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Permit ' I 4 A • / ' """'L / V "� ' - Z. / §RICAL PERMIT CITY O IGARD PERMIT #: ELC2005 -00730 i� DEVELOPMENT SERVICES DATE ISSUED: 9/27/2005 4i 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S12600-00300 SITE ADDRESS: 09384 SW WASHINGTON SQUARE RD ZONING: C -G SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG Project Description: TI 11/14/05 add 1 service and 14 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: W /SERVICE OR FEEDER: Q 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'S ELECTRIC BY THE MACERICH COMPANY PO BOX 12943 9585 SW WASHINGTON SQUARE RD SALEM, OR 97309 TIGARD, OR 97223 Phone: 503 - 639 -6685 Phone: 503 - 585 -3278 FEES Reg #: ELE 24 -150C LIC 161389 Description Date Amount SUP 2402S [ ELPRMT] ELC Permit 9/27/2005 $146.80 [TAX] 8% State Surcharge 9/27/2005 $11.74 REQUIRED ITEMS AND REPORTS [ELPRMT] ELC Permit 11/14/200' $159.95 (additional fees not listed here) Total $331.29 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 a re 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: , {j � 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. S . CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2005 -00730 4, DEVELOPMENT SERVICES DATE ISSUED: 9/27/2005 II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S12600-00300 SITE ADDRESS: 09384 SW WASHINGTON SQUARE RD ZONING: C -G SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG Project Description: TI 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: 1 W /SERVICE OR FEEDER: 10 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 AS ELECTRIC BY THE MACERICH COMPANY PO BOX 12943 9585 SW WASHINGTON SQUARE RD SALEM, OR 97309 TIGARD, OR 97223 Phone: 503 - 639 -6685 Phone: 503 - 585 -3278 FEES Reg #: ELE 24 -150C LIC 161389 Description Date Amount SUP 2402S [ELPRMT] ELC Permit 9/27/2005 $146.80 [TAX] 8% State Surcharge 9/27/2005 $11.74 REQUIRED ITEMS AND REPORTS Total $158.54 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 • suspen• - • or mo - • -n 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules . re set forth in OA' •5 =01 -4010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503 - -46 -6699 •r 1- 800 -33 ' -2 Issue , By: 04!111.2..t.d Permittee Signature: .•- -'i-a- ) /:C�.; 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: 3 y 1 17 2 1 LICENSE NO: G Y V $ 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. F i lrical Permit Application soli of iicl: usr. ON1.Y City of Tigard Received °� Permit No. 13125 SW Hall Blvd., Tigard, OR 97223 Ai Plan Review Phone: 503.639 4171 Fax: 503.598.1960 Y. ' • • " *.. :,, = II'l;'• Date/B Other Permit Inspection Line: 503.639.4175 ,_ •'_I� Date Ready/By: MI ® See Page 2 for Internet: www.ci. tigard.or.us Notified/Method Supplemental Information , TYPE OF WORK PLAN REVIEW , ['New construction ❑ Addition/alteration/replacement Please check all that apply: ❑ Demolition ❑Other: ❑Service over 225 amps, comm'I ❑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 El 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 RV ark q II ❑Egress/light plan P , , Job no.: Job site address: ! 3qy g , "`'o- �d�, - 1.; "' ❑Health -care facility ❑der: .S. Submit 2 sets of plans with any of the above. City/State/ZIP: p.,---11,-, d The above are not applicable to temporary construction service. Suite/bldg. /apt. no.: Project name: s k u- '(4 <- r. b,- , q FEE* SCHEDULE QDULE / Description Qty. I Fee. I Total I '' 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 Tax map /parcel no.: Limited energy, residential 75.00 2 Limited energy, non - residential 75.00 2 DESCRIPTION OF WORK Each manufactured or modular I ? c s 4 6--t" dwelling, service and/or feeder _ 90.90 2 f`� Services or feeders installation, alteration, and/or relocation 200 amps or less l 80.30 0• 2 • PROPERTY OWNER I TENANT 201 amps to 400 amps / 106.85 2 r 401 amps to 600 amps 160.60 2 Name: S ( e.. v 1 °J (L, . 