Permit V cITY O F TIGARD ELECTRICAL PERMIT
• PERMIT #: ELC2007 -00629
\COMMUNITY DEVELOPMENT DATE ISSUED: 9/11/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S12600-00300
SrFE ADDRESS: 09504 SW WASHINGTON SQUARE RD J02 ZONING: C -
SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG
PROJECT: DAIRY QUEEN /ORANGE JULIUS
Project Description: Electrical TI. Job No. 65086
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: 25 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 9/11/2007 $213.10 LIC 37410
[TAX] 8% State Surcharge 9/11/2007 $17.05 SUP 1816S
Total $230.15 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Muniapal Code, State of OR Specialty Codes and all other applicable laws.
All work will be • •ne in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is
suspend- .. or more t - 180 days. ATTENTION. Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center.
Those les are set forth in O ' 9 2- 001 -0010 through OAR 952 -001 -0100. You may obtain co • of these rules or direct questions to OUNC at
503.26 6699 or 1 800 33
Issue By: / ��l !
y ( Permittee Signa
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:
RACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: 1� � ,, �.� / /� 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.
CBVED
Electrical Permit App ica 'on roiz orric USE ()NIA
''' CI o f Tigard �- d 9 ' D ;- f
'15, � g , I SOO� Received Date/B • d 7 / i, Pe L't ? ..DO(v ,/9
III 61 13125 SW Hall Blvd., Tigard .OR 97223 Plan Review a a
C ' Phone: 503.639.4171 FaxIAL �Qf966IGARD Date/By. ! Other Pe :
TIGARD Inspection Line: 503.639 7 LD I IVY G DIVISION Date Ready/By. i 1 El See Page 2 for
Internet: www.tigard- or.gov Notified/Method l l 7 r I CI Supplemental Information
TYPE OF WORK - PLAN REVIEW
❑ New construction la Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below).
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other:
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 agricultural
❑ 1- and 2- family dwelling Commercialindustrial ❑ Accessory building
amps for all other installations buildings
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire Pomp ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system.
❑ Addition of new motor load of ❑ "A ", "E ", "1 -2", "1 -3 ",
Job sit address: 100HP or more occupancy.
Job no.:
65086 9504 WASHINGTON SQUARE ROAD ❑ 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.: Project name: DQJOJ ❑ Service or feeder 600 amps or more
FEE SCHEDULE
Cross street/directions to job site: Description I Q<y. I Fee. I Total I •
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: I Lot no.: 1,000 sq. ft. or less 145.15 4
Ea. add'l 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, multi - family 75.00 2
REMODEL OF TENANT SPACE residential (with above sq. ft.)
' 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 ❑ CONTACT PERSON above service or feeder fee,
each branch circuit 6.65 2
Business name: B. Fee for branch circuits
without service or feeder fee,
Contact name: 46.85 46 2
first branch circuit
Address: Each add'l branch circuit 25 6.65 166.23 2
Miscellaneous (service or feeder not included)
City /State/ZIP: Each manufactured or modular
dwelling, service and/or feeder 90.90 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: Page 2 2
City/State/ZIP: TIGARD, OR 97223 Each additional inspection over allowable in any of the above
Fax: 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 CI Suprv. Lic.: 5110S Industrial plant per hour . 73.75
Suprv. Electrician signature, required: ELECTRICAL PERMIT FEES
Subtotal: 213.10
Print name: ADAM ETHERINGTON Date: 09/07/07 Plan review (25% of permit fee):
State surcharge (8% of permit fee): 17 .05
Authorized signature: TOTAL PERMIT FEE: 230.15
Print name: This p ermit application expires If a permit Is not obtained within 180
Date: days after it has been accepted as complete.
