Permit C/_0.� �S�`= vti,.cJ/_ _-— „� :, Q .oct�q.�, -`�7 —ELECTRICAL PERMIT
IT1fA ®F TI RD a
PERMIT #: ELC2005 -00651
111� DEVELOPMENT SERVICES DATE ISSUED: 9/19/2005
'�'�” 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09359 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG
Project Description: T.I. rLimited _energy_systems_are:,audio /stereo wiring, data, fire alarm,_HVAC and interdom/p Job No
50636R
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: 5
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: 65 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 STONER ELECTRIC •
BY THE MACERICH COMPANY 1904 SE OCHOCO STREET
9585 SW WASHINGTON SQUARE RD MILWAUKIE, OR 97222
TIGARD, OR 97223
Phone: 503 - 639 -8865 • Phone: 503 - 462 -6500
FEES Reg #: L1C 44823
SUP 3496S
Description Date Amount
ELE 26 -12-12
2C
[ELPRMT] ELC Permit 9/19/2005 $1,048.15 .
[ELPLCK] ELC Pln Rev 9/19/2005 $262.04 REQUIRED ITEMS AND REPORTS
[TAX] 8% State Surcharge 9/19/2005 $83.85
Total $1,394.04
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Speaalty 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
suspen or more • an 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those
rules re set forth in OA '52- 001 -0010 through OAR 952 - 001 -0100 You may obtain copies of these ules or direct questions to OUNC at
503 46- 6699`.r 1 - 800 g -
Iss ed By: l 7/ , i j s ; , Permittee Sign t . ,p o ;
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.
Flectr +Fal Per.nit'Application.- - FOR OFFICE USE ONLY
' 5 � 'Lin' \ / � � �
Received _
City of Tigard Dale /By 9 D) f 9/ Permit No �G Po D 6
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review 9 7 �s / (�
Phone: 503 639.4171 Fax 503.5981960 +..., j " ("�� 4 , " �''� Da te/l3 y Other Permit
Inspection Line. 503 639 4175 -'I I,. Date Ready /By Juns i ® See Page 2 for II
Internet www.ci.tigard.or.us Notified/Method 17 it Supplemental Information
TV' V : !: IiC_l Ili
y ei j1 ' _QFI y119RJ ' PLAN REVIEW
❑ New construction ® Addition /alteration/replacement Please check all that apply:
ID ®Other: Commercial tenant improvement ❑Service over 225 amps, comm'l ['Hazardous location
❑Service over 320 amps — rating ['Bulldog 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 OSystem over 600 volts nominal units in one structure
❑ Multi- family ❑Master builder ❑Building over three stories ❑Feeders, 400 amps or more
❑ Other:
❑Occupant load over 99 persons ['Manufactured structures or
JOB SITE INFORMATION AND LOCATION 'Egress /lighting plan RV park
❑Health -care facility DOther.
Job no.: Job site address: 9359 SW Washington Square Road
Submit 2 sets of plans with any of the above.
City/State /ZIP: Tigard, OR 97223 The above are not applicable to temporary construction service.
Suite/bldg. /apt. no.: T -21 Project name: Washington Square Starbucks FEE* SCHEDULE
Description I Qty. I Fee. I Total I
Cross street/directions to job site: SW Scholls Ferry Road New residential single- or multi - family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145 15 4
Subdivision: Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 1
Limited energy, residential 75 00 2
Tax map /parcel no.: 1S1260000300
Limited energy, non- residen 75 00 2
DESCRIPTION OF WORK Each manufactured or modular
Electrical for tenant space buildout in new mall expansion dwelling, service and/or feeder 90.90 2
Services or feeders installation, altera • n, and /or relocatio
200 amps or less ‘ 0 30 W 30 0 2
❑ PROPERTY OWNER ® TENANT 201 amps to 400 amps 106. 2
401 amps to 600 amps 160 60 2
Name: Starbucks Coffee Company 601 amps to 1,000 amps 240.60 2
Address: 2401 Utah Avenue South Over 1,000 amps or volts 454 65 2
Reconnect only 66.85
City /State /ZIP: Seattle, WA 98134 Temporary services or feeders installation, alteration, and /or
Phone: (206)318 -1575 Fax: ( ) 2
2000 0 a a ampps s
ess 66 85 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 40 ps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amp 133.75 2
Owner signature: Date: Branch circuits — new, a . ation, or ext siq on, per panel
® APPLICANT ® CONTACT PERSON A Fee for branch circuits it th
service or feeder fee, eac
Business name: Olympic Associates Company branch circuit �6.65 /9 2.02
Contact name: Jeffre Strockbine B. Fee for branch circuits ` \
Y without service or feeder fee, 4..: 2
each branch circuit \
Address: 701 Dexter Avenue North, Suite #301 Each add'I branch circuit 6.65 1 _ 2
City /State /ZIP: Seattle, WA 98109 Miscellaneous (service or feeder not inc . ded) W \\
Phone: (206) 674 -6119 Fax: : (206) 285 -4371 Pump or irrigation circle 40 � \ ■
Sign or outline lighting 53 41
E -mail: jstrockbine @olympicassociates.com Signal circuit(s) or limited- J
CONTRACTOR energy panel, alteration, or
extension. Describe: Page 2 2
Business name: TBD
Address: Each additional inspection over allowable in any of the above
Per inspection 62 50
City /State /ZIP: Investigation per hour (I hr mm) 62 50
Phone: ( ) Fax: ( ) Industrial plant per hour 73 75
ELECTRICAL PERMIT FEES*
CCB Lic.: Electrical Lie.: Suprv. Lie.: Subtotal
Suprv. Electrician signature, required: Plan review (25% of permit fee)
Print name: Date: State surcharge (8% of permit fee)
TOTAL PERMIT FEE
/ � /
Authorized signature:/ l r This permit application expires if a permit is not obtained within 180
i
days after it has been accepted as complete
�
Print name: J�t� PRA'( STigD ed IC P� 11 4 . Date. Sj S ' Fee methodology set by Tn- County Building Industry Service Board
ss Number of inspections per permit allowed
i \Buidmg`•Permns \ELC- PermitAppdoc 12/03 440- 4615T(I0 /02 /COM/WEB
Phectjcal Permit 4 pplication hole o FI USE ONE* r
City of Tigard Received Permit No 1t f•'LO - 00 6
13125 SW Hall Blvd , Tigard, OR 97223 Plan Review
Phone. 503 639.4171 Fax: 503.598.1960 ur *✓ P f;;rl l ' • Date/B Other Permit.
Inspection Line: 503.639.4175 J ='I 1 Date Ready/By e , +1 Juns ® See Page 2 for
g `. C G ' 1 '- N Supplemental Information
Internet: www.ci.tigard.or.us Notified/Method: { •
TYPE OF WORK PLAN REVIEW
❑ New construction ❑ Addition/alteration/replacement Please check all that apply:
El Demolition ❑ Other: 0 Service over 225 amps, comm'l ['Hazardous location
❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft.,
" CATEGORY OF CONSTRUCTION of 1 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 ID 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.: Job site address: ❑Health -care facility 0
Submit 2 sets of plans with any of the above.
City /State/ZIP: The above are not applicable to temporary construction service.
FEE* SCHEDULE
Suite/bldg. /apt. no.: Project name:
Description I Qty. I Fee I Total
Cross street/directions to job site: New residential single- or multi - family dwelling unit.
Includes attached garage. -
1,000 sq. ft. or less 145.15 4
Subdivision: Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
Tax map /parcel no.: Limited energy, non - residential 75.00 2
• DESCRIPTION OF WORK Each manufactured or modular
dwelling, service and/or feeder 90.90 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 3 80.30 Z 1 -k0,90 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 6.65 432 2
Business name: - branch circuit 6 5
B. Fee for branch circuits
Contact name: without service or feeder fee, 46.85 2
Address: each branch circuit
Each add'I branch circuit 6.65 2
City /State/ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) Fax::( ) Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited-
' CONTRACTOR - energy panel, alteration, or � • 73 EN. 35,00
extension. Describe: `� Page 2 2
Business name:
Address: Each additional inspection over allowable in any of the above
Per inspection 62 50
City/ State/ZIP: Investigation per hour (1 hr min) 62.50
Phone' ( ) Fax: ( ) Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES*
CCB Lic.: Electrical Lic.: Suprv. Lic.: Subtotal 1 4 g 4 5
Suprv. Electrician signature, required: Plan review (25% of permit fee) 2 62 0 4
Print name: Date: State surcharge (8% of permit fee) 93 .533
TOTAL PERMIT FEE 1 3 qu,0 L{
Authorized signature: !'� This permit application expires if a permit is not obtained within 180
. days after it has been accepted as complete
Print name: Date: • Fee methodology set by Tn- County Building Industry Service Board
• • Number of inspections per permit allowed.
i U3uilding\Permits\ELC- PennMop doc 12/03 440- 4615T(10/02/COM/WEB
Electrical Permit Application - City of Tigard t
Page,2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK ONLY:'
Fee for all residential systems combined $75.00
Check Type of Work Involved:
El Audio and Stereo Systems*
El Burglar Alarm
El Garage Door Opener*
El Heating, Ventilation and Air Conditioning
System*
El Vacuum Systems*
❑ Other:
riCOMNIERCIAL WORK ONLY: T T • —
Fee for each commercial system $75.00
(SEE OAR 918- 260 -260)
Check Type of Work Involved:
® Audio and Stereo Systems
El Boiler Controls
El Clock Systems
® Data Telecommunication Installation
Fire Alarm Installation
• HVAC
El Instrumentation
• Intercom and Paging Systems
❑ Landscape Irrigation Control*
El Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
El Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I \Bwlding\Pertnits\ELC- PeamiWppdoc 04/03
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC200&• 0651
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/19/2005
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/15/2005 TIME: 7:02AM PAGE: 91
SITE ADDRESS: 09359 SW WAS INGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON " +UARE LOT #: TYPE OF USE:
PROJECT NAME: STARBUCKS
DESCRIPTION: T.I. `• - - .: - • •, - _ • - _ - • - .. ', ._.. ."6.1
'Fin No. 50636R
OWNER: WASHINGTON SQUAR... LLC, PHONE #: 503- 639.8865
CONTRACTOR: STONER ELECTRIC PHONE #: 503-462 -6500
Inspection Request Scheduled For: ` Date: 11/15/2005 Pour Time:
Code # Inspection Description �� onfirm # Contact # Message
199 Electrical final 0 1240 -01 503-804 -6578 N
Corrections/Comments/Instructions:
•
•
[� PASS 111 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
! ( ` .FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Gr2- t NOB L Date: IA, ' C1, Phone #: (503) 718- 24l L
CITY OF TIGARD .
BUIN®ING DIVISION PERMIT #: 9/19/2 00500651
13125 SW Hall Blvd., Tigard, OR 97223 / DATE ISSUED:
Phone: (503) 639 -4171 Arritt
Inspection Requests (24 Hrs.): (503) 639 -4175 1
10/24/2005 7:02AM 90
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
09359 SW WASHINGTON SQUARE RD
SITE ADDRESS: WASHINGTON SQUARE CLASS OF WORK:
SUBDIVISION: STARBUCKS LOT #: TYPE OF USE:
PROJECT NAME: T.I. Limited energy systems are: audio /stereo wiring, data, fire alarm, HVAC and intercom /paging.
DESCRIPTION: Job No. 50636R
WASHINGTON SQUARE LLC, 503 - 639 -8865
OWNER: STONER ELECTRIC PHONE #: 503- 462 -6500
CONTRACTOR: PHONE #:
10/24/2005
Inspection Request Scheduled For: Date: • Pour Time:
Code # I WaalI c t over Description OgO 1 50 t 13iJ4 6578 Me9age
Corrections /Comments /Instructions:
:1 _ C C. r
•
A PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: N ESQ `_ Date: 10 2. Phone #: (503) 718- IA%
CIIX OF TIGARD
BUILDING DIVISION - PERMIT #: ELC2005 -00651
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/19/2005
Phone: (503) 639 -4171 11°'°
Inspection Requests (24 Hrs.): (503) 639 -4175 ). i..
INSPECTION WORKSHEET FOR DATE: 10/17/2005 TIME: 7:04AM PAGE: 37
SITE ADDRESS: 09359 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: STARBUCKS
DESCRIPTION: T.I. Limited energy systems are: audio /stereo wiring, data, fire alarm, HVAC and intercom /paging.
Job No. 50636R
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503- 639 -8865
CONTRACTOR: STONER ELECTRIC PHONE #: 503 -462 -6500
Inspection Request Scheduled For: Date: 10/17/2005 Pour Time:
Code # Inspection i - ription Confirm # Contact # Message
115 Electrical service 018477 -01 503-804 -6578 N
Corrections /Comments /Instructions:
1 j \ 4 . sttZV t (Ni
•
•
•
•
PASS El PARTIAL APPROVAL CANCEL NO ACCESS.
• ❑ FAIL ❑ CA L FOR INSPECTION • ❑ ADDITIONAL FEES ASSESSED
• Inspector: Date: 161 I / ac
Phone #: (503) 718- 21
CITY OF TIGARD
BUB :DING DIVISION PERMIT #: ELC200S.00651
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/19/2005
Phone: (503) 639 -4171 -ICI
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/13/2005 TIME: 7:04AM PAGE: 99
SITE ADDRESS: 09359 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: STARBUCKS
DESCRIPTION: T.I. Limited energy systems are: audio/stereo wiring, data, fire alarm, HVAC and intercom /paging.
Job No. 50636R
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503- 639 -8865
CONTRACTOR: STONER ELECTRIC PHONE #: 503 -462 -6500
Inspection Request Scheduled For: Date: 10/13/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
115 Electrical service 018216 -01 503- 804 -6578 N
Corrections /Comments/ tructions:
CO 1 RoU► G tics NR 211 / 4 v. 5 -VI c-
V' 8a?, 6n) e-ON I� c6 N )G (WEIL
eat) S tin' YZ
6o,o b 0 G - \ 3a. s a 2 , v i e 0-13p (zoi
LQ4 r 'T - *IQ 8x1.6 u) INA 0, .
Nvpl, n s s s 1 vA c: FIR
. INI(Zcon1
FINAL Mfl \f - - 003{15 PLfp
❑ PASS 21 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 1'6/13/1)6 Phone #: (503) 718 - 24 •
•
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2005.00651
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/19/2005
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 --
INSPECTION WORKSHEET FOR DATE: 10/10/2005 TIME: 7:04AM PAGE: 115
SITE ADDRESS: 09359 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: STARBUCKS
DESCRIPTION: T.I.
OWNER: WASHINGTON SQUARE LLC, - PHONE #: 503 - 6318865
CONTRACTOR: STONER ELECTRIC PHONE #: 503 -462 -6500
Inspection Request Scheduled For: Date: 10/10/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
125 Wail cover 017819-01 503- 804 -6578 N
3p ce . Ndt CA S
Corrections /Comments /Instructions:
1-� AcLO UN v.)04.1- S O csa VkIL
L.,sy 1(Lv 121 (ii%K
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: GIS■C- ` Date: \O ` Phone #: (503) 718-1-Alk6
TI ARD
CITY OF G �; Yvk
BUILDING DIVISION 3
PERMIT #: ELC2005 -00651
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/19/2005
Phone: (503) 639 -4171 /�m ,,:
Inspection Requests (24 Hrs.): (503) 639 -4175 _!!i- "'_I�'
INSPECTION WORKSHEET FOR DATE: 9/38/2005 TIME: 7 :05AM PAGE: 87
SITE ADDRESS: CLASS OF WORK:
09359 SW WASHINGTON SQUARE RD
SUBDIVISION: LOT #: TYPE OF USE:
SQUARE
PROJECT • STARBUCKS
DESCRI •' ON:
T.I.
OWNER: PHONE #: 503
CONTRACTOR: WASHINGTON SQUARE LLC, PHONE #: ,
STONER ELECTRIC 503-462-6500
•
Inspection Request Scheduled For: - Date: 9/30/2005 Pour Time:
•
Code # • - _ •, • • n Confirm # Contact # Message
'105 Underground/slab cov:r 017090 -01 503 -804 -6578 N
\ Corrections • • ments /Instructions:
1
•
{
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
//ff s 2
Inspector: ) /72 +� %I Date: / O �i Phone #: (503) 718 A 7