Permit CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
DEVELOPMENT SERVICES PERMIT #: ELR2006 - 00217
I I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 9/13/2006
PARCEL: 1512600 -00300
SITE ADDRESS: 09522 SW WASHINGTON SQUARE RD H - 7 ZONING: C - G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: Eddie Bauer: (4) thermostats.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: HVAC: X PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
WASHINGTON SQUARE LLC ST JOHNS ELECTRIC INC
BY THE MACERICH COMPANY 4415 NE MINNEHAHA
9585 SW. WASHINGTON SQUARE RD VANCOUVER, WA 98661
TIGARD, OR 97223
Phone: 503- 639 -8865 Contact #: PRI 360 - 693 -5100
FAX 360- 699 -1345
FEES Reg #: ELE 37 -350C
LIC 43135
Description Date Amount SUP 3024S
[ELPRMT] ELR Permit 9/13/2006 $75.00
[TAX] 8% State Surcha 9/13/2006 $6.00 REQUIRED ITEMS AND REPORTS
Total $81.00
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.
Issued By: Permittee Signature: . ._12.42,t,
\1? p
OWNER INSTALLATION ONLY `1 p
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.
SEP- 1.11-200E 09:02 FROM: ST. JOHNS ELECTRIC 3606991345 TO: 15035981960 P.1
' ` Electrical Permit Ap r - r t . F1 I I - IV ES I. OR 91.1-1 c E t ISE p N L 1 x
City of Tigard Received CI "/ .S 0 6 : (L, X eZ -o ) 7
y , Permit No. J
13125 SW Hall Blvd., Tigard, OR 97223 - - Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 S Lt 20014,,.. I t, Date/13v: Other Permit:
Inspection Line: 503.639.4175 : _, I I ; DateReadyBy: lur 55 See Page 2for
Internet www.ci.tigard.or.us CITY OF TIGA • Notified/Method: r )( Sup plemental Information
1 I MUf31®N 1 PLAN REVIEW
❑ New construction ❑ Addition /alteration /replacement Please check all that apply:
❑ Demolition ■Qther: ❑Service over 225 amps, comm'I ['Hazardous location
.. . Service over 320 amps - r Buildn over 10 000 . ft.,
p sting g sq
CATEGORY 'OF CONSTRUCTION • of 1- and 2- family dwellings 4 or more new residential
❑ 1- and 2- family dwelling ❑ CommerciaUindustrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
13 Multi family ❑Master builder g'nther: ['Building over three stories [Weeders, 400 amps or more
_ ❑Occupant load over 99 persons ❑Manufactured structures or
JOB SITE INFORMATION AND LOCATION ['Egress/lighting plan RV park
Job no.Ra1/,64 lob site address: 95Z2. S1/4/4/ 94 /'J', ❑Health -care facility ❑Other:
Submit _i sets of plans with any of the above.
City/State /ZIP:' 6. ?,4.f , ne pd zzz' The above are not applicable to temporary construction service.
