Permit r A CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00583
DEVELOPMENT SERVICES DATE ISSUED: 10/16/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S12600 - 00300
SITE ADDRESS: 09500 SW WASHINGTON SQUARE RD JCPEN ZONING: C - G
SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG
Project Description: JC Penneys. (1) branch circuit for moniter hookups.
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: 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 ST JOHNS ELECTRIC INC
BY THE MACERICH COMPANY 4415 NE MINNEHAHA
9585 SW WASHINGTON SQUARE RD VANCOUVER, WA 98661
TIGARD, OR 97223
Phone: Contact #: PRI 360 693 - 5100
FAX 360- 699 -1345
FEES
Description Date Amount Reg #: ELE 37 - 350C
[ELPRMT] ELC Permit 10 /16/200( $46.85 LIC 43135
[TAX] 8% State Surcharge 10/16/200( $3.75 SUP 3024S
Total $50.60 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: � r Permittee Signature: Q P,
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.
OCT -13 -2006 15:16 FROM: ST. JOHNS ELECTRIC 3606991345 TO: 15035981960 P.1
r
Electrical Permit Application FOR 01.'FICE USE ONL1
City of Tigard Received -
g DateB : 1 ► Permit No.
13125 SW Hall Blvd., Tigard, OR 97223 2 6
Phone: 503.639.4171 Fax: 503.598.1960 �� q - n l � i" .i ;'1I � . Plan Review eW Other Permit:
Inspection Line: 503.639.4175 ■_. ', _ _, Date Ready/By: Buis El See Page 2 for
Internet: www.ci.tigard.or.us � -. -� ,r., Notified/Method. Supplemental Information
,� y ' „rte,
T1' 'tiRt OI? Wk1R1� PLAN" REVIEW
❑ New construction ❑ Addition/alteration/replacement Please check all that apply:
❑ Demolition Other:
OService over 225 amps, comm'I ['Hazardous location
❑Service over 320 amps - rating ['Bulking over 10,000 sq. ft.,
CATEGQRY OF 'CONSTRUCTION of I - and 2- family dwellings 4 or more new residential
❑ I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
then:
0 Building over three stories ❑Feeders, 400 amps or more
❑ Multi - family 0 Master builder
❑Occupant load over 99 persons ['Manufactured structures or
300. SITE' INFORMATION AND LOCATIOI, 0 Egress/lighting plan RV park
Job no.: Job site address:
9500 Sim/ ��/, i/tioTr� SQ ❑Health -care facility ['Other: Submit ./ sets of plans with any of the above.
P O O 4+0 The above are not applicable to temporary construction service.
Suite/bldg. /apt. no.: Project name: a.X P
C EN ;FEE' SCIDYII.E .
Y S Description J Qty. I Fee. I Total I ••
Cross street/directions to job site: New residential single- or multi - family dwelling unit.
Includes attached garage•
1,000 sq. n. or less 145.15 _ 4
Subdivision: I Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
Tax map /parcel no.: Limited energy, non - residential 75.00 2
- DESC'RIPT'ION. Or'WORK Each manufactured or modular
/%u N ( Toe ,1k0c .5' dwelling, service and/or feeder 90.90 2
Services ur feeders installation, alteration, and /or relocation
200 amps or less 80.30 2
1 ' ` ;1 FROPFRT�!'OWNER ',- • ' `I ' 'I � ' []" 'ENANT, ' . -, 201 ramps to 400 amps 106.85 - 2
401 amps to 600 amps 160.60 2
Name: 601 amps to 1,000 amps _ 240.60 2
Address: Over 1.000 amps or volts 454.65 2
Reconnect only 66.85 2
City/State/Z1P: Temporary services or feeders installation, alteration, and/or
Phone: ( ) r te; ( ) relocation
200 amps or less 66.85 I
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 600 amps 133.75 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
❑ APPLI_CA rr . . - -.I , ' o CON 'AC I •PAR SON' ' A. Fee for branch circuits with
Business name: service or feeder fcc, each 6.65 2
branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee, / J/ g6.85 8s 2
Address: first branch circuit ( eta
Each add'! branch circuit 6.65 2
City/State/ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) I Fax :: ( ) Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited-
C;)NT;RAcTOR' , , . - . - , , • energy panel, alteration, or
S T 3-6 w ,� e7 ( e t �- r extension. Describe: Page 2 2
Business name: , �L/LJ
Address: 44 (S Nth MiNNE. / .4#,4 S.r. Each additional inspection over allowable in any of the above
Per inspection 62.50
City /State /ZIP: VA. AC c vE Q �� j
( t�6 O LD 7 titfh 98 w /„/ �� Investigation per hour (I Iv min) 62.50
Phone: r F � /f�t�� ) / (p - i ` Industrial plant per hour 73.75
9 O I -' _ ' TLEC't'RICAP _ PERMIT FEES . -
CCIi Lic.: 31 ' rE lectrical Lie.:/ 3 , C F , . rv. Lic.:302, Subtotal /4 • S p S "
`
Suprv. Electrician signature, r� uired: r Plan review (25% of permit fee)
Print name: 7) 14.1 J J ilM -/ i Date: /O State surcharge (8% of permit fee) 3, 75. iir 4. (�- TOTAL PERMIT FEE 50. 6,0 Authorized signature /6-' This permit application expires if a permit is not obtained within 18a
me days after it has been accepted as complete
Print na
',,. , .. (/' I Date / , / 3 _ O / • F ee me set by Tri- County Building Industry Seance Board
S ` w •• Number of inspections per permit allowed.
I1Bu11diag \Permits\ELC- PennitApp,doc 12/03 440461 ST(10/OLCOM/WEB
•
' CITY OF TIGARD
i BUILDING DIVISION #: ELC2006 00593
- A' 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/16/2006
Phone: (503) 639 -4171 j�l
Inspection Requests (24 Hrs.): (503) 639 -4175 ":_..
• INSPECTION WORKSHEET FOR DATE: 10/17/2006 TIME: 7:04AM PAGE: 89
SITE ADDRESS: 03500 SW WASHINGTON SQUARE RD JCPEN CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: •
PROJECT NAME: JC PENNEY
DESCRIPTION: JC Penrieys. (1) branch circuit for moniter hookups.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: ST JOHNS ELECTRIC INC . PHONE #: 360 - 693-5100
Inspection Request Scheduled For: Date: 10/17/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
195 Misc. inspection 038290 -01 360. 693-5100 • Y
Correcti
abON S 4.\ C.. - NooN - - 360 ,1 19..- I , r te
..7
4 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: & • A ®a L Date: 1 °( 11(010 Phone #: (503) 718 - 1-94/0