Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00268
DEVELOPMENT SERVICES DATE ISSUED: 5/15/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09467 SW WASHINGTON SQUARE RD Al ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG
Project Description: 20 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: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 19 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 9722
TIGARD, OR 97223
Phone: Contact #: FAX 503 - 659 -2824
PRI 503 - 462 -6500
FEES
Description Date Amount Reg #: ELE 26 -122C
[ELPRMT] ELC Permit 5/15/2006 $173.20 L[C 44823
[TAX] 8% State Surcharge 5/15/2006 $13.86 SUP 34965
Total $187.06 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. /� - , ,,, Q
Issued By: � - 1 - w � - � 4 n � P ermittee Signature: t?— 4.01.----"
OWNER 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.
05/15/06 MON 11:31 FAX 5036594968 THE STONER GROUP [j001
f
`e ElectricalPermit Application ()HA( l( l Ii,_
Date receive& AM Permit no.tj _ 1 • —1245
`..+ City of 'Tigard 1 Project/appL no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Date issued: IP. ►• A Receipt no.:
Phone: (503) 639 -4171 MAY 15 2006
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval: CITY OF TIGARD
. ; ' / .
a ► uiviSlON
T \'I'E OF PER,IIIT
❑ 1 & 2 family dwelling or accessory iJ Commercial/industrial ❑ Multi - family ❑ Tenant improvement
❑ New const ructionlddition /alteration/rcplaccmcnt ❑ Other: ❑ Partial
Job address 54‘,7 �� i Bldg. no.: Suite no.: Tax map /tax lot/account no.:
Lot 1B1ock: I Subdivision:
Project name: gam I Description and location of work on premises: //e Ct,< e__H2 e' c
Estimated date of completion/inspection;
j 1 CONTR 1(14R 1P Pi_ IC 1'f ION 1:1: I.. SC Hi I)LLE
Job no: 6) C Pee Mr%
Business name: STONER ELECTRIC DraQipeon oly- (era - Tuwl nu.insp
N
Address; 1904 SE OCHOCO iw n audesmtarheagprage. per
City: MILWAUKIE I State: I ZIP: 97222 9ervlrehmluded:
Phone: 503- 462 -6500 I F 659-4968 J E- mail: 1000 av it. or less 4
L i m additional e a 5 es de R or porl7on thrxof
CCB no.: 44823 I Else. bus. he. no: 26 -122C
Limited e neriry, residential 2
City /metro lie, no.: 4416 Limited energy, non - residential 2
.,C/ B -- Each manufactured home or modidar dwelling
s
Signature of snpervie electricia ( regained) Data Service and/or feeder 2
Sup. elect „sate (print): Michael Falconer License no:3496s seriives trreederf_iuratallatlon,
alteration or relocation
200 amps or less 2
Name (print): 201 amps to 400 amps 2
401 amps to 600 amps 2
Mailing address: ,601 amps to 1000 amps 2
City: I State: I ZIP: over 1000 amps or volts 2
Phone: 'Fax: 1E-mail: Reconnect only 1
Owner installation]: The installation is being made on property I own Temporury services or feederA-
which is not intended for sale, lease, rent, or exchange according to m° tallau °rti"lta"ut"a,"rrdtKatinA:
ORS 447, 455, 479, 670, 701. 200 8°°s or less - 2
201 amps to 400 amps - 2
Owner's signature: Dale: 40l to 600 amps 2
ENGINEER Brunch eirettlte -pew, alteration,
Name: or extension per panel:
A. Fee fix branch circuits with purchase of
Address: service or feeder fee, each brand circuit 2
City: I State: I ZIP: B. Fee for branch circuits without purchase
Phone: Fax E-mail: of service or feeder fee first branch circuit ! 4 .5) ?g'&' 2
Each additional branch circuit / t. 1 2103
Mitre. (Service orfeedernotinchded):
0 Service over 225 aui3^oonnnercial 0 Healthcare facility Fitch pump or irrigation circle 2 ,
❑ Service over 320 amps-oiling of 1dr2 ❑ Hazardous location sip Ru or outline lipbting 2
dimly chimilings 0 Buldmg over 10.000 square feet Riot or Signal circuit(s) or a limited energy panel,
0 System over 600 volts nominal mat resideadai units in one *lichee alteration, or caamsion° 2
❑ Building over three statics 0 Feeders. 400 amps or more 'Description: -
❑ Occupant load over 99 petiole; ❑ Manufactured stivetwes or RV pats Toth additional inspeetion over the allowable In any ofihe above:
0 Egess/lighting plan U Othtr. Per inspection L I I I
Submit sets of plans with any of the above. Investigation fee
The above are not applicable to temporary coestrat:lime service. Other
---, Permit fee $ l 7.�F 2D
Not all jmisdintians accept credut mud . please call jarisdicban formate infanastion. Notice: This permit appliCalion
0 Visa U ManesCard expires if a permit is not obtained Plan review (at _ %) $ !ter- . ._ _
Credit and number: A _ -_ / / within 180 days after it has been Statc surcharge (8%) S 13. 8'4
e p1°` TOTAL $ / S7- D�
accepted as complete.
