Loading...
Permit CITY OF TIGARD ELECTRICAL PERMIT 11 4 COMMUNITY DEVELOPMENT Permit #: ELC2012 -00502 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/28/2012 Parcel: 1 S126CC00100 Jurisdiction: Tigard Site address: 9700 SW WASHINGTON SQUARE RD Project: Nordstrom Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: 108 Project Description: (1) branch circuit for installation of (1) 20 amp lighting Contractor: COCHRAN INC Owner: PPR WASHINGTON SQUARE, LLC 7550 SW TECH CENTER DR #220 C/O NORDSTROM TIGARD, OR 97223 ATTN: TAX DEPT PO BOX 2229 SEATTLE, WA 98111 PHONE: 503 - 234 -6564 PHONE: FAX: 503 - 238 -2098 FEES Quantity Description Date Amount 1 crt Branch Circuits wo /Purchase 08/28/2012 $56.18 Specifics: Service or Feeder 1 ea 12% State Surcharge - 08/28/2012 $6.74 Type of Use: COM Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $62.92 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 -001 -0 90. You ma obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.8000.332.23444. Issued By: / �/ fr(�.v[ Permittee Signature: O 4pPU e 4'71 - [ old 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. 01 REt:EI'IE 15:32:19 08 -27 -2012 1 /3 Electrical Permit Application MR O141(1•: l Sl. ONLY City of Tigard AUG 2 7 2012 Received ` � /� n^ ` , � Plan 6 I 4 �eZ- PermitNo I�I � ��OS� y.- ° 13!25 SW Hall Blvd., Tigard, OR t+^ ��D Plan Review 11 Phone: Fax: 503.598. IGAR Date/By: Other Permit: 1' l t i A le n Inspection Line: 503.639.4175 BUILDING DIVISION Date ReadyBy: 146: / ' I El See Page 2 for Internet: www.tigard- or.gov Notified/Method: i ! mental Information [J New construction •n.• ddition/alteration /replacement Please check all that apply (submit 2 sets of plans w/items checked below): ❑ Demolition • Other ❑ Service or feeder 400 amps or more ❑ Building over three stories. where the available fault current ❑ Marinas and boatyards. /. ,,.''t.'i CATEGORY ; =OF::. NS'hRUC1i'Oj'y'M m at 150 volts or :.: i :� '; r.'`.. . E,e .,, .. . ,. „ ,. , ,... 4•, �a' iir: � ` �; i,: �,': ?i•�:er'.r,' exceeds 10,000 tulips o ❑Floating buildings. El dwelling �$Cominercial /industrial less to ground, or exceeds 14.000 ❑ Commercial -use agricultural 1- and 2-family g ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other 0 Fire pump. P ❑ Installation of 75 KVA or CYO /o JOB. SITE, INFOW�IATION LOCATION ❑Emergencysystem larger separately derived system. . ❑ Addition of new motor load of ❑ "A ", - E ", "1 - ", "1 -3 ", /liD��� Svc, du 1 /,�., (/ 1 _ l ix or more more. si ❑ occupancy. Job no.: ( Job site address: !/ L(/ u/ /r /r�,f!!7► pan°y. ❑Six or more residential units. Recreational vehicle parks. City /State/ZIP: �l /s ©,e___ &x7 - 0 Health-care facilities. 0 Supply voltage for more ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: Na2DST,Fo 1,i ❑ Service or feeder 600 amps or more. Cross street/directions to job site:61A9 Pu .. ': _ .:'i: -. -:.P i�:" f;FEEE:`SCUEDUI1E'r ;`: : . ' r :t�, ' A Aa2) Description ' �., I Qn.I .. - I',•. Total '. • .;-5 ��n / New residential single- or multi - family dwelling unit. -.) !04'54//29 41 Includes attached garage. • Subdivision: Lot no.: 1,000 sq. R. or less 168.54 4 Tax map /parcel no.: Ea. add'I 500 sq. ft. or portion - 33.92 1 Limited energy, residential 1) OF WORK (with above sq. R.) 75.00 2 Limited energy, multi - family 1/4 /0 -- 31 1 , '2/ . rhsroCL C) 7/9 AMP 277 V L/q/r/i/t y re (with above sq. ft) 75.00 2 i Services or feeders installation, alteration, and/or relocation &typi tole j nil477AL1 ff/Z�lf / r • nGOm S 2 00 amps or less .. .. „ _, . 