Permit W y CITY OF TIGARD ELECTRICAL PERMIT
q.
Permit #: ELC2010 -00346
k COMMUNITY DEVELOPMENT Date Issued: 07/08/2010
13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
T 1 C; ARD, 9 Parcel: 1S1260000300
Jurisdiction: TIGARD
Site address: 9785 SW WASHINGTON SQUARE DR D12
Subdivision: WASHINGTON SQUARE MALL Lot: 0
Project: Radio, Shack
Project Description: Electrical for TI.
Owner: FEES
PPR WASHINGTON SQUARE LLC Quantity Description Date Amount
2235 FARADAY AVE STE #O
CARLSBAD, CA 92008 11 crt Branch Circuits 07/08/2010 $130.38
wo /Purchase Service or
PHONE: Feeder
1 ea 12°/0 Surcharge - 07/08/2010 $15.65
Electrical
Contractor:
FRAHLER ELECTRIC CO
11860 SW GREENBURG RD
TIGARD, OR 97223
PHONE: 503 - 639 -4627
FAX: 503 - 639 -4673
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp:
Total $146 :03
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 -0100. You may obtai a co• h€ es or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. ( •
Issued By: `�( 11110 AP Perm ittee Signature: ZAK
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 an inspection that•business day.
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.
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�lectrica[ �Per>iri�it Application. yt'��stiµ4 5, �, 4 „ ;rQR,orr•tt ius6'ONL�f�� 3 •
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q i. t• ” 7 e4 .. CI' of Tigard � �; � R eceived' ♦� .
1 111
ys D ate B y: (lam 6 � ' Per mi t No _ , ^ • . .`._ '. i
? Phone` -5 Tigard, O 97223 r Q r
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'y ' 13125 S 0 3 Hall 63961 ., 171 Fax '503:5981960, 1 - -Plan Review ;Other, Permit,, p y f j
O D Date /By ille2t l � UW ` l ' .
:TIG . Inspection InternetLme• 503.6394175" a�� 1 i1' D 0 Seeleage2fo'r'' _
:.vvwwatgard- or.gov t I`( , Nate Ready /By _ king:
p • - - fd-'{g • Supplemental Information.
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,; , Aikpl„ `, 4p;'Z wr , . 2 + .x t . 0..,. .. ..,r », .n4, , wa�.< t +, sue, 5 ? ., • 9 it: .,:
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• sNew'construction Addition %alteration /repl3 -' mit 2 sets oiplans whfems checked below j
P.lease�c}iecl. all Mat apply (s uU
• ' ❑ Serviceor feeder 400 amps. or more ❑Building over three.stories.
❑ Demolition - ❑ Other where the available fauh�.current .. ❑ Marinas and boatyards, • l , ., _ R ; s 0". ,r d briii Cpl`[sRU( iti Ys g f i a " D .. :, amps of ,130 volts or ❑,Floatingbutldmgs'"
i,r " ' ' -- -'' ' q-h "_ ; "; ' s
' .. `'- less-to ground, or exceeds.14,000 . ❑ Commrcial -use agricultural
;'E 1- and family dwelling m
[a Comereialfindustrial • El Accessory building am s for all other :installations: ' buildings
❑ Multi family ❑ Master builder ❑ Other ❑ Fire pump • • • ❑ installation of :75. or
7t y , i . ❑ Emergency system. . :. larger separately derived syste
K a " r m m wim u � f � uF 'FOIt A 0° T A . +OL , Y i fir. g '
,..,,.. g ,.yat... , >. .,_.g�v _.,. ._,b 1 ay ,.. . , Vi��,.; �,,��?s k„. ❑ Addition nf new motor load of
Job no.: 67673 lob site address: 9785. •SW " WASHINGTON 'SQUARE R11 100HP m' Wore. occupancy:
• ❑ S or more residential units. ❑ Recreational vehicleparks.
TIGARD
-City /State /ZIP[ `OR 97223 ❑ Health -care facilities. . ❑ Supply. voltage.for more than
• ,
❑: Hazardous locations. 600 volts nominal. '
Suite /bldg. /apt. no.: Pro name: • ❑ Service or feeder 600 amps or more.
RADIO SHACK f r
"u'' ".r.F til.w' .�. «, .... �'tk 0 ?. $ ,t , x z N E 0MN
Cross street /directions to job site: • I)escri t;oa
ti 1 Otv. I Fee. 1 "Total .1
•
New residential single - or multi - family dwelling unit.
•
• Includes attached garage.
1 000 s ft ;or less - 168.5'4 ;
Subdivision_ Lot -nti.: 9,.
Ea .add 'l 500 sq.-ft-or portion 1 33.92 '
Tak •map /parcel no Limited energy residential
, %.;117 �a` {�;g " i -Y •. r
' 67.84 .
�r.`x��� ;; ���,2:'. >.,w�3 .n.. x.�.„�s,�:�, r,' 'x�„ ",�, �`� �` �- itk�?� � � (with abbve:sq. ft.) •
Limited energy, multi- family - •
TENANT IMPROVEMENT residential (with „above sq. ft.) 67.84
' t, Service installation, alteration, and /or relocation
200 amps or less 100.70 .
.}a.` -'�n� ye'ti n -z�u k a u u '� �! yf . s �sw - - - .
ate'{C� � ,, a�u :t ? t z _.r. - 2 01 amps to 400 -amps 133.56
Marne:'' ` • . • ` 40 amps to 600amps. i, 200.34 :
_.. ___- _ _. _ _ _ _ . _ . __-._.- ._._..__..__. .. . . _ _ . . . . . . . . . . _ . . _ . . . . . . . _ _ . _ .
