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Permit t /1 ELECTRICAL PERMIT CITY OF TIGARD ° PERMIT #: ELC2007 00683 ° .. COMMUNITY DEVELOPMENT D ATE ISSUED: 10/4/2007 .T1GARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S12600-00300 SITE ADDRESS: 09422 SW WASHINGTON SQUARE RD K06 ZONING: C - G SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG PROJECT: SELECT COMFORT Project Description: (2) services, 28 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: r LIMITED ENERGY: 401 - 600 amp: SIGNAUPANEL: MANF HM/ SVC/ FDR: 601 +amps -1000 volts: MINOR LABEL (10): SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: 4g, I W /SERVICE OR FEEDER: 28 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 PERFORMANCE ELECTRIC BY THE MACERICH COMPANY 14674 SE SUNNYSIDE RD #170 9585 SW WASHINGTON SQUARE RD CLACKAMAS, OR 97015 TIGARD, OR 97223 Phone: Contact #: FAX 503 - 656 -0693 PRI 503 - 656 -0496 FEES Description Date Amount Reg #: ELE 3 -582C [ELPRMT] ELC Permit 10/4/2007 $346.80 LIC 161535 [TAX] 8% State Surcharge 10/4/2007 $27.74 SUP 4499S Total $374.54 REQUIRED ITEMS AND REPORTS 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 ar= 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.: % 1 .332.2344. Issued By: ( 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. 111 N . _ WED El %Ita.}� t.' t n +' "' ? FOR OFFICE I St: ():Al.l C .y of Tigard q cry P Nod 13125 SW Hall Blvd.. Tigard, OR 97223 O C T i 4 t 0D / P� Review • • ♦ - �' Phone: 503.639.4171 Fax: 503.598.1 �JTv u , -r?► r,; g , Other Permit: I w •, , Inspection Line: 503.639 -4175 '') �„ Date ReadyBy. aces 8 See P 2 for Internet www.ci.tigard.or.us B UILDING II i a _ Nodded/Method Supplemental Information TYPE OF WORK •PLAN REVIEW L] New construction OAdditibn /alteration/replacement Please check all that apply ❑ Demolition ❑Other ❑Service over 225 amps, comml ❑Hazardous location ❑Service over 320 amps - rating DBuildng over 10,000 sq. It., CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential ❑ 1- and 2 -family dwelling WI ❑ Accessory building ❑System over 600 volts nominal units in one structure ❑ Multi - family ❑Master builder ❑ tamer ❑Building over three stories ❑Feeders, 400 amps or more ❑Occupant toad over 99 persons ❑Manufactured structures or �j JOB SITE INFORMATION AND /L,O. C p ❑Egress/lighting plan RV park P /.w► R�1/ u✓ / V� ' W 6 T►0) , 5 Rs Dubmit 2 s� tae ❑Other: R u. r 1 Job no.: oh site address: R K e /StatelZIP: 1 The above are note i any of the above. Ci ty �` � A R� ` p R y � � 3 applicable to temporary construction service. L 1 J FEE* SCHEDULE Suitc/bldg. /apt no.: IZ 6 Project name: S Gk . o J Col,. / f DescrIptim 1 Qty. I T• -. 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'I 500 sq. R or portion 33.40 I Tax map /parcel no.: Limited energy, residential 75.00 2 Limited energy, non- residential 75.00 2 DESSCRIPTION OF WORK Each manufactured or modular EA c1A / /1 A / )ere /Q n' g dt dwelling service and/or feeder 90.90 2 T Services or feeders installation, alteration, and/or relocation 200 amps or less ,, 80.30 /6&,66 2 ❑ PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 106.85 2 �A l? R Q l �/ — - 401 amps to 600 amps 160.60 2 A G IG/1 // (i7 />w o 4 t . l ( 0i Name: 71J p c 1,000 To ' 601 amps to 1,0 amps 240.60 2 Address: /5-F.5- SW W R» .54 / / 5 ( O 1,000 amps or volts 454.65 2 I 0 Reconnect only 66.85 2 Cit , dt R i,C 7 7 A .23 Temporary services or feeders installation, alteration, and/or t �Q3) 6 3 - 6 (5 ?�P 51 / 2_,. relocation Phone: Fax: 3 ) 6 200 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 l CI CONTACT PERSON A Fee for branch circuits wish service or feeder fee, each 6.65 / $4261 2 Business name: branch circuit 6 B. Fee for branch circuits - Contact name: without service or feeder fee, 46.85 2 • Address: first branch circuit Each add'l branch circuit 6.65 2 City /Stale/ZIP: Miscdlaacots (service or feeder not Included) Pump or irrigation circle 53.40 2 Phone: ( ) Fax: : ( ) Sign or outline lighting 53.40 2 E -mail: Signal ciratil(s) or limited - CONTRACTOR energy Pend, alteration, or �� extension. Describe: Page 2 2 Business name: 4, f-oRntt ,,�G,e, E-,RI. L L L C i� ,Q_/ /17_,A � Each additional inspection over allowable :in any of the above Address: / y 6 y S �,J ��• s� /' Gr Per inspection 62.50 J� >..