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Permit
n ' CITY OF TIGARD ELECTRICAL PERMIT °. n COMMUNITY DEVELOPMENT PERMIT #: ELC2007 -00648 DATE ISSUED: 9/14/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S12600-00300 SITE ADDRESS: 09473 SW WASHINGTON SQUARE RD A08 ZONING: C - G SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG PROJECT: CINNABON Project Description: TI - install (10) 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: 9 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 FRAHLER ELECTRIC CO BY THE MACERICH COMPANY 11860 SW GREENBURG RD 9585 SW WASHINGTON SQUARE RD TIGARD, OR 97223 TIGARD, OR 97223 Phone: Contact #: FAX 503 - 639 -4673 PRI 503 - 639 -4627 FEES Description Date Amount Reg #: ELE 34 -13C IELPRMT] ELC Permit 9/14/2007 $106.70 LIC 37410 [TAX] 8% State Surcharge 9/14/2007 $8.54 SUP 1816S Total $115.24 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 - 07.00 ou may o.ta n copies of these rules or direct questions to OUNC at 503.246.6699 or 1 800 332.2344. Issued B 41116P j/i / Permittee Signature: " f /I 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. tiect kica1 Permit Application FOR OFFICE: USE ON IA 1 City of Tigard E L ERIE Ir D B /,� PermitNo.. .G2I. . J()6�S 13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie C Phone: 50 Fax: 503.598.1960 SEP 1 4 2001 7 Date/BY Other Permit: T I G A it D Inspection Lme: 503.639.4175 Date Ready/By. funs. ra See Page 2 for Internet: www.tigard- or.gov C TVOF ri 'd ) Notified/Method -776-- Supplemental Information TYPE OF WORKUiliaiiinSION PLAN REVIEW ❑ New construction ® Addition /alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below). ❑ Demolition ❑ Other: ❑ Service or feeder 400 amps Or more ❑ Building over three stories where the available fault current ❑ Marinas and boatyards CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agncultural ❑ 1- and 2- family dwelling [J Commercial/industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately denved system. ❑ Addition of new motor load of ❑ "A ", E ", "1 - ", "1 - ", Job no.: 65105 Job site address: 9473 WASHINGTON SQUARE ROAD ❑ Six or more residential units. ❑ occupancy creational vehicle parks. TIGARD, OR 97223 ❑ H ealth -care facilities. Cl , /StateJZIP: Supply voltage for more than ❑ Hazardous locations 600 volts nominal. Suite/bldg. /apt no.: A-8 Project name: CINNABON ❑ Service or feeder 600 amps or more. FEE SCHEDULE . Cross street/directions to job site: Description I Qty. I Fee. I Total I • New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4 Ea. add'! 500 sq. ft. or portion 33.40 1 Tax map/parcel no.: Limited energy, residential 75.00 2 DESCRIPTION OF WORK (with above sq. ft.) Limited energy, TENANT IMPROVEMENT residential (with o 7 2 Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 ❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2 Name: 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 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 599 amps 133.75 2 Branch circuits — new, alteration, or extension, per panel Owner signature: Date: A Fee for branch circuits with ❑ APPLICANT I ❑ CONTACT, PERSON above service or feeder fee, • each branch circuit 1 6.65 46.85 2 Business name: B. Fee for branch circuits Contact name: without service or feeder fee 9 • 46 59 2 first branch circuit - Address: Each add'l branch circuit 6.65 I 2 Miscellaneous (service or feeder not included) City /State/ZIP: Each manufactured or modular 90.90 2 Phone: ( ) Fax: : ( ) dwelling, service and/or feeder Reconnect only 66.85 2 E-mail: Pump or irrigation circle 53.40 2 CONTRACTOR Sign or outline lighting 53.40 2 Business name: Signal circuit(s) or limited - FRAILER ELECTRIC COMPANY energy panel, alteration, or Address: 11860 SW GREENBURG ROAD extension. Describe: Page 2 2 City/State/ZIP: TIGARD, OR 97223 Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: ( 503 ) 639 -4627 Fax: (503) 639 -4673 Investigation per hour (1 hr mm) 62.50 CCB Lic.: 37410 Electrical Lic.: 34 -1 C Suprv. Lic.: 1816S Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES Suprv. Electrician signature, 4, - .: Subtotal: 106.70 Print name: Dat Plan review (25% of permit fee): R. W. FRAHLER 09/13/07 State surcharge (8% of permit fee): 8.54 Authorized signature: TOTAL PERMIT FEE: 115.24 Print name: This per application expires If a permit is not obtained within 180 Date: days after it has been accepted as complete. ■ L•\BuildmglPamib\ELC -P i i tApp.doc 0523/06 440 4615T(I1/05/COM/WEB Electrical Permit Application - City of Tigard ' Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for all residential systems combined $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* El Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* El Other: COMMERCIAL WORK ONLY: Fee for each commercial $75.00 system (SEE OAR 918 - 260 -260) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations IAauwmgeermitAELC 07/23/06 CITY OF TIGARD , AO BUILDING DIVISION PERMIT #: ELC2007 006 13125 SW Hall Blvd., Tigard, OR 97223 Ao DATE ISSUED: 8/14/211Q7 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 ...' ''� �.. INSPECTION WORKSHEET FOR DATE: 10/11/2007 TIME: 7 :01AM PAGE: 70 SITE ADDRESS: 0 SW WASHINGTON SQUARE RD A08 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: (;;NNABON DESCRIPTION: TI - install (10) branch circuits. OWNER: WASHINGTON SQUARE LLC. PHONE #: CONTRACTOR: FRAHLER ELECTRIC CC) PHONE #: 603-639-4627 Inspection Request Scheduled For: Date: 10/11/2007 Pour Time: Code # Inspection Description Confirm • . Contact # Message 109 Electrical final 057404 -01 603639 -4627 Y Corrections /Comments /Instructions: (. ii 12A PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: w Date: 1 0/ I! 07 Phone #: (503) 718- r. 4 ( - (' ( ( ((a r CITY OF TIGARD ' • BUILDING DIVISION y ' ' ' PERMIT #: Ll_C2007.00648 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/14/2007 Phone: (503) 639 -4171 ' 400 Inspection Requests (24 Hrs.): (503) 639 -4175 _�i'JJ .. L INSPECTION WORKSHEET FOR DATE: 10/10/2007 TIME: 7 PAGE: 37 SITE ADDRESS: 09473 SW WASHINGTON SQUARE RD A08 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: a NNABON DESCRIPTION: TI - install (10) branch circuits. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: FRAHLER ELECTRIC CO PHONE #: 503-639-4627 Inspection Request Scheduled For: Date: 10/10/2007 Pour Time: Code # Inspection Description - Confirm # Contact # Message 199 Electrical final 057300 U�f 5036344627 Y Corrections /Comments /Instructions: p pap.) - e Ns`�ALL ALL PIkM6.L. �m , s , '� ! iN ALL 6 c —k . e rkNtik.s • �((T . I I o . 3 C10 © P Zt5 4ia cL (lb iat\12, LitaRVi O 5 Ik(a 'jet i . 1 MO 0 \o 1 i Pill v • - so 1 / NA- dc,` ' -i -LO 4 d' m \' ,_ i X kALe5 Ailt \lC ALL.. • tkal tlo• ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: l• I al Phone #: (503) 718- Vtit____ 1 CITY OF TIGARD BUILDING DIVISION 1 - : ' `' PERMIT #: ELC2007 -00648 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 91 14/2_007 Phone: (503) 639 -4171 2124410 • Inspection Requests (24 Hrs.): (503) 639 -4175 ° .. INSPECTION WORKSHEET FOR DATE: 10/412007 TIME: 7 :02AM PAGE: J2 SITE ADDRESS: 09473 SW WASHINGTON SQUARE RD A08 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: CINNABON DESCRIPTION: TI - install (10) branch circuits. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: FRAI -ILER ELECTRIC CO PHONE #: 503-639-4627 Inspection Request Scheduled For: Date: 10/4/2007 Pour Time: Code : - -; - _ I Description ,—Gonfir-m,# Contact # Message 130 Ceiling cover 056948 -01 503-639-4627 V Corre '. - - _ •• •• - • tructio• : 0 ? PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ F IL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: �/ NU3 Date: ICJ 11,(1 Phone #: (503) 718- 1-4"►b N.