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Permit
CITY or TIG d,✓R sot. M ELECTRICAL PERMIT i5 q r( COMMUNITY DEVELOPMENT PERMIT ISSUED: E 5/2008 00513 DATE ISSUED: 9/5/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S12600-00300 SITE ADDRESS: 09487 SW WASHINGTON SQUARE RD A05 ZONING: C - G SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG PROJECT: MRS FIELDS COOKIES Project Description: Electrical for TI. 9/22/08 ADDED low voltage data system. 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: 1 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: 29 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 [ELPRMT] ELC Permit 9/5/2008 $239.70 LIC 37410 [TAX] 12% State Surchar 9/5/2008 $28.76 SUP 51 I OS [ ELPRMT] ELC Permit 9/22/2008 $75.00 (additional fees not listed here) REQUIRED ITEMS AND REPORTS Total $352.46 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 Issued By: / ✓ Permittee Signature: C/rif , aor y 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. Electrical Permit Application FOR OFFICE I'S V. ON 1.V City of Tigard CENE� D "' ���� � ' ermit 0. ELC2008 -00513 25 131 SW Hall Blvd., Tigard, OR 97 l� Review C Phone: 503.639.4171 Fax: 503.598 Date/By' Other Permit: T GAR Inspection Line: 503.639.4175 p q 2 2 t�a Date Ready/By is y i See Page 2 for Internet www.tigard or.gov C0P N Notified/Method i Supplemental Information TYPE OE WORK Tl ;PLAN- °R EVIIIiW= _ . OF gtON , ❑ New construction ® Addition/alteialio ., r .i. . <, r , .„ . v1 Please check all that apply (submit g sets of plans whtems checked below)' ❑ Demolition ❑ Other B� ❑ Service or feeder 400 amps or more ❑ Building over three stones. where the available fault current ❑ Marinas and boatyards 'CATEGORY/OF 'CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. El 1 -and 2- family dwelling ® Commercial/industrial less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ❑ Accessory building amps for all other mstallations buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fie pump ❑ Installation of 75 KV A or JOB :'SITE :INFORMATION :AND: LOCATION ❑ Emergency system larger separately derived system. ❑ Addition of new motor load of ❑ "A ", "E" "l - "1 -3" 100HP or more occupancy Job no.: 66072 I Job site address: 9487 SW WASHINGTON SQUARE ROAE ❑ Six or more residential units ❑ Recreational vehicle parks. City /State/ZIP: TIGARD OR 97223 ❑ Health -care facilities ❑ Supply voltage for more than ❑ Hazardous locations 600 volts nominal Suite/bldg. /apt no.: 1 Project name: MRS. FIELDS COOKIES ❑ Service or feeder 600 amps or more 'FEE ,SCHEDULE . Cross street/directions to job site: Description I ors• 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 I 145.15 I 4 , Tax map/parcel no.: Ea add'1500 sq. ft. or portion 33.40 1 Limited energy, residential 75.00 2 fi :DESCRIPTION .:OF WORK ,' , •, , _ ',;' ,= - ;i (with above sq. R.) Limited energy, multi - family 75.00 2 REMODEL OF TENANT SPACE - DATA residential (with above sq. ft.) Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 - ,', ., ". ;❑''PROPERTY. OWNER -- -: - ' - ' - El ,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: ( ) I 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' k Fee for branch circuits with "-;;❑; APPLICANT ' -: - ❑,,CONTACT :PERSON ' „ ' : , above service or feeder fee, each branch circuit 6.65 2 Business name: B. Fee for branch circuits Contact name: without service or feeder fee, 46.85 2 first branch circuit Address: Each add'l branch circuit 6.65 2 (service or City / State/ZIP: Each manufactured or m � feeder not Included) 90 90 I I I dwelling, service and/or feeder 2 Phone: ( ) Fax: : ( ) Reconnect only 66.85 2 E -mail: Pump or irrigation circle 53.40 2 - .CONTRACTOR .. Sign or outline lighting 53.40 2 Signal circuit(s) or limited - Business name: FRAHLER ELECTRIC COMPANY energy panel, alteration, or Address: 11860 SW GREENBURG ROAD extension Describe: 1 Page 2 75 2 DATA City / State/ZIP: TIGARD, OR 97223 Each additional inspection over allowable in any of the above Phone: ( 503) 639 -4627 Fax: (503) 639 -4673 Per 62. Investigation per hour (1 hr min) 62.50 50 CCB Lie.: 37410 Electrical Lie.: 3 34 4 -13C Suprv. Lic.: 5110S Industrial plant per hour - 73.75 Suprv. Electrician signature, required:L/ ELECTRICAL - PERMIT FEES — Subtotal: 75.00 Plan review (25% of permit fee): Print name: ADAM ETHERINGTON Date. State surcharge (12% of permit fee): 9.00 Authorized signature: TOTAL PERMIT FEE: 84.00 This permit application expires If a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. Electrical Permit Application - City of Tigard Page 2- Supplemental Information LIMITED ENERGY PERMIT FEES: ItESIDENTIALWORICONLY.1, Fee for all residential systems combined... ..... $75.00 Check Type of Work Involved: El Audio and Stereo Systems* El Burglar Alarm El Garage Door Opener* El Heating, Ventilation and Air Conditioning System* El Vacuum Systems* I: Other: ' Fee for each commercial $75.00 system (SFR OAR 918-309-0000) Check Type of Work Involved: El Audio and Stereo Systems El Boiler Controls El Clock Systems DI Data Telecommunication Installation El Fire Alarm Installation El HVAC El Instrumentation Intercom and Paging Systems El Landscape Irrigation Control* El Medical El Nurse Calls El Outdoor Landscape Lighting* El Protective Signaling I=1 Other Total number of commercial systems: 1 *No licenses are required. Licenses are required for all other installations CITY OF TIGARD ELECTRICAL PERMIT ° PERMIT #: ELC2008 -00513 ° COMMUNITY DEVELOPMENT DATE ISSUED: 9/5/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S12600-00300 SITE ADDRESS: 09487 SW WASHINGTON SQUARE RD A05 ZONING: C -G SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG PROJECT: MRS FIELDS COOKIES Project Description: Electrical 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: 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: 29 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 [ELPRMT] ELC Permit 9/5/2008 $239.70 LIC 37410 [TAX] 12% State Surchar 9/5/2008 $28.76 SUP 51 l OS Total $268.46 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. Issued By: ....t ____,...... / i� « Via Permittee Signature: WI/ arl ?fr •■•■ 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. iiieClrlt:di rermit Li pncanon FOR OFFICE USE ONLY City of Tigard n et � - • Perm -.. : � cry� S ? 1 3125 SVir Hall Blvd ,Tigard, OR 972 ��11� ' �' Phone: 503.639.4171 Fax 503.S D D� y o " Other Pemut. T I G A l: 0 Inspection Line: 503.639.4175 OQU Notified/Method: Irate Ready/By. loos: G Supplemental Information RI See Page 2 for Internet www.tigard-or.gov }p /� //��t)¢�� v V /-1-- ( , •I., .. • 1 1,'i',ICtr^ 42 T. ± 1' oik' ( %'; }A.: L - - - 'k }�[, E' : : '• " ^; "." r :, :'., .:a . .� ` . a � .. '� ". ��[��,: -r ,'__, .. 