Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2009 -00018
COMMUNITY DEVELOPMENT
DATE ISSUED: 1/14/2009
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09508 SW WASHINGTON SQUARE RD J01 ZONING: MUC
SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG
PROJECT: CLEARWIRE
Project Description: TI. (21) branch 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: SIGNAL/PANEL:
MANF HM/ SVC/ 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: 20 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 FIVE STAR ELECTRIC, INC
BY THE MACERICH COMPANY PO BOX 555
9585 SW WASHINGTON SQUARE RD BANKS, OR 97106
TIGARD, OR 97223
Phone: Contact #: PRI 503 - 324 -0948
FAX 503 - 324 -0973
FEES
Description Date Amount Reg #: ELE 34 -665C
[ELPRMT] ELC Permit 1/14/2009 $179.85 LIC 158231
[TAX] 12% State Surchar 1/14/2009 $21.58 SUP 4622S
Total $201.43 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: %__R .5)\ pp
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 Applicat r ECEI V FOR'OFFIC E USE ON V
City of Tigard Received . •pct • Permit loo. E l(1007. ! 8
13125 SW Hall Blvd.. Tigard, OR 97223JA N 1 3 20r3 Plan Rcvicw QAOO
. : Phone: 503.639.4171 Fax: 503. 0 Date/BY Other Permit; it ez 0 c )q - •
.r C AP,17 inspection Line; 503 839.4175 I Y OF TIGARL DeRady /Byd Ions: El See emage fnforma 2 T Into www.tigard- or.gov at fe
r. 1 L z r 1 ' Ju ' , I i 1 2 . 1 __r .t G 3��!!~ r� b a +lr �,- r +,r i
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+ W E e _. ' a>< l -ti= I '« i Il{! l r c ..7 r fi tr , `' l qtr t t r
❑ New construction ® Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w /items chocked below):
El Demolition ❑ Other; 0 Service or feeder 400 amps or more ❑ Building over three stories
E� r� r n ' f 9 $ � I where the available fault current ❑ Marinas and boatyards.
_13G
y � w tt ,y, 'f ' k _ `!• y , " p s • I •'�, n t �y ,, �' ` exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
ilu lli�'� a u r� 1_ r- r.s1_ -- 4 e.: 1.;- , I less to ground. or exceeds 14,000 ❑ Commercial -rue agteultural
❑ 1- and 2- family dwelling ® Commercial/industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi - family ❑ Master builder El Other: 0 Fire pump ❑ Installation of 75 KVA or
-yr; } r p � 1 r h � ¢ ` e l c � » kJ j : u , br f x :. / )6. n ' `. ❑ L•mergency system larger separareEy derived system,
z ., .._ , 1 �. t,„,„',a-,. r nha »tin:.,., g amlh ,, __ 1 51 „„,.,_ �, fl: ..a,...M.,�,,, a ❑ Addition of new motor load of El ` . <E ,, , "1 - 2 .. , "1.3 ",
Job no: FS1358 Job site address: 9585 SW Washington Square Rd 100HP or more. occupancy.
❑ Six or more residential wins ❑ Recteanonal vehicle parks.
City /State/ZIP: Tigard, OR 97223 ['Health-care facilities. 0 Suppl volta for more than
❑ Hazardous locations 600 volts nominal
Suite/bldg. /apt. no__ Jl Project name: Clearwire - Tigard 0 Service Or feeder 600 amps or more, }� y
"' '- x l'.il?f. ll Ill'4? l
s - � ,,,,- : SC k ,, Se...._v? : _
Cross street/directions to job site; Detcription Qty_ P. Total •
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'I 500 sq. ft. or portion 33.40 1
Tax map /parcel no_
..- y ,+ t ., mt n o, a . 114r - .1, 1 Y. -- -r- ,, ..,; Limited energy residential
t
tT ' 1
4 , I i -:. i., `f = t i1 =L ro : . fi>iwmud r ti... 2 n 1.zyl (with above an,. ft) 75.00 2
Limited energy. multi- family
TI - work, 21 branch circuits residential (with above se. ft) 75 00 2
y Services or feeders installation, alteration, and/or relocation
'- ?-''.y"I,� w el'A I YY� , 91uH _. on, f 'i ' •1 mar . �� j
? _ = 200 amps or less 80.30 2
� sz. -4,P . '_ -. C hilt : - l{ i i 9 i ' i ` P ` ` . r 6 201 amps to 400 amps 106.85 2
.._......E Im„d e.Q ' _
Name: 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
City/ State/ZIP: Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) Fax: ( ) 200 amps or less 66,85 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2
