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Permit
r � CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2005 -00817 441ln DEVELOPMENT SERVICES DATE ISSUED: 10/19/2005 13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171 PARCEL: 1S12600 SITE ADDRESS: 09302 SW WASHINGTON SQUARE RD ZONING: C - G SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG Project Description: (1) 200 amp service, (12) 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: g W /SERVICE OR FEEDER: 12 PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 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 SQUARE LLC A + J ELECTRIC BY THE MACERICH COMPANY PO BOX 330 9585 SW WASHINGTON SQUARE RD FOREST GROVE, OR 97116 TIGARD, OR 97223 • Phone: 503 - 639 -8865 Phone: 503 - 359 -5891 FEES Reg #: LIC 959 Description Date Amount SUP 4534S ELE 34 -1C [ELPRMT] ELC Permit 10/19/200' $160.10 [TAX] 8% State Surcharge 10/19/200' $12.81 REQUIRED ITEMS AND REPORTS Total $172.91 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699 or 1- 800 - 332 -2344. Issued By: /% •c Permittee Signature: iQ, OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Oct 18 05 04:02p (503) 359 -1981 p.2 I ... 1 b.L8/2005 14:51 FAX 5035981960 CITY ur' Tit:�cu wi vv� i Electrical Permit 'xr ;�� EIVEP 1012 OFrtcr_ I. SE._ u\1,1 City of Tigard t '� • pmnit xo : A__. /O -40 13125 SW Hall Blvd.. - rivet. Oa 97223 Plan R enew 1'boae -. 503.639.4171 Pas: 503-598.19OCT 1 8 2005 - . � J I i Darear Omer Pamir laspeetdaas 502,639. '--„ ValeRcady/By: Ares la steno 2 ler intern= wrw.eiti(p rii r as NonflrdlFiethote '{ 1( 5applweeral InAaanaluo ❑ New Consttuctian ES ElLiselastileiselanlieblillahli Please cheek 10 thatappllr ['Service over 225 amps.comm9 ❑Flamrdoua1ocation ❑ Demolition ❑ Other ['Service over 320 amps - rating Q$aildng over 10,000 tq. A, j . , - : . n .. ,: _i• C A Y • OF C U N S 3 ' R U C 1 4 • c . of 1- and 2 - f a m i l y dwellings 4 or more now residati al ❑ 1- and 2 -family dwelling .1ET Commercial/industrial ❑ Accessory building OSyalem over 600 volt* nominal units in we structure ID Muhl-family [] Muster builds ❑ Odaec Cles ldingover three stories pFeedcre. 400 maps or more 00ccupant load over 99 pereaos ❑Mmaficrorr0 mamas or - ' ' '• • • .' 708: 917'6.INPOR1% k'r1oN llfili1. ,:OCATA131 ; • •; • ; .. • i •' - rrss . DEg/ligh6ng plan RV pack Job no.: lob site address: O.S QHcalth - eare facility D0then ►- \ \ �• bolt stir of plats with arty of the above. City /State/ZIP. , , 6 % ,k N ' The above are oat applicableto :myeonavuetloneorvice• f;:::`:'.. FE t:Et:E DDCE .• ' •.•. .. Suite/bldg./apt. uo.:Ni Project name: • •_x.. .. ‘_ Osrser.e is ern: r.... Twat Crass stint/directions to job site: New residential single- or multi - iamfy dwelling unit. • includes .bruited garage. . 1,00D sq. it or less 145.15 4 Subdiirisian: l Lot no Pa add9 500 sq. R or portion 33.40 1 Limited energy, residential 75.00 1 Tax unapJpatnel no.: • Limited erg ,. mm raaidentiat 75.00 2 • . ' tr : . : :VISSCithiflora '`O#' r'•? • : . Each monefeeture0ormodular doe I • . service and/or feeder 90.90 3 ■ �� ■\■ . 