Name of ccxdholder as shown an cradrt and
S
Cardholder stgeatme Amount 440-1615 (61001COM)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006-00268
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/1 5/2006
Phone: (503) 639 -4171 - il l
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/20 /2006 TIME: 7:01AM PAGE: 2
SITE ADDRESS: 09467 SW WASHINGTON SQUARE RD All CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: STARBUCKS
DESCRIPTION: 20 branch circuits.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: STONER ELECTRIC PHONE #: 503 - 6500
Inspection. Request Scheduled For: Date: 6/20/2006 Pour Time:
C.. -_# Inspection Description Confirm # Contact # • Message
199 Electrical final 032012 -01 503-804-6578 N
Corrections /Comments /Instructions:
•
•
;t PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
' ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: N Date: 6 Phone #: (503) 718 - VA
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006- 00268
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/1
Phone: (503) 639 -4171 w I
Inspection Requests (24 Hrs.): (503) 639 -4175 "'IL
. •
INSPECTION WORKSHEET FOR DATE: 61212006 TIME: 7 :08AM PAGE: 3
SITE ADDRESS: 09467 SW WASHINGTON SQUARE RD All CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: STARBUCKS
DESCRIPTION: 20 branch circuits.
•
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: STONER ELECTRIC PHONE #: 503 - 4616500
Inspection .Request Scheduled For: Date: 6/2/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
125 Wall cover • 031028 -01 503 -804 -6578 Y
Corrections /Comments/ Instructions:
'CW (S t P li`e\6E
V � /
A� ► Ri �- rekpipazokt,
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: • N 66 Date: if 2.16t) Phone #: (503) 718- 1...4410
CITY OF TIGARD
BUILDING DIVISION PERMIT #: El..C200&•00268
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/1&2()0 ki
Phone: (503) 639 -4171 344
Inspection Requests (24 Hrs.): (503) 639 -4175 'I I..
INSPECTION WORKSHEET FOR DATE: 5/113/2006 TIME: 7:01AiMl PAGE: 10
SITE ADDRESS: 03467 SW WASHINGTON SQUARE RD All CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: STARBUCKS
DESCRIPTION: 20 branch circuits.
OWNER: WASHINGTON SQUARE LW, PHONE #: •
CONTRACTOR: STONER ELECTRIC PHONE #: 503 462 - 6600
Inspection Request Scheduled For: Date: 511131.006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
105 lJnderground/s)ab cover 030131 - 01 503- 804.6578 N
Corrections /Comments / Instructions:
PASS ❑ 'PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: �" • 6� l�" Date: Phone #: (503) 718•th1
CITY OF TIGARD
A BUILDING DIVISION PERMIT #: El.C2006.00268
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/1612000
• Phone: (503) 639- 4171j�l
Inspection Requests (24 Hrs.): (503) 639 -4175 "_ •
INSPECTION WORKSHEET FOR DATE: 5I1B /2006 TIME: 7:0'1AM PAGE: 5
SITE ADDRESS: 09467 SW WASHINGTON St DARE RD All CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: STARBUCKS
DESCRIPTION: 20 branch circuits.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: STONER ELECTRIC . PHONE #: 503 - 462.6+'::00
Inspection Request Scheduled For: Date: 51181200€; Pour Time:
Code # Inspection Description Confirm # Contact # Message •
125 Wall cover 030136 -01 503-804.6579 N
Corrections /Comments/ Instructions:
•
•
•
•
•
PASS ' ❑ PARTIAL APPROVAL El CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: CTY 'V Date: elk Ot Phone #: (503) 718 2A109