Permit CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: ELC2014-00020
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/14/2014
Parcel: 1 S 1260000300
Jurisdiction: Tigard
Site address: 9585 SW WASHINGTON SQUARE RD MGMT OFF
Project: A T&T Subdivision:VASHINGTON SQUARE ESTATES NO Lot: 108
Project Description: (1)service&(2)branch circuits to add 50kw generator and switch to existing cell tower site
Generator installation done under BUP2012-00138
Contractor: BATTERY POWER SYSTEMS INC Owner: PPR WASHINGTON SQUARE LLC
201 FRONTAGE RD N 9585 SW WASHINGTON SQUARE RD
PACIFIC, WA 98047 TIGARD, OR 97223
PHONE 253-931-8222 PHONE
FAX 253-939-7380
FEES
Quantity Description Date Amount
1 ea Services or Feeders-200 0111412014 $100 70
Specifics: amps or less
2 cr1 Branch Circuits wlPurchase 01114/2014 $14 84
Type of Use: COM Service or Feeder
Class of Work: ALT 1 ea 12%State Surcharge- 01/14/2014 $13 86
Electrical
Type of Const:
Occupancy Grp:
Total $129.40
Required Items and Reports(Conditions)
This permit *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 don accordance with approved ns 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. urres1 to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR
95 001-0010 throuh OAR 952-0 1-0090 may obtain a copy of the rules or direct questions to OUNC by calling 503 232 1987 or 1 800 332 2344
ued By: I 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' , .z�� Date: /9/
Ally —
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 OFFICE USE ONLY
City of Tigard Reei /I/ ,� Permit No.:�� f —cV4 ) '>1111 13125 SW W Hall Blvd.,Tigard,OR 97223 Plan Review n
' a Phone: 503.718.2439 Fax: 503.598.1960 Date/By Otter Permit.. /U pokm_0013 p
O
T I G A R t r Inspection Line: 503.639.4175 Date Ready/By: tuns: 0 See Page 2 for
Internet: www.tigard-0r.gov Notified/Method: Supplemenalleformation
I'1 PI: OF %S ORK Print name: D
NON, construction Addition/al tent tion!replacement .
PLAN REVIEW
Demolition Other:
- Please check all that apply(subnut 2 sets k,f plans whims checked below)
('ATFt OR) OF ( 0\'.I RI ('I 1 o Service or feeder 400 amps or Building over three stories
I-and 2-family dwelling Commercial/industrial Accessory building more Marinas and boatyards.
where the available fault current Floating buildings.
Multi-family Master builder Other: exceeds 10,000 amps at 150 volts Commercial-use agricultural
Ia JOB SITE INFORMATION AND LOCATION or buildings.
less to ound,or exceeds 14,000
LS Installation of 150 KVA or
Job no.: i Job site address:9585 SW Washington Square Rd amps for all other installations. larger separately derived
Fire pump. system
City/State/ZIP: Tigard,OR 97223 Emergency system.
Addition of new motor load of occupancy.
Suite/bldg./apt.no.: Project name: PW 11 IOOHP or more Recreational vehicle parks.
Cross street/directions to job site: Cellular tower directly across from JC Penny Six or more residential units. Supply voltage for more than
Health-care facilities. 600 volts nominal.
entrance at Washington Square hazardous locations.
Service or feeder 600 amps or
Subdivision: I Lot no.: more
Tax map/parcel no.: FEE SCHEDULE
Description ] Qty. Fee. I 'ImNl I •
DESCRIPTION OF WORK New residential single-or multi-family dwelling unit.
Adding 50kw generator and automatic transfer switch to existing AT&T cell Includes attached garage.
1,000 sq.ft.or less 1 68.54 4
site Ea.add'l 500 sq.ft.or portion 33.92 1
l ' Limited energy,residential
PROPERF\' OWNER t "VIA ANT (with above sq.ft.) 75.00 2
Name: AT&T Mobility Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
Address: 16221 NE 72nd Way RTC 3;P.O.Box 97061 Renewable Energy See Page 2
rvices or feeders installation,alteration,and/or relocation
City/State/ZIP: Redmond,WA 98052 amps or less I 100.70 (pp, ,v 2
Phone:( 503 ) 913-7740 Fax:( ) 201 amps to 400 amps 133.56 2
Owner installation:This installation is being made on property that I own which is not 401 amps to 600 amps 200.34
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 601 amps to 1,000 amps 301.04
Over 1,000 amps or volts 552.26 2
Owner signature: Date: Temporary services or feeders installation,alteration,and/or
relocation •
APPLICANT I CONTACT PERSON 200 amps or less 59.36 1
201 amps to 400 amps 125.08 2
Business name: Battery Power Systems, Inc. 401 amps to 599 amps 168.54 2
Contact name: Kevin Duncan 360-909-5625 'ranch circuits-new,alteration,or extension,per panel
0 ee for branch circuits with
Address: 201 Frontage Rd.N :.the service or feeder fee, 7 42 �y �J(
each branch circuit
City/State/ZIP: Pacific,WA 98047 B.Fee for branch circuits without
Phone: 253 ) 931-8222 Fa\: :■ 253 ) 939-7380
service feeder fee,first 56.18 2
( branch circuit
E-mail: kduncan a batterypowersystems.com Each add'1 branch circuit 7.42 2
CONTRACTOR Miscellaneous(service or feeder not included)
Each manufactured or modular 67.84 2
Business name: Battery Power Systems,Inc. dwelling,service and/or feeder
Reconnect only 67.84 2
Address: 201 Frontage rd.N
Pump or irrigation circle 67.84
2
City/State/Z1P: Pacific,WA 98047 Sign or outline lighting 67.84 2
Signal circuit(s)or See
Phone:( 253 ) 931-8222 Fax:( 253 ) 939-7380 limited-energy panel,alteration, Page 2 2
or extension.
CCB Lie.: 156420 Electrical Lie.: C730I, Suprv.Lic.:4334S _Each additional inspection over allowable in any of the above
Suprv.Electrician signature,required: �/I�t /���f�� h re).--)44,
Printname: Casey O'connor Date: 1/14/2014 _1 -
Authorized signature: c„,.." , --7::::;-,1-4.- `#iA� •`4)
ELECTRICAL PERMIT FEES..
11Building'Pemtits\ELC_PennitApp_EtR_ERE-doe Rev 05/21/2013 440-46151(11/05/C OM/WEB