Permit 7 CITY OF TIGARD ELECTRICAL PERMIT
° PERMIT #: ELC2008 -00221
}' °> COMMUNITY DEVELOPMENT DATE ISSUED: 4/18/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S12600-00400
SITE ADDRESS: 09800 SW WASHINGTON SQUARE RD SEARS ZONING:
SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG
PROJECT: SEARS
Project Description: TI. Installing (4) 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: SIGNAUPANEL:
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: 0 PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 3 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 ATLAS ELECTRICAL CONTRACTORS
BY THE MACERICH COMPANY 4403 SE ROETHE RD
9585 SW WASHINGTON SQUARE RD MILWAUKIE, OR 97267
TIGARD, OR 97223
Phone: Contact #: FAX 503 - 659 -4944
PRI 503 - 659 -2212
FEES
Description Date Amount Reg #: ELE 3 - 2C
[ELPRMT] ELC Permit 4/18/2008 $66.80 LIC 1532
[TAX] 12% State Surchar 4/18/2008 $8.02 SUP 5009S
Total $74.82 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: P ermittee Signature: < �G 4.047C?jr✓
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: Ez REQUIRED ON GREEN INSPECTION CARD:-
✓ Code I Inspection Description PASS Date I By ✓ Code I Inspection Description 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 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 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 310 Crawl drain
920 Suppression trip test
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
•
ATLAS ELECTRICAL Fax:5036594944 Apr 16 2008 15:30 P.02
f electrical Permit Application
FOR OFFICE USE ONLY
-
`, City of Tigard '
t - r 13125 SW Hall Blvd Tigard, OR 97 31 E C E I V E =:' %17-1' orArE �� • a No.:
Phone: 503.639.4171 Fax: 503.5981960 OthcrPermit:
1 1,,, \RD Inspection Line: 503.639.4175 APR. 1 2000 DateReadyBy:
Internee WWW.tigatd- or.gov N d &I See Page 2 tbt
09)112-7211n- f" „u i:i:.:r <'f�iul �'- •!7!i. '`"' aU Supplemental Information
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, k ![f::uf�'.I!,�:11(,_L171 -n�:r .J=g9'.' •I,. :M, :'�* . 'i�.1S �- i l.�it.. ���_�hiLl!p �JisI iiys6,,-,"- S' , Ire - 7: ;:,,.,- ,.,'a: z::, .-.,,.,•..
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I h�'1 "udl_I .( 3u!,lt�ni; ri. _tr �dln�.L,: �1{ ,l�f' i .
El New construction ❑ Addition/alt / s gT three stories.
Building S ION Please cheek all that apply (submit 2 sets of plans w /items checked below):
Q Demolition 0 Other
ATV ��1 JJ tltl ❑ Service or feeder 400 amps or more (] ilding ovstories. Si?� ,= ,, . _ , , 4 _. ?ji) ' 'Q ' "m ryu�r!r. - y- a :!��m, -nrz •ammr,rur �,r_-1 ;IF �° f I n • where the available fault current ❑ Maxims and boatyards.
i,. y ,. •.. , a I.'h :.5 I', rya,^'f ;.ti, .I' : .17, t T 1 ( r - �'
❑ amity dwelling ®Co ial /ind 1:, es ; building ..::i•• ra l exceeds 10,000 ore S �eed s 14,000 or 0 Com cial -ose a anr+l
l - and 2 -f ❑ Accessory il mg
Master builder Fires for all other mata0atioas Insta
❑ Multi - family ❑ Installation Other: ❑ kin pump. Li n doe
���; F•i1:iFi�'3'1!i�� °'!�in = , a (- ,� qr 'Uer' tiilUrd 1rffita a of 75 1CVA Or
'.:II < (!:. Y9l% ''p,'Oltsij ~�l i ,y�.31! "' v II , '� G 11� ;'(�j %r I'�= yfli` I "'! ❑Emergsaeyayata0a, larger separately
Job no.: ,7'1V: t f 1 0 i ""S a L I i 4 :, „ 1 �, ❑ Additma of new motor load of 1 system
�
Job site address: 9800 SW Washington Square Road 100HP or more• occupancy.
❑ Six or more residential units. ❑ Recreational vehicle pads.
City /StateJZJP: Portland, Oregon 97223 ❑ HcaltA-eare facilities. ❑ Supply voltage for more than
❑ Hazardous locations 600 volts nominal.
