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Permit CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2007 -00355 COMMUNITY DEVELOPMENT DATE ISSUED: 5/23/2007 TIGA D 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S12600-00300 SITE ADDRESS: 09469 SW WASHINGTON SQUARE RD A10 ZONING: C -G SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG PROJECT: MAGGIE MOO'S /AUNTIE ANNE'S Project Description: (11) branch circuits for 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: A 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: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 10 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 MATES ELECTRIC BY THE MACERICH COMPANY 11124 NE HALSEY 9585 SW WASHINGTON SQUARE RD PORTLAND, OR 97220 TIGARD, OR 97223 Phone: Contact #: PRI 503- 516 -4142 FAX 503 - 695 -6263 FEES Description Date Amount Reg #: ELE 26 -828C [ELPRMT] ELC Permit 5/23/2007 $113.35 LIC 159371 [TAX] 8% State Surcharge 5/23/2007 $9.07 SUP 3992S Total $122.42 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 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. d = 40.1. Issue Pe rmittee Signature: / . 1 1/ 4 . 7 li/ g 4 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. 06/22 ;007 14 t 15 Pia 60369010, % l '' - � seer C1 n 0._TiGARD J�i�/1l Electrical Permit Application '-- °' ` ,_ " - 1 ' ` ! � ' � .. FOR OFFICE USE ONLY Cray of Tigalyd ?qv Reecwed � � , -\ negate No. ` 13125 SW Hall Blvd„ Tigard, OR 97223 NAY ,� 006 PlimRe Et ,C,260 ��� Plmt Review ,' ....... . ,, Phone! 503 639_+t191 Fox 503.98.7960 marcmy, Other permlt�v TIC,; ,\ li D lnspcet ion Line; 503.639.4175 ; i :1 Due Ready/Br t I p m gee page 2 for Internet: www.tlgard.or.gov - . ' r , •'- 1/49 ! \ , ted/Medwd: Sapp /emotes! 16brretatien WORK. ; .. .'1 , ,.■ :rat O Y� J Y illt .. , ' ;I r _ • • ❑ New eoftstruction ' Addition /niteratIon /replacement P1 check all that apply (s 2 sets of plans w/Itemt checked below Q Service or feeder 400 &mpg ere soon O 01.41d1ng over three stork . Q Demolition ❑ Othe:r• where the available fault current 0 lvlbrtnas and boatyards. .' ` CATEGOW (iF','dONS1WJCTION ' exceeds 10,000 =pa et 150 volts or 0 Floating buildings. ❑ l - and 2 - family dwelling ot7n:ttereiol /industrial 1071 to ground, or exceeds 14,000 0 Cotnmereiol -use agriculntral ❑ A ccessory building angers ibr all other installations, buildings. IQ . Multi-family E Master' builder ❑ Other: 0 rim pump 0 Installedonof7s KvA or ! ,JOB,, Si 3NFORMATION' AND ' IACAtfON. D F.tnergcmy system. team separately derived system. - _ -- D Addition or nnw meta' load of 0 "A" - E° - 1 -2' "1.1• Job no,: Job site addr I00HP or more, acecpaney. 0 six or mote residential units. 0 Recreational %Thiele panes• City /State/ZIP: 7 eel 4 4p Co e //iv D Health -care fgctlitlae 0 Supply voltage for more than 0 Lazordous locations. 600 vole nominal, Suite /bldg./apt. no.: Project name: 0 Service or feeder 600 amps or more. Cross street/directions to job site: IV rli S /‘ ? 4,@, A-7/1-6(.... I De.i .. ts. • • ' ' t LE '+ � , IIIIIIr.Zris • New residential simile. or multi-Artily dwelling unit. _ Includes attached fp►rage, Subdivision; Lot no.: 1,000 a 1. it or less 145.15 4 Ha, WW1 500 Sq. ft. or portion 33.40 I Tax map/parcel no,: Limited energy, residential ..1. ' ,..,c.,. [mlr Dfs''ION' OP , WoP . • im nbave a ft v 75.00' 2 r Limited energy, m ti�f'ai ily M a q 9' e M till r � 't yty / i E '/1/.#v /5 residential (with above aq. ft.) 75.00 2 Services or feeders iostallatioo alterat on, and /or rcluatlion _ 200 amps or less 80.30 2 . 