Permit r.
CITY OF TIGARD ELECTRICAL PERMIT
-- COMMUNITY DEVELOPMENT Pelmltal: ELC2009 -00467
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 09/09/2009
Parcel: 151260000300
Jurisdiction: TIGARD
Site address: 9585 SW WASHINGTON SQUARE RD MGMT OFF
Subdivision: Lot: 0
Project: Washington Square
Project Description: (5) branch circuits for (6) outlets for Coke machines located at various sites on mall property as
follows: (1) in NE corner on 3rd floor of parking structure; (1) in NE corner on 1st floor of parking
structure; (2) directly below stairs to food court; (1) in bathroom corridor north of guest services
Owner. FEES
PPR WASHINGTON SQUARE LLC Quantity Description Date Amount
2235 FARADAY AVE STE #0
CARLSBAD, CA 92008 5 crt Branch Circuits 09/09/2009 $73.45
wa /Purchase Service or
PHONE: Feeder
1 ea 12% State Surcharge - 09/09/2009 $8.81
Electrical
Contractor:
FRAHLER ELECTRIC CO
11860 SW GREENBURG RD
TIGARD, OR 97223
PHONE: 503 - 639-4627
FAX: 503 - 639 -4673
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp:
Total $82.26
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 503.248.6699 or 1.800.332.2344.
Issued By: Id Permittee Signature:
gPi
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 603.639.4176 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.
Electrical Permit Application RECEIVED .> it c > r F i C ., t ,, l: i ► N l ,Y
City of Tigard S E P 0 8 2009 may: e ?/ 4 ;709 Permit No.00a0o9— 610 Z 7 • 13125 SW Hall Blvd., Tigard, OR 97223 Plan R v i
'� C . Phone: 503.639.4171 Fax: 503.598.1 DateJBy. Other Permit:
- 1 - I c.. n RI) Inspection Line: 503.639.4175 O F TIGARD Date ReadyBy: lams: ® See Page 2 for
Internet: www.tigard- or.gov BUILDING DIVISION Notifies: Method: 77e Supplemental Information
TYPE OF WORK PLAN REVIEW
❑ New construction ® Addition/alteration/replacement Please check all that apply (submit a 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.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial-use agricultural
❑ 1- and 2- family dwelling ® Commercial/indust ial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump ❑ Installation of 75 KVA or
❑ Emergency system larger separately derived system.
JOB SITE INFORMATION AND LOCATION ❑ Addition of new motor load of ❑ "A ", "E", "1 -2 ", "1 -3 ",
Job no.: 66924 Job site address: 9585 WASHINGTON SQUARE ROAD 1001 P 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 MALL ❑ Service or feeder 600 amps or more.
Cross street/directions to job site: ne+n FEE SCHEDULE
Q DU I E
vrom Fee. I Total I •
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: I Lot no.: 1,000 sq. ft. or less 145.15 4
1 no.: Ea add'l 500 sq. R or portion 33.40 1
Tax map/parcel limited energy, residential
75.00 2
DESCRIPTION OF WORK (with above sq. ft )
ADD OUTLETS FOR NEW COKE MACHINES
Limited energy, (with sq. 75.00 2
(6) residential (with above sq. ft) - -
Services or feeders lnstaBstlokalteration, and/or relocation
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: ( ) 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 wording to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
Branch circuits – new, alteration , or es tension, perpanel
Owner signature: Date: A. Fee for branch circuits with
❑ APPLICANT 1 ❑ CONTACT PERSON above service or feeder fee, 6.65 2
each branch circuit
Business name: B. Fee for branch circuits
Contact name: without service or feeder fee, 1 85 46.85 2
first branch circuit
Address: Each add'l branch circuit 4 6.65 _ 26.60 2
Miscellaneous (service or feeder not included)
City/State/ZIP: Each manufactured or modular
90.90 2
dwelling, service and/or feeder
Phone: ( ) Fax: : ( ) Reconnect only 66.85 2
E Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 53.40 2
Business name: FRAHLER ELECTRIC COMPANY Signal p t(s) or limited
energy panel, alteration, or
Address: 11860 SW GREENBURG ROAD extension. Describe: Page 2 2
City/State/ZIP: TIGARD, OR 97223 Each additional inspection over allowable in any of the above
Per inspection 62.50
(503) 639-4627 Fax: Phone: 503 I F 503 6394673 ( ) Investigation per hour (1 hr mm) 62.50
4/CCB Lic.: 37410 . ✓ I Electrical Lic.: 34 1/ Suprv. Lic.: 1816S Industrial plant per hour - 73.75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, : /64/a/ Subtotal: 73.45
Print name: R. W. FRAHLER Date: 09 /03/09 Plan review (25% of permit fee): -
State surcharge (12% of permit fee): 8.81 /
Authorized signature: TOTAL PERMIT FEE: 82.26
Print name: I Date: This permit application expires If a permit is not obtained within 180
days after it has been accepted as complete
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