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Permit
CITY OF T I G A R D ELECTRICAL PERMIT PERMIT #: ` r, ELC2000 -00534 r, ;4` DEVELOPMENT SERVICES DATE ISSUED: 09/11/2000 '� �-' 13125 SW Hail Blvd.. Tigard. OR 97223 (503) 639 -4171 PARCEL: 1S126C0-01403 SITE ADDRESS: 09477 SW WASHINGTON SQUARE RD SUBDIVISION: ZONING: C -G BLOCK: LOT : JURISDICTION: TIG Project Description: Installation of 34 branch circuits. RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: ' MANF HM/ SVC/ FDR: 601 +amps -1000 volts: MINOR LABEL (10): SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W /SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 33 IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: PPR WASHINGTON SQUARE LLC FRAHLER ELECTRIC CO P.O. BOX 21545 11860 SW GREENBURG RD SEATTLE, WA 98111 TIGARD, OR 97223 Phone: Phone: 639 -4627 Reg #: LIC 00037410 SUP 1816S ELE 34 -13C FEES Required Inspections Type By Date Amount Receipt Ceiling Cover PRMT CTR 09/11/200C $214.05 2720000000( Wall Cover 5PCT CTR 09/11/200C $17.12 2720000000( Elect'l Final Total $231.17 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in acoordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -1987. PERMITTEE'S SIGNATURE DA / ISSUED BY: f� 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'N: DATE: LICENSE NO: Call 639 -4175 by 7:00pm for an inspection the next business day 1 CITY OF TIGARD Plan Check* :1312 ` -• HALL BLVD. Electrical Permit Application RECEIVED'? Rec'd By AM/ TIGARD OR 97223 Date Rec'd 8 /3vVa� Date to P.E. Phone (503) 639 4171, x304 AUG 3 0 2000 Date to DST Inspection (503) 639 -4175 Print of Type �y U Permit# eZac - 0053f� Fax (503) 598 -1960 Incomplete or illegible will not beiaccepted EVEIOPMENT EG Called 1. Job Address: 4. Complete Fee Schedule Below: Name of Development WASHINGTON SQUARE Number of Inspections per permit allowed Name (or name of business) ZALES JEWELERS Service included: Items Cost Sum Address 9477 SW WASHINGTON SQUARE ROAD 4a. Residential - per unit City/State /Zip TIGARD , OR 97223 Each additional it o l 5 s $ 117.75 4 Each additional 500 sq ft. or portion thereof $ 26.25 1 Commercial © Residential ❑ Limited Energy $ 60 00 Each Manufd Home or Modular 2a. Contractor installation only: Dwelling Service or Feeder $ 72 75 2 (Prior to permit issuance, applicants must provide contractor license 4b. Services or Feeders information for COT data base). Installation, alteration, or relocation Electrical Contractor FRAHLER ELECTRIC COMPANY 200 amps or less $ 64.25 2 Address 11860 SW GREENBURG ROAD 201 amps to 400 amps $ 85.50 2 401 amps to 600 amps $ 128.50 2 City TIGARD State OR Zip 97223 601 amps to 1000 amps $ 192.50 2 Phone No. (503) 639 -4627 Over 1000 amps or volts $ 363.75 2 Job No. 60256 Reconnect only $ 53 50 2 Elec. Cont. Lice. No. 34 -13C Exp.Date 10/01/01 4c. Temporary Services or Feeders OR State CCB Reg. No. 37410 Exp.Date 07/02/01 Installation, alteration, or relocation COT Business Tax or Metro No. 1 87 Exp.Date 19/01/C1 200 amps or less $ 53.50 2 201 amps to 400 amps 2 Signature of Supr. Elec'n /� etILA..-- 401 amps to 600 amps $ 107.00 2 Over 600 amps to 1000 volts, $ 80 25 License No. 1816S Exp.Date 10/01/01 see "b" above. Phone No. (503) 639 -4627 4d. Branch Circuits New, alteration or extension per panel a) The fee for branch circuits 2b. For owner installations: with purchase of service or feeder fee. Print Owner's Name Each branch circuit $ 5.35 2 Address b) The fee for branch circuits without purchase of service City State Zip or feeder fee. Phone No. First branch circuit 1 $ 37.50 37.50 Each additional branch circuit 33 $ 5.35 7 55 The installation is being made on property I own which is