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Permit 1 1111 CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit #: ELC2011 -00210 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/22/2011 Parcel: 151260000300 Jurisdiction: Tigard Site address: 9530 SW WASHINGTON SQUARE RD H10 Project: Apple Store Subdivision: WASHINGTON SQUARE MALL Lot: Project Description: (6) branch circuits. Contractor: LANTIL LLC DBA THREE PHASE ELECTRIC Owner: PPR WASHINGTON SQUARE LLC 493 NE 3RD AVE SUITE B200 BY THOMSON PROPERTY TAX SERVICES CANBY, OR 97013 ATTN HILARY RAYMOND CARLSBAD, CA 92008 PHONE: 503 - 889 -6615 PHONE: FAX: 503 - 651 -3540 FEES Quantity Description Date Amount 6 crt Branch Circuits wo /Purchase 04/22/2011 $93.28 Specifics: Service or Feeder 1 ea 12% State Surcharge - 04/22/2011 $11.19 Type of Use: COM Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $104.47 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 rul- - - • •ted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through 0 • •52- 001 -0090. Yo - • • • . - • • the rules or •irect questions to OUNC by calling 503.2 1987 or 1.800.332.2344. •- Issued By / Permittee Signature: _mot ! — �Git, _ 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. 2011 -04 -22 08:57 503 -651- . a 0rt;*- 1, _ •t- tr p / Electrical Permit Application i(ii OI II( i I S 11 1 City of Tigard , Permit No.: n _ -14 1 — . . 13125 SW Hall Blvd., Tigard, OR 97223 t "4 Plan Review I Phone: 503.7182439 Fux: V 503.598.1 � � ti u lkzle /Ky; Other Permit: I 1 t P. I - Inspection Lice; 503.639,4175 � �� bate Read w y By: toils: — VI See Page 2 far Internet: www,tigatd-or,gov ,,S��YY 9) % % 'I Nodfied /Method: l Supplemental Information _ �rY�f�� a , •�rr,;,r rr y . ::a ., n.u:�r+, , ln, ,,, r .,_.; a . .,.,rl . rr,,�l ','r r.r rr,r,,r. r. +� 517( .� r ,� un11"'re rwa, rri:,ge ,,,, �; 5_ 1.,t i rl6 ) 1l 1 ..� 7, t� rktH r2 .Y , .,:, + i . . ,nKr t I rtl . MIA t+C'I 'IX, f.t.. !WW', ,S I ,d! , +,w,.a �. 1 ,. 1,.,, ,,.,, , 1 p L 1 P `tr,r t 1, l r. t• ,r: fi , „„l.rl:l'«",r••t 1i1� 4.r;. 1q`A lr ; Ir •W r+ ,.r o∎e rE, .,,,u , { ,., ,/. ,, ,.,,E 6 ,, .,5. 1, .W1G1 � , 4 . 6 k , r, t,. ,, , , , .iii .,-'' t, a 1 44 1+ 1 ,,, ,I .. "...1... ,{. .. , .,. I ,n 1 1 , �. rl Ir ,- „�., ,.....i. �., ,.n {. +.. . r��.,..�.a. .. ,. a .,I ,i. , C4. �>a r. r rr ,.p r. ,..a.. �, . 1, {.. a �! .r, �1, �.,,1 N'. 1 � 11. 1 I • it { i i v. , , vr, rt„ r , i 6,tlel +l,I NitMr,.rla.ln"4, r t I� / f -. 1 t.,Y t. . .. +,rl.r.�r,,b , („ lain_(�,.�,. )Y ,.'A1Cr dl” frk9fd��al ±zr,r4,Fuu�t1,.,.413rz a t t4tr,,: +z:rolavlr r „Li z, .f� ...l.r... ,l , ,{t�tlr ., . , ,z,.ia , >GItL rt�kc n�a,. ,u,dfde�m���np i I!I6191i, r d 6�.�tr YI4.Ylal,,r� �� rl,,a�,eia , t.,,C.l.ir�r �itlrwr��:� ,.r,.v tr,tt�rnN a:,, `a ' Please check all that apply (submit 2 acts of pleas w /items checked below); ❑ Ncw construction ® Addition /alteration /replaipaga6r)t' 1 ' (\ " 1:1 Service or feeder 400 amps or more ❑ Building over three stories. © Demolition Other: ' where line available fault current ❑ Marinas and boatyards. 'PRY r + E ;}, a r , ' trl +rr a «qt :r ram � e fM eza z w sr 4:zii we aw r r r „ r r ` r u l, a tl�lssi�l l � ! El lil∎Il' h� {;tst i i i 4 •rr. ' 4; ;; i g Nt rk i +r,rs, ! .,..n igt1, w lli 14! O l)1i , t ;1 ;i IiMIZ exceeds wound, amps o s 1 volts or ❑ Floating ci i -n o n a. les to (mound, or exceeds 14,000 ❑ Commercial -u agricultural ❑ 1- and 2- family dwelling 23 Commercial /industrial 0 Accessory building amps for all other installal inns, buildings, U Multi- family ❑ Master builder ❑ Other: ❑rice pump. ❑ Installation of 75 KVA Ur 01 In "1}ti )) " ' Y` F )'a i r ti t r ins r� , rrn asa Iaureus reset i „ r l , l �>py,+, ti p tt' , ,r i`b41aNR • l 'trei ' ,3ryr ra; i I r}9,P , rn 0 Etiiergtliley 5yi1em. larger xePilrltrly derived system. it e , L ' f4/1:6'! 