Permit (173) CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: ELC2018-00380
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/27/2018
T t c" It.t r g Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9724 SW WASHINGTON SQUARE RD F06
Project: Din Tai Fung Subdivision: None Lot: None
Project Description: Service/feeders and branch circuits for tenant improvement: total(3)200 amp,(2)400 amp,(102)branch circuits
and(1)data telecommunications.
Contractor: IES COMMERCIAL INC Owner: PPR WASHINGTON SQUARE LLC
16135 SW 74TH AVE PO BOX 847
TIGARD, OR 97224 CARLSBAD, CA 92018
PHONE: 503-648-1900 PHONE:
FAX: 503-670-9572
FEES
Quantity Description Date Amount
1 ea Services or Feeders-200 06/12/2018 $100.70
Specifics: amps or less
1 ea Services or Feeders-201 to 06/12/2018 $133.56
Type of Use: COM 400 amps
Class of Work: ALT 94 crt Branch Circuits w/Purchase 06/12/2018 $697.48
Service or Feeder
Type of Const: 1 ea Plan Review Electricial 06/12/2018 $232.94
Occupancy Grp: 1 ea 12%State Surcharge- 06/12/2018 $111.81
Electrical
2 ea Services or Feeders-200 08/27/2018 $201.40
amps or less
1 ea Services or Feeders-201 to 08/27/2018 $133.56
400 amps
8 crt Branch Circuits w/Purchase 08/27/2018 $59.36
Service or Feeder
1 ea Restricted Energy Permit 08/27/2018 $75.00
Total $1,920.71
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. T •=- rules are set f•.. in OAR
952-001-0010 through 0 52-00 •$90. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.19: • :.$. 44.
Issued By: V 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 503.639.4176 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.
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Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESP;ttXVA:V, 'OR ONLY. ,,a i x�`.x* . y Fl SCHED E .,
..:�.,�,.. .. _.,. ,<
Description I Qty. I Each 1 Total
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 133.56 2
❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
❑ Burglar Alarm 25.01 to 50 kva 301.04 2
50.01 to 100 kva 552.26 2
❑ Garage Door Opener* >100 kva(fee in accordance
with OAR 918-309-0040) 552.26 2
❑ Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System*
Each additional kva over 25 7.42 3
❑ Vacuum Systems* >100 kva-no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
❑ Other: Each additional inspection is 66.25/hr 1
charged at an hourly(1 hr min)
Inspections for which no fee is 90.00/hr
specifically listed('/hr min)
='OMME ._ . ..O. `" s .,.,, ,, ,.° o,, .,.,.. 'RICA,L:PERMIT S� is,
��.,...�. . RCIAL�WORK 4N�Y .,, ...._F�,, .,t ,. . - >`�;E:;� ; .
�� '" Subtotal(Enter on Page 1):
Fee for each commercial system: $75.00 * Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems 1 '
El Data Telecommuni - ion Installation r,/1 ��0
® Fire Alarm I allation ,, , / 0v
❑ HVA . 5‘',71'/‘
� , g
❑ strumentation
Intercom and Paging Systems (,,S)
oi
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
I:\Building\Permits\ELC_PermaApp_ELR_ERE.doe Rev 06/17/2015
Electrical Permit Application RECFIVEL
FOR OFFICE USE ONLY
71 City of Tigard Date/By: _
e 13125 SW Hall Blvd.,Tigard,OR 97223 AUG 7 2018 Plan Rev;*`*- 1 ' -'" `�
Related Permit#: / nn i
Phone: 503.718.2439 Fax: 503.598.1960 Date/B, � ��" pCU`� ���
Inspection Line: 503.639.4175 CITY OE '"� ,•rt R r Ready varelty: I 'V d See Page ZZ for
T 1 G A R D t�5.)Notified/Method: Supplemental Information
Internet: www.tigard-or.gov 1 _ �,
D New construction �®Addition/alteration/replacement Please check all that apply(submit 2 sets of plans wlrtems checked):
®Service or feeder 400 amps or more ❑Building over three stories.
0 Demolition 0 Other: where the available fault current 0 Marinas and boatyards.
K °: . til-, A „(Y, exceeds 10,000 amps at 150 volts or ❑Floating buildings.
�} � .'.fir°� ��s .�fi l�r�:1 1 i � , � .
❑ 1 and 2-family dwelling ®Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or
• .0 RI e.'4 V;►� N''.0-4. 1'1# f_" . ❑Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#:311180019 I Job site address:9677 SW Washington Square Rd 1001-Ip or more. 0"A","E","1-2","1-3",
City/State/ZIP:Tigard,OR 97223 ❑Six or more residential units. occupancy.
