Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2007 -00229
COMMUNITY DEVELOPMENT DATE ISSUED: 4/11/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09510 SW WASHINGTON SQUARE RD H -1 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG
PROJECT: TRADE SECRET
Project Description: Wire new TI. Low voltage: Data tele.
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: 20 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 JC ELECTRIC INC
BY THE MACERICH COMPANY 118 NW 184TH STREET
9585 SW WASHINGTON SQUARE RD RIDGEFIELD, WA 98647
TIGARD, OR 97223
Phone: Contact #: PRI 360- 887 -7889
FAX 360 - 887 -5584
FEES
Description Date Amount Reg #: ELE 37 -724C
[ELPRMT] ELC Permit 4/11/2007 $254.85 LIC 118452
[TAX] 8% State Surcharge 4/11/2007 $20.39 SUP 4289S
Total $275.24 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 - 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: { JG1w � Permittee Signature: a- 1 0 0 / 4 -- �C — C'i•�- — 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.
A
j Electrical Permit Application FOR OFFICE USE ONLY
City of Tigard RECEIVED Date/By d 1 ( �� Permit No �^^
n 13125 SW Hall Blvd., Tigard, OR 9/121 Plan Re -w Date/By � � — �t/Y/ �_��
•
2 . Phone. 503.639.4171 Fax 503 598.19OR s 9 2007 Other Permit
TIGARD. Inspection Line 503 6394175 p{� Date Ready/By Juns ® See Page 2 for
Internet: www.tigard- or.gov cr ,, rv OFT n �G � AR � D 1 Nottfied/Method. Supplemental Information
TYPE OF wean NGDW PLAN REVIEW
Please check all that apply (submit 2 sets of plans �v /items checked below)
® New construction ❑ Addition/alteration /replacement
❑ Service or feeder 400 amps or more ❑ Building over three stones
❑ 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
❑ I- and 2- family dwelling ® 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 derived system
❑ Addition of new motor load of ❑ "A ", "E ", ' l -2 "I -3 ",
Job no.: 2007015 Job site address:NO 5u)WASH. SQ. MALL RD 100HP or more occupancy
❑ Six or more residential units ❑ Recreational vehicle parks
City /State /ZIP: TIGARD, OR 97221 ❑ Health -care facilities ❑ Supply voltage for more than
❑ Hazardous locations 600 volts nominal
Suite/bldg. /apt. no.: K01 Project name: TRADE SECRET ❑ 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'I 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 )
WIRE NEW T.I. Limited energy, multi - family 75.00 2
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 1 2
Address: Over 1,000 amps or volts 454.65 I 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
Contact name: without service or feeder fee, 1 46.85 46 85 2
first branch circuit
Address: Each add'1 branch circuit 20 6.65 133 00 2
Miscellaneous (service or feeder not included)
City /State /ZIP: Each manufactured or modular 90.90 2
Phone: dwelling, service and/or feeder
-
( ) 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: J.C. ELECTRIC, INC. energy panel, alteration, or
Address: 118 NW 184 ST extension Describe I Page 2 75.00 2
Phone
City /State /ZIP: RIDGEFIELD, WA 98642 Each additional inspection over allowable in any of the above
Per inspection 62 50
Phone: (360) 887 -7889 Fax: (360) 887 -5584 Investigation per hour (1 hr min) 62 50
CCB Lic.: 118452 Electrical Lic.: 37 -724 ,S . 1c.: 4289S Industrial plant per hour 73 75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: _ Subtotal. 254.85
Print name: JON COULIMORE " j . te: 4 Plan review (25% of p ermit fee): •
State surcharge (8% of permit fee): 20 39
Authorized signature: TOTAL PERMIT FEE: 275 24
Print name: JON COULIMOR „or / Date: 4/6/07 This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
' Number of inspections allowed per permit
1 \Building\Permus\ELC- PermmApp doe 05/ 6 440 -4615T(11 /05 /COM/wEB
AL •
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:
n Audio and Stereo Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
❑ Vacuum Systems*
❑ 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
n Boiler Controls
❑ Clock Systems
® Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
n Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial systems: 1
*No licenses are required. Licenses are required
for all other installations
I \Bu Iding\Perm ts\ELC- PermnApp doc 03/23/06
'CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00229
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/11/2007
Phone: (503) 639 -4171 1 1'
Inspection Requests (24 Hrs.): (503) 639 -4175 �' ° 'f l ..
INSPECTION WORKSHEET FOR DATE: 5/24/2007 TIME: 7:00AM PAGE: 48
SITE ADDRESS: 09510 SW WASHINGTON SQUARE RD H - 1 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: TRADE SECRET
DESCRIPTION: Wire new TI. Low voltage: Data tele.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: JC ELECTRIC INC PHONE #: 360.887 -7889
Inspection Request Scheduled For: Date: 5/24 /2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 048976 -01 360- 772 -2704 N
Corrections /Comments /Instructions:
PASS n PARTIAL APPROVAL ❑ CANCEL l NO ACCESS
❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
� � r
Inspector: v �1� 0]`ut Date: 241 a1 Phone #: (503) 718- V(''`.