5trq. L_L.(1 , 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 5 / 5? ._ _ � ( ) relocation Phone: co Q J (� Fax: 200 amps or less 66.85 1 Owner installation: This installation is being made on property that 1 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 /0 6.65 14 .J 2 Business name: branch circuit 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) Pump or irrigation circle 53.40 2 Phone: ( ) Fax:: ( ) Sign or outline lighting 53.40 2 E - mail: Signal circuit(s) or limited- CONTRACTOR energy panel, alteration, or Business name: r l t S ' I c , - r` -"- _ p L extension. Describe: Paget 2 Address: p. o , W a x la 7 1 3 Each additional inspection over allowable in any of the above Per inspection 62.50 City/State/ZIP: S w t c. 0 r < 7 o ' g , 3 e 7 Investigation per hour (I hr min) 62.50 f Industrial plant per hour 73.75 Phone: (5 3) Sys 31 7 ax: ( ) ELECTRICAL. PERMIT FEES* CCB Lic.: 1 (3 i er 7 E lectrical Lic.: 2 y - f Q. Suprv. Lic.: 2 d Su 4 0 2 .5 Subtotal /1/6 , 8b /�yy�� � Suprv. Electrician signature, required: / p(� ,(�� ��> p ,. .e..�`_ h9 �� „ t” 7 Plan review (25% of permit fee) L , u�r�.� 1 / n Date: 5� State surcharge (8% of permit fee) 1/ • 7' Print name: S S L Z7 S P / TOTAL PERMIT FEE /6g .5 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 Tri- County Building Industry Service Board • • Number of inspections per permit allowed. i \Building\ Penn its \ELC- PermMop doe 12/03 440-4615T(10/02/COM/w® Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: - RESIDEN r i WORK ONLY: Fee for all residential systems combined........ $75.00 Check Type of Work Involved: El Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* - El Heating, Ventilation and Air Conditioning • System* El Vacuum Systems* ❑ Other: I- COMMERCIAL WORK ONLY: Fee for, each commercial system. $75.00 (SEE OAR 918- 260 -260) Check Type of Work Involved: ❑ Audio and Stereo Systems El Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation El Fire Alarm Installation El HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* • El Medical El Nurse Calls El Outdoor Landscape Lighting* • El Protective Signaling ❑ other Total number of commercial systems: s • *No licenses are required. Licenses are required for all other installations i \Building\Pennro\ELC- PmnttApp doc 04/03 f- I OF TIGARD r., B UIL DING DIVISION PERMIT #: ELC200500730 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/2712005 Phone: (503) 639 -4171 419rl�l+� Inspection Requests (24 Hrs.): (503) 639 -4175 . INSPECTION WORKSHEET FOR DATE: 9/28/2005 TIME: 7:08AM • PAGE: 11 SITE ADDRESS: CLASS OF WORK: 09384 SW WASHINGTON SQUARE RD SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: THE SHUTTERBUG DESCRIPTION: TI OWNER: WASHINGTON SQUARE LLC, PHONE # : 503 - 639.6685 CONTRACTOR: A'S ELECTRIC PHONE # : 503 - 585-3278 Inspection Request Scheduled For: Date: 9/28/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 016873 -01 150-358-5327 N Corrections /Comments/ Instructions: "4( ik''1` k i bR 1 LAO A LI c.tvNaa.,I N E L E - c QR.O c L --tiztt v./1(61 ( I N, r. Ta �sA LL V1 W- (2E 1 IBS reeT 4 oof 6 L. ci (ZOv AL - Fo(L E 1,, Ca. 6 uric W 1 Cm • v NW1) M c. tCtfmret RxL csa A 6re- b %1 IQ r-ot-)D - 16I:j f 9 .wi1 S Vet AIL. - S, o C_34\reK ' t• (A 6ciratV‘,.cli\v: b§;\N i pv■ow twg1 c 1 1 (ET- ❑ PASS ,PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS X I C L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 4240,_ Phone #: (503) 718- 214' 1 CITY OF TIGARD -_. , . ,,.. BUILDING DIVISION PERMIT #: ELC2005-00730 j 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/27/2005 Phone: (503) 639 -4171 , o,�, ,ti i Inspection Requests (24 Hrs.): (503) 639 -4175 ^'I L INSPECTION WORKSHEET FOR DATE: 10/11/2005 TIME: 7:08AM PAGE: 3 SITE ADDRESS: 09384 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: THE SHUTTERBUG DESCRIPTION: TI OWNER: WASHINGTON SQUARE LLC, PHONE #: 503 - 639 - 6685 CONTRACTOR: A'S ELECTRIC PHONE #: 503 - 565.3278 Inspection Request Scheduled For: Date: 10/11/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message • 1•a t .ia 017990 -01 503 -585 -3278 N . 