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Permit (61) 4 CITY OF TIGARD ELECTRICAL PERMIT Permit#: 111111 i� COMMUNITY DEVELOPMENT ELC2017-00424 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/08/2017 Parcel: 1 S 1260000300 Jurisdiction: Tigard Site address: 9329 SW WASHINGTON SQUARE RD 107 Project: Sephora Subdivision: None Lot: None Project Description: (4)branch circuits for TI Contractor: GATT ELECTRIC INC Owner: PPR WASHINGTON SQUARE LLC 740 RANCHO VISTA DR PO BOX 847 GRANTS PASS, OR 97526 CARLSBAD, CA 92018 PHONE: 541-659-9625 PHONE: FAX: 541-474-0924 FEES Quantity Description Date Amount Specifics: 4 crt Branch Circuits wo/Purchase 06/08/2017 $78.44 Service or Feeder 1 ea 12%State Surcharge- 06/08/2017 $9.41 Type of Use: COM Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $87.85 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work i-. pended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification er. Thos are set forth in OAR 952-001-0010 throu a' = . 2-101-.090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.2(32.198 or 1.800.3 —`— Issued B Permittee Signature: OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale,lease or rent. OWNER'S SIGNATURE Date: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR.ELEC' Date: LICENSE NO. Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project Approved plans are required on the job site at the time of each inspection. Jun 08 17,04:24p Gatt Electric Inc. 5414740924 p,1 Electrical Permit A lication 8 2017 FOR OFFICE USE ONL CityOfTigard JUN Recei W ‘,/e G • 13125 SW Nall Blvd.,Tigard,OR )7 Datc,Ti (l/�J t crnnt r1r�LC /7 o0 i 2 Phone. 5037182439 Fax: 503.598U9 (I 1 OF TI ARD tL,nticvrcwf )_ } ;L Date'Ltt: ry�/� � - Related Permits: 0 Lei -'(�•t / L.tL.,>L TrIGARD. Inspection Linc: 503.0394175 2•adr Datcrliv: ),:,:, Internet: www.tigant-or.gov BUILDING UJV SlO S See Pagel for ,'EIVED Nsfie S'hlcthod: Supptemrntal Information TYPE OF-iVORK PLAN REVIEW — ❑151 sw C(}ngl7vCti0n ❑Ad(I1t10n'alttt dt1011!replllCetitent Please check all that apply(submit 2 sets ofplans w items checkedl: DCi71C)litlOn • d tr �t • (.) 0Scroice err feeder ami osmose ❑Build mg aper three stories. ❑Other. j �( �(G$' .L. ' L T ,{�.,rs�[•, e ❑Marinas and hoary+ids. J } where the availal;ie fauh current "CATEGORY OF CONS"I f2UCTlON ,: <.r i':C H I- exceed,10.000 amps at 150 ro1L;or Q Feinting building;. 0 3-and 2 family dwelling ®Commerctall!Industrial ❑Accessory building less hr grnurtd,nr exceed;I4.f100 Q Commercial-use agricnhurai ❑Mu1ti-family 0 amps foralt other installations, building; ❑Master builderOther: •_ p Fire pump 0 tnstallannn of l so Kv,a or JOB SITE:INFORMATION AND LO ATION ° - ❑Emergency •oysters ler •er separately derived Job#: Job site address: - 0 Addition of nrw motor load of system _ _,S C✓ L.l ._.< ,40' -C, IOf1i1P or marc. ..r�....1....l `.,...l ,.. CtlylState/ .IP: �'0 13. /1 t! Q Six nr more residential units nccupat y. r�44 C r ( 1 Surtubldg.!a t.y: `T-- t -- - Q Iicalth•care fac:Mie.;. ©Rccrcatinnal.etsicic parks. p ( " 0 7 Project naln(:: (f.