4_.`k s \ Services or feeders Installed. • alteration, and/or relocation 200 amps or less \ 80 .30 Q.4 2 ❑ 'PROPERTY :OWNER ' ' I ' • :' ? e ,`•'TENANT• :. • • • 201 amps to 400 amps 106.85 2 : ' 401 amps to 400 amps II 160.60 2 Name: S \.l. \. \ \A �+ 601 to 1,000 amps 240.60 2 "'\S�` � \NAN \s,Nt Cp(� S�. \�1 S�� Over 1000 aaopa or wits III. 454.65 2 Address: Reconnect only 66.85 2 City /Statelzu :•-....,r2, �-- O�a�� -c � VGA Temporary cervices or feeders Instalment, alteration, and/er Phone: ( ) Fax: ( ) relocation 200 ads or less 66.85 .1 I Owner lastallatlon: This instaljalioe is being made on property that I own which is not rent, or tut 201 amps to 400 amps 100.30 I 2 intended for sale. lease, t; exchange, according to OILS 447, 449, 670, and 701. l • 401 craps to 600 amps 133.75 2 • Owner Signature: . Date: Branch circuits - ten ateratios, or Judea don, per Pend ' • " :. , • -0 l,tAr ; ' ..' ,.- . - 1.1 '' : - . p ,E At'1' PER . • A. Pee ibr branch orcnhs with service or feeder fee. each • Business name: branch circuit �� 6.65 �p 2 B. Fee for branch MU its Contact name: without service or feeder fee, - each tome* circuit 46 85 2 t Address: Each adds branch ekes* 6 65 2 • City /State/7B: Miiacellaaesos (ienice or feeder not included) Phone: ( ) I Fax:: ( ) PurnV or irrigation circle 53.40 - 2 Sips or outline ligtting 53.40 2 E -mail Signal circuIt(s) or limited- • e . ' • • • .• ' 1 • .. •.• . ' • CONt'R tZORI, :; • = _ . antra pond, alteration. or Baldness name �� ��Q , extension. Describe: Page 2 2 Address: �O y` �� Each additional impaction over allowable in any of the aim : In Gtry /Star '2JP• ���s� --. �\� �'���� ��` ����� a vestigatioa per hour (1 le min) ' Phone: ( ) •S E. 5 S,C:N\\ Fax: ( ) � rndianial •limper hoot 73 -75 , i : • ';': • • iiXECTR1CAL. PERMIT .F1E83*' •. .4? • ■ CC13 Lie.: O\�O.., I Electrical Lic.: �∎1� �� Suprv. Lic.:p.SQ,,,, �� Subtotal , Suprv. Electrician signature. requited: e . of permit fe 0 n Plan review (25% e) Print name: ��QQ C���\o� J'`ll Dale :: \ \S State surcharge (856 of permit fro) \'� - %' TOTAL Pansar FEE \"�'N •'� Authorized signature: The permit appllnUsa amino era permit is not ho boas shine wue:a T BO C days seer h steeped am eampleee Print narrr . I Date; • Fee a+eelnadola9y rrtbr lti•CtamtyBmldslg Industry Service Sand • i:teuildine Y1F fetcrediAagdm 1:/m ..Gi .a �e ba�crofitnpeetieet r r(raoLCOer/arFs OF TIGARD .. D G DIVISION �. PERMIT #: ELC2005 -00817 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/19/2005 Phone: (503) 639 -4171 71 Inspection Requests (24 Hrs.): (503) 639- 4175j INSPECTION WORKSHEET FOR DATE: 10/21/2005 TIME: 7:08AM PAGE: 75 SITE ADDRESS: 09302 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: FRAGRANZA DESCRIPTION: (1) 200 amp service, (12) branch circuits. OWNER: WASHINGTON SQUARE LLC, PHONE #: 503 - 639-8865 CONTRACTOR: A + J ELECTRIC PHONE #: 503- 359 -5891 Inspection Request Scheduled For: Date: 10/21/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 115 Electrical service 018991 -01 503- 9130433 N Corrections /Comments /Instructions: D P cc c 6 i 6_ RAF ins.0 d o v(51 lor 3.c trtt ?No.)VDc q me t- o D CIJI Veil* /OK, 1 M LA , tq. �S ciov i O AcpeAvixD G- Rov >: U 7 RA < c, t) b a-. 'F o fl y. 8 pck'r A Kum.. P ;P c czta . \ j Paz \)%( K cot Izo /vo' V , SErty i z� A n�rLD I .. I o5 16 ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: v t\fb Date: 1 Phone #: (503) 718- 2.4 Lib. CITY TIGARD „ ' ELC200 00817 BUILDING DIVISION PERMIT #: 10/19/2005 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: , Phone: (503) 639 -4171 Awytia ` Inspection Requests (24 Hrs.): (503) 639 -4175 10/24/2005 .7:02AM 66 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 09302 SW WASHINGTON SQUARE RD SITE ADDRESS: WASHINGTON SQUARE CLASS OF WORK: SUBDIVISION: FRAGRANZA LOT #: TYPE OF USE: PROJECT NAME: (1) 200 amp service, (12) branch circuits. DESCRIPTION: WASHINGTON SQUARE LLC, 503-639 -8865 OWNER: A + J ELECTRIC PHONE #: 503-359-5891 CONTRACTOR: PHONE #: 10/24/2005 Inspection Request Scheduled For: Date: Pour Time: C il% # Irgecegcali Description 0g1 i8g!41 433 Megage Corrections /Comments /Instructions: a D3\ 4`�" � �+J - FE& su-rAmbs c( Fri - (zA4 v N erE--Am. cAAtif C C il n PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS A FA ' ,;a CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ' J LE Date: rO1 2 9 0,6 Phone #: (503) 718- 2i- 4 1.7� • CITY OF TIGAR® ; BUILDING DIVISION PERMIT #: ELC2005 -00817 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/19/2005 Phone: (503) 639 -4171 • y r It Inspection Requests (24 Hrs.): (503) 639 -4175 c.o./ INSPECTION WORKSHEET FOR DATE: 10/27/2005 TIME: 7:16AM PAGE: 90 SITE ADDRESS: 09302 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: FRAGRANZA DESCRIPTION: (1) 200 amp service, (12) branch circuits. 10/24/05, ADDING AN ADDITIONAL 200 AMP FEEDER. OWNER: WASHINGTON SQUARE LLC, PHONE #: 503- 639 -8865 CONTRACTOR: A + J ELECTRIC PHONE #: 503 -359 -5891 Inspection Request Scheduled For: Date: 10/27/2005 Pour Time: Code # Inspection Description Co. irm # . Contact # Message 125 • Wall cover 019505-0 503.913 -0433 Y a 'so cE a t-i NA cet Corrections /Comments/ I tructions: p ;A © IL k cic —65 �� Y� Ftann N 1 s r . ccoc . PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED • Inspector: v ' `2' Noe L Date: 'df 2li Phone #: (503) 718- Ziiqb CITY TIGARD r . a BUILDING DIVISION • PERMIT #: ELC2005 -001317 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/19/2005 Phone: (503) 639 -4171 p°op I i A In Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 10/2612005 TIME: 7:07AM PAGE: 85 SITE ADDRESS: 09302 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: FRAGRANZA DESCRIPTION: (1) 200 amp service, (12) branch circuits. 10/24/05, ADDING AN ADDITIONAL 200 AMP FEEDER. OWNER: WASHINGTON SQUARE LLC, PHONE #: 503- 639 -8865 CONTRACTOR: A + J ELECTRIC PHONE #: 503 - 359 -5891 Inspection Request Scheduled For: Date: 10/26/2005 Pour Time: Code # Inspection Description Co km # Contact # Message 115 Electrical servi = 019365.01 503 - 913 -0433 N Corrections /Commen • •=ns: • • ri PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL. ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: b 2 Phone #: (503) 718 - `LII CITY OF TIGARD � ; BUILDING DIVISION PERMIT #: ELC2005 -00817 13125 SW 'Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/19/2005 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 11/2312005 TIME: 7:00AM PAGE: 55 SITE ADDRESS: 09302 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: RRANZA DESCRIPTION: (1 0b amp service, (12) branch circuits. 10/24/05, ADDING AN ADDITIONAL 200 AMP FEEDER. - OWNER: WASHINGTON SQUARE LLC, PHONE #: 503-639-8865 CONTRACTOR: A + J ELECTRIC PHONE #: 503- 359 -5891 Inspection Request Scheduled For: Date: 11/23/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 022336 -01 971 - 645 -3825 CY Corrections /Comments /Instructions: • ego iZitit■CZ.% ��1 F-►I►+L- • Tiko►,rtt>rie ctttsb G exlaNvE401,5 %win NA, u5 � S `'Q � C_b t■Ar BS k4• s► 6 ti S Via % PsB� Cres� ��xa wdLiN . ctv . pKovitt sciefk.$3% vz--1-stiAZT ttp --- v - EQ" , 10 opeo c-ekbatia,6 i co tkeilm\qt TiNp4.1 bCL . N Airc 4e ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS Al FAIL ,CALL FOR INSPECTION . ❑ ADDITIONAL FEES ASSESSED Inspector: `t- Yvq Date: 12•151 Phone #: (503) 718 - 2...100 • CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2005 -00817 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/19/2005 Phone: (503) 639 - 4171, Inspection Requests (24 Hrs.): (503) 639 -4175 j .. INSPECTION WORKSHEET FOR DATE: 11/29/2005 TIME: 7:05AM PAGE: 36 • SITE ADDRESS: 09302 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: FRAGRANZA • DESCRIPTION: (1) 200 amp service, (12) branch circuits. 10/24/05, ADDING AN ADDITIONAL 200 AMP FEEDER. OWNER: WASHINGTON SQUARE LLC, PHONE #: 503-639-8865 ' CONTRACTOR: A + J ELECTRIC ,PHONE #: 503 - 359 -5891 Inspection Request Scheduled For: Date: 11/29/2005 Pour Time: • Code # Inspection Description Confirm # Contact # Message 145 A/C or heating unit circuit 022574 -02 503-490 -0976 N Corrections /Comments / Instructions: • • • • • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: t �--L.► Date: 1 Phone #: (503) 718 - "2"A CITY( OF TIGARD _ BUILDING DIVISION PERMIT #: ELC2005 -00817 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/19/2005 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 6' •-4175 INSPECTION WORKSHEET FOR D E: 11/29/2005 TIME: 7:05AM PAGE: 65 SITE ADDRESS: 09302 SW WASHINGTON QUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE • LOT #: TYPE OF USE: PROJECT NAME: FRAGRANZA DESCRIPTION: (1) 200 amp service, (12) branch . ircuits. 10/24/05, ADDING AN ADDITIONAL 200 AMP FEEDER. OWNER: WASHINGTON SQUARE LLC, PHONE #: 503-639 -8865 CONTRACTOR: A + J ELECTRIC PHONE #: 503-359 -5891 Inspection Request Scheduled For: Date: 1/29/2005 Pour Time: Code # _.:.;,.ga• on Description Confirm # Contact # Message 199 Electrical final � 022550-01 971- 645 -3825 N Corrections /Comments /Instructions: � • 19 7 mac . vi?0 c.kZ1 ""gbs t o PASS V • ',RT AL ' "' ` AL ❑ CANCEL ❑ NO ACCESS ON ❑ ADDITIONAL FEES ASSESSED Inspector: 1) Date: \I Phone #: (503) 718- 1)4)