0 I'ttOFERTY' OWNER it •.. I'. , !, „ ;,J , •0 . TE:rAIVT '; " `. 201 amps to 400 amps 106.85 2 Nam 4 1 amps to 600 amps 160,40 2 601 amps to 1,000 amps 240,60 2 Address: Over 1,000 amps or volts 45445 2 City /StatdZlP: Temporary services or feeders instaladon, alteration, and/or relocation Phone: ( ) Fax: ( ) 200 amps or less t 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 exdhange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133,75 2 Branch circuits - new, alteration, or extension, per panel Owner signature: Date: A Fcc for branch circuits rv(tlr y' ' ,' .11 'M'P II6aN't' • • 'I -' 0 CONTAC PERSON . `, ' above service or feeder fee, '` each branch circuit 6.65 2 Business name; B. Fee for branch circuits without service or feeder fee, / 46.85 44, .85 2 Contact names: first branch circuit Address: Each WI Moth circuit D 6.65 (4 2 Miscellaneous (service or lbedelr tint included) - City /State/ZIP; Each manufaomred or modular 90.90 ). dwcllinp_ service and/or feeder Phone: ( ) Fax: ; ( ) Reconnect only 66.35 2 E- mail: _ Pump or irrigation circle 53 40 2 , . , ' . ; i : , , CONTRACTOR' . • _. - ,; „ ,gn or outline lighting 53.40 2 /Tc / e S E ( er 1)- t .0 Signal penal, la or na, l t limited. o r Business name; e p alteration, or Address: /// 4 NE /Io /sQ p� a 6 ?9 extension, Describe: pelt, 2 2 City/State/ZIP: p p-� / a l Cj j Q a Each additional inspection over allowable i» any ofthle above �Q) F (nt: (So ) 4. q-r -- 62. C Per inspection Investigation 62,50 Phone: ( 3 �/G — 3 � Imasdgatlonper hour (l hrmin) , 62,50 CC13 Lie.: /59 j , Electrical Lic.: Z fe,- 828c Suprv. Lie.: `.3 cm 2 5 industrial plant per hour 73,75 Electrician signature,, required: �4 .'ELECPJc p r y Suprv. Electrician �D ,_ Subtotal: 1 1'� 35 Print name: _ Plan review (25% of permit fee) �� 41,—Es Z � O 7 Slate surcharge (8% of permit fee): 9 . p'Y Authorized signature! .A,. V TOTAL PERMIT FEE: 122 , 42. Print erne ` &-S Date: 5 —z Z —� �rhisperm e; fAperr aiiR;s Mat ebtnieetlwithin 7 days after nag been accepted as cemptetO • Number of imperious allowed per permit. maellaln8 \Permiq\ELG_permJtht,,tM clams MO leh$T(ll /5$ /COM/WEB CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007 -00355 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/23/2007 Phone: (503) 639 -4171 Ab Inspection Requests (24 Hrs.): (503) 639 - 4175 INSPECTION WORKSHEET FOR DATE: 7/9/2007 TIME: 7:02AM PAGE: 53 SITE ADDRESS: 09469 SW WASHINGTON SQUARE RD A10 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: MAGGIE MOO'S/AUNTIE ANNE'S DESCRIPTION: (11) branch circuits for TI. 7/6/07, ADDING LOW VOLTAGE FOR DATA & AUDIO /STEREO WRING. OWNER: WASHINGTON SQUARE LLC, PHONE #: ' CONTRACTOR: MATES ELECTRIC PHONE #: 503. 516.4142 Inspection Request Scheduled For: Date: 7/9/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 051620.1 503-516-4142 N Corrections /Comments/ Instructions: \\\\) X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: CZ . 06 G Date: 'C,' on Phone #: (503) 718 - �'� ' . _ CITY OF TIGARD BUILDING DIVISION - _'_ PERMIT #: ELC2007 -00355 13125 SW Hall Blvd., Tigard, OR 97223 i DATE ISSUED: 5/23/2007 Phone: (503) 639 -4171 A* i1 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/6/2007 TIME: 7:06AM PAGE: 16 SITE ADDRESS: 09469 SW WASHINGTON SQUARE RD A10 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE ' LOT #: TYPE OF USE: PROJECT NAME: MAGGIE MOO'S/AUNTIE ANNE'S DESCRIPTION: (11) branch circuits for TI. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: MATES ELECTRIC PHONE #: 503- 516 -4142 Inspection Request Scheduled For: Date: 7/6/2007 Pour Time: Code # Inspection Description Confirm' # - Contact # Message 199 Electrical final 051553 -01 503.516 -4142 _ N Corrections /Comments /Instructions: N O t� t v . "ThUL TO itiZK, • S cr-N S • 0 4 4IL PRoN Ir'C ?(DttormL Ss. -D 0 i b1 (3 o`$ a N M . ' €•4 . i reov■ Q cq A ` P 61 p ervil - ❑ PASS • ❑ PARTIAL APPROVAL ❑ CANCEL • ❑ NO ACCESS 14 FAIL %CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Cr`• 66 Date: 'l ' 3 ' 1 Phone #: (503) 718- 1.-444b CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007 -00365 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/23/2007 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639 -4175 F'I � .. INSPECTION WORKSHEET FOR DATE: 7/3/2007 TIME: 7:03AM PAGE: 10 SITE ADDRESS: 09469 SW WASHINGTON SQUARE RD A10 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: MAGGIE MOO'S/AUNTIE ANNE'S DESCRIPTION: (11) branch circuits for TI. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: MATES ELECTRIC _ b PHONE #: 503 - 516 - 4142 Inspection Request Scheduled For: Date: 7/3/2007 Pour Time: Code # Inspection Description firm.# Contact # Message 199 Electrical final 051399-01 \\ 503-516.4142 N Y • Corrections /Comments /Instructions: ,�i t — c7P--n7-\ ® CkZ •4% � �. Sa t ;ir. 4R. C��J r l -� nom. .: P I, t) s 6D. V\As'. c:CcA\ Mr,001Z 0 Q ctr)v%c> i"mctvv.:c1 s Fizkt. I. ok„ - (Ai t . E ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS A FAIL )] CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: N 64 Date: 1 ( Phone #: (503) 718- .� - _ • - • -- 7- -- ;- - ---., - r CITY OF TIGARD ' BUILDING DIVISION PERMIT #: ELC2007-00355 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/23/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 IL. INSPECTION WORKSHEET FOR DATE: 6/18/2007 TIME: 7:04AM PAGE: 12 SITE ADDRESS: 09 469 SW WASHINGTON SQUARE RD MO CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: MAGGIE MOO'S/AUNTIE ANNE'S DESCRIPTION: (11) branch circuits for TI . . OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: MATES ELECTRIC i PHONE #: 603- 516 -4142 Inspection Request Scheduled For: Date: 6/18/2007 Pour Time: Code # Insp- ■ - , iption Confirm # Contact # Message 130 060404 -01 603- 516 -4142 Y Corrections /Comments /Instructions: cD "P(fir' o s 5 ' ∎T e. Gbt.cAk/ F & 1. GE ANA t_,, (No. `1 0 . 3 (gJ (NW( PLgli L1►"D• ( 4-i A c.! : .v.,111 zl•, \ • • E r' PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: L - 18).--0 - - Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007- 00355 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/23/2007 Phone: (503) 639 -4171 ' A Inspection Requests (24 Hrs.): (503) 639 -4175 •"'I � .. INSPECTION WORKSHEET FOR DATE: 5/2512007 TIME: 7:17AM PAGE: 25 SITE ADDRESS: 09469 SW WASHINGTON SQUARE RD A10 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: MAGGIE MOO'S/AUNTIE ANNE'S DESCRIPTION: (11) branch circuits for TI. OWNER: WASHINGTON SQUARE LLC, a PHONE #: CONTRACTOR: MATES ELECTRIC • � A .` ri • PHONE #: 503 - 516 -4142 (44 • SThali ucKs • Inspection Request Scheduled For: Date: 5/2512007 Pour Time: Code # Inspection Description - • 4. # Contact # Message 4-28' ugh 049097 -01 503 -516 -4142 Y I1 WALE.. CV2(L Corrections /Comments /Instructions: ‘1/4Sli a _ ; cto v`r b-E. . w�� V 6 . AND p rt SAL Nei. ALA � Vo (.1 111- 6,m 6Tnn3 So1/4)OO 14 V�c ) P tot; J PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: CT I ()el Date: 5111(05 Phone #: (503) 718- 04