� S f__ •c) Q Hazardous Iucalmns ❑Supply toltage for more than lapel-{ ❑Service nr feeder 600 amps or more. 660 volts nominal. (toss STI•e'(:(/dtrecttons to job site: FEE SCHEDULE U rxcrinttnn 1�(rv. taco Total Si New residential singe or multi-family dwelling unit. Subdivision: I Lot iy: Includes attached garage. Tar map%parcel •i 1.000 sq.td or less .J i 0 .54 �® . DESCRIPTION OF•LVORIC add' 50(1 sq ft.or pop i i ;3 9'_ 1 Ea 1 ion ' • Limttod ener6 ,residential '`;__ i n S�h E c,1.. 0( ) 4 (�t y)) ( nh aix)vc sq (I 1 I -S.0{) F mucid nn al(widtish ?5.00 C I!ROP ERTY..OWNER ❑ TENANT Rettcwahle Enr t a Str r ane 2 Services or feeder s installs iota s teratron and ar rcdacaGnrt Name: f j ___.- EN r n' {� v S �s s c e L '_00 amps or less 1 r,� :l t Address: T) �`?f,A 205 amps to 400 amps ;?_,,b 2 t 401 amps to 600 urrus 00 Ctty/SGite/ZIP: r t t :-_ „_'22 IA S t+ a+ C 4 7 601 amps to 1,OC+0 amps iUl 11 { 2 Phone:( ) Fax:( ) Over 1,000 amps or volts 55^2i; 2 Entail_ T"emporar••services or feeders installation,alteration and/or relocation _ Owner installation:This installation is being matte on property that l otvn which is not 200 amps or Its i I 59,3{, i j intended for sale,lease,rent,or exchange,according to ORS 447,445),670,and 701. 201 amps to400 amps 125.06 2 Owner signature: Da1e: 401 amps to 599 amps 165.54 1 2 APPLICANT CClI1l FACT PERSON ,- Branch circuits-note,aheration,or exteasiors,per panel A.Fcc for branch circuits with Business name: shove service or feeder fee, 7.42R 42 ? each branch circuit Contact name: B- •Fec for branch circuits wuharrr service or feeder fee,first SG f Address: branch circuit City/State/ZIP: I rich odd'!branch circuit 7,42 - 3 2 Miscellaneous(service or feeder not included) Phone:( ) Fax::( ) Each mamtfactured or modular (,7,84 dwelling,service and/or fee der - Email — Rtxormect only 67.84 2 //'' CONTRACTOR Pump or irrigation circle 67,84 2 Business name: (,.,G2 - i(°C�T t ` Sign or outline lighting 67.84 2 EE✓✓ Si[nal circuit(s)or limital-ener�ry' Address: 1111 R. ,�(�U �; i panel,alteration,Of extension, 0 See Page 2 vs1 1 r L �� J Each additional inspection over allowable in any of the above City/StateiZlP: : T Q ) 0 I '2 i - Additional inspection(I hr min) 0525,hr Phone:(yvi vi ) (, e 4.6:1-S- Fax:(51./f ) tali 7 LII �? 1•)t.( Investigation(1 hr min) 90.00;hr I t j `� Industrial plant(1 hr min) 78.18/hr Email: ",t\', 4-4,1-t.1e( 0ti'F tt)c t� ( 5 yoz�7 lnspcctions for which no(cc is CCB Lie.: U Electri al Lie,: Su rv.Lie.: spccifical�tis,cxl('L•hr min) 90.00/hr ci I �t q, L 7 3 p 6 / �1 l/ ELECTRICAL PERMIT FEES Suprv.Electrician sig»atu equr / /7 / / Subtotal: ��'`-�----• Print name: del i C`�a c f Lh'VI- AU '^ - ! -(7 Q Plan Review Required(25%of permit fee): { ( - - State surcharge(12%of permit fee): Authorized signature:' 2�( `� `l if::: TOTAL PERMIT FEE: —Qy f/_ This permit application expires if a permit is not obtained within 180 - Print name: Nr 44.c�/ // I Date: /s• f.L?T 2 days after it has been accepted as complete. CCS • Number of inspections allowed per permit. I.suildiegPamitoEtl.'_PmnitApp_I:LR ERL•.dec Rev 06i17,2015 440-tbtjT(I r55 COv1'U'E13 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 9329 SW WASHINGTON SQUARE RD T07, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Electrical ELC2017-00424 Inspection Type: Inspector: 199 Electrical final Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor