Permit :v=
C ITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2007 -00438
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/27/2007
PARCEL: 1512600 -00300
SITE ADDRESS: 09499 SW WASHINGTON SQUARE RD A01 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: BINYON'S
Project Description: Low voltage for HVAC
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: • HVAC: X PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
WASHINGTON SQUARE LLC ARROW MECHANICAL
BY THE MACERICH COMPANY 10330 SW TUALATIN RD
9585 SW WASHINGTON SQUARE RD TUALATIN, OR 97062
TIGARD, OR 97223
Phone: Contact #: PRI 503- 692 -1565
Reg #: ELE 34 -47CLE
FEES LIC 5193
Description Date Amount
[ELPRMT] ELR Permit 11/27/2007 $75.00
[TAX] 8% State Surcha 11/27/2007 $6.00 REQUIRED ITEMS AND REPORTS
Total $81.00
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 Notif = .. - • • er. Th.: - les are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or , rect questions • 2 UNC a - :..246.6699 or 1.800.332.2344. `
Issue• By: I � ���/ Permittee Signature: :IP ei,=',�
._ . 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 F OR OFFICE (SE ONES
City of Tigard Dat It �? 01 7) Permit No , #i —/'DO 3g
q 13125 SW Hall Blvd., d, Ti Date/By `( /
0 grid, OR 97223 Plan Review
Phone: 503.639.4171 Fax 503.598.1960 Date/By- Other Permit
f I G aR D Inspection Line: 503.639.4175 Date Ready/By. buns: El See page 2 fbr
Internet: www.tigard - or.gov Notified/Method. Supplemental
pz
Y '"k? .. ' `'..r " .111. ' I M.� � + e.�" x 4- a,'*.-' f�• � ir: Q.'' ,`:: -. E 7; ` . - , F, v %,
❑ New construction ❑ Addition/alteration/replacement Please check all that apply (submit a sets of plans w /items checked below).
E l Demolition ❑ Service of feeder 400 amps or more ❑ Building over three stones
11 fr' ❑ Other where the available fault current ❑ Marinas and boatyards
i } . �' - f, ^4M. exceeds 10,000 amps at 150 volts or ❑ Flo
��`��C ?,3?�J��� � � "�- �2iS3u . r .'t 8 't �� :-` +��¢ � � '.Ld >.. / i , ' 4
El 1 -and 2-family dwelling less to or exceeds 14,0006 buil
y lling ❑ Commercial/industrial ❑ Ac cessory building ground, other ❑ commercial sae agneultival
amps f or all other installations. installations. buildings. Multi-family ❑ Master builder ❑ Other: ❑ Fire pump
..i 0 Installation o f 75 KVA or
k,'?3,y; °��gw'�4,�r; '"tea" ;`�'� �':qi''� s� e ❑Emergencysystem larger separately denved stem
,1 aj':Vj ;e. �' = �k..a jZi.1 ' I
•:'y.-..K 4„�•,�,. rsepa7 Y system
" �` - ' - '+'�•"` �••.a�- alg`^� ��' M, o- Ta ;....x; ❑ Addition of new motor load of
Job no.: Job site address: 7-=---w-, 1 OOHP or more. occupancy
' - .� 1 ' I / / 0 Six or more residential units ❑ Recreational vehicle parks
City /State/ZIP: 77f,R� ` 9 ' 9 72 ❑ Health-care facilities ❑ Supply voltage for more than
❑ Hazardous locations 600 volts nominal
Suite/bldg./apt. l. .�ji
g. /apt. no.. I Project name :Z3/41,40 C C ��/ i ��� l ❑ Sery :
Cross street/directions to J } ice or feeder 600 amps or more ta ff. "'`t" ;4 ' 'A_ ; ,: 5,'T r �; ; :f
job site:
De y t ,ice: fit �iEDi34E ; I
.. �lption I Qty 1 Fee. 3;� - 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
Tax map/parcel no.: Ea add'l 500 sq, ft or portion 33.40 1
w, 4 ,_=_ 5 , .- ;:s ,. Limited energy, residential
':i; • . `�:': ' '.n; E i<s. - _ }r: , � :f';y� := ; %sz.';''''" 75.00 2
7;� =" -:, . ` , ;'3, ': , ;eD *'0,.. RI TIOriP Otiw ti : ,1=? • :%';.! :' ''f '° ;: s r:- =`:; (with above sq fl )
" �, Limited energy, multi - family 75 00 2
✓C�' %4Z1/// (7) CGv /4 ze y / residential (with above sq fi )
/ [[�� " - - Services or feeders installation, alteration, and/or relocation
`
�t - :.� 200 amps or less 80.30 2
{J= PROP ` T -t,0- ER ~ _ � '( T L+'N r N _ 201 �'. �- - � •� >� �= °' :_rt� ; -*iA r amps to 400 amps 106.85 2
Name: /� �� ��, / //� 401 amps to 600 amps 160.60 2 fi
� /, !/v 601 amps to 1,000 amps 240.60 2
Address: L /�
9 5 C am'! , _ ` �'p � , Over 1,000 amps or volts 454.65 2
