Permit CITY OF TIGARD ELECTRICAL PERMIT
= COMMUNITY DEVELOPMENT Permit #: ELC2013 -00291
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/23/2013
Parcel: 1 S135BA00102
Jurisdiction: Tigard
Site address: 10164 SW WASHINGTON SQUARE RD
Project: Hannah Pet Society Subdivision: OAKBURG Lot: 27
Project Description: (3) 200 amp service, (15) branch circuits and (1) data telecommunications for TI
Contractor: FRAHLER ELECTRIC COMPANY Owner: PPR SQUARE TOO 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
3 ea Services or Feeders - 200 05/23/2013 $302.10
Specifics: amps or less
15 crt Branch Circuits w /Purchase 05/23/2013 $111.30
Type of Use: COM Service or Feeder
Class of Work: ALT 1 ea Signal circuit or Limited 05/23/2013 $75.00
Energy Panel
Type of Const: 1 ea 12% State Surcharge - 05/23/2013 $58.61
Occupancy Grp: Electrical
Total $547.01
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: Oreg• . . , requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 through 0 • 952 -00 0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.2 or 1.800.332.2344.
Issued By: / - Permittee Signature: ex /4 eJ -- - d/c
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 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.
•
• 05- 22 -'13 08:13 FROM- Frahler Electric 5036394673 • • • • T -252. P0003/0005 F -8'47, ,ED •
Electrical ]Permit App we
• City of Tigard 33 p I , FOR OFFICE USE' ON
I Received /
Datc/IIy: 10�� /3 Permiti4. 62e43 D00i-9/
i 1 3125. SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.5914P60 2 2 2013 Date/Bv: Other Perin LtAZO /3 -000 9
T [ C; A It D' Inspection Line: 503.639.4175 Date Ready/By: luris: El See Page 2 for
Internet; www.tigard- or.gov • - , Notified/Method: I ( Supplemental 'Information
yf . . � ,� � ,... ,� +('r /(r /�. ��,x r r/r.'/,'�l/ M✓Ml•' d/ + .•J / q�`r r 4; i r " .'� X4 J � ; ' 6 , '. / n ;�1 , .' n
r� , ( I) •' < e 1 %', .7t, -.��, . / # , r ?.. /er 4, s �', ', ., 4 22 4 ;�-0 /w ,o t , d . ' , i , Were , . .a.� ; +� ���"�� y�
❑ New construction IE1 Addition/alterati /replacemen Please check all that apply (submit acts of plans w /items checked below):
['Demolition ❑Other CI Service or feeder 400 amps or more ❑ Building over three stories.
where the available fault current ❑ Marinas and boatyards.
°7/', y ; °,0 /. w n
. , �, r , i A� " ,' .,�17� r ' 4 u r-� /! ; ENT i � - ,6 ,
vie / � l� ,/; ,` r/r/ p r 1 l 79 I t a k S ,, - /q r exceeds 10,000 amps at 150 volts or ❑ floating buildings.
/ z r, , 6 c`t� t, � 1 9 r / : 4? u/ _ /_ � f2+f 4 �carb�. ' o: Zb£9� •� i less to ground, or exceeds 14.000
❑ Commercial -use agricultural
❑ 1- and 2- family dwelling El Commercial /industrial ❑ Accessory building amps for all other installations. buildings-
❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
!/! y �,;,f , 7 r'/ - lj s i n :.! • • ' ,r r� e v m+ 7, r , o , ❑ E,pargency system. larger separately d erived system.
,
4 011144/ ( ,i/ r r , / lr . r� , • ) . 4, ,, r ken ,, 1 , n.';) ' "'", , ' , gl,, ! Y Y
Mfr, � ! �i .�( :) Gt t , . u 14 � e ,�, , / ,1, tit ['Addition of new motor load of ❑ <`A' `E `1 -�" "1 -3 ",
Job no.: 70591 Job site address: 10164 SW WASHINGTON SQ RD 100HP or snore- occupancy.
, ['Six or more residential units. ❑ Recreational vehicle parks.
City /State/ZIP: TIGARD, OR 97223 ❑ Health - Date facilities. 0 Supply voltage for more than • ❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt no B05 Project name: HANNAH PET SOCIETY ❑ � 7C /1ffie ��AF!%79•rrk" Service or feeder 6000 aam�prss et more, / p / / p ��r / / �p { /
E r a (1'p, 4 � %:fl�P' rr I
Cross street directions to job site: Description
�!�! �.,,,, ro ,, rII
I Qty- Pet. f %"j/ Total I •
New residential single- or m ulti - family dwelling unit.
Includes attached garage.