intended for sale, lease, rcnt, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
A Fee for branch circuits tvrrh
', h .,, � 1 _ „ " .c r 1 �� t7r "� t � r f l irt,, . e2" a .r n
::1, v ii'!.. ia " • � eyy..,`, ,. 2 . r z v f1!✓..1' I f � l. � l �',ll ( .r ini`i. f � c- i = " I t.,. ,7.; above service or feeder fee
j ` each branch circuit 6.65 2
Business name: B. Fee for branch circuits
without service or feeder fee, I 46.85
Contact name: 46.85 2
first branch circuit
Address: Each add'l branch circuit 20 6.65 133.00 2
Miscellaneous (service or feeder not included)
City / State/Z1P: Each manufactured or modular
90 -90 2
Phone: dwelling, service and/or feeder
( ) .. Fax :: ( ) Rec onnect only 66.85 2
E -mail: p e �� 4 Pump or irrigation circle 53.40 2
MIL s ' l
`. itt k, �s.. r r r, ;Y2- l itf �� {i L 1 i l r.`:,'45 Sign outline lighting 53.40 2
,x: -.�� t �,. i t 1 ,....ui,l dL�lvfi, d . m, m A �� ^�. = +]G,�F��i85�Htt�ft:W- :•_.i� ,..,..0 _
Business name: Five Star Electric, Inc Signal circuit(s) or limited -
energy panel, alteration, or
Address: PO BOX 555 extension. Describe; Page 2 2
City/State /ZIP Banks, OR 97106 Each additional inspection over allowable in any of the above
- Per inspection 62.50
Phone: (503) 324 -0948 Fax: (503) 324 -0973 Investigation per hour (1 hr mm) 62.50
CCB Lic.: 158231 Electrical Lie.: 3 , -66 c Suprv. Lic.: 4622s Industrial plant per hour 73.75
Suprv. Electrician signature, required: _ `f l ° .� i ' �" a_ � b o : .� > 1 . 7 .8
ty;, r � _ Subtotal: 179.85
Print name: Royal Stearns Date: 1/13/09 ,
Plan review (25% of permit fee).
State surcharge (12% of permit fee): 21.58
Authorized signature: TOTAL PERMIT FEE: 201.43
This permit application e'cpires if a permit is not obtained within 180
Print name; Date: days after it has been accepted as complete.
r lumber of inspections allowed per permit.
I \Buiiding\Pcamits\2LC- PmnitApp.doc 05/2/06 444- 4615T(II /05 /COM/WFB
Z00/ 1.00d Wd65:60 6002 El Opr EL60- VZE -EO5: xed S2 E011 fl8 bd1S ]AI J
CITY OF TIGARD
BUILDINb DIVISION PERMIT #: ELC2009-00018
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/140009
Phone: (503) 639-4171
el I
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 2/25/2009 TIME: 7:00AM PAGE: 21
SITE ADDRESS: 09508 SW WASHINGTON SQUARE RD J01 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: CLEARWIRE
DESCRIPTION: 11 ...—Intdrptiits.
•
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: FIVE STAR ELECTRIC, INC. PHONE #: 503-324-0948
Inspection Request Scheduled For: Date: .212512009 Pour Time:
Code # Inspection Description Contact # Message
199 Eleciiical final 080817-01 971-246-6002
Corrections/Comments/Instructions:
' r \ PASS II] PARTIAL APPROVAL fl CANCEL 0 NO ACCESS
FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: N66L-- Date: /.." Phone #: (503) 718- 7,414
CITY OFTLGARD
BUILDING DIVISION
PERMIT #: ELC2009•00018
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/14/2009
Phone: (503) 639-4171 •art.ilt.
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 2/24/2009 TIME: 7:00AM PAGE: 9
SITE ADDRESS: 09508 SW WASHINGTON SQUARE RD J01 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: ('LEARWI RE
DESCRIPTION: II. (21) branch circuits,
OWNER: WASHINGTON SQUARE L.LC, PHONE #:
CONTRACTOR: FIVE STAR ELECTRIC, INC, PHONE #: 503-324-0940
Inspection Request Scheduled For: Date: 2124/2009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 080793-01 971-246-6002 N
Corrections/Comments/Instructions:
IA
RE-Mkai croNn ‘e.A. :1(9 i• uo c
•1 1 1 0 - A <..em •
v4 tfAmtl._ upev • fz3E-cha_. Fect_.
pi PASS 0 PARTIAL APPROVAL [1] CANCEL 0 NO ACCESS
FAIL CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED
Inspector: CF N 1 tb U e Date: 7, d O Phone #: (503) 718- IA4
. .
. .
