Loading...
Permit 6/M 741 a fi ��ya -� ° cc,29-rte - CITY T G ELEiCTRICAL PERMIT a �+�1 i �F 1�V COMMUNITY DEVELOPMENT Permit #: ELC2009 -00139 T 1 G AR D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 03/31/2009 Parcel: 151260000300 Jurisdiction: Site address: 9665 SW WASHINGTON SQUARE RD CO2 Subdivision: Lot: 0 Project: ARITZIA Project Description: TI. Add (12) branch circuits. 6/10/09, adding (33) branch circuits to existing permit Owner: FEES PPR WASHINGTON SQUARE LLC Quantity Description Date Amount BY THOMPSON PROPERTY TAX SERVUCES, 2235 FARADAY AVE STE #0 12 crt Branch Circuits 03/31/2009 $120.00 wo /Purchase Service or PHONE: Feeder 1 ea 12% State Surcharge - 03/31/2009 $14.40 Electrical Contractor: 219 da Investigation Fee (Equals 06/10/2009 $219 45 GEORGE & SONS ELECTRIC CORP Permit Fee) PO BOX 339 1 ea Investigation 12% 06/10/2009 $26.33 CLACKAMAS, OR 97015 Surcharge PHONE: 503 - 654 -8634 FAX: 503- 653 -6886 Type of Use: COM Class of Work: ALT Type of Const: Occupancy Grp: Total $380.18 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 - ordan = th 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. A r ENTION Oregon a e. ires you to follow the rules adopted by the Oregon Utility Notifi enter. Those rules are set forth in OAR 952 -001 0010 through OAR 952-: 11-0100. ou may obtain a copy of the rules or direct questions to OUNC b in 503 246 6699 or 1.800.332.2344 Issue. :y: 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. . . vl F-1 'Li‘/EH . . - -- r �:� s Electrical Permit ApplicationJUN 0 8 2009 - ; „ tt i 4 � t t1, -fl 7 I iLll ! y \ l} s ., t ( ! ! fl Jl l i y . . * ?t !1 � hill t)I 1 1 i)� I &,':'''(;,, t 1 1 't� i , ! illk 1�. r i L ' k , ,� z:,9i.C.N „., /} , -,. .id.0 i ∎1 ,, ! City of Tigard CITY OF TIGARD Received (y 13125 SW Hall Blvd Tigard OR 97223 Date/B Permm No. FJrGCtirt -� / - 00/3 0 .- Phone: 503 639 4171 Fax 503.598 `1960- . •• "r DIVISION Plan Review / DateB : Other Permit. t' \ i , Inspection Line: 503 639.4175 Date ReadylBy, kris Internet• www,ti and -or gov S Tee Pane for g g Notified/Method Supplemental Information TYPE OF WORK PLAN REVSEW ' ❑ New construction °0Y Addition /alteration /replacement Please check all that apply (submit j sets of plans whims checked below) ❑ Service or feeder 400 amps or more ❑ Building over three stones ID Demolition ❑Other: - where the available fault current ❑ Marinas and boatyards CATEGORY OF CONSTRUCTION exceed 10,000 amps at 150 volts or o Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agncultural 1- and 2- family dwelling la Commercial /industrial ❑ Accessory building amps for all other installations buildings El Multi- family ❑ Master builder ❑ Other: 0 Fire pump ❑ installation of 75 KVA or JOB Siff: INFORMATION AND LOCATION ❑ Emergency system, larger separately derived system D Addition fnew motor load of ❑"A" "E” '•1- 2", "1 -3 ^, Job no.: Job site address: t D l'al r / 1001 or more occupancy • < l a L�dL ❑ Six or more residential units ❑ Recreational vehicle parks City /State/ZIP: Tigard Oregon ❑ Health -care facilities ❑ Supply voltage for more than ❑ Hazardous locations, 600 volts nominal Suite/bldg./apt. no.: Project name; 4 t ❑ Service or feeder 600 amps or more I _ .. street/directions to job site: ff 1f SCHEO LE Cross street/directions kVA /// µ� Descri Ion I Ob. I Fm. 1 Total I • New residential single - or multi - family dwelling unit. ., _ Includes attached garage. Subdivision; Lot no.: 1,000 sq. ft. or less 145.15 1 4 - Ea, add'! 500 sq. ft. or portion 3340 1 Tax map /parcel no.: Limited energy, residential DESCRIPTION OF WORK (with above sq R) 75 00 2 ) r Limited energy, multi - famil 1_ 2 4/11 !1 N , 3 �il re .o ills TT, Q.