^ Suite/bldg.apt, no.: Project name: Sears ❑ Service or feeder 600 amps or more
L !� 1 t 1! !Il Ic:if� .' I ?iR1L :4:. 4 7 '
Cross street/directions to job site:
:':. iI' g r -'i; 4F ' : a . r!'.. a :..cl r u u, ; .7.:i.':'11
Sl 11 u:,. �. -.till .. r.:i3,iR;Q!:a6� �acCol�m.:�i� =n�� -�I�'
Description Ow. Fee Total e
New residential single" or multi- family dwelling unit
Includes attached garage.
Subdivision: L,ot no.: 1,000 sq. ft or less 145.15 4
Tax Hasp /parcel no.: Ea- add'I S00 sq. ft. or portion 33.40 1
:ANA- 1 �1 f' '1't if { .c ! p :,'r31';'z''Ie.`•.:1 ,. !1 v r. t u t energy,
,
Ail�Zi?.ib�if.i kr?fi,l�t',::.k1m. '�.i; a u,.,l ?�:itr hli 1,., `.:c•1'11',` y'e� +-1119, - 75-
IF , .:ca>hu,...;. -_�_i� i , .� . �:� �cfi:��lt�!1= 1,:,?51G I{ ?e�_{ °'i:�.!:} (6 233°'m eq. ti� 00 2
Provide relocation of lighting and power for the Lands End area. L"m energy, 7 °"la C amel
reside ntial (with above . ¢) 75.00 2
Services or feeders installation, alteration, and/o relocation
_ _ 200 amps or less 80.30 2
='�:�� e ., � , r r�s•• a4ve•'- '1� '' -
! ;.9`j !yp ' ' ear sl - ,
i r ; i8 !...'_ al '' :y dd'r { o �' 11 i, I' I � - ' ,r FT ��*` rl lln fi b':: • r, v. i ,, 201 ! s trops to 400 amps
• • 106.85 2
Name: 401 amps to 600 amps 160.60 2
Address: - 601 amps to 1,000 amps 240.60 2
Over 1,000 amps or vo)tg 454.65 r 2
City /State/ZIP: Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) l 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, rent, 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
. I':•i•,,. ?vim : T{ 5 fh ` _ :r <� .� r7 .... n •;l?Y i,'.. �- ?- , Ifi_q r-- -•Lt,- - - _ A. Fee for branch circuits with -
f .,.. -1;e li;'- : g �11i= _ �!! I�... �c ?!G J_a t. l R �tl.l _ iI irw `t,l t! ,r •� .'n 4 1 I I above service or feeder
r., Ir(nlcm"..ar, - .- ,:,..+ ra; ) is V,,: kr fee, 6.65 2
Business name: each branch circuit
•
B. Fee for branch circuits
Contact name: without service or feeder fee, 1 46.85 46.85 2
first branch circuit
Address: .
_Each add'/ branch circuit 3 6.65 I 1 9.95 2
City /State/ZIP: - Miscellaneous (service or feeder not included)
_ Each' manufactured or modular 90 90 2
Phone: ( ) - I Fax:: ( ) dwelling, service and/or feeder
Reconnect only 66.85 2
E -mail:
'' n _ ! , s ; i"s . a��, I �_ n sn ,, . h • r la p , y r Pomp or imprion circle 53.40 2
- ,',i ;§ r L irl : 11 -. k .. r" L, r I y . t,: l ' „ I ' 1 Sin g or outline 8h 53
u -3•J n di rL�; � ,. A li tm g • 4U 2
Business name: Atlas Electrical Contractors, Inc. Signal circuit(s) or limited
Address: 4403 SE Roethe Road
energy Describe: Page 2 2 .
City/State/ZIP: Mllwaulde, Oregon 97267 Each additional inspection over allowable in any of the above
Phone:
(503) 659 2212 Per inspection 62 50
( ) Fax: (503) 659944 investigation per hour (1 hr min) 62.50
CCB Lic.: 1532 I Electrical Lie.; 3 - Suprv. Llc.; 5009S Industrial plant per hour 73.75
Suprv. Electrician _r ` °M 1=; I r4 .:KnIIi.r , 41 ,' _ ,Ii _, .
p eCtrr ban Slgnazure, retiurred: :rs.._a:; t T,S
Subtotal: 66.80
Print name: Ty Shepea,ky Daze: 4/16/08 Plan review (25% of permit fee):
State surcharge (12% of permit fee); 8.02
Authorized signature: TOTAL PERMTT PEE: 74.82
-
Print name: Ty Shepers Date: 4/16/08 This per000 permit applicadoa expires if a permit is not obtained within 180
days after it has bemaacccpted as complete.
' N>®ba of tospextiom allowed per.ptrmit
Lusuildmsperou ARLC PamRApp.doc 05/23/06 " - E404615f(I I /05/CON/WEB .