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CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: ELC2010 -00348
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 07/14/2010
Parcel: 1S1260000300
Jurisdiction: TIGARD
Site address: 9524 SW WASHINGTON SQUARE RD H08
Subdivision: WASHINGTON SQUARE MALL Lot: 0
Project: Spec Space
Project Description: (1) 800 amp feeder and (1) 1200 amp feeder. 10/7/10 added (1) temporary service and (1)
investigation fee.
Owner: FEES
PPR WASHINGTON SQUARE LLC Quantity Description Date Amount
2235 FARADAY AVE STE #O
CARLSBAD, CA 92008 1 ea Services or Feeders - 601 to 07/14/2010 $301.04
1000 amps
PHONE: 1 ea Services or Feeders - Over 07/14/2010 $552.26
1000 amps or volts
1 ea Plan Review Electricial 07/14/2010 $213.33
Contractor: 1 ea 12% State Surcharge - 07/14/2010 $102.40
FRAHLER ELECTRIC CO Electrical
11860 SW GREENBURG RD 59 da Electrical Permit 10/07/2010 $59.36
TIGARD, OR 97223 7 da 12% State Surcharge - 10/07/2010 $7.12
PHONE: 503 - 639 -4627 Electrical
FAX: 503 - 639 -4673 59 da Investigation Fee (equals 10/07/2010 $59.36
Electrical Permit)
7 da Investigation Electrical 12% 10/07/2010 $7.12
State Surcharge
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp:
Total $1,301.99
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 ru :� by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -0010 through O: • 52- 001 -0100. You may ob - «• • • . - • j� ect questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: —_' 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 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.
CITY OF TIGARD ELECTRICAL PERMIT
a ' COMMUNITY DEVELOPMENT Permit #: ELC2010 -00348
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Date Issued: 07/14/2010
Parcel: 1 S1260000300
Jurisdiction: TIGARD
Site address: 9524 SW WASHINGTON SQUARE RD H08
Subdivision: WASHINGTON SQUARE MALL Lot: 0
Project: Spec Space
Project Description: (1) 800 amp feeder and (1) 1200 amp feeder.
Owner: FEES
PPR WASHINGTON SQUARE LLC Quantity Description Date Amount
2235 FARADAY AVE STE #O
CARLSBAD, CA 92008 1 ea Services or Feeders - 601 to 07/14/2010 $301.04
1000 amps
PHONE: 1 ea Services or Feeders - Over 07/14/2010 $552.26
1000 amps or volts
1 ea Plan Review Electricial 07/14/2010 $213.33
Contractor: 1 ea 12% State Surcharge - 07/14/2010 $102.40
FRAHLER ELECTRIC CO Electrical
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 $1,169.03
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 • • •ted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -0010 through 0 • : - 001 -0100. You ay,- • - - • • •. - e rules o direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344,
O P
Issued By: ` 1111 Perm ittee 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 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.
Electrical Permit Application S l :t)lz oFFlc is list: owl.
• City of Tigard p Received ADD TO Permit Nn.:ELC2010 -00348
13125 SW Hall Blvd., Tigard, OR 972 _, 1 ` L -1 Plan R eview
C Plan R
Phone: 503.639.4171 Fax: 503.598.1 0 • C �, D : Other Permit:
111 is 1 � Inspection Line: 503.639.4175 `�S �T ® See Paget for
Internet: www.tigard- or.gov \ �(13 „ \S .•�� Supplemental Information
TYPE OF. WORK G o� � 'PLAN REVIEW
1,3 New construction Addition/alteration/re�1 ce Please check an that apply (submit / sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other:
where the available fault current 0 Marinas and boatyards.
. CATEGORY OF :CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
•
El 1 -and 2-family dwelling less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
y g ] Commercial/industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND .LOCATION ❑ Emergency system. larger separately derived system.
❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ",
Job no.: 67671 Job site address: 9524 SW WASHINGTON SQUARE RD i or more. Rec
❑ S Six x o or r more residential units. ❑Receational vehicle parks.
City/State/ZIP: TIGARD, OR 97223 ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: H & M TENANT SPACE ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description
l Qty. I R «. 1 Total 1 •
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 168.54 4
Ea. add'l 500 sq. ft. or portion 33.92 1
Tax map /parcel no.: Limited energy, residential
75.00 2
DESCRIPTION 'OF WORK (with above sq. ft.)