�, f ,CN'I q residential (with above sq. a ) 7500 n ✓ Services or feeders Installation,,alteration, and/or relocation -itr C., , L J - , 200 amps or less 80 30 2 ❑ PROPERTY OWNER I © TENANT 201 amps to 400 amps 106,85 2 Name: 401 amps to 600 amps 160,60 2 -- 601 amps to 1,000 amps 240 60 2 Address: Over 1,000 amps or volts 454 65 2 City/State/ZIP: Temporary services or feeders installation, alteration, and /or relocation Phone: ( ) Fax: ( ) 200 amps or less 66 85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449. 670, and 701. 401 amps to 599 amps 133.75 2 Branch circuits — new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with 0 APPLICANT 1 ❑ CONTACT PERSON above service or feeder fee, 6.65 2 each branch circuit Business name: B. Fee for branch circuits without service or feeder fee, /, _ 46 85 1 4615 Contact name: 2 first branch circuit Address' Each add] branch circuit 3) 6 65 2 3 ,4 2 Miscellaneous (serice or feeder not ineloded) City/State /ZIP: Each manufactured or modular 9090 2 "' dwellin_, service and/or feeder Phone: ( ) Fax. ; ( ) Reconnect only 66.85 2 E -mail: Pump or irrigation circle 5140 2 _ CONTRACTOR Sign or outline lighting 53.40 2 Business name: George & Son's Electric Corp. Signal p a nel cult( , al or limrced- energy p al or or Address: PO Box 339 extension Describe: Page 2 2 City /State /ZIP: Clackamas, Oregon 97015 Each additional inspection over allowable in any of the above • Per inspection 62.50 Phone: (503) 654 - 8634 . Fax: (503) 653-6886 Investigation per hour (1 hr min) 62.50 CCB Lic.: 35600 Elect ' al Lic.: 3 ' Suprv. Lic - i s k - industrial plant per hour 73.75 Suprv. Electrician signature, ter,: ELECTRICAL PERMIT S _ I{ � Subtotal: Z� a' Print name: Craig Robison 7 Date: 6/I/2009 Plan review (25% of permit fee) ...15 State surcharge (12% of permit fee) get6 • 3 5 Authorized signature: TOTAL PERMIT FEE: • 7 p. This permit application expires if a permit is not obta nod within 180 Print name: Date; days after it has been accepted as complete. c. 78 • Number of inspections allowed per permit d4/ I \ Building \Permits\ELC•PermuApp doc 05/23/06 m0 5 T( I I /05 /eon/WEB ((C/// • CITY OF TIGARD ELECTRICAL PERMIT 1111 I : COMMUNITY DEVELOPMENT Permit #: ELC2009-00139 TI GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 03/31/2009 Parcel: 1S1260000300 Jurisdiction: Site address: 9665 SW WASHINGTON SQUARE RD CO2 Subdivision: Lot: 0 Project: ARITZIA Project Description: TI. Add (12) branch circuits. Owner: FEES PPR WASHINGTON SQUARE LLC Quantity Description Date Amount BY THOMPSON PROPERTY TAX SERVUCES, 12 crt Branch Circuits 03/31/2009 $120.00 2235 FARADAY AVE STE #0 wo /Purchase Service or PHONE: Feeder 1 ea 12% State Surcharge - 03/31/2009 $14 40 Contractor: Electrical GEORGE & SONS ELECTRIC CORP PO BOX 339 CLACKAMAS, OR 97015 PHONE: 503 - 654 -8634 FAX: 503 - 653 -6886 Type of Use: COM Class of Work: ALT Type of Const: Occupancy Grp: Total $134.40 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 952 - 001 -0100 You may obtain a copy of the rules or direct questions to OUNC by calling 503 246.6699 or 1.800 332 2344 I; CT, Issued By: A ( lQ U irt Permittee Signature: S__9_9 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 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. 1 'C L Electrical Permit Application 1 ) I' (,l. 11(,. I ! 