\ - City/State/DP; II y j a /72/ ` e2 R � 7D I s" Investigation per hour (I iv min) 62.50 ) r l a / G 6 Fax ! Industrial plant per hour 73.75 Phone: ( 5at3 6S Q I Sd) 65;i- - S f 3 ELECTRICAL PEERM IT FEES' CCB Lic.: /6/-535 Electrical Lic.: 2S2 I S rv. Lic.: J f y9 ,S Subtotal .3g. ea L .. Suprv. Electrician signature, required: Plan review (25% of permit fee) Print name: Cif 4/J J eft) / ms i Date: /a State surcharge (8% of penitit foe) 2 4. 7 Y TOTAL PERMIT FEE 37y3-7 Authorized signature: This permit application empires ifs permit is not obtained within ISO days after tt bas been accepted as complete Print name: I Date: • Fee methodology set by Tri -Coady &aline Industry Service Board m .,-............e:____.:___ -_-......--Zs -11._..+ (DI( (/17 • CITY OF TIGARD BUILDING DIVISION PERMIT #: El _C2007-00683 13125 SW Hall Blvd., Tigard, OR 97223 > DATE ISSUED: 10/4/2007 Phone: (503).639 -4171 :+V Inspection Requests (24 Hrs.): (503) 639 -4175 __.. INSPECTION WORKSHEET FOR DATE: 11/30/2007 TIME: 7 :00AM PAGE: 16 SITE ADDRESS: 09422 SW WASHINGTON SQUARE RD K06 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: SELECT COMFORT DESCRIPTION: (2) service:, 28 branch circuits. 10/26/2007 Add (1) sign lighting and delete (1) service. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: PERFORMANCE ELECTRIC PHONE #: 503-656-0496 Inspection Request Scheduled For: I . te: 11/30/2007 Pour Time: Code # . Inspection Description Confirm \\ Contact # Message 199. Electrical final 060580 -02 909 -297 -8505 N • rte Corrections /Comments / Instructions: r®4P') E/ PAS' El PARTIAL APPROVAL ❑ CANCEL 11 NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Yv 1 C)gLxS Date: Vt 1 Phone #: (503) 718- VI 4‘ CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007 -00683 13125 SW Hall Blvd., Tigard, OR 97223 - DATE ISSUED: 10/412007 Phone: (503) 639 -4171 r A Inspection Requests (24 Hrs.): (503) 639- 4175IF'I_�� INSPECTION WORKSHEET FOR DATE: 11/30/2007 TIME: 7 :00AM PAGE: 15 SITE ADDRESS: 09422 SW WASHINGTON SQUARE RD K06 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: SELECT COMFORT DESCRIPTION: (2) services, 28 branch circuits. 10/26/2007 Add (1) sign lighting and delete (1) service. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: PERFORMANCE ELECTRIC PHONE #: 503.656 -0496 Inspection Request Scheduled For: Date: 11/30/2007 Pour Time: ' Code # Inspection Description Confirm # Contact # Message 115 Electrical service 060580-03 • 909 -297 -8505 N Corrections /Comments / Instructions: No J t 1" i S s €2 c i s `f � O 4 i MAI IJ • YY1E I EIL . • PASS El PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED 22 1 ,� Inspector: VbV HO Date: 1t Phone #: (503) 718 - i V CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007•00E:03 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/4/2007 Phone: (503) 639 -4171 41 of Inspection Requests (24 Hrs.): (503) 639 -4175 I � • INSPECTION WORKSHEET FOR DATE: 11/28/2007 TIME: 7 :00AM PAGE: 10 SITE ADDRESS: 09422 SW WASHINGTON SQUARE RD K06 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: SELECT COMFORT' DESCRIPTION: (2) services, 28 branch circuits. 10/26/2007 Add (1) sign lighting and .delete (1) service. OWNER: WASHINGTON SQUARE l.l_C, PHONE #: CONTRACTOR: PERFORMANCE ELECTRIC PHONE #: 503.656 -0496 Inspection Request Scheduled For: Date: 11/2.8/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message • 199 Electrical final 060413-01 909-297-8505 N Corrections /Comments /Instructions: d C1--2A uN'O c\13- w P LL W o w 1,1 r (1 i x v atS Pte'.. . e e):5n000..E tr • cis • El �r Tt r Er(. • • ❑ PASS 111 PARTIAL APPROVAL 111 CANCEL ❑ NO ACCESS FAIL • CALL FOR INSPECTION 111 ADDITIONAL FEES ASSESSED I ' Inspector: G OBU Date: f J t% 0 Phone #: (503) 718- 7 -4446 CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007- 00683 13125 SW Hall Blvd., Tigard, OR 97223 '° DATE ISSUED: '10/4 /:2007 Phone: (503) 639 - 4171 Inspection Requests (24 Hrs.): (503) 639 -4175 '= INSPECTION WORKSHEET FOR DATE: 11116/2007 TIME: 7 :01 AM PAGE: 2 SITE ADDRESS: 09422 SW WASHINGTON SQUARE RD K06 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: SELECT COMFORT DESCRIPTION: (2) services, 28 branch circuits. 10/26/2007 Add (1) sign lighting and delete (1) service. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: PERFORMANCE ELECTRIC PHONE #: 503 - 655 - 0495 Inspection Request Scheduled For: Date: 11/16/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 130 Ceiling cover 059843 -01 909-297 -8505 N Corrections /Comments /Instructions: �.J 7 (60/0./0) l • • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: • . �}'� 1 "v tx • Date: u� 01 Phone #: (503) 718 - 7. I CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007- 0066'3 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1014/200? Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 11/14/2007 TIME: 7 :02AM PAGE: 60 SITE ADDRESS: 09422 SW WASHINGTON SQUARE RD K06 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: SELECT COMFORT DESCRIPTION: (2) services, 28 branch circuits. 10/26!2007 Add (1) sign lighting and delete (1) service. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: PERFORMANCE ELECTRIC PHONE #: 503 - 656 - 0496 Inspection Request Scheduled For: Date: 11/14/2007 Pour Time: Code # Inspection Description irm Contact # Message 130 Ceiling cover 069549.01 909 - 297-8506 N Corrections /Comments /Instructions: } CD - .Lk)QA (0 Q;� O� E V e °x S xecog cal in 6 . r� �. .1 n�ctsi �P r�,. - PC it vS ► cA4C\vi .4 `rl.cq. nL- W 1 )7 R . 21s3 cjsi � t�Z c t. � . ` I Q om 1% 1 ti Piteig �P M Y ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS % ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ( ' t ' 6 Le Date: ` 0) Phone #: (503) 718- 144 CITY OF TIGARD BUILDING 'DIVISION PERMIT #: ELC2007- 006133 13125 SW Hall Blvd., Tigard, OR 97223 - = DATE ISSUED: 10/1/2007 Phone: (503) 639 -4171 �� Inspection Requests (24 Hrs.): (503) 639 -4175 'I I:. INSPECTION WORKSHEET FOR DATE: •10/30/2007 TIME: 7:07AM PAGE: 35 SITE ADDRESS: ()9422 SW WASHINGTON SQUARE RD K06 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: SELECT COMFORT DESCRIPTION: (2) services, 28 branch circuits. 10/26/2007 Add (1) sign lighting and delete (1) service. OWNER: WASHINGTON SQUARE L.LC, PHONE #: CONTRACTOR: PERFORMANCE ELECTRIC PHONE #: 503. 6560496 Inspection Request Scheduled For: Date: 10/30/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 05'8615 -01 909 - 297 -05055 N Corrections /Comments /Instructions: SovNM bv.1P PF1ot ( , ® V - tPT ° 1 / li tvr1� ‘4P14-14 PL) / alb CI.% 6. ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL F. ' - CTION ❑ ADDITIONAL FEES ASSESSED Inspector: � N 6e Le Date: 1 0 3 Phone #: (503) 718- 1-114 r, �} CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007- 00693 13125 SW Hall Blvd., Tigard, OR 97223 - DATE ISSUED: 10/4/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10/30/2007 TIME: 7:02AM PAGE: 33 SITE ADDRESS: 09 422 SW WASHINGTON SQUARE RD K06 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: SELECT COMFORT DESCRIPTION: (2) services, 28 branch circuits. 10/26/2007 Add (1) sign lighting and delete (1) service. OWNER: WASHINGTON SQUARE LLC, , PHONE #: CONTRACTOR: PERFORMANCE ELECTRIC PHONE #: r03 - G5G - 0496 Inspection Request Scheduled For: Date: 10/3012007 Pour Time: Code # Inspection Description Confirm # Contact # Message 130 Ceiling cover 068615 -03 909 297 -8505 N Corrections/Comments/Instructions: • ❑ PASS PARTIAL APPROVAL CANCEL ❑ NO ACCESS E FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: AS • Date: 10 3 en Phone #: (503) 718 - VIA CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007- 006133 13125 SW Hall Blvd., Tigard, OR 97223 - DATE ISSUED: 10/4/2()07 zov Phone: (503) 639 - 4171µM Inspection Requests (24 Hrs.): (503) 639 -4175 °_. INSPECTION WORKSHEET FOR DATE: 10/30/2Q07 TIME: 7:02AM PAGE: 34 • SITE ADDRESS: 09422 SW WASHINGTON SQUARE RD K06 CLASS OF WORK:. SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: ' PROJECT NAME: SELECT COMFORT DESCRIPTION: (2) :services, 28 branch circuits. 10/26/2007 Add (1) sign lighting and delete (1) service. OWNER: WASHINGTON SQUARE LLC, PHONE #: • CONTRACTOR: PERFORMANCE ELECTRIC PHONE #: 503-656-0495 Inspection Request Scheduled For: Date: 10/30/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 125 Wall cover 058615 -02 90D. 297 -8505 N Corrections /Comments /Instructions: • • ❑ PASS ❑ PARTIAL APPROVAL ACANCEL . ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector:" Date: � 0/ Phone #: (503) 718- DA