Permit •
CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: E 1/2008 -00244
DATE ISSUED: 5/1/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S 135BA -00102
SITE ADDRESS: 10206 SW WASHINGTON SQUARE RD C3 -15 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE TOO LOT : 001 JURISDICTION: TIG
PROJECT: BARNES AND NOBLE
Project Description: TI. Reconnecting (9) HVAC units and (3) plug circuits.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAUPANEL:
MANF HM/ SVCI FDR: 601 +amps -1000 volts: MINOR LABEL (10):
SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: W /SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 11 IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
WASHINGTON SQUARE LLC BOB'S ACTION ELECTRIC INC
BY THE MACERICH COMPANY 2700 NE BURTON ROAD #A
9585 SW WASHINGTON SQUARE RD VANCOUVER, WA 98662
TIGARD, OR 97223
Phone: Contact #: PRI 360- 254 -7200
FAX 360 - 254 -8219
FEES
Description Date Amount Reg #: ELE 37 -431C
[ELPRMT] ELC Permit 5/1/2008 $120.00 LIC 53136
[TAX] 12% State Surchar 5/1/2008 $14.40 SUP 4322S
Total $134.40 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All
work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for
more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in
OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
111 Issued By: P ermittee Signature: ^
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Electrical Permit Application + FOR OFFICE USE ONLY
� ; Received Pe rmit No.:
+
City of Tigard r Date /B ...% d$ 3 . LG r Let
:� • 13125 SW Hall Blvd Tigard, OR 97223 ����'
Phone: 503.639.4171 Fax: 503.598.1960 A Other Permit:
T I G A R D Inspection Line: 503.639.4175 . _ 1 t(r- , late Ready /By: Juns. ® See Page 2 for
Internet: www.tigard or.gov C � � O hV w a ' otified /Method: Supplemental Information
TYPE OF WQ O t ' P REVIEW
❑ New construction ❑ Addition /alteration /replacement Please check all that apply (submit 2 sets of plans wiitems 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 J Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
❑ Emergency system. larger separately derived system.
JOB SITE INFORMATION AND LOCATION
❑ Addition of new motor load of ❑ "A ", "E ", "I -2 ", "I -3 ",
Job n0 .: J ob site address: 100HP or more. occupancy.
08-389 1 0 2 0 6 SW Washington Sq . ❑ Six or more residential units. ❑ Recreational vehicle parks.
City /State /ZIP: T igard , OR 97223-4459 El Health-care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: iAvy {S - /�� / _ ❑ Service or feeder 600 amps or more.
kJ deb FEE SCHEDULE
Cross street/directions to job site: Description 1 Qty. 1 Fee. 1 Total 1
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Ea. add] 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential
DESCRIPTION OF WORK (with above sq. 0.) 75.00 2
Limited energy, multi- family 75.00 2
p r,nnprt 9 HVAC Units & 3 plug circuits residential(with
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2
Name: 401 amps to 600 amps 160.60 2
Barnes And Noble 601 amps to 1,000 amps 240.60 2
Address: 10206 SW Washington Square Over 1,000 amps or volts 454.65 2
City /State /ZIP: Temporary services or feeders installation, alteration, and /or
Tgiard, OR 97223 -4459 relocation
Phone: ( ) Fax: ( ) 200 amps or less 66.85 1
Owner installation: This installation is being made on property that 1 own which is not 201 amps to 400 amps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
Branch circuits - new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
❑ APPLICANT ❑ CONTACT PERSON above service or feeder fee, 6.65 2
each branch circuit
Business name: B. Fee for branch circuits
Contact name: without service or feeder fee, 1 46.85 46.8E 2
first branch circuit
Address:
Each add] branch circuit 11 6.65 73.1 E 2
Miscellaneous (service or feeder not included)
City /State /ZIP: Each manufactured or modular
dwelling, service and/or feeder 90.90 2
Phone: ( ) Fax: : ( ) Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 53.40 2
Signal circuit(s) or limited -
Business name:
B o b ' s Electric energy panel, alteration, or
Address: 2700 NE Burton Rd., Ste. A extension. Describe: Page 2 2
City /State /ZIP: Vancouver , WA 98662 Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: (360 254-7200 Fax: ( 3. 0) 254-8219 Investigation per hour (1 hr min) 62.50
CCB Lic.: 53136 Electrical Lic.: 37_ 1 C Suprv. Lic.: 4 3 2 2 S Industrial plant per hour 73.75
/� ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required:---- / f � / Subtotal: 1 20.00
Print name: Date: Plan review (25% of permit fee):
Kevin B rose ll e 4/9/08 State surcharge (12% of permit fee): 14.40
Authorized signature: TOTAL PERMIT FEE: 134.40
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.
r CITY OF TIGARD ELECTRICAL PERMIT
1 14
V
° COMMUNITY DEVELOPMENT PERMIT #: E -00244
DATE ISSUED: 5/1/2008 1/2008
,i, l GA 1bD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S135BA-00102
SITE ADDRESS: 10206 SW WASHINGTON SQUARE RD C3 -15 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE TOO LOT : 001 JURISDICTION: TIG
PROJECT: BARNES AND NOBLE .