1 `G i . r n 1 t + t �' a ' ,Srbett' r /, ' ',�r�/ C Y +V 6 ;, ') Add ition of new mot or load of "A", ,, „ -2 „ , -3 „ i 1t'ai , ur„11..,,,,m stereo, 1, adr, I r , , t, oe .r, d lr,., e,,.4, ,, ,,,.,., ueue .l ❑ D lOOHP or more. occupancy. Job no.: Job site address: 9530 SW Washington Square Rd 0 Six or mom residential units ❑ Recreational vehicle parks, City/State/ZIP: Tigard, OR 97223 ❑ Health -care facilities. 0 Supply voltage for more than ❑ hazardous locations, 600 volts nominal, Suite/bldg. /apt, no.: I Project name: Apple Store #R(190 ❑ Service or feeder 600 amps or more. , Y r ) r {I r 1, 1 1 , 1 i r' �� rl + ii r l 1 N A 1, ; + + r+��f, .3 1 ..% Cross street/directions to job site; ( n f m u � , p �r1. � � , i (7 t,rf, ,� t �',frlrv lr , rn r l rthrt vrr Qty. f i � � t l, l,r,.�nw , , k „Y,k {,�,•:�a pd Qty. Nee. Total • New residential single or multi- family dwelling unit. Includes attached garage. — Subdivision: [ l,ot no.: 1,000 sq. ft. or less 168.54 4 Tax map /parcel nn.; L 'l La. addl sq. ft. or portion 33.92 1 Limited energy, residential qtr p+6/, 1 Sk,,1 !, 1, riIF 5 S , +ta rt r r , 7 7 . 0i,,, r ,KU4 ultt, 16 l ` rF),t) n q) . ,• . 8 i c ' K Y a' 1 g, r ■, I t .: �' 1 t , (with above sq. ti 75,00 2 ti ,,,YV1v,VG1,1.:4,t,h1n :;fir firm 1 + r” iiDr „il d I r r�' kw,nr <rorc.1, +,, ra ,L lr„lrluw.,,��s„•b�nnna, , .(i.. x t J.. r .l. )1,l Y I �i!,r l l.) I Vii, 0.u - . Limited e ner gy, multi - f Adding (6) circuits residential (with above sq. R.) 75.00 2 Services or feeders installation, alteration, and/or relocation 200 rumps or less 100.70 2 ,, Yi„l, ( 11, 1 IGrMf .,,,; 1 r k, „ t'+"` P1 -:W,I ,, r, p , ,,, 1 1 t, ,�''i ) 7 i . ,.,.cr at,, l - E t .t u , „ „, ,, . . ,E�„ .l.): , . i i iii:i . t • , r r .t:i „XI „ I , � , ) r t f t lie i v i, Otto ,last 1 201 tows to 400 amps 133.56 2 , r . l , .,. l l,Y r , , ,r n,r m•w,ervi�. 1M zest r l r t „ r,. Name: 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 301.04 2 Address: Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation, alteration, and/or City/ State/DP: relocation Phone: ( ) I Fax: ( ) 200 amps or less 59.36 1 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 Io 599 amps 168.54 , _ 2 Branch circuits — new, alteration, or extension, ;er panel Owner signatur¢ Date: A. Fee for branch circuits with ` ` ' '° " , , above s or feeder fcc, 2 :`, • „ : , a + „1,.1 ).,. Il,l . . .. . ... : .... . .. . .r „r b, „r, !, r each branch circuit 7.42 Business name: B. Fee for branch circuits without service or feeder fee, first 1 56.18 56.18 2 Contact name: _ branch circuit Each add9 branch circuit 5 7.42 37.10 2 Address: Miscellaneous (service or feeder not included) - City/ State/ZIP: Each manufactured or modular 67.84 2 dwelling, service and/or feeder Phone: ( ) I Fax: : ( ) Recomroct only 67.84 2 Pump or irrigation circle 67.84 .. 2 E-mail: Sign or outline lighting 67.84 2 r , i t f , I ;.. 1, 1 ) 4 rt at 1 �., � - a , , ,,r ) „t,. m rlr l i .r.. L.I V .vi r ,, ,,,,) .r ,,,, . , c , r �t..i.., , , , ,..,,,,iry,;7.,. „ „ , r ` ,.. ,, . ' r ' ' � ..I ..1.., � Signal cucuit(s) or limited -cost' gy Business name: Lantil LLC DBA Three Phase Electric panel, alteration, or extension, Page 2 2 Each additional inspection over allowable in any of the above Address: 493 NE 3 AVe Suite B200 Additional inspection (1 hr min) 66.25/hr Investigation (I hr min) 6625/ hr City/ State/ZIP: Canby, OR 97013 Industrial plant (I hr min) 78.18 / hr Phone: (503) 263 -2558 Fax: (503) 651 -3540 inspections for which no fee is 90,00/ hr a. - ificall listed 1 .6 hr min CCB Lie.: 162368 Electrical Lie,: 3 -332C Suprv. Lie.: 3398S el i f' ;;;;T:,!:;11:1 r r t t + Suprv. Electrician signature, required : e« I 4,44€ Subtotal: 93,28 Plan review (25% of permit fee): Print name: Dennis Welch Date: 4/21/11 State surcharge (12 %ofpermit fee): 11.19 TOTAL PERMIT FEE: 104.47 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 per permit. 1:1Btdldfng\Pamits\ELC4' mitApp.doc 07/01/10 440.4615T(I l /05 /COM/WEB