'w1 _ � ; .dC�Ltf'iw .l\{lrll!.1'.T -. h :y ' : ' n ` : ��. x, =Cr': , ❑ New construction 0 Addition/al 1Stu'' Please check all that apply (submit a sets of plans w /items checked below) ❑ Service or feeder 400 amps or more ❑ Building overthree stories ❑ Demolition ❑ Other: where the available fault current ❑ Marmas and boatyards. .. ,, - ;"'�CATEGORX' �OFi CD ! S TRUcf 0 N ' "' . - ,, exceeds 10,000 stops at 150 volts or ❑ Floating buildings. ❑ 1 -and 2- family dwelling ©Commerciallindustrial ❑Accessory building I ess to ground, or exceeds 14,00 ❑ Co mmer ci al -ass agncul amp for all o ther mstall buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or - •;•JOB ii'1L :3NFORMATION sAND LOCAZIION .. ❑Emergency system larger separately denved system ❑ Addition of new motor load of ❑ "A ", "E" "1 - ", "1 - 3" Job no.: 6 6 0 7 2 I Job site address: 9487 SW WASHINGTON SQUARE ROAE 1oxoP o mere. occupancy ❑ Six ar more rmtdentiel a ❑ Recreational vehicle parks City /State/ZIP: TIGARD, OR 97223 ❑ Health-care facilities ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt no.: I Project name: MRS . FIELDS COOKIES ❑ Service or feeder 600 amps or more. _. , : : SC. DULX'.. Cross asset /directions to job site: perI Qty. 1 Fen I Total I • 1 New residential single- or multi - family dwelling snit. Includes ached ge rage Subdivision: Lot no.: 1,000 sq. ft or less 145.15 4 Tax map/parcel no.: Ea add'1 sq. ft or portion 33.40 1 nx Cif: r; ^5� `: c4'1 ii 3 0•;: -i.a ,• r . ;d . • :w Limited energy, residential 75.00 2 r ice -""'- z. 93ESI IP430N :FO,,i 'CDilk ; -•w :'v',.•n. ' _ �.0 ; :? (with above REMODEL OF TENANT SPACE d (with multi-family ) 75.00 2 I Services or feeders installation, alteration, and/or relocation " - ' ( ® 3tOR t <.., , • s 200 amps or less 80.30 2 4 _ A . ! , ;- ;�;, - ' TY;;�OlW1�TER , ^`s�a. ;;� ' . : , - -: � a =�;[�,_'r�+l►i4�TT,:a _`,� =yr -' _ ., r. = }� 201 amps to 400 amps 106.85 2 Name: RETURN APPOCATION 401 amps to 600 amps 160.60 2 Address: 601 amps to 1.000 amps 240.60 2 COPY Over 1,000 amps or volts 454.65 2 City/State/ZIP: Temporary services or feeders installation, alteration, and/or retocetian Phone: ( ) 1 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 Owner Branch ch`cutls — new, alteration, or extension, per panel �• Date' A. Fee for branch circuits with ;' n ❑ !PL'IC.ANI! ' s . t ' fl :icoNmCr) EERSON: , c f ;a above service or feeder fee, < each branch circuit Business 6.65 2 name' B. Fee for branch circuits Contact name: without service or feeder fee, 1 46.8546. 85 2 first branch circuit Address: Each add'l branch circuit 29 6.65 192.85 2 Miscefeneoas (service or feeder not included) Cit /State/ZIP: Each manufactured or modular 90.90 2 dwelling, service and/or feeder Phone: ( ) Fax: : ( ) Reconnect only 66.85 2 E - mail: Pump or irrigation circle 53.40 2 . q. :e.1 - .0 ;1, ; r -- ',CONTRsiCTOR -. .-. . Sign or outline lighting 53.40 2 Business name: F'RAHLER Fr .FC.URIC COMPANY Signal circuit(s) or limited- 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 anyof the above Per Phone:( 503) 639 -4627 Fax Investigation ( 503) 639 -4673 inspection 62.50 a per hour (1 hr min) 62.50 CCB Lic.: 37410 Electrical Lic.: 34 -13C Suprv. Lic.: 1816S Industrial plant per hour 73.75 ' Suprv. Electrician signature, re !'. • a : �4/t =' Frl�r'ruaC�,I. PER MITT: stlbtatal: 239.70 Plan review (25% of permit fee): I Pri nt name: R. W. FRAHLER Date: 09/03/08 State surcharge (12% of permit fee): 28.76 Authorized signature: TOTAL PERMIT FEE: 268.46 This permit application expires If a permit is not obtained within 180 Print name: Date: days after It has been accepted as complete. 