Project Description: TI. Reconnecting (9) HVAC units and (3) plug circuits.
•
RESIDENTIAL UNIT • TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG:
LIMITED ENERGY: 401 600 amp: . SIGNALIPANEL:
MANF HM/ SVCI FDR: 601 +amps -1000 volts: MINOR LABEL (10):
SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: W /SERVICE OR FEEDER: PER INSPECTION: .
201 - 400 amp: 1st WIO SRVC OR FOR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 11 IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
WASHINGTON SQUARE LLC BOB'S ACTION ELECTRIC INC
BY THE MACERICH COMPANY 2700 NE BURTON ROAD #A
9585 SW WASHINGTON SQUARE RD VANCOUVER, WA 98662
TIGARD, OR 97223
Phone: Contact #: PRI • 360 - 254 -7200
FAX 360 - 254 -8219
•
FEES
Description Date Amount Reg #: ELE 37
[ELPRMT] ELC Permit 5/1/2008 $120.00 LIC 53136
[TAX] 12% State Surchar 5/1/2008 $14.40 SUP 4322S
Total $134.40 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. 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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in
OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By: Permittee Signature: 7---7SAM✓
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'N: DATE:
LICENSE NO:
Call 503.639.4175 by 7:00 a.m. for.an inspection that business day.
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.
• INSPECTOR'S SIGNATURES ARE NOT
Inspections Required for: zit REQUIRED ON GREEN INSPECTION CARD.
✓ Code Inspection Description PASS Date By ✓ Code Inspection Description I PASS Date I By •
BUP - Building Permit ELC - Electrical Permit
405 Excavation 105 Underground /slab cover
410 Fill 110 Temporary electrical service .
415 Grading 115 Electrical service
205 Footing • X \ 120 Electrical rough -in
805 MFG - Structure grading /footing , 125 Wall cover
210 Foundation walls 130 Ceiling cover
215 Footing drain 135 Low voltage
220 Slab 140 Sign installation
310 Crawl drain 145 A/C or heating unit circuit
225 Post /beam structural 150 Hot tub /spa /pool
230 Underfloor insulation 195 Misc. inspection:
235 Shear walls /anchors x 199 Electrical final •
240 Exterior sheathing
245 Firewall
250 Roof nailing ELR - Restricted Energy Permit
255 Wtr proofing basement walls 135 Low voltage
260 Tilt -up panel 195 Misc. inspection:
265 Masonry 199 Electrical final •
270 Reinforcing steel (rebar)
275 Framing
810 MFG- Structure set -up MEC - Mechanical Permit •
280 Insulation 605 Post /beam mechanical
285 Drywall nailing 610 Gas line
287 Suspended ceiling 615 Mechanical rough -in
295 Misc. inspection: 620 Hydronic piping
899 MFG - Structure final 625 Duct work
498 Grading final 630 Fire damper
299 Final inspection 635 Smoke detector shutdown
640 Exhaust hood
695 Misc. inspection:
699 Mechanical final
BUP - Fire Protection System Permit
905 Sprinkler underfloor /slab PLM - Plumbing Permit
910 Sprinkler rough -in 305 Plumbing underslab
915 Fire alarm rough -in
920 Suppression trip test • 310 Crawl drain
995 Misc. inspection: 315 Post /beam plumbing
998 Alarm final 320 Plumbing rough -in
• 999 Sprinkler final 322 Shower pan
330 Water service
335 Rain drain
340 Storm drain
•
SIT - Site Work Permit 505 Sanitary sewer
405 Excavation • 345 Culvert /catch basin
410 Fill 350 Septic tank
415 Grading 395 Misc. inspection:
205 Footing 399 Plumbing final
210 Foundation walls
215 Footing drain
420 Sprinkler supply lines SWR - Sewer Permit
495 Misc. inspection: • 505 Sanitary sewer
498 Grading final 595 Misc. inspection:
499 Final inspection 599 Final inspection
I: \ Building \Forms \InspCard- AOP- Blank.doc 02/02/07