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Permit Support Document to ifslr rr CITY OF TIGAR Bre, 6ELECTRICAL RESTRICTED ENERGY PERMIT rV COMMUNITY DEVELOPMENT Permit#: ELR2017-00212 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/03/2017 Parcel: 151260000300 Jurisdiction: Tigard Site address: 9461 SW WASHINGTON SQUARE RD A13 Project: Lids Fire Alarm Subdivision: None Lot: None Project Description: Install fire alarm system. 11/16/2017: REPRINT permit to add audio/stereo system. 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 Description Date Amount Specifics: Restricted Energy Permit 10/03/2017 $75.00 12%State Surcharge-Electrical 10/03/2017 $9.00 Type of Use: COM Restricted Energy Permit 11/16/2017 $75.00 Class of Work: ALT 12%State Surcharge-Electrical 11/16/2017 $9.00 Total Number of Systems: 1 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 $168.00 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 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 0 ^52-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. 1 + OA/Issued By: --- Permittee Signature: �/'' ��`�� �n�V 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. C 11-15–'17 14:16 FROM– ilti i— P-1 ''''' — ,...,L-.- • ' ' T-102 P0001/0002 F-488 ie Electrical Permit Application FOR OFFICE USE,ONLY 1u\vi 1 6 ?DP' Received City of Tigard 13125 SW Hall Blvd.,Tigard,OR wirm, „,,, , _:, ,,„,_..., 71 Date/By: Plan Review Permit fl: ......1 0 11,..•/MOO,/ Related Permit ti: :•, Phone: 503.7182439 Fax 5034 Date/B ; - Inspection Line: 503.639.4175 ;,7',. ......J ::f 'k,,,•''i7,..,::' ..,, Ready Date/By: JOrlt.: igi See Page 2 for 1.CiARPL , Internet www.tigard-or.gov Notified/Method: Supplemental information .H ':,':• •'' .'•-7---------.. .. :' '. ••::.i ..'... '.ityl,E'Pr'WclikK ..: .... . :..'.. .. ,....•'. .•••••••:: .:. . ..':: :::: ::: ::•...,:.'....:‘0*1.WVIO*..:' ID New construction El Addition/alteration/replacernent Please check all that apply(submit 2 sets of piens w/items checked): 0 Service or feeder 400 amps or more 0 Building over three goes, El Demolition D Other: ‘vhere the available fault current 0 Marinas and boatyards. .:..::: ,::.. •':::::: "::...::;. :.''' .::.c liTPO.V OF:.C6111r.h110TION.:.•:: ::' .. .•' ,,,'.:'::.::::..:'::. exceeds 1000 amps at iso vans or 0 Floating buildings. e0 0 1-and 2-family dwelling El Commercial/industrial CI Accessory building less to ground,or xceeds 10100 COnlinercial-use agricultural amps for all other installations. buildings. 111 Multi-family 0 Master builder D Other: p Fire pump. 0 Installation of 150 KVA or .:.. :, :. • ' . "•• •.: JO).:1.strg.INFoRmoIpN:.AND LOCATION: . •i. •:."..!;,•:.•,'1..• ..:•• 0 Emergency system. larger separately derived •• 0 Addition of new motor load of system. Job#:2041 Job site address:9461 SW Washington Sq Rd low IP or morc. --, _.-- ,__,„, U Or more residential OoilS, OCCOPanCY. City/State/ZIP!Tigard 0 Recreational vehicle parks. 0 Health-care facilities. Suite/bldg./apt.#: Project name:Lids 011azmdous locations. 0 Supply voltage for more Ilion - 0 S'erViOa Or feeder 600 amps or morn. 600 volts nominal. Cross street/directions to job site: ;.'' :::::.;; '::::: ,. :': :t.t SCHEDULE . .. :• :.: . , '• • DescriptionI QiY. I EaCh I Total I ' New residential single -or multi-family dwelling unit. Subdivision: Lot#: Includes attached garage. 1.000 sq,ft.or less l'ax map/parcel# . 1361: : 42 III Ea.add'l 500 sq.ft.or portion ' • . '. • ..•i....: PAS01110* OF AY,c111(::• :: : .. ...: • 1 • Limited energy,residential(with above s..ft.) 75.00 1111111 Audio/stereo. Please add to existing permit 14 ELR2017-00212 Limited energy,multi-family 75.00 2 residential(with above sq.ft.) . .. . Renewable Energy El See Page 2 '0 PRO! RTY OWNER . :: . • • I.. , ? ,icl TENANT '. ...:.;.,'': • Services or feeders installation,alteration,and/or relocation Name: 200 amps or less 100.70 2 201 amps to 400 amps 133.56 2 Address: ._.„...., 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 1 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 M11111=111111.1113 Owner signature: Date: 401 amps to 599 amps 168.54 2 :•'. . . . :0 ApplkANT . . . . : . . n.62&-r•Act.:pERsolir,: .. 13ranch circuits—new,alteration,or extension,per panel . , . . ,, . . • -• A.Pee for branch circuits with Business name:JRA dba Frahler Electric above service or feeder fee, 7.42 2 each branch circuit Contact name;Justin Kau B.Fee for branch circuitslvithord service or feeder fee,first Address: 11360 SW Greenburg Rd branch circuit 56.18 2 City/State/ZIP:Tigard,OR 97223 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(503)6394627 Fax::(503)6394673 Each manufactured or modular 67.84 2 dwelling,service andier feeder Email:luau'n@frahlereleetrie.com Reconnect only 67.84 2 :.'' ::'. ' : '• ..2 ..: ••1 . , ,•: ::; ' cP1111-4CrOg- :', •::.:. , :'.: . • .. • ' .: ,'.::• Pump or irrigation circle 67.84 2 Business name: Sign or outline lighting 67.84 2 Signal circuit(s)or limited-enew Address: panel,alteration,or extension. D See Page 2 2 .. Each additional inspection over allowable in any of the above City/State/ZIP: Additional inspection(I hr min) 66.25/hr Phone:( ) Fax:( ) Investigation(1 hr min) 90.00/hr Industrial plant(1 hr min) 78.18/hr Email: Inspections for which no fee is 90.00/hr CCB Lic.: 197172 Electrical Lie,: c861 Suprv,Lie,; 5110$ s.;oilman listed.14 hr min . . . / .::.... :...:;,.:: :'•:EI:.;g0,10CAL tO.Mit.0t$ .' . • ' . : ' ,r-,' Suprv.Electrician signature,required: f:(....., .i..a.,,..:,,,,- . . ., Subtotal: Print name: Adam Etherington Date: 11/15/17 n Plan Rviev,Required(2514 of permit fee): State surcharge(12%of permit fee): Authorized signature: TOTAL PERMIT FEE: - . — This permit application expires if a permit is not obtained within 180 Print name: Adam Etherington Date: 11/15/17 days after it has been accepted as complete. - * Number of inspections allowed per permit. lAlltuildiat\PormitAISLC_PerrnitApp_ELR_EPS.doc Rev 06/17/2015 4.10-4615T(11/0NCOMAM 11-15-'17 14:16 FROM- T-102 P0002/0002 F-488 f,tp,1„1 a rcpt cc- '✓-► Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: De e sert lion Fee for all residential systems combined: $75.00 Renewable electrical energy systems: IN Check Type of Work Involved: 5 kva or loss 100,70 5.01 to 15 kva 13356 ❑ Audio and Stereo Systems* 15.01 to 25 kva MI 200.34 Wind!eneration s stems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva MI 301.04 _© 50.01 to 100 kva 111. 552.26 sum ❑ Garage Door Opener'' >100 kva(fee in accordance ■ 552.26 MI with OAR 918-309-0040) ❑ Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 1.11 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 III 66?5/hr char_ed at anhourly(1 hr min) Inspections for which no fee is - 90.00/hr �. s. eificall listed V2 hr min) COIY ]EiCjAL,wom.:ON><. Subtotal(Enter on Pane 1); Fee for each commercial system: $75.00 w Number Of inspections allowed per permit. (SEE OAR 91 8-309-0000) Check Type of Work Involved: ® Audio and Stereo Systems ❑ Boiler Controls eet5e. CLC A-0 n Clock Systems n D• ata Telecommunication Installation ?e,/yv - L v . Z.C71 7— 00 Z,L n F• ire Alarm Installation ❑ HVAC 1n il.0 u i n Instrumentation n Intercom and Paging Systems n L• andscape Irrigation Control* ❑ Medical Nurse Calls n O• utdoor Landscape Lighting* IT P• rotective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 1NDuilding1PermitaLC_PermitApp31-'A 2RE•doe Rev 05/17/2015 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 9461 SW WASHINGTON SQUARE RD A13, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Electrical Limited Energy ELR2017-00212 Inspection Type: Inspector: 198 Low voltage final Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor