Permit � q CITY OF TIGARD ELECTRICAL PERMIT
$ -; COMMUNITY DEVELOPMENT Permit #: ELC2013 -00097
T f (3 D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/12/2013
#_;_ r <<. - Parcel: 1 S1260000300
Jurisdiction: Tigard
Site address: 9585 SW WASHINGTON SQUARE RD OFFICE
Project: Washington Square Security Office Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S
Project Description: (1) 200 amps or less to replace subpanel
Contractor: JRA INC DBA FRAHLER ELECTRIC COMPANY Owner: PPR WASHINGTON SQUARE LLC
11860 SW GREENBURG RD PO BOX 847
TIGARD, OR 97223 CARLSBAD, CA 92018
PHONE: 503 - 639 -4627 PHONE:
FAX: 503 - 639 -4673
FEES
Quantity Description Date Amount
1 ea Services or Feeders - 200 02/12/2013 $100.70
Specifics: amps or less •
1 ea 12% State Surcharge - 02/12/2013 $12.08
Type of Use: COM Electrical .
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $112.78
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 tf 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 P52- 000 -- 0090. You � may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: . J�VI,Pl1.�(� L W l.t (.Cil Permittee Signature: ' A /► F P1� 80 I-f' -d 0/0
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.
02-11-' 13 16:57 FROM- .
rlien ft res 1-% 5036394673 T-169 P0001/0004 F-541
Electrical Permit Applica CI V CU FOR OFFICE USE ONLY
City of Tigard Received ,
B 1 1 2013 D.,„3 : a ta--MIM Permit 14 °: --Cl-C-20/ 3 - 000q1
13125 SW Hall )2Ivd., Tigard. OR 97g
li . Plan Review
• - .. •• Phone: 503.7182439 Pax: 503.528.1960 , Date./13 : Other Permit;
TI.GARD Inspection Line: 503.639.4175 CITY OF TIGARD Da Rea :
dy/ay; El See Page 2 for
Internet: www.tigard 911110 niv Notifiedfiviehod; f IPEI
I Supplemental Information
4;:.;11;4.2-„Zeig",41/40:411:WlVV.(K?-1.;r,e''.;qi.0"41/00100:diikr:i.;404.4!.::g4.01.4;Sliest.e:il'AI r•kitiVsi. .
4 ::;i%;?4 , .1:4;i'ZAi6.:4.i.47 , e.V■47 . 04....6.1%W ' enli■ji . ;. ' h'... ■,...n.-,; ....4 h 4...-1,:ti'Ar.k?.....6 ; . 04.1 r......w, .7:•kky. ;La. h " +1 7...rte.0.4. ,...... kr n: A., A.A.. AI /A..* pi:. ,v....
El New construction .0 Addition/alteration/replacement Please check all that apply (Submit 2 sets of plans w/items checked below):
0 Service or feeder 400 amps or mom 0 Build over three stones.
El Demolition 1:1 Other: where the available fault current 0 Marinas and boatyards.
; :Pil%••• ?: ' ;f •Ye4S4V1P 7.7 4 . 0 5 :Vi,•i",: . 4:::::t;. - ??44.1'.'efyi'4,:l'n"''1?"'',rdigrWiiiji-m''':` - ililer', , XZW`'." 7 -":,4.;:0I;;!4:45% , ,,T?71;'..q exceeds 10,000 amps at 150 volts Or 11 FlOaling boildingS.
jiT ':.T.P.:1,-".; .;:le:tiAl ii.:4,1
loSs to ground. or exceeds 14,000 ElCommercial-use agricultural
0 I - and 2-family dwelling El Commercial/industrial ID Accessory building amps for all other installations, buildings.
ci Multi-family 0 Master builder 11 Other: ['Fire pump. 11 Installation of75 KVA or
- • volr.r.' 0 Emergency system.
'14 '' . . of larger separately derived system.