12 WALL C.oVea._ Corrections /Comments /Instructions: v‘iflL L C.cN € e6 N - ap20A(AL �1p PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS . ❑ FAIL ❑ C L FOR INSPECTIO ❑ ADDITIONAL FEES ASSESSED / Inspector: Date: 1-6 w g Phone #: (503) 718 - L t i • CITY OF TIGARD �- - BUILDING DIVISION PERMIT #: ELC2005 -00730 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/27/2005 Phone: (503) 639- 4171 Inspection Requests (24 Hrs.): (503) 639 -4175 I INSPECTION WORKSHEET FOR DATE: r TIME: PAGE: 28 SITE ADDRESS: 09384 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: THE SHUTTERBUG DESCRIPTION: TI OWNER: WASHINGTON SQUARE LLC, PHONE #: 503- 639 -6685 CONTRACTOR: AS ELECTRIC PHONE #: 503 -585 -3278 Inspection Request Scheduled For: Date: 10/31/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message • 115 Electrical service 019880-01 503 536.3278 N • Corrections /Comments /Instructions: 0 -at•\ p G-R v c y s t �(6L i 0 36 PQ t.. 5 i'ON , 1 g,31 i v frON■ mot a stab Zv S rv►■ 0,1 A1 tLb wr`r - Yv►• PA L P; Igeox5 I I PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS j FAIL ►�d CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED &Pk A 2 1 r 1 Inspector:- � N ��C7 �G Date: I If or Phone #: (503) 718 -"i"0 l ' CITY OF TIGARD �- BUILDING DIVISION PERMIT #: ELC2005-00730 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/27 /2005 Phone: (503) 639 -4171 - :all Inspection Requests (24 Hrs.): (503) 639 -4175 �_ INSPECTION WORKSHEET FOR • DATE: 11/1/2005 TIME: 7:06AM PAGE: 12 SITE ADDRESS: 09384 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: THE SHUTTERBUG DESCRIPTION: TI OWNER: WASHINGTON SQUARE LLC, PHONE #: 503- 639 -6685 CONTRACTOR: A'S ELECTRIC PHONE #: 503 - 585 -3278 Inspection Request Scheduled For: Date: 11/1/2005 Pour Time: Code # ec i scription Confirm # Contact # Message 115 Electrical service 02001301 503-585 -3278 N Corrections /Comments /Instructions: • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED w � t1. Inspector: � N ��J Date: • I • W Phone #: (503) 718- AL% • - CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2005`00730 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/27/2005 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 II�... INSPECTION WORKSHEET FOR DATE: 11/14/2005 TIME: 7:12AM PAGE: 38 SITE ADDRESS: 09384 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: THE SHUTTERBUG DESCRIPTION: TI OWNER: WASHINGTON SQUARE LLC, PHONE #: 503- 639 -6685 CONTRACTOR: AS ELECTRIC PHONE #: 503 - 585 -3278 Inspection Request Scheduled For: Date: 11/14/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 021151 -01 503- 585 -3278 N Corrections /Comments/ Instructions: @ckpv IbS Abb k ON AL 20©A S'tR,vb ct, .2) E % kasckl c(a) 1f El PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FA FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: II% I9 ' Phone #: (503) 718- 2Lf46 CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2005 -00730 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/27/2005 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 I �... INSPECTION WORKSHEET FOR DATE: 11/15/2005 TIME: 7:02AM PAGE: 15 SITE ADDRESS: 09384 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: THE SHUTTERBUG DESCRIPTION: TI 11/14/05 add 1 service and 14 branch circuits. OWNER: WASHINGTON SQUARE LLC, PHONE #: 503- 639 -6685 CONTRACTOR: A'S ELECTRI. • PHONE #: 503 -585 -3278 Inspection Request Scheduled For: Date: 11/15/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final S 021311 -01 503-585.3278 N Corrections /Comments /Instructions: • 'PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: *.1 10 be Date: 11 / 1 * Phone #: (503) 718- 1 4 •