Permit CITY OF TIGARD ELECTRICAL PERMIT
11111 - A>± COMMUNITY DEVELOPMENT Permit#: ELC2013 00545
Date Issued: 09/16/2013
TIGARD 13125 SW Hall Blvd,Tigard OR 97223 503 718 2439 Parcel: 1S135BA00102
Jurisdiction: Tigard
Site address: 10140 SW WASHINGTON SQUARE RD
Project: Washington Square Too Subdivision: OAKBURG Lot: 9
Project Description: (4)branch circuits for building and landscape lighting for buildings addressed 10140 through 10206. Utilitizing
house panel in space 10140.
Contractor: ROSS ELECTRIC CO,WASH CORP Owner: PPR SQUARE TOO LLC
PO BOX 822319 PO BOX 847
VANCOUVER,WA 98682 CARLSBAD,CA 92018
PHONE: 360-260-1951 PHONE:
FAX: 360-260-0978
FEES
Quantity Description Date Amount
4 crt Branch Circuits wo/Purchase 09/16/2013 $78 44
Specifics: Service or Feeder
1 ea 12%State Surcharge- 09/16/2013 $9 41
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $87 85
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 accordanc 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 ATTEN • Oregon I iv requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR
952-001-0 1 through OAR 952-0 Yo may obtain a copy of the rules or direct questions to OUNC by calling 503 232 1987 or 1 800 332 2344
Iss ed By: °\ .C-, �i�/L./b---14 Permittee Signature: , l.��) �w"■
- 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' t;"�� i nd t z, + 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.
Electrical Permit Application FOR Oi iici tisI oNi.v
City of Tigard Received Da (J// Permit No. / //� �.�/QS S-
../1 3125 SW Hall Blvd.,Tigard,OR 97223 Plan Review 7 w
' 13: Phone: 503.718 2439 Fax 503.598.1960 Date/By Other Permit
TI G A R D Inspection Line' 503 639.4175 Date Ready/By. Juns ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method Supplemental Information
TYPE OF WORK PLAN REVIEW
❑New construction lg.Addition/alteration/replacement Please check all that apply(submit 2 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/industrial ❑Accessory building amps for all other installations buildings
❑ Multi-family ❑ Master builder ❑Other: 0 Fire pump ❑Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION ` ❑Emergency system larger separately derived system
/0!yd
❑Addition of new motor load of ❑"A","E","I-2","I-3",
Job no.: Job site address: $ W (4436,310„ tt. boor or more occupancy.
Six or more residential units ❑Recreational vehicle parks
City/State/ZIP: �/ ❑Health-care facilities ❑Supply voltage for more than
T g 4 f G ��� ❑Hazardous locations 600 volts nominal
Suite/bldg./apt.no.: Project name: ❑Service or feeder 600 amps or more
Cross street/directions to job site: //J� (G FEE SCHEDULE
.'
/ Q. /M Description l Qty. l Fee. I 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'I 500 sq.ft.or portion 33.92 1
Tax map/parcel no.: Limited energy,residential 75 00 2
DESCRIPTION OF WORK _ (with above sq ft) ,
T� / 1_ /� Limited energy,multi-family 75 00 2
•f��' s-4-1/ /Let/ S i I . Liq LA•,k j h IV(Z(, arQA, residential(with above sq ft)
V 1 J Renewable Energy ❑ See Page 2
,- - Cc:F2i0/L /L.b/,JCo L--,9W-DginQe- //¢4,--/At Services or feeders installation,alteration,and/or relocation
[W PROPERTY OWNER ❑ TENANT 200 amps or less 100 70 2
M 201 amps to 400 amps 133 56 2
m
Name: a cc, 401 amps to 600 amps 200 34 2
Address: 119 1( iv. Tf ..i i,yy` &kik 601 amps to 1,000 amps 301 04 2
Over 1,000 amps or volts 552.26 2
City/State/ZIP: Phoen lx ,42. S( S o 2 p p Temporary services or feeders installation,alteration,and/or
t
Phone:(Co Z) Cf S 3 —6q0 7 Fax:( ) relocation
200 amps or less 59.36 I
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
0 APPLICANT ❑ CONTACT PERSON A Fee for branch circuits with
above service or feeder fee,
Business name: GS S El a c,+,;(..- each branch circuit 7.42 . 2
/ B Fee for branch circuits without
Contact name: (3 ran Gidn l�r`eil service or feeder fee,first I 56 18 5C.(8 2
q branch circuit
Address: PO lax Q-21.3( l Each add'I branch circuit 3 7 42 22..26 2
Miscellaneous(service or feeder not included)
City/State/ZIP: Van COkV e.f. W 9 �V tL Each manufactured factured or modular 67 84 2
Phone:('360)u Q — c y s t Fax: :(4O) 24o — 6 q 7 Q dwelling,service and/or feeder
uu Reconnect only 67 84 2
E-mail: brt:ln ido n @ rocs e(ectr;cc o.colts Pump or imgation circle 67 84 2
-
CONTRACTOR Sign or outline lighting 67 84 2
Business name: !to S f C( f y I C Signal circuit(s)or limited-energy See
panel,alteration,or extension. Page 2 _ 2
Address: PV 60 x q-22.,31 9 Each additional inspection over allowable in any of the above
ty Vac cou Ue4- WA w kG i�
Additional inspection(I mi O hr mm) 66 25/hr
City/State/ZIP: 7
Investigation(I hr mm) 66 25/hr
Phone:060) 2_60 -( q s( Fax:(360 ) 2..6o- O''7$ Industrial plant(I hr mm) _ 78 I8/hr
Inspections for which no fee is 90 00/hr
CCB Lic.: 126 S 7 J Electrical Lic.:T 7—7 7q C, Suprv.Lic.: yo y7 S specifically listed(%hr mm)
I/� I 7/7// ■o/z�� ELECTRICAL PERMIT FEES
Suprv. Electrician sign VI ,re /�"
P 9 ` ��-- Subtotal: '3 g,y q
Print name: Date: y Plan review(25%of permit fee): —$9—
Ca G/ z�(e s ��� State surcharge(12%ofpermit fee): 9. /Authorized sign , /, �� � X//��f___.--- TOTAL PERMIT FEE: f(7.ia
Print name: ba(,e_ ASS/ Da : 9//�/j3 This permit application it expires if a permit iascoobtained within 180
/ days after it has been accepted as complete.
' Number of inspections allowed per permit
1\Building\Penmts\ELC_PermitApp_ELR_ERE doc Rev 05/21/2013 440-4615T(11/05/COM/WEB
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
10140 SW WASHINGTON SQUARE RD,
TIGARD, OR, 97223
Commercial - Electrical
199 Electrical final
2013-11-12 (null)
ELC2013-00545
PASS - No C of O
Violation Summary:
Inspector Contractor