CITY OF.TIGARD
BUILDING DIVISION PERMIT #: - ELC2009 •00018
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/14/2009
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 2/23/2009 TIME: 7 PAGE: 8
SITE ADDRESS: 09608 SW WASHINGTON SQUARE RD J01 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: CLEARWIRE
DESCRIPTION: 11 (21) branch circuits.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: FIVE STAR ELECTRIC, INC. PHONE #: 503-324-0948
Inspection Request Scheduled For: Date: 2/23/2009 Pour Time:
Code # Inspection Description Confirm # • Contact # Message
140 Sign installation 080743-01 971-246-6002
Corrections /Comments / Instructions:
t•16 ZkriX Fta, 1.,g) ego
•
0 PASS PARTIAL APPROVAL El CANCEL E NO ACCESS
)kAIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: Cr (063 LL Date: 1./ J Phone #: (503) 718- 2-klift,
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CITY OF_TIGARD
BUILDING DIVISION PERMIT #: ELC2009-00018
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/14/2009
Phone: (503) 639-4171 , Vit
Inspection Requests (24 Hrs.): (503) 639-4175 ....,_, ---
\ .
INSPECTION WORKSHEET FOR DATE: 216/2009 TIME: 700A1v1 PAGE: 22
SITE ADDRESS: 09508 SW WASHINGTON SQUARE RD J01 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: CLEARWIRE
DESCRIPTION: . 11, (21) branch circuits.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: FIVE STAR ELECTRIC, INC, PHONE #: 503.324-0948
Inspection Request Scheduled For: Date: 2160009 Pour Time:
Code # Inspection Description Confirm # Contact # Jessage
130 Ceiling cover 080365-01 971-246-6022 Y
....--.....„_.____...
Corrections/Comments/Instructions:
1_6(in c _1--)
PASS 0 PARTIAL APPROVAL 0 CANCEL NO ACCESS
0 FAIL El CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: G) N bat LC Date: 1A Phone #: (503) 718-WiL
CITY OF TIGARD _.:. t
BUILDING DIVISION _ PERMIT #: Ir,L4,.200 0001
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1114/2009
Phone: (503) 639 -4171 �I
Inspection Requests (24 Hrs.): (503) 639 -4175 `1
INSPECTION WORKSHEET FOR DATE: 2/5,12009 TIME: 7 :00AMVM PAGE: 10
SITE ADDRESS: 09x;08 SW WASHINGTON SQUARE RD .101 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: CLEARWRE
DESCRIPTION: Ti. (21) branch circuits.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
•
CONTRACTOR:. FIVE STAR ELECTRIC, INC. PHONE #: 503 324.0 i11
Inspection Request Scheduled For: Date: 2/5/2009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 080325 -01 503.307 -0462 N
Corrections /Comments /Instructions:
?1&.. C1J1/41T(Z. • , P41 S\, ®tA) (tA6M
o WI (i. —
>J o Coves- - f R.60 s , 6tF --- 1 - 7,
F Z - eiN2 S &Fells
Li PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 6' ( *� Le Date: 1 Phone #: (503) 718- leiliA)
CITY OF BUILDING DIVISION PERMIT #: E~LC2009 -0001 8
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/14 /2(I(j;
Phone: (503) 639 -4171 quit �� >,I iii ,
Inspection Requests (24 Hrs.): (503) 639 -4175 ...' `:_.
INSPECTION WORKSHEET FOR DATE: 1/2772009 TIME: 7:00AM PAGE: 2
SITE ADDRESS: 09500 SW WASHINGTON SQUARE RD J01 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: CLEARWRE
DESCRIPTION: TI. (21) branch circuit:.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: FIVE STAR ELECTRIC, INC. PHONE #: 603- 324 -0948
Inspection Request Scheduled For: Date: 1/2772009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
125 Wail coma 000052 -01 971-246-6022 N y
Corrections /Comments /Instructions: -- LB
SS fI PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
�� ��(� � r1
Inspector: �.7 �-t�'°`" Date: 1 -1 l� -7 Phone #: (503) 718- 2yllL
CITY OF TIOARD
1 ;7_ . . . . . . •
\ i ■•'. , •
13MDING DIVISION H,, i •
PERMIT #: ELC2009-011018
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/i40009
Phone: (503) 639-4171 ,...:,i i, i ,,i‘ i llk
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 1/23/2009 TIME: 7 PAGE: 16
- Ti
SITE ADDRESS: 09600 SW WASHINGTON SQUARE RD J01 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: CLEARW1 R E
DESCRIPTION: TI. (21) branch circuits.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: FIVE STAR ELECTRIC, INC. PHONE #: 503•24-0948
Inspection Request Scheduled For: Date: 1/23/2009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
106 Underground/slab cover 079969-01 971-246-6022 Y
•
Corrections/Comments/Instructions:
Le 432.1
K,Z PASS 0 PARTIAL APPROVAL 0 CANCEL El NO ACCESS
0 FAIL El CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: G N 66 (.... Date: 1' 23 / Phone #: (503) 718- itmt