not 4e. Miscellaneous intended for sale, lease or rent. (Service or feeder not included) Each pump or imgation circle $ 42.75 ` Owner's Signature Each sign or outline lighting $ 42.75 Signal circuit(s) or a limited energy 3. Plan Review section (if required):* panel, alteration or extension $ 60.00 Minor Labels (10) $00 Please check appropriate item and enter fee in section 5B. 4f. Each additional inspection ove 4 or more residential units in one structure the allowable in any of the above Service and feeder 225 amps or more Per inspection $ 50.00 Per hour $ 50 00 System over 600 volts nominal In Plant $ 59 00 Classified area or structure containing special occupancy as described in N.E.C. Chapter 5 5. Fees: 5a. Enter total of above fees $ 214.05 * Submit 2 sets of plans with application where any of the above apply. #4 Surcharge (65+X total fees) $ 17.12 Not required for temporary construction services. cr Subtotal 'Cir $ 5b. Enter 25% of line 5a for NOTICE Plan Review if required (Sec. 3) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account # AT ANY TIME AFTER WORK IS COMMENCED. Total balance Due $ 231.17 / Gti(9syrA v 4.1 Sa -L is \dsts \forms \electric doc /o d 3 o /S S Se &- , cue- 9:,p/// "CITY OF TIGARD BUILDING INSPECTION DIVISION ' } 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 r BUP Dee Requested /0 —1( AM PM _BLD 9( 7 Sw efla) / r 5 A uite Location MEC Contact Person Fa 5 ) Ph 5o3 - 43 - 9627 PLM Contractor CA , t ; (� Ph SWR BUILDING Tenant/Owner ELC -00 5 :3 Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing • Insulation Drywall Nailing Firewall ) • Fire Sprinkler L . JIL Fire Alarm Susp'd Ceiling Roof o Misc: L Final / - PASS PART FAIL �� L ` _ ' �/ �_ _ , i � L: _ _ PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam • Rough In Gas Line Smoke Dampers Final PASS PART FAIL •1lj j l ervice Rough In /o UG /Slab COLR"- Low Voltage • Fire Alarm Fi PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: , ] Unable to inspect - no access ADA / Approach /Sidewalk D /0 Inspector Other L Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. 5:37 Th -CITY OF TIGARD BUILDING INSPECTION DIVISION 24 - Hour Inspection Line: 639 -4175 Business Line: 639 -4171 • BUP Di to Requested 1 O/ Z 60 /°° AM P ~BLD Location g zC,SI, S6 • Suite MEC Contact Person ` ra S"TAD Ph(93) (3c- 4/6d-7 PLM Contractor F)2{41 - +L E L Lb CT - 121 C. Ph SWR BUILDING Tenant /Owner F7 s .2 0.00 - 00534 Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation • Drywall Nailing .or , ' ,li/ i_ Firewall / f Fire Sprinkler 72_4_ Fire Alarm Susp'd Ceiling Roof Misc: _ • = Final PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ECTRIC Service Rough In UG /Slab Low Voltage Fire Alarm ma ASS PAR FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Date l0 �� X77 Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. l CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 • BUP Date Requested i /—C/ AM PM - BLD y 1 l7 7 5 r.✓ wGSA sj r Location Suite MEC Contact Person Ph 43 f - %' Z7 PLM Contractor Ph SWR BUILDING Tenant/Owner ELC cR(>v0 -0 V 53 ! Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab s _ 2 � 2 7 � ¢`' / SIT Post & Beam • Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Fire wall Fire Sprinkler /ljl� - t Fire Alarm Susp'd Ceiling - • Roof Misc: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line • Smoke Dampers Final 2ASS- ...QART FAIL (LECIRCCAI) Service Rough In UG /Slab Low Voltage e arm � PART FAIL Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: / [ ] Unable to inspect - no access ADA Approach /Sidewalk / /_ _ -D Other Dat l fi// In spec t or E Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.