Permit CITY OF TIGARD ELECTRICAL PERMIT
• COMMUNITY DEVELOPMENT Permit#: ELC2013 00519
Date Issued: 08/29/2013
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 1S 1260000300
Jurisdiction: Tigard
Site address: 9491 SW WASHINGTON SQUARE RD A04
Project: Zumiez Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S
Project Description: Rennovation of existing Zumiez store.
Contractor: 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
23 crt Branch Circuits wo/Purchase 08/29/2013 $219.42
Specifics: Service or Feeder
1 ea 12%State Surcharge- 08/29/2013 $26.33
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $245.75
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 952-001-0090. You may obtain a copy of the r =direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: 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 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.
08=29-' 13 13:30 FROM- Frahler Electric 5036394673 T-336 P0001/0002 F-163
• Electrical Permit Applicat>to. El V E� iii i)rl lC r. r r (;V1.,• :j 1 V Received
' City of Tigard ..
13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: —/
Phone: 503.718.2439 Pax: 503.598.1 0( 9 P Review: Other Permit: i / I•!� � ��I.� 2 2013 � as �
I 1,2,A 1,t) Inspection Line: 503.639.4175 Date Ready/By:
Internet: www.tigerd-or gov Sd plc Pent 2 Information
s , Notified/Method: T
7� � ` y Supplemental intormatiom
71 ,,tG'I aryl' .5,:Af,rC �^ // .// d�jy/� F5'•, r'6,t .!F R•J�.i//19'i1/ ,ef .c 17 i� '.`,r ;I•r ,• ✓� r a 'I li. r
�.yy //LVa/eta �aIw ' Y r 4 /69 I rrl t� r� l l4^ ^ r ,7 t,;x r t(/,14s 7 I ,.x J hb t'lu //, „ g r��r 7 l
�Xl.�RJ�.`l/l��,Gn 7ud/Y/!y' .4.��Y7J,ruYPxdllkh�il/fb�L�(wfr��i�:l a�1,�.74�:c lt•�"r�:.].Y!�S L�:�Y'_3���1..;i.r�.^ 10��%i.�••�3, �r✓F l�. n�� J/Y�o:7r�CF/'t�li:CC_°�xa�rrC�!((/��%4'�ulr(C�a L����lb�`1
LI New ConstrUCtion IZ Addition/a teration/replacement- Please check all that apply(submit 2 sets of plans w/hems checked below):
❑Service or feeder 400 amps or more ❑Building over three stories.
❑Demolition y ,�/[ p Other where the available fault current ❑Marinas and boatyards.
��,l��'p��wlta j///lf 1! t, it 6,•wi ...44 i.t',y6"l�IPg46 <•"F mrtrv;r° / i,r�'✓',�? 1:
, x :.Jr,r2%o 6i4:4' ' J,2r.!csc�z$w"✓r4kt II /9�iu,Y,./.2,:kAAd k F„0z!,/L i q,., r Sr,,,J� ... :..„„, exceeds 10.000 amps at 150 volts or ❑Floating buildings.
less to ground,or exceeds 14,000 ❑Commercial-use agriwlteral
[] 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building amps for all other installations. buildings.
❑Multi-family ❑Master builder ❑Other: 0 fire pump. ❑Installation of 150 KVA or
"tl rr/,s,�r/76',,p V//+lf.� ./b!t !y,(,! ,:{ar rs fk•'?r ,Y pr.ai.! y fligq 4,' r , ❑Emergencysystem. larger se tel derived s
1 `,t', ” f':,iFir!1.,f.1, d 4,ir ikgek �h�agy:f2.'�2 ti c '&.t+,14!rtdeAW,X*.ndi.65,11:'r.�r'a Jtr/ .4 ❑Addition of new motor load of ❑"A "E'"I-2,y"1-3", Y
Job no.:70991 . Job site address:9491 SW WASH SQ 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 mom than
❑Hazardous locations. 600 volts nominal.
Suite/bldg./apt.no.;A-04 I Project name:ZUMIEZ ❑Service or�feeder 600 amps or more. y
Cross street/directions to job site: i ^"'/"°
Description Qty. pee- Total •
New residential single-or multi-family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq.R.or less 168.54 _ 4
Tax map/parcel na:
Es.add")500 sq.ft.or portion 33.92 l
. . Limited energy,residential
G� r r 11t 1s/ g M d U t4 3 N r�J M Yf y(M 5 r /J F j /s (with above sa.
75.00 2
energy,multi-family
TENANT IMPROVEMENT residential(with above .R).. 75.00 2
+, Q e ;tea` '•�
cu ..
Services or feeders installation,alteration,and/or relocation
'�'C l Hill, '1 tcdysrugarrr H%rafel II xi'lf A NH, 4,6.4:040 t. n r� ^/.N, x.,-.v. ,7' , yd , ! .1 r•
,!i`•, ;/,/tikZitd Ilial,,L!1 i•4,;gY k /k 1/iti Ip°e � %7", /43 Ld..' 200 amps or less 100.70 2
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:( ) I 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: Date Branch circuits—new,alteration,or extension,per panel
Ti. N/ ,m i, of trip l tp/ r�/ , g,,,•v : d,� '11,)! .", na ro r
2, (//p mg•" G "%` r F r v Qel, Rib„ y`�/ �`' / 4e��f Y .fir A A.Fee for branch circuits with
'" (b.Z% .hk:./ .v//Na..(/w5x(+�L._. ?•UGL.1 gLIEL� d�u .�Y/a.J`vyfdi.Y�i,.`A.ri ,p r ";
above service or feeder fee,
7.4'2 2
Business name: each branch circuit
B.Fce for branch circuits without
Contact name; service or feeder fee,first 1 56.18 56.18 2
branch circuit
Address: Each adcrl branch circuit 22 7.42 163.24 2
Miscellaneous(service or feeder not included t
City/State/ZIP: Each manufactured or modular )
Phone:( ) I Fax;:( )
dwelling,service and/or feeder 67.54 2
Reconnect only 67.84 2
E-mail: Pump or irrigation circle 67.84 2"q J 6yd ! r¢ r ay r w 2 n y s
Sign or outline lighting 67.84 z
Business name:JRA INC.dba FRAHLER ELECTRIC COMPANY Signal circuit(s)or limited-energy - See
panel,alteration,or extension. Page 2 2
Address:11860 SW GREENBURG ROAD Each additional inspection Over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
City/State/ZIP:TIGARD,OR 97223 •
Investigation(I hr min) 66,25/hr
Phone:(503)639-4627 I Pax:(503)639-4673 Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is
CCB Lie.: 197172 I Electrical Lic.: C861 90.00/hr
I Suprv.Lic.: 5110S specifically listed h hr min)
/� r�L�rd(' il b n;if"� /d/V J "t5y r r" r
Suprv.Electrician signature,required Q_.G ` �" '1".2.�y,r"r,.*• 14.il F7. Kfiersr- • "�
Subtotal: 219,42
-
Print name: ADAM ETHERINGTON Date: 05/29/13 Plan review(25%of permit fee):
State surcharge(12%of permit fee): 26,33
Authorized Signature: TOTAL PERMIT FEE: 245.75
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
• Number of inspections allowed per permit.
OBuildingwermitsl.LC_PermitApp ELA_Elte.doc Rev 0$212013 440.461ST(II/0i/COMAVEa