L•\BuiIdin PnmitstELC -P i i tApp.doe 05!13/06 4t0-4615T(11/o5/COM®
/W
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:
El 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
El Boiler Controls
El Clock Systems
El Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
El Instrumentation
El Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
El Nurse Calls
El Outdoor Landscape Lighting*
❑ - Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I'1Huiidins m pa.a« 03/23/06
CITY OF TIGARD
BUILDING DIVISION :A PERMIT #: ELC2044 62
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: et ,`'
° 1
Phone: (503) 639 -4171 * 1
Inspection Requests (24 Hrs.): (503) 639 -4175 - _ ��_
INSPECTION WORKSHEET FOR DATE: 1 ° , ° n TIME: PAGE:
SITE ADDRESS: qS Ol W416141•04 « , q441.0 CLASS OF WORK:
SUBDIVISION: LO #:. TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Ili •` • Pour Time:
Code # Inspection Description Confirm # Contact # Message
ICW1 i IAL ist4
Corrections /Comments /In
.C6°‘Ce yoaNON
; CALF
•
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
F AIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
•
Inspector: . N d L ` Date: I I °I ° � Phone #: (503) 718 - 1344/0
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: E_LC2007- 00629
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/11/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 1Q/3O12007 TIME: 7:02AM PAGE: 22
SITE ADDRESS: 09604 SW WASHINGTON SQUARE RD J02 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: DAIRY QUEEN /ORANGE JULIUS
DESCRIPTION: Electrical TI. Job No. 65086. 10/22/07 ADD low voltage data and protective signaling.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR. FRAMER ELECTRIC CO PHONE #: 503 63%4627
Inspection Request Scheduled For: Date: 10/30/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electiical final 0 2G5t3 01 503-639-4627 N
Corrections /Comments / Instructions:
Ge (Z-E vtct o`eo l r W e`' R a n)
zo\ c %Dg '� fat N W 609- PANG L.
�. VasoNi ‘Z jR i s J V
PCtov►tom i 4.`t Lev.) OSOK 6 Criftin
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL N tj< CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: a 6 L Date: I 0 SN Phone #: (503) 718- 1..`("�'O
999
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007.
13125 SW Hall Blvd., Tigard, OR 97223 - - DATE ISSUED: 9►11/2007
Phone: (503) 639 -4171 �
Inspection Requests (24 Hrs.): (503) 639 -4175 �' 1..
INSPECTION WORKSHEET FOR DATE: 10/29/2007 TIME: 7:01AM PAGE: 28
SITE ADDRESS: 09504 SW WASHINGTON SQUARE RD J02 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: DAIRY QUEEN /ORANGE JULIUS
DESCRIPTION: Electrical TI. Job No. 65086. 10/22/07 ADD low voltage data and protective signaling.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: FRAHLER ELECTRIC CO PHONE #: 503G39 -4527
Inspection Request Scheduled For: Date: 10129/2007 Pour Time:
Code # Inspection Description - Con ' • Contact # Message
199 Electrical final 058525-01 503- 639-4627 Y
Corrections /Comments /Instructions: % 1
1 » t s °oo i t6E
FAN v 6 _ INKT. 1 -130. I
t Ref p : iZsoivar etA bzv get coova( s
wUtt o rY iver ti. 3 (A)
WI DAINtAr ink/3 waioN-
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
Nly FAIL X CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: N L-6 Date: 10 151r01 Phone #: (503) 718- 2�
1
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007•00629
13125 SW Hall Blvd., Tigard, OR 97223 ,` DATE ISSUED: u ±l I/Z 07
Phone: (503) 639 -4171 yql�
Inspection Requests (24 Hrs.): (503) 639 -4175 AIL
INSPECTION WORKSHEET FOR DATE: 10/22/2007 TIME: 7 :00AM PAGE: 22
SITE ADDRESS: 095Q4 SW WASHINGTON SQUARE RD J02 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: DAIRY QUEEN /ORANGE JULIUS
DESCRIPTION: Electrical TI. Job No. 6508G
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: F RAHLER ELECTRIC CO PHONE #: 503-63a 4627
Inspection Request Scheduled For: Date: 10/22/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 0513040 -01 503-639.4627 Y
Corrections /Comments /Instructions:
)6M
❑ PASS XPARTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑ FAIL. n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: , 0 Date: 10 ti n Phone #: (503) 718 - 1 '► EV
CITY OF TIGARD
BUILDING DIVISION 1w PERMIT #: ELC2007-00629
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/11/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 '!�•� ! "'I �..
INSPECTION WORKSHEET FOR DATE: 10/18/2007 TIME: 7 :01AM PAGE: 45
SITE ADDRESS: 09504 SW WASHINGTON SQUARE RD J02 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: DAIRY QUEEN /ORANGE: JULIUS
DESCRIPTION: Electrical TI. Job No. 65086
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: FRAHLER ELECTRIC CO PHONE #: 503639.4627
Inspection Request Scheduled For: Date: 10/1B/2007 - Pour Time:
Code # Inspection Description Confirm Contact # Message
126 Wall cover 057847 -01 503 - 639 -4627 Y
Corrections /Comments /Instructions:
AM
A PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G t ' Date: I°11 Phone #: (503) 718- 0
•