Permit C ITY
OF TIGARD w ELECTRICAL PERMIT
•� PERMIT #: ELC2008 -00009
COMMUNITY DEVELOPMENT DATE ISSUED: 1/3/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S12600
SITE ADDRESS: 09530 SW WASHINGTON SQUARE RD H10 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG
PROJECT: APPLE COMPUTER STORE
Project Description: Install (1) 60 amp subpanel and (2) branch circuits for telephone board.
Job No. 56 -00344
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: 1 W /SERVICE OR FEEDER: 2 PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 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 CHRISTENSON ELECTRIC, INC.
BY THE MACERICH COMPANY 111 SW COLUMBIA STREET # 480
9585 SW WASHINGTON SQUARE RD PORTLAND, OR 97201
TIGARD, OR 97223
Phone: Contact #: PRI 503 - 419 -3300
FAX 503 - 419 -3695
FEES
Description Date Amount Reg #: ELE 26 -34C
[ELPRMTI ELC Permit 1/3/2008 $93.60 LIP 199
(TAXI 12% State 1/3/2008 $11.23 SUP 1994S
Total $104.83 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws
All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is
suspended f. • - - -n 180 • - s ATTENTION: Oregon law requires you to follow rules adopted b the Oregon Utility Notification Center.
Those r -s are set forth • • - • • 001 -0010 through OAR 952 -001 -0100 You may obtain = •ies o these rules or direct questions to OUNC at
503.2•.• 6699 or 1 800 •
Issues By: � � i Permittee S • natur • e A
//
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
___..-- INSTALLATION ONLY
? _ � .
SIGNATURE OF SUPR. ELEC'N: _ '.5�/!1 �t DATE:
LICENSE NO:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
JAN -03 -2008 THU 12:32 PM CHRISTENSON ELECTZIC,INC FAX NO, 95034193695 P. 01/02
LfeCL4 rerwit 2i 'It:aziuu .
I � A Received City of Tigard l t / t t L Rawl; o Permit No, �� �'rJ$
13125 SW Halt Blvd . Tigard, OR ?' 0 \ Q Other ?emit,
Phone' 503.639.4171 Fax: 503.5' i ' "c 't0�u 1:i*i 'I
Line: ..
Inspection ne: 503 639 4175 1 A� 0 -.1 'I 1.., Data Ready/By, ® See Page 2 for
Internet www.ci.tigard.or.us - i r,'* Nouficd/Method: (KM11 Supplemmtallnfonnaum
. " .. i :i , .•
New construction i ai cration/replaccment Please check all that apply:
['Service over 225 amps, cotmn'l El Hazardous location
❑ Demolition ❑ Other _ _ ❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft.,
C41_ EGOR Y..OF., (?q}11,' RIVION. : : : :I „ of I - and 2- family dwellings 4 or more new residential
1 - and 2 - fanul dwelling ,; s „ . , • ,
y .....;',;.:•;
Commercial/industrial ❑ Accessory building
['System over 600 volts nominal units in one structure
❑
❑ Building over three stones ❑Feeders. 400 amps or more
Eil Multi Other:
Q Master builder ❑ Occupattt load over 99 persons ['Manufactured structures or
' y , '''.4°11 Ant "1NFORIWAtOIN •' D ,,�A,C�l 1t1 . • . , ,,, •„ , ..
,; • ; '` }:;;;; ❑ Egress/lighting plan
RV park
,:. . ' , „ ' ,!! ;'; ; ' ”' ',•;;':" "`
lob no,' - ) Job site address: d 3 0 S I ❑ Health -care facility ['Other
3 ity y
4 1 a Il i. t Submit 2 sets of plans with any of the above.
City /State/ZIP. "Ti‘rvrj 1 (j F 97 a..-• The above are not applicable to temporary construction service.
Suite/bldg. /net no.: _ Project name' €. ( �r,nfl� - ,re, , ommtion _
/) I o I Qty.) roe. j Sala)
Cross street/directions to job site: s'I'l `by1s I, ,e0'`"{' IO'r ``�}�C--�- New residential single - or matt family dwelling unit.
Includes attached garage.
