 ReadyDate/By: luris. ®See Page 2for I '' ''t' Internet: www,tigard-or.gnv Notified/Method: Supplemental Iaforsiatten ■ _ •, ., _ ❑New construction I! Addition/a terat,o - I. :`W'rj ' w ` Please check all that apply(submit Z sets of plans wiitemscheciced): ❑Service or feeder 400 amps or more 0 Building over three stories. o Demolition 0 Other : where the available fault current 0 Marinas and boatyards. • exceeds 10,000 amps at 150 volts or 0 Floating buildings. ❑ 1-and 2-family dwelling 11' •mmercial/industrial 0 Accessory building km ro ground,or exceeds t4 000 O Commercial-useagticuhwal amps for all other instelations, buildings. ❑Multi-famil ❑Master builder 0 Other. ❑Fire pump, 0lnstallation of 150 KVA or _'It .. derived _� ❑Em¢rseetwY system �tmr separately -- - Addition of new motor load of system. Job#: Job site address: thf,,a, t ,n t , Ioo11P or more. ❑"A","E",rr1-z" 1-3", . a.r 1_ d '9 tfi ! aye City/State/ZIP:'Ili,cf.i r • Mie. o ❑Six or more residential writs. occupancy. ' Q Health-care facilities. D Recreational vehicle parks. Suite/bldg./apt.#: a Project name: Pit. • `,` ❑Hazardous locations, 0 Supply voltage ix more than t P r . A 7..r- 06 . ` 0 Service or feeder 600 amps or more. 600 volts nominal- Cross street/directions to job site: -" letku Bei. gull Toot - New residential single-or multi-family dwelling unit. Subdivision: Lot#: Includes attached garage. Tax map/parcel II: 1,000 sq,ft.or less 168.54 4 - Ea.add'I 500 sq.ft.or portion 33,92 1 Limited energy.residential (with above sq-ft:) 7500 2 ' I I M fL' Limited energy,multi-family 75.00 2 residential(withabove sq.ft.) i cess orfs installation,Alteration,dforseloattion R ,,Name: " ' MIizt..• % _ 2P0 nrws or less.._ 100.70 2 Address: !Bf il`�, ! r �'! o _ ;s +g,• �� 201 amps to 400 amps _ 133.56 2 E y e_ /lM 4 l 9 401 amps 10 600 amps 20034 2 �!is �' yl o y ti01 amps W 1004 amps _301.04 2 Phone:(,t n; ) 9.; 44.1! r Fax:( ) Over 1,000 amps or volts 552.26 2 , // Temporary services or feeders installations,alteration,and/or ren f �i `r �e , , -der. ,.,els+" relocation Owner installation:This install:"on'is being made on property that I own which is not 200 amps or less 59.36 I 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:. *o ','n" C Date:6.220.16 401 amps to 599 amps 16834 2 - Branch circuits-new,alteration,or extension,per panel � A.Fee for branch circuits with Business name above service or fader fee, f� g.p. t , ' 7.42 2 each branch circuit Contact name: I a et• -J3 i' B.Fee for branch circuits wit out Address: •ry� � � service it nit fee,first 56.18 2 4, 7 i! bratrttn circuit , yes _ Ai 8 f � 4 Each add'I branch circuit 7A2 2 Miscellaneous(service or feeder not included) Phone:(4//T) s 2,6,..-0.Q E 0 4° Fax:: ,'2• ', - / Each manufactured or modular 67.84 2 ���r dwelling,service and/or feeder ® �I'1�l Recon only 67.84 2 Y","t _t - "_-:..2-21::',L..1_. __::: •• "_' '_-Y ._2_ i •Pump or irrigation circle 67.84 2 =MIMS d�a Irl Sign or outline lighting i ' 67.84 4 7.431t. 2 Address: r i t r, / Signal circuit(s)or limited-energy 0 yes page 2 2 S �1�M ' if`l Panel,alteration,or extension. EMEMillr B' �]� Each additional inspection over allowable in any of the above f�r 1 r `�ra-' IIIIIII Additional inspection(1 hr min) 66.25/hr i Phone:( ')1b) ''. 'it(d 3--- IrEll f 1•I Investigation(I hr min) 90.00/hr ums t /'A,jam-!r Industrial plant(1 hr min) 78.18/hr [ j� Inspections for which no file is 90.00/hr Iiiiiiiii�il Electrical Lie.: C$c¢ Suprv.Lic.: 6')10 s etficall listed t4 hr min) i , h'Mat_`•. r;i q 1 i':la ,_1_.'Y � 3n:`a K4" . Suprv.Electrician signature,required:` , , Subtotal: (,Q 7.1 q P _ Dale: �/Z 14 Plan Review Required(25%of permit fee): --- State surcharge(12%of permit fee): g%!i 1i TOTAL PERMIT FEE: 75:7 V Authorized signature: 1 This permit application expires if a permit is not obtained within ISO Print name: Date: days after it has been accepted as complete. ' Number of inspections allowed per permit. ` f tliri Id,nn P,mr uit.'CL.t Pen.iIApp CI.It ERE dot;Key Ord):2r I i •140.4.,;I Ori l ldi$'YILW WF.Ii - /� /I,� p _�L„,f e k 0.-1-ri (4. - e mi-T-0 Q/- .-. ,�GA.11�- /o o,q1()/ V t1 7 1 `Y C,L,fii)/i t. - - Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: Fee for all residential systems combined: $75.00 Demi,tionEl Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 _© 5.01 to 15 kva 133.56 �© ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 _© Wind eneration s stems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva - 301.04 _© 50.01 to 100 kva 552.26 _© ❑ Garage Door Opener* >100 kva(fee in accordance with OAR 918-309-0040) 111 552.26 —© ❑ Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 _© ❑ Vacuum Systems* >100 kva—no additional charge - 0.0 _© Each additional inspection over allowable in an of the above: ❑ Other: Each additional inspection is ■ 66.25/hr —� char•ed at an hourly(1 hr min) Inspections for which no fee is ■ 90.00/hr —. s secifically listed(1/2 hr min) a. s °i, ' ` �.,,. ., .uii.� ,a�''H//�i•, .✓i�i� � �iJio/ /. '.n �i /i.� ih 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: ❑ Audio and Stereo Systems ❑ 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 \ 140ther: �. \ ti� 1=,, c �l`\ 1k\ Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 1\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015