11/04/2008 16:00 FRAHLER ELECTRIC 4 INSPECT TIGARD NO.004 P01 FRAHLER ELECTRIC COMPANY 11860 SW GREENBURG ROAD TIGARD, OREGON 97223 PHONE (503) 639 -4627 FAX (503) 639 -4673 FAX INSPECTION CONFIRMATION CCB #37410 DATE: November 4, 2008 RECEIVING FAX: (503) 624 -3681 RECEIVING LOCATION: CITY OF TIGARD /COMMERCIAL ELECTRICAL SENDER: SANDY HARRISON NUMBER OF PAGES: • 1 (INCLUDING TRANSMITTAL) ** THIS FAX REQUEST IS TO CONFIRM OUR AUTOMATED SYSTEM CONFIRMATION #077682 ** PERMIT NUMBER: ELC2008 -00513 ADDRESS: 9487 WASHINGTON SQUARE ROAD A05 DIRECTION: MRS. FIELD'S COOKIES AARON (503) 260 -5561 TYPE OF INSPECTION: FINAL ELECTRICAL INSPECTION DATE OF INSPECTION: WEDNESDAY. NOVEMBER 5, 2008 IN THE P.M., IF POSSIBLE CITY OF TIGARD .� . A BUILDING DIVISION PERMIT #: ELC2008-00513 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/5/2008 Phone: (503) 639 -4171 +� Inspection Requests (24 Hrs.): (503) 639 -4175 ..—. °T I �.. INSPECTION WORKSHEET FOR DATE: 10/221008 TIME: 7 :00AM PAGE: 29 SITE ADDRESS: 09487 SW WASHINGTON SQUARE RD A05 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: MRS FIELDS COOKIES DESCRIPTION: Electrical for TI. 9/2 2/08 ADDED low voltage data system. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: FRAHLER ELECTRIC CO PHONE #: 503-639-4617 Inspection Request Scheduled For: Date 10/22/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 130 Ceiling cover 071021 -0 503 - €39.4627 'Y I i Corrections /Comments /Instructions: pY\ C i tzi PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 6 — , ¥68t..e Date: 10 1 Phone #: (503) 718- 2 LI 1 /J • .CITY, OF TIGARD BUILDING DIVISION PERMIT #: ELC2008-00513 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/5/2008 Phone: (503) 639-4171 404 4 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 10/9/2008 7:01AM 213 SITE ADDRESS: CLASS OF WORK: SUBDIVISION: 09487 SW WASHINGTON SQUARE RD AOL_ Lui WASHINGTON SQUARE #: TYPE OF USE: PROJECT NAME: MRS FIELDS COOKIES DESCRIPTION: Electrical for TI. 9/22/08 ADDED low voltage data system. OWNER: PHONE #: WASHINGTON SQUARE LLC, CONTRACTOR: PHONE #: 503 MAHLER ELECTRIC CO Inspection Request Scheduled For: Date: 10/912009 Pour Time: , Code # Inspection Description Confirm_# - Contact # Message • 125 ' • Wall over 07646:3.01 503-639-4627 Y Corrections/Comments/Instructions: 1:_ Iral Pau: og ■;, to.it iA I limim , 1 111 - L AQ0,1E- Fiy cibolla((i ILL- wALLs • • KAPASS 0 PARTIAL APPROVAL El CANCEL NO ACCESS 0 FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: CT - - N Date: o 1ih Phone #: (503) 718- VII(C) CITY OF TIGARD . BUILDING DIVISION I PERMIT #: ELC2008,00513 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/6,12008 Phone: (503) 639-4171 A, ,_11? Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 11612008 TIME: 7:01AM PAGE: 12 SITE ADDRESS: OMR SW WASHINGTON SQUARE RD A05 CLASS OF WORK: SUBDIVISION: WASHINGTON SQLJARE LOT #: TYPE OF USE: PROJECT NAME: MRS FIELDS COOKIES DESCRIPTION: Electrical for TI. 9122/08 ADDED low voltage data system. OWNER: WASHINGTON SQUARE LW, PHONE #: CONTRACTOR: FRAHLER ELECTRIC CO PHONE #: 503,639.462i Inspection Request Scheduled For: Date: 11/60009 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 077682-01 503-260-5561 N \ Y _ Corrections/Comments/Instructions: r- i • ---.., V i \ ...--- PASS 0 PARTIAL APPROVAL D CANCEL fl NO ACCESS 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: a" M 0;1" L Date: 11 ,510 Phone #: (503) 718- 7, _ . .. _ • •