P.:.....?.(..V.44 '..;',.4"..%. ....,....k.... - 41 4. ..,.. .... . .... • , --,...y,:v.... ?.e*';j ri• 0 Addition new motor load of 0 "A", "E", "1
Job no.: 70248 Job site address: 9585 SW WASHINGTON SQUARE RD. 100HP or more. occupancy. '
0 Six or more residential units. 0 Recreational vehicle parks. 1
City/State/ZIP: TIGARD, OR 97223 0 Health-care facilities. 0 Supply volute for more than
0 Hazardous locations. 600 volts nominal.
Suite/bIdgJapt no I Project name; WASH. SQ. SECURITY OFFICE 0 Service or feeder 600 amps Or Mere.
PPAMXtrAt'eategirticiPIA:qpg,:;)1!4:,!pga
Cross street/directions to job site: Dern-room 1 Ow. I Pea J Total I "
New residential single or multi-family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 168.54 4
Ea. add'l 500 sq. ft. or portion 33.92 1
Tax map/parcel no.: , Limited energy, residential
eZ (with above stilt 00 1 75. 2
4!!.%.:'if A'. ”, ;i • '.
75 2
Limited energy, multi-family
REPLACE SUBPANEL residential (with above sq. ft) 75.
Services or feeders installation, alteration, and/or relocation
200 amps or loss 1 100.70 100.70 2
'''', rtf,ANP,11.100,v ;:iftsit •?. 'ff ' " .. "14.°:,-otmzeWr0-67 201 amps as 4°° amPs 1
13336 2
401 amps to 600 amps 200.34 2
Name:
dal 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/ZIP: • relocation
Phone: ( ) I Pax ( ) 200 amps or less 59.36 1
201 amps to 400 amps 125.08 2
Owner installation: This installation is being made on property that I own which is not
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. . 401 amps to 599 amps
Branch circuits - new, alterati _ 168.54 2
on, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
:-e-0.1.:1i2f6t40:5Agi4.0M.V111.:13:44q.kggiltV.S.V.'.INUO...0.Rtgrc4.-Mtleg.3."‘:M above service or fbeder ibe,
each branch circuit 742 2
Business name: • B. FCC for branch circuits without
. service or feeder fee, first
56.18 2
Contact name: branch circuit
- Each add'I branch circuit 7.42 2
Address: Miscellaneous (service or feeder not included)
Each manufactured or modular
City/State/ZIP: dwelling, service and/or feeder 67.84 2
Phone: ( ) I Fax: : ( ) Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
E-mail:
. . e
,3,..w?...... 0 Is l. - eke' " 'iliV...AilA 1 Sign or outline lighting 67.84 2
‘ . ,.
2i:e.V.i.• .V,ItzA;' Signal cIrcuit(s) or limited.enerm,
Business name: JRA INC dba FRAMER ELECTRIC COMPANY panCI, alteration, or extension. Page 2 2
Each additional inspection over allowable in any of the above
Address: 11860 SW GREENBURG ROAD - Additional inspection (1 hr min) 66.'25/hr
Investigation (I hr min) 66.25/ hr
City/State/ZIP: TIGARD, OR 97223 ,.. . . ,
Industrial plant (1 hr min) 78.18/ hr
Phone: (503) 639.4627 I Fax: (503) 639 Inspections for which no fee is
90.00/ hr
specifically listed VA hr min)
CCB Lie.: 197172 I Electrical Lie.: C861 I Suprv. Lie.: 5110S '-j .
Subtotal: 100.70
Suprv. Electrician signature, requireAl: oto ' , - -
Plan review (25% of permit fcc):
Print name: ADAM ETHERTNOTON Date: 02/11/13 State surcharge (12% of pennit fee): 12.08
TOTAL PERMIT PEE: 112.78
Authorized signature:
. This permit application expires if a permit is not obtained %Obit' ISO
days after it has bean accepted as complete,
Print name. Date: • Number of inspections allowed per permit.
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1:1BuildingTertniMISLC-PormitApp.doc 07/01/10 440 Uos/COmAVEB