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Permit Support Document (43) CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT • COMMUNITY DEVELOPMENT ar"" Permit#: ELR2018-00237 ssued: 12/28/2018 T I( A I'f) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 OWi° Parcel: 1S1260000300 Jurisdiction: Tigard Site address: 9577 SW WASHINGTON SQUARE RD B07 Project: Morphe Subdivision: None Lot: None Project Description: TI fire alarm. 2/21/19: REPRINT to add limited energy for data and security. 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 12/28/2018 $75.00 12%State Surcharge-Electrical 12/28/2018 $9.00 Type of Use: COM Restricted Energy Permit 02/21/2019 $150.00 Class of Work: ALT 12%State Surcharge-Electrical 02/21/2019 $18.00 Total Number of Systems: 3 Audio&Stereo: 0 Boiler Controls: 0 CCTV: 0 Clock Systems: 0 Data&Telecommunications: 1 Fire Alarm: 1 HVAC: 0 Instrumentation: 0 Intercom/Paging: 0 Landscape/Irrigation: 0 Landscape Lighting: 0 Medical: 0 Nurse Calls: 0 Protective Signal: 1 Security Alarm: 0 Other: 0 Total $252.00 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 OAR 2-001-009 ou y obtain a of the rul/ or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: � � 75� OWNER ER 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 A licati FOR OFFICE I.SF OvLv Cl ofTigard Received �j�`� ' `J g r DateB RffiIs///� Pe ice. { A 11 13125 SW Hall Blvd.,Tigard,OR 9722 z B 2 0 a n � Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Related Permit#: Inspection Line: 503.639.4175 Ready Date/By: orris: H See Page 2 for II(;ARU Internet: www.tigard-or.gov Notified/Method: Supplemental Information l:sj s : ' 4 ,....,N 4.171ar y t' F.,°i. J Av YPi , s:: d. r ,% .}:k^3:+.; '. 4 ,..r ❑New construction -'Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): 0 Demolition ❑Other: ❑Service or feeder 400 amps or more ❑Building over three stories. where the available fault current 0 Marinas and boatyards. r ?. # I' t :,,,a1T1,.:*„:itli ' 7::,;',. ,,,Y.,,,,:41t,;•1; exceeds 10,000 amps at 150 volts or ❑Floating buildings. EI1-and 2-family dwelling /El-Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family 0 Master builder ❑Other: 0 Fire pump. 0 Installation of 150 KVA or qtr: S '# 6 t • `i .. c-, ❑Emergency system. larger separately derived Job#: Job site address: ❑Addition of new motor load of system. 2190 9577 sw Washington Sq Rd IOOHP or more. ❑"A", E", 1-2", 1-3 City/State/ZIP: Tigard, OR 97223 ❑Six or more residential units. occupancy. ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: 1 Project name: Morphe ❑Hazardous locations. 0 Supply voltage for more than o Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: i T, Ai Description Qty. Each Total New residential single-or multi-family dwelling unit. Subdivision: 1 Lot#: Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'l 500 sq.ft.or portion 33.92 1 {is y�...E I.' t.-' � _,: ..,�, F./� ,,, ..<: . Limited energy,residential (with above sq.ft.) 75.00 2 Add on to ELR2018-00237. LE for data and security Limited energy,multi-family 75.00 2 residential(with above sq.ft.) du .::: r1 i :• x " . SRnveiweasboer Enedreginstallation,a0SteieoPnaagned2/o r relocation Name: JRA dba Frahler Electric 200 amps or less 100.70 2 Address: 201 amps to 400 amps 133.56 2 11860 sw Greenburg Rd 401 amps to 600 amps 200.34 2 City/State/ZIP: Tigard,OR 97223 601 amps to 1,000 amps 301.04 2 Phone:(503 )639-4627 I Fax:(503 )639-4673 Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: justinAfrahlerelectric.com 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 g711T> '::::r., •1"if ' ':Cr r-: , ° a t ,�* s Branch circuits—new,alteration,or extension,per panel "° '�- A.Fee for branch circuits with Business name: above service or feeder fee, each branch circuit 7.42 2 Contact name: B.Fee for branch circuits without Address: service or feeder fee,first 56.18 2 branch circuit City/State/ZIP: Each add'l branch circuit 7.42 2 Phone: Miscellaneous(service or feeder not included) ( ) Fax::( ) Each manufactured or modular 67.84 2 Email: dwelling,service and/or feeder T �. Reconnect only 67.84 2 t�r ,. . U. --,-„0 btu., ri .*a_s ,.. ._ Tr-' Pump or irrigation circle 67.84 2 Business name: fro? 4/t„✓ /T`, ` ,* Sign or outline lighting 67.84 2 y� � ` c�� Signal circuit(s)orlimited-energy Address: /(O�d 5 ti...., r,..4 h�1r— ie _/ panel,alteration,or extension. ❑ See Page 2 2 City/State/ZIP: ,.?..2.,,A.7 � /V/G Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(r1i2 ) / 3 �� js! 7 3 Fax:( ) Investigation(1 hr min) 90.00/hr Email: vJ l� Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lic.: 197172 Electrical Lic.: 861 Suprv.Lic.:511 OS specifically listed(/z hr min) " ELECTRICAL PES ES Suprv.Electrician signature,required: 4.0 . Iii Subtotal: Print name: Adam Etherington Date: ❑Plan Review Required(25%of permit fee): � 2i2oi19 State surcharge(12%of pennit fee): Authorized signature: TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. * Number of inspections allowed per permit. I:\Building\Permits\ELCPermitAppELR ERE.doc Rev 06/17/2015 440-46151(11/05/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: X I .�4 a t y6"�;. f �"� x. �d�.�- `�"r,- is xF h nw ': fi•`.�. •'*" °_ `..! q:t .'a "�.,;4': Dowd tion ., .. ligZa�®© Fee for all residential systems combined: $75.00 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 l eneration s stems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva 301.04 _© 50.01 to 100 kva 11.1 552.26 _© ❑ Garage Door Opener* >100 kva(fee in accordance with OAR 918-309-0040 ■ 552.26 _© ❑ Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 III 7.42 _© ❑ Vacuum Systems* >100 kva—no additional charge 0.0 _© Each additional ins.ection over allowable in any of the above: ❑ Other: Each additional inspection is ■ 66.25/hr —� charted at an hourl (1 hr min Inspections for which no fee is ■ 90.00/hr —. s.-cificall listed '/2 hr min o g%! '` :, r� � ( Subtotal(Enter on Page 1): Fee for each commercial system: $75.00 Number ofinspecoons 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 ❑ Other: Total number of commercial systems: 2 *No licenses are required. Licenses are required for all other installations 1:\Building\PermitsELC_PermitApp_ELR ERE.doc Rev 06/17/2015