Permit CITY OF TIGARD ELECTRICAL PERMIT
1111 COMMUNITY DEVELOPMENT Permit #: ELC2013 00431
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/24/2013
Parcel: 1 S135BA00102
Jurisdiction: Tigard
Site address: 10124 SW WASHINGTON SQUARE RD
Project: Strada Subdivision: OAKBURG Lot: 9
Project Description: (40) branch circuits for TI
Contractor: WILLAMETTE ELECTRIC INC Owner: PPR SQUARE TOO LLC
PO BOX 230547 PO BOX 847
TIGARD, OR 97281 CARLSBAD, CA 92018
PHONE: 503 - 624 -3631 PHONE:
FAX: 503 - 624 -2938
FEES
Quantity Description Date Amount
40 crt Branch Circuits wo /Purchase 07/24/2013 $345.56
Specifics: Service or Feeder
1 ea 12% State Surcharge - 07/24/2013 $41.47
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $387.03
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. ATTENTI law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 rough OAR 95 01-f! ° may obtain a copy of the rules or direct questions to OUNC by calling or 1.800.332.2344.
Issued B : / IP A / Permittee Signature: 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 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.
07/23/2013 TUE 8:37 FAX 5036242938 Willamette Electric Ll002 /002
Electrical Permit Applicatio n :; [FOR OFFICE USE ONLY
City of Tigard C IVE ,L Received /nr 2
Date/By: f ^ '3 • Permit No.: t t' 0.0/'!j ale/3 /
a 131 SW Hall Blvd., Tigard, OR 97223 II 1
II Phone: 503.6 39.4171 Fax: 503.598.19150 2 3 2013 Plan Review
` Date/By: Other Permit: .6.4.‘ 620 ` 3 _co
TI GARD Inspection Line: 503.639 A175 �'�/ nC Date Ready/By: ]uris: ® See Page 2 for
Internet: www.tigard- or.gov CITY I OF TIGARD NotifiedJMethod: Supplemental information
tOti (3F +`' `t Pt}l'N Itl;VI1;W
❑ New construction .12rAddition /alteration /replacement Please check ail that apply (submit 2 sets of plans w /items checked below) :
❑ Service or feeder 400 amps or more 0 Building over three stories.
❑ Demolition ❑ Other: where the available fault Current ❑ Marinas and boatyards.
CAtI'E!GORY OF::CONti*Ot`TTON or ❑ Floating buildings.
, exceeds amps at 1 50 volts
... .... l
. ...... . ......_.::.:..:...:._, .:,...: _,....._ _._ .. _ ess to ground or exceeds 14 000
tso
" � ❑Commercial -use agricultural
❑ 1- and 2- family dwelling jaCommercial/industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: ❑Fire pump. 0 Installation of 75 KVA or
- 013 ST %.;'T1 03X.In 10 AMP: -1Wlii ll IY.: `: ' . ;. . , , : .. motor load of
Emergency system. larger separately derived system
` ::..... _ ... ...., ,...,., Addition I ❑ A , .. „
f' Job no.: ?33 f Job site address: / 0 / 2 Sv" tAi, f C f / tOOHP oreres Recre ancy.
o S ❑ Six or more residential units. ❑Recreational vehicle parks.
City / State/ZIP: 1 a S y ; f , J., 7)4.22 S '9 • .t, 1/ ❑Health care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: f Project name: S /1' a el k.. ID Service or feeder 600 amps or more.
Cross street/directions to job site: Desolation � (NY. I .e. ( rat.] :�
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: I Lot no.: 1,000 sq. R. or less 168.54 4
Ea. add'I 500 sq. ft. or portion 33.92 I
Tax map /parcel no.: Limited energy, residential 7500 2
• D1;SCl2TPTYON OF % (with above sq. ft.) ,_ .
Limited energy, multi- family 75,00 2
J residential (with above sq. ft.) Services or feeders installation, alteration, and/or relocation
200 amps or less 100.70 2
0 PRoP OWNER ; : TENANT. 201 amps to 400 amps 133.56 2 • 401 amps to 600 amps 200.34 2
Name: 601 amps to 1,000 amps 301.04 2
Address: Over 1,000 amps or volts 552.26 2
City/State/ZIP: Temporary services or feeders installation, alteration, and /or
�' relocation
Phone: ( ) f Fax: ( ) 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
401 amps to 599 amps 168.54 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. Branch circuits new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
7 0 APPLICANT. : . . 4 . - :in - above service or feeder fee
. CON Tdi C;PEi2SdN 7.42 2
.. . .. each branch circuit
Business name: 13. Fee for branch circuits without
service or feeder fee, first / 56.
Contact name: branch circuit 18 2
S 6 —
Each add') branch circuit • 3 5 7.42 Z 85' 3 ' 2
Address: Miscellaneous (service or feeder not included)
Each manufactured or modular 67.84 2
City/State/ZIP: _ dwelling, service and/or feeder
Phone: ( ) 1 Fax: : ( ) Reconnect only 67.84 _ 2
E -mail: Pump or irrigation circle 67.84 2
Signor outline lighting 67.84 2
GON1 : : Signal circuit(s) or limited-energy
Business name: Willamette Electric Inc. panel, alteration, or extension. Page 2 2
Each additional inspection over allowable in any of the above
Address: P.O. Box 230547 Additional inspection (1 hr min) 66.25/ hr
Investigation (1 hr min) 66.25/ hr
City /State/ZIP: Tigard, OR 97281 Industrial plant (1 hr min) 78.18 / hr
Phone: (503) 624 - 3631 Fax: (503) 624 - 2938 Inspections for which no fee is 90.00 / hr
specifically listed ('t4 hr min)
CCB Lic.: 75059 Electrical Lie,: 34 -283C Suprv. Lie.: 4226 -S ty r EI c R1C ;_PTERMI�`IVE ES - .'''i `' _.:3.. =
—.. _ . Subtotal: 3'f 44
Supty. Electrician signature, tequi Plan review (25% of permit fee):
Print name: David Fife Date: . .. L 3 - 1 3 State surcharge (12% of permit fee): - iI/ Y� TOTAL PERMIT FEE: 3 87 o�
Authorized signature:
This permit application expires if a permit is not obtained within 180
Print name: Date: • days after it has been accepted as complete. A+V \1►�'/
• Number of inspections allowed per permit.
1:1 Bullding1Permirs \ELC- PermirApp.doe 07/01/10 440- 4615T(11 /OS /COM/WEB