100.70 ❑.PROPERTY! , .' ;,!; : : 1! : ,:.. , ,,..,... 1t. ' ... . .. .,. I , ,'''�', !o 'TENANT• . 201 amps to 400 amps 133.56 2 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 City / State/ZIP: Temporary services or feeders installation, alteration, and/or relocation Phone: ( ) 1 Fax: ( ) 200 amps or less 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 pastel Owner signature: Date: A. Fee for branch circuits with ❑.AP CU NTAC`f,PER$ON above service orfiexler fee, 7.42 2 •,I' `'' `' each branch circuit Business name: . cis C.of'' c j.. 0 , ( .... B. Fee for branch circuits without service or feeder fee, first / g Contact name: Mgek (, i.i r...50, .ra j 7_ 7,44 blanch circuit s6. l g 2 Each add'I branch circuit 7.42 2 Address: Miscellaneous (service or feeder not included) City/ State/ZIP: Each manufactured or modular 67.84 2 dwelling, service and/or feeder Phone: ( ) I Fax: : ( ) Reconnect only 67 2 E - mail: Pump or irrigation circle 67.84 2 Signor outline lighting 67.84 2 . .. • COJ!1TRACTOR . , Signal circuit(s) or limited -energy Business name: C_ ._ - c ` 7 - _ _ panel, alteration, or extension. Paget 2 1• � -• sx� Each additional inspection over allowable In any of the above Address: 7 5 50 5 W (e. h ( ten �C- t2_20 Add iti onal inspection (I hr min) 66.25/ hr City/State/ZIP: Zl ©K C' 72 Z investigation (1 hr min) 6625/h ( t ( r I/ Industrial plant (1 hr min) 78.18/ hr Phone: 97/ ZO - '/z %' • 4 t{ ((i Fax: 97/ ZQ er z Inspections for which no fee is specifically listed ( hr min) 90.00 / hr zeCB Lie.: 1z,../z I Ele l Lie.: 75L./,J S . Lic.:344.73 :G; .6i: `•,i� :.. IEY ;ECTRI,CAL;RERMIT;'FEE$ ' : Suprv. Electrician signature, required: I Subtotal:. „.1'0 rg Plan review (25% of permit fee): Print name: P on K Date: 13 _ `J'_ 7 j /� State surcharge (12% of permit fee): i v! Authorized signature: / //� a TOTAL PERMIT FEE: aZ t✓ � Thispermlt application expires If a permit is not obtained within 180 l (� 1 days after it has been accepted as complete. Print name: q l1D11 l� pQ j4 Date: �. 7 -/2.. • Number of inspections allowed per permit. I : PennitA .doe 07,01.10 440.46 MCI INa'C'o aWEB 01 15:32:47 08 -27 -2012 2/3 Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORE 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 1:\AnlABwwmmBdFf f PesmilAnn.Ane 07)11/10 CITY OF TIGARD ELECTRICAL PERMIT 11 4 COMMUNITY DEVELOPMENT Permit #: ELC2012 -00502 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/28/2012 Parcel: 1 S126CC00100 Jurisdiction: Tigard Site address: 9700 SW WASHINGTON SQUARE RD Project: Nordstrom Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: 108 Project Description: (1) branch circuit for installation of (1) 20 amp lighting Contractor: COCHRAN INC Owner: PPR WASHINGTON SQUARE, LLC 7550 SW TECH CENTER DR #220 C/O NORDSTROM TIGARD, OR 97223 ATTN: TAX DEPT PO BOX 2229 SEATTLE, WA 98111 PHONE: 503 - 234 -6564 PHONE: FAX: 503 - 238 -2098 FEES Quantity Description Date Amount 1 crt Branch Circuits wo /Purchase 08/28/2012 $56.18 Specifics: Service or Feeder 1 ea 12% State Surcharge - 08/28/2012 $6.74 Type of Use: COM Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $62.92 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 -001 -0 90. You ma obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.8000.332.23444. Issued By: / �/ fr(�.v[ Permittee Signature: O 4pPU e 4'71 - [ old 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.