563- - L -13 - 3 (12Vn1 . 1,000 sq. ft. or less _ 145.15 4
Subdivision. Lot no. Ea. add'l 500 sq. flt or portion 33,40 1
Limited energy, residential 75.00 2
Tax map/parcel no.: Limited energy. non - residential 75.00 2
.
,. •'#ITS6'C IUP'T ION ,OF:.W0 : ' .' '. ', t':• •::;: Each manufactured or modular
a � ``-- a ' dwellin, service and/or feeder 90.90 2
a sail a V1'�. P. ` a V L1.J� �.{ � I L7 . Services or feeders lmtallatioti, alteration, and/or relocation
200 amps or less J I 80.30 gt, 30 2
1,r • ; -
. ! ' mps 105 6 6.G
r ;';I, ::.. .,
' ,', `� � '. �'' i p�l:!CrIWi' `� " ;. , , ;;��; `,� ,: a:'�0.. , , 401 a m p to 600 amps 1 60.60 2
. �1 ,, , 9
Ps
Name: 0 ' 601 amps to 1,000 amps 240.60 2
Address. Over 1,000 amps or volts 454.65 2
Reconnect only J 1 66.85 - 12
City / State/ZIP: Temporary services or feeders Installation, alteration, and/or
relocation
Phone: ( ) J Fax: ( ) 200 amps or less 66.85
I
Owner Installation: This inrallatton 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
`" k fee for branch circuits with • # l t'i A I 7'' , '.. • . . RiPIPAt 7", „ 1 service or feeder fee, each 6.65 ; 30 2
Business name: • branch circuit
a Fee for branch circuits
Contact name: without service or feeder fee, 46.85 2
first branch circuit
Address. Each add•I branch circuit 6.65 ` 2
City/ Stale/ZIP: Miscellaneous (service or feeder not Included)
— Pump or irrigation circle 53,40 2
Phone: ( ) I Fax: : ( ) Sign or outline lighting 53.40 2
E Signal circuit(s) or limited-
- :. .• . .. : � �, ., � � : .,r . .. tflC "1R7Llr .. - .,; .. •.•,: , , -. ":,.,. .. ><t De4L7tb e b` 2 2
e Pa c
Business name: Christenson Electric, Inc:
Address: Ill SW Columbia Street, Suite 480 Each additional inspection over allowable In any or the above
Per inspection 62.50
City/ State/ZIP: Portland, OR 97201 Investigation per hour (1 he mid) 62.50
Phone- (503) 419 -3300 7 F at: (503) 419 -3695 Industrial plant per hour 73.75
_ • ;li,I: ECTRtG'AL Tal• ::BEF.,H*;' •r,;': r. '
CCU Lie.: 458 Electrical Lie,: 26 -34C Su rv. Lie.: 199 Su btotal C/ ) , O
r
Suprv. Electrician signature, required: Plan review (25% of permit fee)
g�
State surcharge Q II s of permit fee) I I L Q 3
Print mime: �(� Date:
/ [ l3 D r 7 TOTAL PERMIT FEE in 14 , g 3
Authorized signature: This permit application aspires If a permit Ia not obtained within 194
_ - - days alter It line limn accepted as complete
Print name: Date: • Foe met act by Tn r'.n.nty Building Induauy Service Board
- Number of =peen ens per permit allowed
HowlCWga Iemliis.eLC- PomiiMppdog 1)03 440.4015T(10/0
.. L 1 f t,63)
CITY OF TIGARD _
BUILDING DIVISION PERMIT #: EL.C2008.00009
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/3/2008
Phone: (503) 639 -4171 ill t,
Inspection Requests (24 Hrs.): (503) 639 -4175 "-
INSPECTION WORKSHEET FOR DATE: I/a/a TIME: 7 : 01AM PAGE: : 3
SITE ADDRESS: 09630 SW WASHINGTON SQUARE RD H10 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: APPLE COMPUTER STORE
DESCRIPTION: Install (1) GO amp subpanel and (2) branch circuits for telephone board.
Job No. 56.00344
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: CHRISTENSON ELECTRIC, INC. n p PHONE #: 603.419-3300
Inspection Request Scheduled For: Date. 1/8/200 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 062719-01 503 - 781 -454: \ Y
Corrections /Comments /Instructions: I_,.( Al,
q-/ i
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G 'v 6 Date: I ' 1' Phone #: (503) 718- . 2 1 + b