Subdivision: 1 Lot no.: 1,000 sq. ft. or less 168.54 4
Tax map /parcel no. Ea. add'( 500 sq. ft. or portion 33.92 1
9; /C ° ?TT i'f csx t n r r� yr A q ' y p , , . Limited energy, residential
R
�u� 'Y 4 1 r% i y 1 ;NEW
ldr✓ffX'EW 1 � `,' :P 9 , , ' . . I J,1 N•� 1 1, :1 h /, ., (with above sq. ft.) 75.00
Limited energy, multi - family 7500 2
INSTALL (3) NEW 120/208v ELECTRICAL PANELS residential (with above sq. ft.) . ;�
J atilt fi�i T: oT•,:,,',,,,,Ni - �a�.1,.' - .ad` s . ,
INSTALL NEW LIGHTING AND RECEPTACLES Services or feeders installation, alteration, and /or relocation
'7811 ''ray pr� - ' , "-Ir /! / C� ,` ry 4 / nn , N ' y � ' b :00 am sorless 3 100.70 302.10 2
1 l f7r'i : diDrj „ .Jl(dt' , /R•:'C 4fB LlDJ�da ' ',.,x ,12 S M Y%/h, lr�,lldyr, I A r INS E �'r,7 p
201 amps to 400 amps 133.56 2
Name: 401 amps to 600 amps 200.34 2
Address: 601 amps to 1,000 amps 301.04 2
' Over 1,000 amps or volts 552.26 2
City /State/ZIP: Temporary services or feeders installation, alteration, and /or
Phone: ( ) Fax: ( ) relocation
200 amps or less 59.36 1
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
Owner signature: b�/, � v' '''' Date; Branch circuits — new, alteration, or extension, per panel •
l%l, i g 126; l g * I ' l3Ya �17°47: ,p/� ' lr Z ;7 y . • 1 . ' ! / 2 A. Fee for branch circuits with
.,„ , so X7 '1'',, ', a , ,er• , 4 above service or feeder fee, 15 7.42 111.30 2
Business name: each branch circuit
13. Fee for branch circuits wirdosw
Contact name: service or feeder fee, first 56.18 2
branch circuit
Address: Each add'I branch circuit 7.42 2
City /State/ZIP: Miscellaneous (service or feeder not included)
Each tnanuhctured or modular 67.84 2
dwcllin 'service and/or feeder
Phone: ( ) FAX:: ( ) Reconnect only 67.84 2
E -mail:
r �rw +�j,�! q r�� �,�+ w rvm ; arm •r ,�,� -r M1! ,� r - ,y Pump or irrigation Circle_ 67.84 2
�� {.',i'd'.','/!-." ��:ffigr�fi Mry,+3�r .'� ; ,, 2 .T ;',i (i•FN�'Y,i,: 4b .,. P & 4t �� 1' yy 4
L'R �i�• ck�J����a Sign or outline lighting 67.84 2
Business name: ,IRA dba PRAHLER ELECTRIC COMPANY Signal circuit(s) of limited- energy
panel, alteration, or extension. 1 Page 2 75.00 2
Address: 11860 SW GREENBURG ROAD Each additional inspection over allowable in an of the above
City /State/ZIP: TIGARD, OR 97223 Additional inspection (1 hr min) 6625/ hr
Investigation (1 hr min) 6625/ hr
hone: (503) 639-4627 I tax: (503) 639 - 4673 Industrial plant (I hr min) 78,181 hr
Inspections for which no fee is 90,00 / hr
CCB Lic.: 197172 Electrical Lie.: C861 Suprv. Lie.: 5110S ssecifically listed ('5 hr min)
Suprv. Electrician signature, required: / ' '': / / 1I / � , ' tl 9 i�A ,1 ', ,;,-”,';',:a4;',' . 77: ' / .
.� Subtotal: 488,40
Print name: ADAM ETHI3RINOTON ` '� Plan review (25% of permit fee):
Date: 05/21/13
State surcharge (12% of permit fee): 58.61
Authorized signature: TOTAL PERMIT FEE: 547.01
This permit application expires if a permit is no obtained w • 80
Print name: Date: days after it has been accepted as c. • .
Number of inspections allowed per permit.
1: 11luitdingPcrmitaLC _hcrminApp_040913•doc 440 r/05 /COMA4PB
05- 22 -'13 08:13 FROM- Frahler Electric 5036394673 T -252 P0004/0005 F -847
for all other installations
Electrical Permit Application — City of Tigard
Page 2 — Supplemental Information
Limited Energy Permit Fees:
x .7 N.4 77lt, ('i r MII , 'Mil ' N S r Yr 'I//N' 11 r i �//I�NJpp yL f "rOQ}
y '�471,� �r /.� .•'. r • �t 9 . n A'�5�: �� µ rUa'' iar r �i� i /{rY4
Fee for all residential systems combined ... $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
❑ Bur Alarm
17 Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning
System*
❑ Vacuum Systems*
❑ Other:
r' s Y�,Nr•,...ry r i � � a �• 7
STA
Fee for each commercial s $75.00
(SEE OAR 918- 309 -0000)
Check Type of Work Involved:
n Audio and Stereo Systems
n Boiler Controls
❑ Clock Systems
Data Telecommunication Installation
n Fire Alarm Installation .
n HVAC
n Instrumentation
❑ Intercom and Paging Systems
n Landscape Irrigation Control*
O Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
(l Protective Signaling
❑ Other
Total number of commercial systems: 1
*No licenses are required. Licenses are required
Blkitdinglpermits1ELC permitApp_0a0911.doc
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
10164 SW WASHINGTON SQUARE RD,
TIGARD, OR, 97223
Commercial - Electrical
125 Wall cover
05/29/2013 00:00
ELC2013-00291
PART
Partial roughin for phase 1 only, wall cover
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
10164 SW WASHINGTON SQUARE RD,
TIGARD, OR, 97223
Commercial - Electrical
125 Wall cover
05/29/2013 00:00
ELC2013-00291
PART
Partial roughin for phase 1 only, wall cover
Violation Summary:
Inspector Contractor