Suite/bldg. /apt. no. S40 1 7I Project name• t JJ A jg ,. FEES' SCHEDULE ' -
Description I Qty. I Pee. I Total I ••
Cross street/directions to job site: New residential single- or multi- family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: I Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 1
Tax map/parcel no.: Limited energy, residential 75.00 2
DESCRIPTION; OP WORK . energy, to
Limited non-residential 75.00 2
. _ Each manufactured or modular
7 OSt S dwelling, service and/or feeder 90.90 2
Services or feeders Installation, alteration, and /or relocation
200 amps or Tess 80.30 2
PROPERTY bwNEk. ; TE$ANP
i 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
Name: 601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City / State/ZIP: 'Temporary services or feeders installation, alteration, and /or
relocation
Phone: ( ) I Fax: ( ) 200 amps or less 66.85 I
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, (case, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2
Owner signature: Date: Branch circuits- new, alteration, or extension, per panel
Q APPLICANT ' CON1'A(T P A. Fee for branch circuits with
service or fceder fee, each 6.65 2
Business name: branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee,
first branch circuit 46.85 2
Address: Each add'I branch circuit 6.65 2
City /State/ZIP: Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone: ( ) I Fax: : ( ) - -
Sign or outline lighting 53.40 2
E - mail: Signal circuit(s) or limited -
.. CO)11TItACTOR. energy panel, alteration, or
exten Describe: / 2 75 . 2
t's Business name: ST �t7 (4 Al �iCgC7�. C T ?/� i?/12t�T !J
Address: y.c,i,1, �)it� rn l/(f� �� f fA sT Eseh additional inspection over allowable in any of the above
1 Per inspection 62.50
/)o City /State/ZIP: ��/ - 1 V W u v,�i.. a `'s,$ 6 / investigation per hour (I hr min) 62.50
11 'hone: (3 ) 6 93 „s I Fax: ( ) '7'13 Industrial plant ear hour 73.75
�D ! ELECTRICAL PERMl7' F.Et$ *':
ti
CCB Lic.: o f 3(35 Electrical Lic.: 3 J5 . Suprv. ' .: 3o014.1- S Subtotal 757 Q�
Suprv. Electrician signature, required: Plan review (25% of permit fee)
A , ��// State surcharge (8% of permit fcc) / 60
Print name:/ V D a • /v►� TOTAL PERMIT FEE :,,Y1 r 00 -
Authorized signature: ; This permit application expires if a permit is not obfaided within 180
days after it has been accepted as complete
Print name: (= �N t � J" I Date. /1 0 � • Fee methodology set by Tri County Building Industry Service Board
`" v • • Number of inspections per permit allowed.
i: \Building\Permiu\ELC•PermitAPp doe 12/03 440-4615T(I0/02/COM/WEB
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BUILDING DIVISION PERMIT #: ELR2000-00217 n
131253VVHaUBkd..11gand.DR07223 DAJE|SSUED: 8/13/2005
Phone: (503) 639-4171 r'
Inspection Requests (24 Hrs.): (503) 639'4175 ^%�m� '
(24
INSPECTION WORKSHEET FOR DATE: 11/13/2006 TIME: 7:04AhA PAGE: 18
SITE ADDRESS: O95J2EW WASHINGTON SQUARE QDH CLASS OF WORK
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: EDDIE BAUER
DESCRIPTION: Eddie Bauer: (4) 1hmnnmstzto.
OWNER: WASHINGTON SQUARELLC. PHONE #: 5D3-63a-8665
CONTRACTOR: ST JOHNS ELECTR||NC .
ELECTRIC PHONE #: 360-693-6100
Inspection Request Scheduled For: Date: 11/13V2000 Pour Time:
Code # Inspection Description Confirmn# Contact # Message
199 Electrical final 039640-01 818-314-2792 N
Corrections/Comments/Instructions:
•
C M
1 C /
.
/
- n PARTIAL APPROVAL CANCEL n NOACCESS
il FAIL n CALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED
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Inspector: ■
L/ Da��xy� /��-- u^ Phone #: (503) 718'
A
.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ER2006-00217
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/13/7006
Phone: (503) 639-4171 A 1
I„,
Inspection Requests (24 Hrs.): (503) 639-4175 azg'i-11.
INSPECTION WORKSHEET FOR DATE: 9/14/2006 TIME: 7:OOAM PAGE: 67
SITE ADDRESS: 09522 SW WASHINGTON SQUARE RD H CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: EDDIE BAUER
DESCRIPTION: Eddie Bauer: (4) thermostats.
OWNER: WASHINGTON SQUARE LLC, • PHONE #: 503...6.8865
CONTRACTOR: ST JOHNS ELECTRIC INC PHONE #: 360-693-5100
Inspection Request Scheduled For: Date: 9/14/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 036506.01 360 N
Corrections/Comments/ Instructions:
;g4 PASS J 1 PARTIAL APPROVAL El CANCEL El NO ACCESS
fl FAIL n CALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED
Inspector: i t tb Date: 911 a Phone #: (503) 718- 2•
, .