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Permit
C 1- CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2005 -00640 DEVELOPMENT SERVICES DATE ISSUED: 8/31/2005 • 13125 SW Hall Tigard, OR 97223 503 639 - 4171 • PARCEL: 1S12600-00300 SITE ADDRESS: 09348 SW WASHINGTON SQUARE RD ZONING: C -G SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG Project Description: (3) 200 amp (63) branch circuits, (1) limited energy Data/Tele. 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: 1 MANF HM/ SVC/ FDR: 601 +amps -1000 volts: MINOR LABEL (10): SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: 3 W /SERVICE OR FEEDER: 63 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 MOUNTAIN VIEW ELECTRIC INC BY THE MACERICH COMPANY 1314 NE 45TH ST 9585 SW WASHINGTON SQUARE RD VANCOUVER, WA 98663 TIGARD, OR 97223 Phone: 503 - 639 -8865 Phone: 360 695 - 8439 FEES Reg #: L1C 159093 Description Date Amount [ELPRMT] ELC Permit 8/31/2005 $734.85 [TAX] 8% State Surcharge 8/31/2005 $58.79 REQUIRED ITEMS AND REPORTS Total $793.64 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: ,V. �?% Permittee Signature: 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. Nitetrical Permit Anp1i / —) FOR OFFICE USE ONLY 6. City of Tigard 1 _� j i Receive, • J —� ^ qt) jJ� Permit No • 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone. 503 639 4171 Fax. 503.598.1960 ; rrt Date/B Other Permit Inspection Line 503 639 4175 ti ��� �x4 el I Date Ready /By IHM ® See Page 2 for Internet: www ci tigard.or.us y Cr. I iCiA., 3) Notified/Method Supplemental Information etiiiiiiNfil WoliktC)IN PLAN REVIEW ❑ New construction IX Addition/alteration /replacement Please check all that apply: ❑ Demolition ❑Other: ❑Service over 225 amps, comm'l ['Hazardous location ❑Service over 320 amps – rating ❑ Buildng over 10,000 sq ft , CATEGORY OF CONSTRUCTION of I- and 2- family dwellings 4 or more new residential ❑ I- and 2- family dwelling Commercial /industrial ❑ Accessory building ['System over 600 volts nominal units in one structure ❑ Multi- family ❑ Master builder ❑ Other: ['Building over three stories OFeeders, 400 amps or more ❑Occupant load over 99 persons OManufactured structures or JOB SITE INFORMATION AND LOCATION ❑Egress /lighting plan RV park 9 SW 0 g . 6V , � b1\ re ❑Health -care facility ['Other: Job no.: Job site address: 34g ;7 6D Submit 2 sets of plans with any of the above City/State /ZIP: "1 OR c\7223 The above are not applicable to temporary construction service Suite/bldg./apt. no.: Project name: L � FEE* SCHEDULE 5 s ri Lr \04 e- Description I Qty. I Fee. I Total •• Cross street/directions to job site: New residential single- or multi - family dwelling unit. o� ^q G Includes attached garage. W�y5 p J 1 tMr‹. _ 1,000 sq ft. or less 145 15 4 Subdivision: 1 Lot no: E.: tuid 5Ot; sq. ti o, poi um 33 40 j i Tax map /parcel no.: Limited energy, residential 75 00 2 Limited energy, non - residential 75.00 7'3 a 2 DESCRIPTION OF WORK Each manufactured or modular dwelling, service and /or feeder 90 90 2 G Oh►\- _I TNI roQeAvNe Services or feeders installation, alteration, and/or relocation 200 amps or less 3 80.30 2 fv lO 2 ❑ PROPERTY OWNER I ❑ TENANT 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: ( ) 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 600 amps 133 75 2 Owner signature: Date: Branch circuits – new, alteration, or extension, per panel ❑ APPLICANT I ❑ CONTACT PERSON A. Fee for branch circuits with service or feeder fee, each 3 6 65 flit 2 Business name: branch circuit Contact name: B. Fee for branch circuits without service or feeder fee, 46 85 2 Address: each branch circuit Each add'l branch circuit 6 65 2 City /State /ZIP: Miscellaneous (service or feeder not included) Pump or irrigation circle I 53 40 r 2 Phone: ( ) Fax: : ( ) Sign or outline lighting 53 40 2 E -mail: Signal circuit(s) or limited - CONTRACTOR energy panel, alteration, or ` 1 extension Describe. Page 2 2 Business name: (Yb0 ^ , v 1 UJ `eelt %c - y , r\c Address: 13 �1 E t.. '0.^ L 1„re� Each additional inspection over allowable in any of the above Per inspection 62 50 City/State /ZIP: \ \ co t,k \lC"( ; U3 11N �g6/603 Investigation per hour (I hr mm) 62 50 Phone: �4 ) 6c15"--8 34:\ Fax: (340 ) 735 31 Industrial plant per hour 73 75 `ELECTRICAL PERMIT FEES* CCB Lie.: 1 3 Electrical Lie :37..1031 C Suprv. Lic.:3� Subtotal 1 23�• Suprv. Electrician signature, required `" ' tr Plan review (25% of permit fee) Print name: , X " \ \ � S y �/ Dat 5,.Z51 05" State surcharge (8% of permit fee) 57 TOTAL PERMIT FEE i l z . 0A Authorized signature: This permit application expires if a permit is not obtaine„ .. days after it has been accepted as complete Print name: Date: • Fee methodology set by Tri- County Building Industry Service Board •• Number of inspections per permit allowed I \Building\Permits\ELC- PermitApp dos 12/03 440- 4615T(10 /02 /COM/WEB CITY OF TIGARD . �� . BUILDING DIVISION PERMIT #: EL2005-00640 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/31/2005 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 9/26/2005 TIME: 7 :12AM PAGE: SITE ADDRESS: 09348 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: SHARPER-IMAGE. DESCRIPTION: (3) 200 amp (63) branch circuits, (1) limited energy Data/Tele. OWNER: WASHINGTON SQUARE LLC, PHONE #: 503-639-8865 CONTRACTOR: MOUNTAIN VIEW ELECTRIC INC PHONE #: 360-695-8439 Inspection Request Scheduled For: Date: 9/ 2005 Pour Time: Code # • Inspection Description Confirm # Contact # Message 105 ► derground/slab cove 016602 -01 360-695-8439 N Corrections /Comments /Ins r. . • • • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑' C LL R INSPECT 'i ❑ ADDITIONAL FEES ASSESSED Inspector: V . Date: 2 - 6- Phone #: (503) 718 - 14614 CITY OF TICiARD �- - �: •,• BUILDING DIVISION PERMIT #: ELC200500640 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8131 /2005 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 9129/2005 TIME: 7:08AM PAGE: 32 SITE ADDRESS: CLASS OF WORK: SUBDIVISION: 09348 SW WASHINGTON SQUARE RD LOT #: TYPE OF USE: PROJECT NAME: WASHINGTON SQUARE DESCRIPTION: SHARPER IMAGE (3) 200 amp (63) branch circuits, (1) limited energy Data/Tele. OWNER: WASHINGTON SQUARE LLC, PHONE #: 503-639-8865 CONTRACTOR: MOUNTAIN VIEW ELECTRIC INC PHONE #: 360 - 6958439 Inspection Request Scheduled For: " Date: 9/2812005 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 017003 -01 360- 695 -8439 N Corrections /Comments / Instructions: Nt4-b OC) t' bat tAA • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: GIA1R-1 11 Date: 9 vl / 111 0 6 Phone #: (503) 718- Zggi) F TIGARD . , ING DIVISION PERMIT #: ELC2005.00640 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/31/2005 Phone: (503) 639 -4171 • tea' l Inspection Requests (24 Hrs.): (503) 639 -4175 ''I L. INSPECTION WORKSHEET FOR DATE: 10/21/2005 TIME: 7:08AM PAGE: 18 SITE ADDRESS: 09348 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: SHARPER IMAGE ' DESCRIPTION: (3) 200 amp (63) branch circuits, (1) limited energy DatafTele. OWNER: WASHINGTON SQUARE LLC, PHONE #: 503 - 639.8865 CONTRACTOR: MOUNTAIN VIEW ELECTRIC INC PHONE #: 360- 695 -8439 Inspection Request Scheduled For: Date: 10/21/2005 Pour Time: • Code # Inspection Description Confirm # Contact # Message 1 Electrical service 019022 -01 360 - 695 -8439 N Corrections /Comments /Instructions: • 4 Pk001 - 3 S v Y CC e--bNiNoI1 sTp - ® c & GQ NDV��CS .6 dN P u LL 6 4) 411 Ns VI' O rnicTilL 5 4 tnv PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: `1 L Date: 10 Zi Phone #: (503) 718- 10114 I CITY OF TIGARD - BUILDING DIVISION PERMIT #: ELC2005 -00640 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/31 /2005 Phone: (503) 639- 4171�4pj�lh Inspection Requests (24 Hrs.): (503) 639 -4175 _ ' "_ ,.. INSPECTION WORKSHEET FOR DATE: 10/26/2005 TIME: 7:07AM PAGE: 75 SITE ADDRESS: 09348 SW WASHINGTON SQUARE' RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: SHARPER IMAGE DESCRIPTION: (3) 200 amp (63) branch circuits, (1) limited energy Data/Tele. OWNER: WASHINGTON SQUARE LLC, PHONE #: 503 - 639 -8865 CONTRACTOR: MOUNTAIN VIEW ELECTRIC INC PHONE #: 360 - 695 - 8439 Inspection Request Scheduled For: Date: 10/2E42005 Pour Time: Code # Inspection Description _ e • • as # Contact # Message 130 Ceiling cover 019377 -01 360. 