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Permit C ITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2005 -00728 DEVELOPMENT SERVICES DATE ISSUED: 12/20/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1812600 SITE ADDRESS: 09354 SW WASHINGTON SQUARE RD ZONING: C - SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG Project Description: T.I. Low voltage: audio /stereo. 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: 2 W /SERVICE OR FEEDER: 25 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 JC ELECTRIC INC BY THE MACERICH COMPANY 118 NW 184TH STREET 9585 SW WASHINGTON SQUARE RD RIDGEFIELD, WA 98647 TIGARD, OR 97223 Phone: 503 - 639 -8865 Contact #: PRI 360- 887 -7889 FAX 887 -5584 FEES Description Date Amount Reg #: SUP 4289S [ELPRMT] ELC Permit 12/20/200: $326.85 ELE 37 -724C [TAX] 8% State Surcharge 12/20/200: $66.15 LIC 118452 [ELPLCK] ELC Pln Rev 12/20/200: $81.71 REQUIRED ITEMS AND REPORTS Total $474.71 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 Orego p4 lity N •tificatio • Center Those rules are set forth in OA 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules • " ' t q l t• '' UNC at 503 - 246 -6699 or 1 -: ••-332- 344 / / Issued By _ „� /` Permittee Signature: ��� op— 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 Application FOR OFFICE USE ONLY CV I III City of Tigard RE u� LD Received I/ /) Permit P No ryz 2 D —a -3125 SW Hall Blvd , Tigard, OR 97223 Date/By I V `�� Phone: 503.639.4171 Fax: 503.598.1960 t . ff1 `' Date/By Other Permit Inspection Line 503.639 4175 2 �•1 Date Ready /By 3a El See Page 2 for Internet www.ci tigard onus Y OF I IGARD Notified/Method Supplemental Information ' ' _pA i!sD1v PLAN REVIEW IELNew construction ❑ 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 ❑ 1- 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 ❑Feeders, 400 amps or more ❑Occupant load over 99 persons ['Manufactured structures or JOB SITE INFORMATION AND LOCATION ❑Egress /lighting plan RV park facility Job no.: ..2coljco Job site address: Jk,,� . -s ue ❑Health -care of ❑Other: �� Submit 2 sets of plans with any of the above City/State /ZIP. --- 1 , \GAszb oz - aa, \J .t5 The above are not applicable to temporary construction service FEE* SCHEDULE Suite /bldg. /apt. no.: Project name: --)4._ t-Ktttc_ coivymi I I I .. Description Qty. Fee Total Cross street/directions to job site: New residential single- or multi - family dwelling unit. Includes attached garage. CI WA-.Q `APA,L VC) W \S 1,000 sq ft or less 145 15 4 Subdivision: Lot no.: Ea add'l 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential 75.00 2 Limited energy, non - residential 75.00 2 DESCRIPTION OF WORK Each manufactured or modular dwelling, service and /or feeder 90 90 2 W \tt KS- . Services or feeders installtion, alteration, and /or relocation 200 amps or less ` a 80 30 \) ,I) 2 ❑ PROPERTY OW R, I ❑ TENANT 201 amps to 400 amps 106 85 2 • 401 amps to 600 amps 160 60 2 Name: • gib 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 I 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 feeder fee, ea�i 6 65 A% !,O 2 Business name: branch circuit \ — B. Fee for branch circuits Contact name: without service or feeder fee, each branch circuit 46 85 2 Address: Each add'I branch circuit 6.65 2 City /State /ZIP: Miscellaneous (service or feeder not included) Phone: Pump or irrigation circle 53 40 2 ( ) Fax::( ) Sign or outline lighting 53 40 2 E -mail: Signal circuit(s) or limited - CONTRACTOR energy panel, alteration, or . extension. Describe. 1 Page 2 - . --rp 2 Business name: C �.�� nC � CV ∎Q_, \ . �►d /sVio Address: \ A, k \k) \ Each additional inspection over allowable in any of the above Per inspecti 62 50 City /State /ZIP: Ui k1. WAN % t-S1/4'■ Investigation per hour (I hr mm) 62 50 Phone: (- J i Fax: ( .) �!7t / ' Industrial plant per hour 73.75 �r ELECTRICAL PERMIT FEES* CCB Lic.: `\ a a Electrical Lic.: - d i \y Subtotal ' t:4;) Suprv. EI i si u ,required: Plan review (25% of permit fee) � State surcharge (8% of permit fee) "'Pj-), b� Print name: C� Lt r \� Date: \ k / \$ /U� � h U TOTAL PERMIT FEE d Authorized signature: This permit application expires if a permit is not obtained wit in 188 days after it has been accepted as complete Print name :SC\ COJU N1 Oki Date: \ `/ l $i o s-- • Fee methodology set by Tri- County Building Industry Service Board •• Number of inspections per permit allowed I \Budding\Pennits\ELC- PernitApp doc 12/03 440- 4615T(10 /02/COM/WEB CITY OF TIGARD BUILDING DIVISION PERMIT #: El 02006. 00728 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12120/2006 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 1/11/2006 TIME: 7 :01AM PAGE: 62 SITE ADDRESS: 03354 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: THE= WALKING COMPANY DESCRIPTION: T.I. Low voltage: audio/stereo. - OWNER: WASHINGTON SQUARE LLC, PHONE #: 503- 639:8866 CONTRACTOR: JO ELECTRIC INC PHONE #: 360 - 837 - 7606 Inspection Request Scheduled For: Date: 1/11/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 1 16 Electrical service 024749-01 360-772-2703 V N Corrections /Comments/ Instructions: sp c 4 t®.1 t-' 61 E Q, 51er1 o(L i UTt Mel Fes � ,�® � ,� � Fok._ • • ❑ PASS ❑ PARTIAL APPROVAL - ❑ CANCEL ❑ NO ACCESS dk FAIL ni CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ,I � `I C Inspector: D ate: � (� ®1� Phone #: (503) 718- Z� CITY OF TIGARD c, t ' BUILDING DIVISION " PERMIT #: 0:C20051)0720 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/200 Phone: (503) 639 -4171 AVj Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 1/24/2006 TIME: 6 :58AM PAGE: SITE ADDRESS: 08354 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: THE WALKING COMPANY DESCRIPTION: T.!. Law vult; ge.: audio/stereo OWNER: WASHINGTON ON SQUARE t LC, PHONE #: 503 - 539 -813(6 CONTRACTOR: JC ELECTRIC INC PHONE #: 360 -887- 7889 Inspection Request Scheduled For: Date: 1/24/2005 Pour Time: Code # I - . • • • l escription - : ..:111 Contact # Message 116 Electrical service. 075574 -01\ 360. 772.2402 N Corrections /Co - - • Z IASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: N �A� ' N J y Date: Z V b Phone #: (503) 718 - 2 -140 CITY OF TIGARD s BUILDING DIVISION PERMIT #: EI_C2006 007213 13125 SW Hall Blvd., Tigard, OR 97223 'DATE ISSUED: 12/20!0005 Phone: (503) 639 -4171 . Inspection Requests (24 Hrs.): (503) 639 -4175 .�.411111 L. INSPECTION WORKSHEET FOR DATE: /2177/7005 TIME: 7:03AM PAGE: 37 SITE ADDRESS: 09354 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: THE WALKING COMPANY DESCRIPTION: T.I. Low voltage: audio/stereo. OWNER: WASHINGTON SQUARE LLC, PHONE #: 503- 633 -0665 CONTRACTOR: JC ELECTRIC INC PHONE #: 360 --887 -7683 Inspection Request Scheduled For: Date: 12127/7005 Pour Time: Code # Inspection De • ' •tion . Confirm # Contact # Message 125 Wall cover 024020-01 360- 772-2703 N 10 uNO Look 6 ti PK OAC• . . Corrections /Comments /Instru .• • -: VIN ® F't -004. 4 . IA/Aux . • 11 PASS ❑ PARTIAL APPROVAL ❑ CANCEL , ❑ NO ACCESS ❑ FAIL ❑ ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED -e 1 (/� Inspector: ` /�_ // Date: 12 /2-Z Cr Phone #: (503) 718- Zi 7b J • CITY OF TIGARD - - _ J. UI LDING DIVISION PERMIT #: ELC2005 -00728 "e 125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/20 /2005 Phone: (503)639 -4171 gyp, * " Inspection Requests (24 Hrs.): (503) 639 -4175 III • f . ., INSPECTION WORKSHEET FOR DATE: 12/22/2005 TIME: 7:03AM PAGE: 44 • SITE ADDRESS: 09354 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: THE WALKING COMPANY . DESCRIPTION: T.I. Low voltage: audio/stereo. OWNER: WASHINGTON SQUARE LLC, PHONE #: 503 - 639.8865 CONTRACTOR: JC ELECTRIC INC PHONE #: 360- 887 -7889 Inspection Request Scheduled For: Date: 12/22/2005 Pour Time: I' Code # Inspection Description Confirm # Contact # Message 130 Ceiling cover 023913-01 360.772 -2703 N Corrections /Comments / Instructions: 004_ t • • n PASS RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: /2 - 2..2 - S Phone #: (503) 718- • CITY OF TIGARD _ t BUILDING DIVISION PERMIT #: ELC2006 00721 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/20/2005 Phone: (503) 639.4171 A..� °,,irk Inspection Requests (24 Hrs.): (503) 639 -4175 1.1 INSPECTION WORKSHEET FO' DATE: 1/27/2006 TIME: 7 :00AM PAGE: 80 SITE ADDRESS: 09364 SW WA ' IINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON S UARE LOT #: TYPE OF USE: PROJECT NAME: THE WALKING CO'' PANY DESCRIPTION: T.I. Low voltage: au..'o/stcreo. OWNER: WASHINGTON SQUARE LC, PHONE #: 503 - 638 -8t366 CONTRACTOR: S IC ELECT RIC: INC PHONE #: 36[ 81=87 -7809 Inspection Request Scheduled For: late: 1/27/2006 Pour Time: Code # Inspection Description Co irm # Contact # Message 199 •-' 025'4. 01 360-7112703 2703 N Corrections /Comments / Instructions: N ts fa • 1 40 I .4 agt- Pa L) PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: • Date: 1 ' �� — ()et) Phone #: (503) 718- 2-44)