Limited energy, multi - family
TEMPORARY SERVICE
residential (with above sq. ft.) 75.00 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 100.70 2
❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
Name: •
601 amps to 1,000 amps 301.04 2
Address: over 1,000 amps or volts 552.26 2
City/ State/ZIP: Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) Fax: ( ) 200 amps or less 1 59.36 59.36 I
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2
Branch circuits — new, alteration, or extension, per panel -
Owner signature: Date: _ A. Fee for branch circuits with
. ❑ APPLICANT -1 ❑ CONTACT .PERSON above service or feeder fee, 7.42 2
each branch circuit
Business name: B. Fee for branch circuits without
service or feeder fee, first 56.18 2
Contact name: branch circuit
Each add'I branch circuit 7.42 _ 2
Address: Miscellaneous (service or feeder not included)
Each manufactured or modular
City/State/ZIP: dwelling, service and/or feeder 67.84 2
Phone: ( ) Fax: : ( ) Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
E -mail:
Sign or outline lighting 67.84 2 I
CONTRACTOR • Signal circuit(s) or limited -energy
Business name: ELELl'RIC COMPANY panel, alteration, or extension. Page 2 - 2
Each additional inspection over allowable in any of the above
Address: 11860 SW GREENBURG ROAD Additional inspection (1 hr min) 66.25/ hr
City/State/ZIP: TIGARD OR 97223
Investigation t min) 66.25/ he
+ Industrial plant (1 1 hr min) 78.18 / hr
Phone: ( 50 3 ) 639 -4627 Fax: ( 503 ) 639 -4673 Inspections for which no fee is 90.00/ hr
specifically listed ( hr min)
CCB Lic.: 37410 Electrical Lic.: 34 -13C Suprv. Lic.: 1816S ELECTRICAL PERMIT. FEES • I
Subtotal: 59.36
Suprv. Electrician signature, re916d: / plat, review (25% of permit fee):
Print name: R . W. FRAILER Date: 10/06/10 State surcharge (12% of permit fee): 7.12
TOTAL PERMIT FEE: 66.48
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: Date: • Number of inspections allowed pe
1:\Building\PermitstELC- PermitApp.doc 07/01 /10 440- 461S1(11 /05 /COM/WEB vIsT7 t �G�� 44- ��
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i i /32.1.4
Electrical Permit A jplication \, 3 I ) . ", -.FOR OF FICL.USE ONLY=
City of Tigard - Received r� P ermit No.. ? k. II
13125 S W Hall Blvd., Tigard, OR 9722 O' L o10 Plan Review � , � � (� U�
• C .. ' Phone: 503.639.4171 Fax: 503.598.1960 J� cc�� Date/By: (..V/ ( � • Other Permit:
TIGARD Inspection Line: 503.639.4175 r 50 I - -- -- - -
`, , . 1 �pate Ready /By: Juris" ' --® See Page 2 for
- Internet: www.tigard-or.gov `r CV onfieethod: I �J
_ �6 ( { �� `I `lsi
Cj, d/M 7 k /?ylf� formation
clAt F ,� 7 � a ;' fi a r ,>r * eV t r, is .� .: Supplemental In
x..r € 7 - ,aK. .-,. r ,, ' n:...:PAila xs .. t 5 * mx Taal s ftr o V 0t,,� 3', + Y
❑ New construction ® Addition /alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked below)
• ❑ Demolition ❑ Service or feeder400 amps or more ❑ Building over three stories.
Other where the available fault current
❑ Marinas and boatyards.
Q F "',i :g , ef"` - Psi �` a . F + �. s al l 50 volts or
. ,k ....,.. a t,+.0 :`. � . a H Is 4 „,. A Fw,t .' t3 ' .* i .sa: t exceeds 10,000 amps ❑Floating buildings.
" ,_ ` ' Tess to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ 1- and 2- family dwelling ® Commercial/industrial ❑ Accessory building a
❑ Multi- family ❑ Master builder m u buildings.
❑ Other: 0 pump. ❑Installation of 75 KVA or
° / w ' t`z. r t i -'' w � Kd . t? � + m. ❑ Emergency system. larger separately derived syste
.. ,:.:Ci } kl -. : s� r!.4 . yqi N�� i , �,A-,
....: .. ...•.. n- t,A.:i, .:.,IiJI.. - V.�iS`�+'C.k�'�'��.LY u..w..a. ��
❑Ad dition of ne mot or load of ❑ "A " , "E" "1 - °1 -3"
❑
Job no.: 67671 Job site address: 9524 SW WASHINGTON SQUARE RD. 100HPormore. occupancy.
Six or more residential units. ❑ Recreational vehicle parks.
City/State /ZIP: TIGARD, OR 97223 �/� ❑ Health -care facilities. ❑ Supply voltage for more than
4f te_, ❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: ft Project name: &. SPACE , ser\nt:e or feeder 600 amps or more
r- . i k alt! Iii' h"'tayup
Cross street/directions to job site Ir N .
Description 1 Qty. D ry Fee 1 'Total I'
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft: or less 168.54
Ea. add'I 500 sq. ft. or portion 33.92
Tax map /parcel no.: Limited energy, residential
<�s t i e ' h at 1 l s i'' p1 � Pi '�et, � gy 67.84
rr x (with above sq. ft.)
Limited energy, multi - family 67.84
800 AMP FEEDER AND 1200 AMP FEEDER residential (with above sq. R.)
Services or feeders installation, alteration, and/or relocation
r . l % c, a s , 200 amps or less 100.70 :
v a h' 1 . ; „[E a,l ... 4. 1+ti ,u -. 201 amps to 400 amps 133.56 :
Name: 401 amps to 600 amps 200.34 :
601 amps to 1,000 amps 1 301.04 301.04:
Address: Over 1,000 amps or volts 1 55226 552.26:
City /State/ZIP: Temporary services or feeders installation, alteration, and/or
relocation
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 to 400 amps 125.08
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. • 401 amps to 599 amps 168.54
Owner signature: Date: Branch circuits — new, alteration, or extension, per panel
X4, .R .' .-'iii t3W' ftt ' rs , M. i i A`a F.¢q�aa (+ t`� ti4i 1,1V a+.it? ,, , ,,�.:,•a A. Fee for branch r fee
A circuits with
` _: "* M -c 4 � t �: a to L + r i above service or feeder fee, 7.42 • .
each branch circuit
Business name: B. Fee for branch circuits
Contact name: without service or feeder fee.
first branch circuit 56.18
Address: Each add'l branch circuit I • 7.42 _
Miscellaneous (service or feeder not included)
City/State /ZIP: Each manufactured or modular 67.84
• dwelling, service and/or feeder
Phone: ( ) I Fax: : ( ) Reconnect only 67.84
E -mail: Pump or irrigation circle 67.84
'^'y as �Si}�' - i �� .5i 1-tk � �. •;;¢Qy �F,�,,• Sign of Y t ' . K„ ii l� t,.. 1 t , € f. ' tie i4 -'°'�T'fS , ,, o ,, . ".. . , 5 g .'
�P:� -y , ,� � u , _.. Si or outline lighting 67.84
Signal circuit(s) or limited -
Business name:
FRAHLER Fi.FCl'RIC COMPANY energy panel, alteration, or
Address: 11860 SW GREENBURG ROAD extension. Describe: Page 2
"City/State/ZIP: TIGARD, OR 97223 Each additional - inspection over aHnwabde in any of the above
Per inspection 66.25
Phone: ( 503 639 -4627 Fax: (503 ) 639 -4673 Investigation per hour (1 hr min) 66.25 _
CCB Lic.: 37410 Electrical Lic.: 34 -13C Suprv. Lic.: 1816S Industrial plant per hour 78.18
Suprv. Electrician signature, r ed: � s kAte . a ' 5::d91 e : � ' . 13 r ...
�,,.
/ /�� Subtotal: _ 853.30_
Print name: Dat e: Plan review (25% of permit fee): 71 3 33
R. W. FRAHLER 07/07/10 State surcharge (12% of permit fee): 109 _ 40
Authorized signature: TOTAL PERMIT FEE: 1,1 69.03
Print flame: Date: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
. Number of inspections allowed per permit.
Rau ild ing \ Perm its\ELC -Perm it A pp. doc 10/01/09 440- 4615T(11/05/COM /WEB
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK'ONLY:
Fee for all residential systems combined ... $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
❑ Vacuum Systems*
❑ Other:
COMMERCIAL WORK ONLY:
Fee for each commercial • $75.00
system
(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:
*No licenses are required. Licenses are required
for all other installations
l: \Building\Permits\ELC- PermitApp.doc 07/01/10