' .. _ _ -
Address; 601 amps to 1 000 amps ,301.04 :
_._ „_ _ _. Over 1 000 amps of volts 5216 x •
City /State /ZIP: ” i. "''a=: % =• r': -': ; `-L.•
°.
, : ••' i't ;Tempo services Oi' feeders alterat and /o
Phone :'( ') • Fax: '( ) 200'amps or•less- - _ _- _ ..._ - 59.36- -- ---
Owner installation: This installation-is being•made on property that I own which is:not •201 amps
40.11ampsr. . .•. 125.08 ;
intended for sale, Iease,.rent,•or exchange, according-to-ORS-447, 449; 670;-and-70I :• - - - - - 401,4i 599 amps - 168:54 •
Owner signature Date
A. Branch circuits -
Fee for branch circuits wits alteration, or extension, per panel
th
. w, a� s x* r h v.,, r.;^r •Ll"i* s � 5 .
.~ x K 7 0 �P444 *31 41, °f i � h, � i :x r * **S ' , -above service or feeder fee. '
._ , .�• ,,. 7,42
each branch circuit
Business name: - B. Fee for branch circuits •
without service or feeder fee.
Contact name: 1 56.18 56.18
first branch circuit
Address: - - Each;add'l branch circuit 10 7.42 74 , 20
Miscellaneous_(service or feeder:not:included) _
'.City/State /ZIP: Each manufactured 'or modular
• dwellin vice and /or feeder 67'84
) g, ser
';Phone; "( Fax: ( ) Reconnect only 67.84 '
E -mail: .. , - Pump or irrigation circle 67.84
gal s ; s f O , tta 'C3'e ig >g a t t ai g l ` Sign or outline lighting 67.84
-,; .mow
Signal Circuit(s) or binned-
Business name: FRAHLER ELECTRIC. COMPANY • - -_ • - energy panel, alteration, or
extension. Describe: - - Page 2
'
' Address:. 11860 SW . .GREENBURG :ROAD °.
: City /State /ZIP. r Eaeh_additionsili ieetion:av allowable i. any.of.the abo
TIGA OR 97223. —_ _ -_ ..___.
- Pertnspecnon__ 66,35 _ -
Rhone : - ( )/ 639 -4627 Fax: ( 503). 639- 4673....: -___._. _ invest .per-hour (1 hrm;n) .: - - - -66:25 –
CCB Ltc •. I:i: • ` El ectrical Lid.: Suprv. Lie::: lndustnal, plant per hour n 78 :18
3:741 34 13C p__ ry 1816S R - r x LEA 1CALoF s :;
.. S upry 'Electrician nature r ed. __ - Subtotal:
.../t,G1� _ 1 30 _ . 38 :.
—7-:---- Plan eview (25% of pennit fee)`:
Print name :, .R. W. :FRAILER . • Date: 07/07/10
- • state ' surcharge (12% o f permit fee): 15..6 5
Authorized signature: • • - _TOTAL PERMIT FEE :, 146.03
This permit applieati n expires tin permit is net ebtaiireS within t80
Print name: - • Date: days after it has been accepted as complete.
* Number of inspections allowed per permit
1 :\Building1Permiis \ELC -Perm itApp.doc 10/01/09 440-461 5T( 1 1 /05/COM/WEB -
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
•
LIMITED ENERGY PERMIT FEES:
1 ` ' Fee .for all residential systems 'combined $67 ..84 •
,F. Ch T
w,r 3 `Sr E -I.I r __ ''-r {4 -w;nr N :+z •
. ec ype o f W I n , -= r i r" + y .t 1 a by F ,- rt r ,;t 't Jt i?
-o volved r • c �• h ., . y 4 T k „ , x 2 ,� 1 3 = K � :.- r a ' a i io :
'Vp i Y9 fxt'l7 .,, i • 10 1 1 1 ,^ { Y�: _ I f _.___ •. + ... _
❑ Audio and >Stereo' System 1.1 / , �'„ i c 1 c , ` , : v >; I t .
•'x :!1..'0 Ti ` .. L`it F :Ai 1 Vii. _ .2
❑ ' Burglar Alarm ,.. :r , , , = ? T _ ; •
- , .. _..__ ` " ..__.. •, . .._. . . :.
• Garage Poor .Opener* •• . , ._ _. • . • ❑ :Heating, Ventilation and Air Conditioning System* - .
• ❑i Vacuum Systems*
• --- ❑ Other: _ _ - — — „ . J
. Fee for each commercial ' . $67.84
system
•• (SEE OAR 91'8 -309 -0000) .
•
. _ .._._ . Check Type of.Work:Involved:
•
........ _. _...._ :2.'l '_Audio and..S.tereol Systems - • :' .
;.;.2.. ,_, 1 .__ .....
. r .. =s . :
` Bailer 'Controls' ''” ' ,,„ I , ._._., ,..„,..r,-2,
_...v. -- ®: Clock - Systems { • _ .. ❑ Data'Telecommunication Installation • - - - 1- •'• - -!!•':',. . , .1
_ - Fire Alarm Installation •
❑ HVAC . •
- Instrumentation • •
Intercom and Paging Systems - . - _ _ — - . - _ - -
❑ Landscape Irrigation Control*
_ Medical '
❑ Nurse Calls • • -
.
- Outdoor Landscape Lighting* •
..- - ....._I >{ ProrectiveSignaling J c - ::r
Other -_. __• -._... __ - --
e
T otal . i umber:of coinme>_c _ . . -.. _ ..... . -__. -- ...._
_.. . .
*No licenses - :are required.: Licenses are required . .
for all other installations
I:\ Building \Permits\ELC- Permi=App.doc 10/01/09