City /State/ZIP: d� C Temporary services or feeders installation, alteration, and/or
✓✓ `/�/� relocation
Phone: ( ) I Fax ( ) 200 amps or less 66.85 I 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, accordmg to ORS 447, 449, 670, and 701 401 amps to 599 amps 133 75 2
Owner signature: Date: Branch circuits — new, alteration, or extension, per panel
: } = - _ _ ? .� A �, ," A. Fee for branch circuits with
.±:c ig _. above service or feeder fee, 2
..AaT r;_ -z 6.65
each branch circuit
Business name: �� �e ' e► 13. Fee for branch circuits
Contact name: � { without service or feeder fee, 46 85 2
�A /J first branch circuit
Address: O /U � � ,�/� Each add'l branch circuit 6.65 2
/ ^ //D ��� ^'/ 9 _ 'Q' Each manufactured or modular
Miscellaneous (service or feeder not Included)
City /State/ZIP: d ! / j ` � / q
Q
dwelling, service and/or feeder 90.90 2
Phone: $ 5) f ..2.-/,55'
_/ S Fax: : ` «9/ / t7 7� . Reconnect only 66.85 2
E -mail:
�, u *�� � � Pump or irrigation circle 53.40 2
i Ft w'3 "c. rt „(;ti;i'°� ZI ' :,:>" s �'" ... ,.. Y ' ... ......_1 ."^;r•,fw•. Ke -a ,- :• y O,'O.• k
�: .�� --w• .� . � ,sst�;��' +;�;; :�.,;•���, r�,� fit' S ign or outline lighting 53.40
Business name: /-•‘. Signal circuit(s) or limited- J75CO
I= 6 -i4 An I C 41 energy panel, alteration, or /�,
Address: 1, ` ow 1-6,014-7-04 p I extension. De / b Page 2 2
City/State/ZIP: "TV. A . OL ei7O6 2 Each additional Inspection over allowable in any of the above
Phone: (s c, j) 6q is6' I Fax: (5y3) (4 ( 16 4 Per inspection 62.50
Investigation n per hoar (1 hr thin) 62.50
CCB Lic.: S) q 3 00% Electrical Liie.. 3,/ _N7�j Suprv. Lic.:130L Industrial plant per hour 73.75
Suprv. Electrician signature, required �/ f ' / 'A ` t°` g ' + ,�"' ` - : n .A " -'"
//rr vv L /G fa Subtotal: � -
Print name: ko��/� r- ^ S � L Date: Plan review (25% of permit fee):
�l� 1 I . hf State surcharge (8% of permit fee)
Authorized signature: „ ems ,` ji� TOTAL PERMIT FEE:
i
Print name: C�� e -i 0,4 4'06 f Date // 27 7 This permit application expires if a permit h not obtained within 180
days after it has been accepted as complete.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR7007.00438
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/27/2007
Phone: (503) 639-4171 rl
Inspection Requests (24 Hrs.): (503) 639 -4175 „Aga- .1 1..
INSPECTION WORKSHEET FOR DATE: 1/7/2000 TIME: 7:00AM PAGE: 62
SITE ADDRESS: 09499 SW WASHINGTON SQUARE RD A01 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: f lNIYOki'S
DESCRIPTION: Low voltage for HVAC
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: ARROW MECHANICAL_ PHONE #: 503-692-1565
Inspection Request Scheduled For: Date: 1/7/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electiical final 052651-01 360-607-0000
Corrections/Comments/Instructions:
i
w
V2, PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
L ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: • '� `� �� Date: • I " G1 Phone #: (503) 718 - 2.4116
.
CITY OF TIGARD
BUILDING DIVISION , ', PERMIT #: ELR2007- 00438
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11127/2007
Phone: (503) 639 -4171 1
Inspection Requests (24 Hrs.): (503) 639 -4175 "'I -..
INSPECTION WORKSHEET FOR DATE: 1/4/2008 TIME: 7 :01AM PAGE: 71
SITE ADDRESS: 09199 SW WASHINGTON SQUARE RD A01 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: BINYON'S
DESCRIPTION: Low voltage for HVAC
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: ARROW MECHANICAL PHONE #: 503 - 692 -1665
Inspection Request Scheduled For: Date: 1/4/2000 Pour Time:
Code # Inspection Description / Confirm # Contact # Message
199 Electiical final 052432 -01 360.607 -0000 N
Corrections /Comments /Instructions: Too I - ____ y
zi pIzaj p2c6 GE PLga vm, RAT EO ca8L
❑ PARTIAL APPROVAL � _ ►'_�W„a ❑ NO ACCESS
4110, FA ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G- tV dg l.‘ Date: 1.4 ' 0 b Phone #: (503) 718- 3-414 .