Permit 4 CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00363
.�i DEVELOPMENT SERVICES DATE ISSUED: 7/5/2006
''I I� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639171 PARCEL: 1S126C0 - 01403
SITE ADDRESS: 09300 SW WASHINGTON SQUARE RD ZONING: C - G
SUBDIVISION: LOT : JURISDICTION: TIG
Project Description: Install outlets. Job # 92736.
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: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 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 SQ LLC OREGON ELECTRIC GROUP
9585 WASHINGTON SQ. RD 1010 SE 11TH AVE
TIGARD, OR 97223 PORTLAND, OR 97214
Phone: Contact #: FAX 503 - 535 -2763
PRI 503 - 234 -9900
FEES
Description Date Amount Reg #: ELE 26 -95C
[ELPRMT] ELC Permit 7/5/2006 $46.85 LIC 203
[TAX] 8% State Surcharge 7/5/2006 $3.75 SUP 44605
Total $50.60 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: /1).-N et404,4,6
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.
JUL -05 -2006 10:57AM FROM -OR ELECTRIC SVC 5035352763 T -405 P.001 /004 F -710
g_kstical Permit ADDlicationED FOR ( >1 1 1( 1: 1 M. ): 'I.1
�
' City of Tigard RECEIVED • — - d ‘ T f PrnnitNa, 6(, - o‘ i 3•
13125 SW Hall Blvd., Tigard. OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503,598.1960 U 1 '1 006 4- N 1 I , .. Date/B • Other Permit:
inspection Litter 503. 639.4175 Jul- r ■t.11= - Lt..' i Date Ready/B>a See page 2 for
Internet www.catigatudor.us c - y OF TIGA 8 Retinal/Method: � ® Supplementallnformadon
DM d1ISION PLAN REVIEW
El New construction ® Addidon/altctation/replacement Please check all that apply:
❑ Demolition ❑Other ❑Service over 225 amps, cortmm'l ['Hazardous location
['Service over 320 amps - rating D Buildng over 10.000 sq. ft.,
CATEGORY OF CONSTRUCTION oft- and 2- family dwellings 4 or more new residential
❑ 1 and 2 family dwelling ra CommerciaVindustrial ❑ Accessory building ❑ System over 600 volts nominal units in one structure
El Mold- family ❑Master builds ❑Other. ❑Building over three stories ❑Feeders, 400 amps or more
❑Occupant load over 99 persons ❑Manufactured structures or
JOB SITE INFORMATION AND LOCATION ' ❑ Egress/lighting plan RV park
Job no.: 92736 I Job site address: 9300 SW WASHiNGTOON SQ. RD. ❑Health-cm liteility ❑Other:
Submit 2 sets of plans with any of the above.
City /State/ZIP: TIGARD, OR The above are not applicable to temporary construction service.
FEE
Suite/bldgSuite/bldg. /apt. no.: I Project name: MACY'S (MEIER & FRANK) " SCHEDULE
Deterrolea 1 Oty. I Pea [ Total I -'
Cross street/directions to job site: New residential single- or multi- family dwelling unit.
includes attached garage. _
1,000 sq. R or less 145.15 4
Subdivision: I Lot no.: Ea. add'l 500 sq. ft. or potion 3140 1
Tax map /parcel no,: Limited mom residential 75.00 2
Limited energy, non-residential 75.00 _ 2
DESCRIPTION OP WORK Each manufactured or modular
INSTALL OUTLETS dwelling, service and/or feeder 90.90 _ 2
Services or feeders Inlrtallation, alteration, and/or relocation
200 amps or less 80.30 _ 2
13 PROPERTY OWNER I El TEN - 201 amps to 400 amps - 106.85 2
401 amps to 600 amps 160.60 _ 2
Name: JAMES TUNG ASSOCiATES/MACY'S 601 amps to 1,000 amps _ 240.60 2
Address: 9300 SW WASHINGTON SQ RD _Over 1.000 amps or volts 454,65 2
- Reconnect only 66.85 2
City/ State/ZIP: TIGARD, OR 9722392736 Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) I Fax: ( ) 200 amps or has 66.85 t
Owner Installation: This installation is being made on property that I own which is not 201 amps to 400 amps " 10030 2
intended for sale, lease, tent, 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
0 APPLICANT 1 ❑ CONTACT PERSON A Fee for branch circuits with
service or feeder fee, each 6.65 2
Business name: branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee, 1 46.85 WO • g5 2
each branch circuit
Address: Eachadd'l branch circuit 6.65 2
Miscellaneous (service or feed er not included)
Phone: ( ) I Fax :: ( ) Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E -mail: Signal circuits) or limited -
CONTRACTOR energy panel, alteration. or
extension. Describe: Pagc2 2
Business name: Oregon Electric Group
Address: 1010 SE 11th Ave Each additional inspection over allowable in any of the above
Per inspection 62.50
City/State/ZIP: Portland, OR 97214 Investigation per hour (1 hr min) 62.50
�
Phone: (503) 234 -9900 I Fax: (503) 535-2763 Industrial Plant per hour 73.75
ELECTRICAL PERMIT FEES'
CCB Lic.: 203 I Electrical Lie.: . I • • ..c.: 4460S Subtotal 4(p . 85
Suprv, Electrician signature, required: ' % J . - Plan review (25% of permit fee)
Print name:
11 , State surcharge (8% of permit fee) 3 .15
M 0 . ■ vh " TOTAL PERMIT FEE Sa. g ID
Authorized signature: . Tabs permit a ppl�nao expires If a permit 4 sat obtoiond within 180
r days after It s been accepted to ema.plete
Print name: * Guerre: methodology set by Tri•Couaty Building Industry Service Board
, t ' 1 ✓ . - • F ee method em •' Number of inspections per permit allowed.
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006 -00363
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/5/2006
Phone: (503) 639 -4171 �r,�qy
Inspection Requests (24 Hrs.): (503) 639 - 4175
INSPECTION WORKSHEET FOR DATE: 10/26/2006 TIME: 7:04AM PAGE: 18
SITE ADDRESS: 09300 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: MACY'S
DESCRIPTION: Install outlets. Job # 92736.
OWNER: WASHINGTON SQ LLC, PHONE #:
CONTRACTOR: OREGON ELECTRIC GROUP PHONE #: 503- 234 -9900
Inspection Request Scheduled For: Date: 10/26/2006 Pour Time:
•
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 038884 -01 503 - 8.9.2594 Y
Corrections /Comments /Instructions: b `t
Q\LS JAZ Nt k
port
, a -* ► _ bra �...... • • � .
a
I:, PASS • ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: G N 6g Date: 101'Z� O I Phone #: (503) 718- lO
l