• CITY OF TIGARD
BUILDING DIVISION A PERMIT #: ELC2007- 00229
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/11/2007
Phone: (503) 639 - 4171 , 1
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/23/2007 TIME: 7:00AM PAGE: 72
SITE ADDRESS: 09510 SW WASHINGTON SQUARE RD H - 1 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: TRADE SECRET
DESCRIPTION: Wire new TI. Low voltage: Data tele.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: JC ELECTRIC INC PHONE #: 360- 8ti7 -70B9
Inspection Request Scheduled For: Date: 5/23 /2007 Pour Time:
Code # Inspection Description C•:, ;, •• • Contact # Message
rr
115 Electrical service 048869 -01 360- 772 -2704 N
Corrections /Comments /Instructions:
A co a,. < c-0 , v • tat > - 3 . 0
23o• 10 (� (3 00 _
4\80,g
110.11 4 31't 2 -3 U
❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL C ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: SI 2 1101 Phone #: (503) 718 - �1��
CITY OF TIGARD
' BUILDING DIVISION PERMIT #: ELC2007- 00229
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/11/2007
Phone: (503) 639 -4171 A'
Inspection Requests (24 Hrs.): (503) 639 -4175 Al- ti! . ,
INSPECTION WORKSHEET FOR DATE: 5/22/2007 TIME: 7:01AM PAGE: 41
SITE ADDRESS: 09510 SW WASHINGTON SQUARE RD H - 1 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE - LOT #: TYPE OF USE:
PROJECT NAME: TRADE SECRET Q -.
• DESCRIPTION: Wire new TI. Low voltage: Data tele.
OWNER: WASHINGTON SQUARE LLC, - _ PHONE #:
CONTRACTOR: JC ELECTRIC INC PHONE #: 360.867 -7889
Inspection Request Scheduled For: Date: 5/22/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 048791 -01 360.887 -7889 N
Corrections /Comments /Instructions:
,, PASS ❑ PARTIAL APPROVAL ' ❑ CANCEL n NO ACCESS
I I FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1 w % LE Date: I-401 Phone #: (503) 718- 141
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007-00229
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/11/2007
Phone: (503) 639 -4171 t
Inspection Requests (24 Hrs.): (503) 639 - 4175
INSPECTION WORKSHEET FOR DATE: 5/21/2007 TIME: 7:02AM PAGE: 50
SITE ADDRESS: 00510 SW WASHINGTON SQUARE RD H - 1 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: TRADE SECRET
DESCRIPTION: Wire new TI. Low voltage: Data tele.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: JC ELECTRIC INC PHONE #. 360 - 087 - 7019
Inspection Request Scheduled For: Date: 5121/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
1 30 Ceiling cover 048648 -01 360. 7712704 N
Corrections /Comments/ Instructions:
•
n PASS I PARTIAL APPROVAL CANCEL ❑ NO ACCESS
FAIL n CALL FOR INSPECTION " ADDITIONAL FEES ASSESSED
Inspector: � Ntk Date: Vf I 1 Q Phone #: (503) 718- "2- `4'{LO
CITY OF TIGARD
BUILDING DIVISION ' � PERMIT #: ELC2007 -00229
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/11/2007
Phone: (503) 639 -4171 ++�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/9/2007 TIME: 7:00AM PAGE: 61
SITE ADDRESS: 09510 SW WASHINGTON SQUARE RD H - 1 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: TRADE SECRET
DESCRIPTION: Wire new TI. Low voltage: Data tele.
OWNER: WASHINGTON SQUARE LLG, PHONE #:
CONTRACTOR: JC ELECTRIC INC � PHONE #: 360 -8E17 -7889
Inspection Request Scheduled For: Date: 5/9 /2007 Pour Time:
Code # Inspection Description m # Contact # Message
125 Wall cover 047882 -01 360.772 -2704 Y
Corrections /Comments /Instructions: P\N\
` s L eo so=f -c V$ . k fisk. ab ,
/∎ PASS ❑ PARTIAL APPROVAL ❑ CANCEL (l NO ACCESS
❑ F. IL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: . 1 `�, ~� Date: V c (S Phone #: (503) 718- 211414 '
ti .
CITY OF TIGARD U'
BUILDING DIVISION PERMIT #: ELC2007- 00229
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/11/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 I �.
INSPECTION WORKSHEET FOR DATE: 5/1/2007 TIME: 7:00AIVI PAGE: 52
SITE ADDRESS: 09510 SW WASHINGTON SQUARE RD H - 1 1<,-- I CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: TRADE SECRET
DESCRIPTION: Wire new TI. Low voltage: Data tele,
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: JC ELECTRIC INC PHONE #: 360 - 6f37 - 7889
Inspection Request Scheduled For: Date: 5/1/2007 Pour Time:
Code # Inspection Description Confirm ,# Contact # Message
105 Underground/slab cover 047366 -01 360 - 772 -2704 N
Corrections /Comments /Instructions:
\, 1
1 \
P2 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
'Inspector: GT 1\ Date: L5j IJn Phone #: (503) 718 - 2.I{4L