0 Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: I Project name:Din Tai Fung ❑Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: , ; Da 4 t t;Diiiri '
Description Qty. I Each Total t.
New residential single-or multi-family dwelling unit.
Subdivision: I Lot#: Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#: Ea.add'1500 sq.ft.or portion 33.92 1
r t a: 81 ® Ii qtr 4 4 k Limited ener ,residential
75.00 2
Din Tai Fung-tenant improvement for restaurant in Washington Square mall. (with above sq.ft.) .
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
Renewable Energy ! 0 See Page 2
' OA r- Y+. , 3 «`-',.3-.; •'':.•,..4•"":"-;Ty 'r- ; ..' 1 �=' Services or feeders installation,alteration,and/or relocation
Name: 200 amps or less 3 100.70 302.10 2
Address: 201 amps to 400 amps 2 133.56 267.12 2
401 amps to 600 amps 200.34 2
City/State/ZIP: 601 amps to 1,000 amps 301.04 2
Phone:( ) Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Owner signature: Date: 401 amps to 599 amps 168.54 2
�, -- •,u, Branch circuits-new,alteration,or extension,per panel
- A.Fee for branch circuits with
Business name: above service or feeder fee, 102 7.42 756.84 2
each branch circuit
Contact name: B.Fee for branch circuits without
service or feeder fee,first 56.18 2
Address: branch circuit
City/State/ZIP: Each add'I branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:( ) Fax::( ) Each manufactured or modular '
dwelling,service and/or feeder 67.84 2
Email: Reconnect only 67.84 2
x
_ .1.' , ' �� ' Pump or irrigation circle 67.84 2
Business name:IES Commercial-contact: Matt Saager Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy ® See Page 2 75 2
Address:16135 SW 74 Ave panel,alteration,or extension.
City/State/ZIP:Tigard,OR 97224 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
..Phone:(503)310-5111 Fax:( ) Investigation(1 hr min) 90.00/hr
Email:matt.saager@iesci.net Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lic.: 118452 Electrical Lic.: C448 Suprv.Lic.: 4911S specifically listed 06 hr min)
Suprv.Electrician signature,required: Subtotal: 1401.06
Print name: Corey Baysinger L e ala..a D : 07-30-18 El Plan Review Required(25%of permit fee): 350.27
/ State surcharge(12%of permit fee): 168.13
Authorized signature: TOTAL PERMIT FEE: 1919.46
This permit application expires if a permit is not obtained within 180
Print name: Matt Saager Date: 07-30-18 days after it has been accepted as complete.
* Number of inspections allowed per permit.
I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
',"'w ' `' AIMAV Description [ Qty I Each I Total
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
5 kva or less 100.70 2
Check Type of Work Involved:
5.01 to 15 kva 133.56 2
❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
❑ Burglar Alarm 25.01 to 50 kva 301.04 2
• 50.01 to 100 kva 552.26 2
❑ Garage Door Opener* >100 kva(fee in accordance
552.26 2
with OAR 918-309-0040)
❑ Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System* Each additional kva over 25 7.42 3
❑ Vacuum Systems* >100 kva-no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
❑
Other: Each additional inspection is 66.25/hr 1
charged at an hourly(1 hr min)
Inspections for which no fee is 90.00/hr
s. cificall listed('h hr min)
- r " Subtotal(Enter on Page 1):
Fee for each commercial system: $75.00 * Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
• Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
I:\Building\Pemuts\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015
,ARC DELIVERY NO. 1541014
2730 Occidental Ave S
Seattle,WA
206-622-6000 98134 EIV DATE 06/01/18
JUN 0 4 2018 WO# 5326420
DELIVERY TICKET o Contact#26000
o CITY 01-- a ATTN: Bldg Division
iShipdocsBI,)1LD1NG D VISION (T) City of Tigard Permit Center
13125 SW Hall Blvd.
Tigard, OR 97223
11111111111111111111111111111111111111111111 JOB DUE: 06/04/18 at 17:00
CONTACT PHONE PURCHASE ORDER# SALES REP
Sergio Chin-Ley/CHIN-LEY/RECHE AS (206)938-1501 Lamar Middleton
JOB# JOB NAME BILLER LOC
DTF WA SQ DTF Washington Square Christine Warnock 052
,.,
��,s. +,.� ', .0 r c:vrFrus�,o ,t. •m 94 .� (3 �� k ��,� � r�� ��,tilfil �, e�Si ,rt �� •
SUB TOTAL DISCOUNT SALES TAX TOTAL DEPOSIT BALANCE DUE
TERMS:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9724 SW WASHINGTON SQUARE RD F06,
TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Electrical ELC2018-00380
Inspection Type: Inspector:
199 Electrical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor