Permit CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: ELC2011 -00063
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/27/2011
Parcel: 1S1260000300
Jurisdiction: TIGARD
Site address: 9585 SW WASHINGTON SQUARE RD MGMT OFF
Project: Washington Square Mall Subdivision: WASHINGTON SQUARE MALL Lot: 0
Project Description: Retrofit all lighting in main mall corridors, (20) branch circuits.
Contractor: FRAHLER ELECTRIC CO Owner: PPR WASHINGTON SQUARE LLC
11860 SW GREENBURG RD 2235 FARADAY AVE STE #0
TIGARD, OR 97223 CARLSBAD, CA 92008
PHONE: 503 - 639 -4627 PHONE:
FAX: 503 - 639 -4673
FEES
Quantity Description Date Amount
20 crt Branch Circuits wo /Purchase 01/27/2011 $197.16
Specifics: Service or Feeder
1 ea 12% State Surcharge - 01/27/2011 $23.66
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $220.82
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 thro ghh OAR 4. 2 -001- 90. d u may obtain a copy � of the rules or direct questions to OUNC by calling 503.232.1998 1.800.332.234 .
/ 7.f' • Issued By: v J\ / �. . n ^' / Permittee Signature: kJi��' - 7 ' G l�
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' p 01,1 d 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 Applicat - I ED FOR OFFICE USE ONLY
City of Tigard J AN 7 2011 Date/By: /MIME Permit No.: z'ze,%o // cer6
_
• 13125 SW Hall Blvd., Tigard, OR 97223 t -� �� Plan Review
Phone: 503.718.2439 Fax: 503.598. - Q,, , Date /B : Other Permit:
T I GARD Inspection Line: 503.639.4175 l It Y OF TIGARD Date Ready /By: Juris: I3 See Page 2 for
Internet: www.tigard - or.gov BUILDING DIVISION Notified/Method: Supplemental Information
Vai,^^irsi a .. a . k9RYPE OF WORK , a, PLA R EVIEW'
❑ New construction ® Addition /alteration/replacement Please check all that apply (submit 2 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 ❑ Marinas and boatyards. ,
, i ' : 'k " :rt' CATEGORY,OF4C-ONSTRUCTIONt !.,,,,:-0,4, a ' exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 0 Commercial-use agricultural
❑ I- and 2- family dwelling ® Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. . ❑ Installation of 75 KVA or
'u x ' i ¢ '' ' JOB SrP E 1 I rAND 'LOCATION �,r,, ' ❑ Emergency system. larger separately derived system.
.... # ❑ Addition of new motor load of
Job no.: 67705 Job site address: 9585 SW WASHINGTON SQUARE RD toolttP or more occupancy.
❑ Six or more residential units. ❑ Recreational 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: WASHINGTON SQUARE ❑ Service or feeder 600 amps or more.
s, ', ` W FEE SCHEDULE .r . 2.+i.
Cross street/directions to job site: Description I Qtr. I Fee. I Total l
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
R OA F R t i , *DESCRIPTION OF1WORK .0,- t a -ZZ , (with above sq. ft.)
Limited energy, multi - family 75.00 2
RETROFIT ALL LIGHTING IN MAIN MALL CORRIDORS residential (with above sq. ft.)
Services or feeders installation, alteration, and /or relocation
200 amps or less 100.70 2
A y A V + ® PRO OWNERM i �'' c� r ° ® "TENA , S fe . ,. ;: 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: /State /ZIP: Temporary services or feeders installation, alteration, and /or
ty relocation
Phone: ( ) Fax: ( ) - 200 amps or less 59:36 1
201 amps to 400 amps 125.08 2
Owner installation: This installation is being made on property that I own which is not 401 amps to 599 amps 168.54 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701.
Branch. circuits— new, alteration, or extension, per panel
Owner signature: Date: - A. Fee for branch circuits with
r 1, y1 t ',. t 4 s * s , ' " , I' ®CONTA'CT PERSON above service or feeder fee,
_ . t.d .�, ;,APPLICANT 4 .t ' . i k , +'_. each branch circuit 7.42 2
Business name: B. Fee for branch circuits without
service or feeder fee, first 1 56.18 56.18 2
Contact name: branch circuit
Each add'l branch circuit 19 7.42 140.98 2
Address: Miscellaneous (service or feeder not included)
City/State/ZIP: Each manufactured or modular 67.84 • 2
dwelling, service and/or feeder
Phone: ( ) Fax: : ( ) Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
E-mail:
' . rya r"' Y y" } 1 k� �. t R `#' e k= i -,: ao- -
Sign or outline lighting 67.84 2
{ r '� _;� �� : 3 ., .. � . }� y � "� �a y ty,, � :_;r , ��'�?�; +� tata '',: Signal circuits) or limited
Business name: FRAHLER ELECTRIC 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 (1 hr min) 66.25/ hr
Industrial plant (1 hr min) 78.18/ hr
Phone: (503) 639 - 4627 Fax: (503) 639 - 4673 Inspections for which no fee is 90.00 / hr
specifically listed (%2 hr min)
CCB Lic.: 37410. Electrical Lic.: 34 -13C Suprv. Lic.: 1816S '.. ' :ELECTRICM ERMI FE ,s' 4 '!7 ''
Suprv. Electrician signature, rec tired: / c""' �� Subtotal: 197.16
`✓ Plan review (25% of permit fee):
Print name: R. W. FRAHLER Date: 01/26/11 State surcharge (12% of permit fee): 23.66
TOTAL PERMIT FEE: 220.82
Authorized signature:
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
Number o inspections allowed per permit.
1:\ Building \Permits\ELC- PermitApp.doc 07/01 /10 440- 4615T(11 /05 /COMIWEB