1 City of Tigard MAR 2 7 200 Received . ` E 2,001. • • 13125 SW Hall Blvd., Tigard, OR 97223 Data Permit No.; 1 • ' Phone: 503.639.4171 Fax. 503.598.1960 CITY OF TIGAR M Other Permit: IL • P2 d i •c q 7 „ Inspection Line' 503.639.4175 BUILDING DIVISIIii'' ter - ®so. Page2for Internet www.tigard- or_gov • cit i fied/Method. L � Supplemental Information ❑ New construction NAddition/alteration /replacement Please check all that apply (submit 1, sets of plans ... itans checked below) ❑ Demolition (] Other: 0 Service or feeder 400 amps or more ❑ amldtag over three stones where the available fault current ❑ Marinas and boatyards ' OF, '. ! 6 , exceeds 10,000 amps at 150 volts or ❑ Floating bmldmgs less to ground or exceeds 14,000 ❑ Commercial -use agricultural ❑ 1 - and 2- family dwelling C ❑ Accessory building amps for all other installations buildings, ❑ Multi-family ❑ Master builder ❑ Other: ❑ Fire pump ❑ Installation of 75 KVA or JOB 1? JON ;AND LOCATION tTKIN ❑ Emergency system larger separately derived aystem ❑ Addition of new moor load of ❑ "A" "E" 1 -2" 1 -3" Job no.. f Job site address: 5445* $,err• L4/4 r 4 a S or more. occupancy • ❑ Six rx or ar more residential units. ❑ Reereanoaal vehicle parka City/ State/ZIP: r T OR Sts CO Z ❑ Health-care facilinca ❑ Supply voltage for mote than _ / K 4 ` I I ❑ Hazardous locations. 600 volt; nominal. 1Q/bldg./apt no.: G O g, Project name: Ate Vst_ ��� D Service or feeder 600 amps or more ��. 111 -1 * +�.li Cross street/directions to job site: ,,�II ' W�l � ' iAAf}' residential oe 1 per. I tow I • New ' New r single - or meld• famI mily dwelling unit- Includes attached 8 .: e. Subdivision: I Lot no.: 1,000 sq ft. or leas 145.15 4 Ea. add'I 500 sq. R. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential /� l �;oF WORK (with above still) 75.00 2 v G� Limited energy, multi-fa[nily residential (with above sq. a.) 75.00 2 Services or feeders Installation alteration, and/or relocation , 200 amps or less 80.30 2 0 PROPERTY ' : ' 0 TENANT 201 amps to 400 amps 106.85 2 Name: 401 amps to 600 amps 160.60 2 ` 601 amps to 1,000 amps 240.60 2 Address: _ Over 1,000 amps or volts 454.65 2 City/State/ZIP: Temporary services or feeders installation, alteration, and/or relocation Phone: ( ) I Fax: ( ) 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 Branch circuits - new alteration or extensio , . nel Owner signature: Date: A. Fee for branch circuits wah 4 APPA4ciimr. _ , , l-, .'D CONTACT •PERSON above service or feeder fcc, 6.65 2 each branch circuit Business name: B. Fee for branch circuits wrLIanit service or feeder fee, 1 46.85 y j. R...t - 2 Contact name: first branch circuit V Address: Each add'I branch want t ( 6.65 73 2 Miscellaneous (service or feeder not included) City/State/ZIP: Each manufactured or modular 2 90.90 Phone: ( ) I Fax: : ( ) dwelling, service and/or feeder Reconnect only 66.85 2 E -mail: Pump or irrigation circle 53.40 2 cOlifIRWFOR - Sign or outline lighting 53.40 2 e Signal circuit(s) or limited- Business name: /oDny EItz C ( rvi P energy panel, alteration, or Address: pc Bi t ,x39 extension, Describe. Page 2 2 City/ State/ZIP; C � /, m �� 0 \ B Each additional Inspection over allowable in any of the above / Per inspection 62.50 Phone: ( 0 ) 3 ) 6 9 ..C9t J I Fax: (rt> )653-6674 Investigation per hour (1 hr mm) 62.50 CCI3 Lie.: s' r r E•leCtrleal LIc.: 3 -1/4C, Su rv. tic.: `31 _s lodustriel plant per hour 73.75 • • Suprv. ec • . � gnature, required r 1 11 C) • V ,�: t7• 00 � �- subtotal: 1 Plan review (25% o permit they : Print name: Date: / C rr�r i.5 r,� 3 .14 1 State surcharge (12% of permit the) 1e) fi7 Authorized signature: TOTAL PERMIT FEE; / j ' / � 3 /� 134.40 Print name; ' Date: This permit application expires if a permii is not obtained within 180 days after It has been accepted as complete '1au11ama1Pwmm16[ C. " Number of inspections allowed per permit. t 1'arrollAndoe 05/23/06 440.4615T(11/05/COMlw'E•