695 -8439 Y TrE..\ . Corrections /Comments/ Instructions: INA 6 .-p k E . 1 \ \ P'i M.— 1 1) % l 'Od tC 1 1-i N C-aU' & AppnvkcL.. F& 9 t-i2G AL_AK.s. , .ti) ?1,6lvE t I Tih. .5) s �, 1/4".i 1) El c_ . 1,0-ti.) vo tte NCB F LL x rA LA\ u p o N C E i I..3 N G-R. 11D Oa .r `T t � S.. .Z . C PATL E �- t ` Chk_ wi (I,1 N `�' OND bF- . cz l--.) w..1.1 j l Keiv& of 5�6wtZ /vb © it L.0 c k 3 41 4 F-LE k fi.444il{\ +) 6 60`q i N tk aL1.. c j L 1 • . ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL :4 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ./fr ' Inspector: Date: /a 21 Phone #: (503) 718- V/ _/" �rl CITY-OF TIGARD -� .,BUILDING DIVISION PERMIT #: ELC2005 -00640 I '13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/31/2005 Phone: (503) 639 -4171 • � Olt Inspection Requests (24 Hrs.): (503) 639 -4175 _ , INSPECTION WORKSHEET FOR DATE: 10/27/2005 TIME: 7:16AM PAGE: 86 SITE ADDRESS: 09348 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: SHARPER IMAGE DESCRIPTION: (3) 200 amp (63) branch circuits, (1) limited energy Data/Tole. OWNER: WASHINGTON SQUARE LLC, PHONE #: 503 - 639 -8865 CONTRACTOR: MOUNTAIN VIEW ELECTRIC INC PHONE #: 360 -695 -8439 Inspection Request Scheduled For: Date: 10/27/2005. Pour Time: Code # Inspection Description Confirm Contact # Message 130 Ceiling cover 019514 -01 360-695 -8439 Y Corrections /Comments/ Instructions: N o t \\-st • ►1 PASS ❑ PARTIAL APPROVAL ❑ CANCEL El 'NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector:. C N (W) Date: V f 2.� �t� Phone #: (503) 718 - 2-44 CETOF TIGARD BUILDING DIVISION PERMIT #: ELC2005 -00640 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/31/2005 Phone: (503) 639 - 4171 y j' Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10/27/2005 TIME: 7:16AM PAGE: 82 SITE ADDRESS: 09348 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: SHARPER IMAGE DESCRIPTION: (3) 200 amp (63) branch circuits, (1) limited energy Data/Tele. OWNER: WASHINGTON SQUARE LLC, PHONE #: 503. 639-8865 CONTRACTOR: MOUNTAIN VIEW ELECTRIC INC PHONE #: 360 - 695 -8439 Inspection Request Scheduled For: Date: ' 10/27/2005 Pour Time: Code # Inspection Description - • Contact # Message 135 Low voltage 019514 -02 360-695-8439 N Corrections /Comments /Instructions: /4 0 p*11/17 on) • u PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: N 3e ( Date: 1 el Z1 Phone #: (503) 718- 2.144+0 • CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2005 -00540 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/31/2005 Phone: (503) 639 -4171 v Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 11/1/2005 TIME: 7:06AM PAGE: 23 SITE ADDRESS: 09348 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: SHARPER IMAGE. DESCRIPTION: (3) 200 amp (63) branch circuits, (1) limited energy Data/Tele. OWNER: WASHINGTON SQUARE LLC, PHONE #: 503- 639 -8865 CONTRACTOR: MOUNTAIN VIEW ELECTRIC INC PHONE #: 360-695 -8439 Inspection Request Scheduled For: Date: 11/1/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 020006 -01 360 - 695.8439 Y Corrections /Comments /Instructions: ? C \ \ Vp.) ta-N A (La D a N1 ' S i �v e {k P Y ❑ PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL XCALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: v `, N Date: • I • C Phone #: (503) 718 - 2.qiib • CITY OF TIGARD - BUILDING DIVISION PERMIT #: ELC2005-00640 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/31/2005 Phone: (503) 639 -4171 ICI Inspection Requests (24 Hrs.): (503) 639 -4175 °_ INSPECTION WORKSHEET FOR DATE: 11/14/2005 TIME: 7:12AM PAGE: 71 SITE ADDRESS: 09348 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: SHARPER IM °,GE DESCRIPTION: (3) 200 amp (63 branch circuits, (1) limited energy Data/Tele. OWNER: WASHINGTON St! ARE LLC, PHONE #: 503 - 639 -8865 CONTRACTOR: MOUNTAIN VIEW ECTRIC INC PHONE #: 360 - 695-8439 Inspection Request Scheduled For: Date: 11/14/2005 Pour Time: Code # • - - - • - • Description Confirm # Contact # Message 199 lectrical final 21122-01 360-695 -8439 N Corrections /Comments / Instructions: • • • • IX PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Q- N Date: ) 1 ' {q ' Phone #: (503) 718- 1-44-C