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Permit
I A CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2006 -00301 DEVELOPMENT SERVICES DATE ISSUED: 5/26/2006 13125 SW Hall Blvd., Tigard, OR 97223 503-639-4171 PARCEL: 1S12600-00300 SITE ADDRESS: 09589 SW WASHINGTON SQUARE RD B9 ZONING: C -G SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG Project Description: MADE IN OREGON, T.I. (12) branch circuits. Job #4586. 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: 11 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 HILLSBORO ELECTRIC BY THE MACERICH COMPANY 21185 NW EVERGREEN PKWY #110 9585 SW WASHINGTON SQUARE RD HILLSBORO, OR 97124 TIGARD, OR 97223 Phone: 503 - 639 - 8865 Contact #: PRI 503- 439 -9666 FAX 503 - 601 -3680 FEES Description Date Amount Reg #: ELE 34 -4399C [TAX] 8% State Surcharge 5/26/2006 $9.60 LIC 134481 [ELPRMT] ELC Permit 5/26/2006 $120.00 SUP 4941 S Total $129.60 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: - j ,0ji 1 Permittee Signature: sQ `c 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. % 05- 26 -'06 07;28 FROM-Hillsboro Electric 503 - 601 -3680 T -583 P002/002 F -649 fr City of Tigard g RECEIVED Reosiv1 � -,, o c � � z, y 06 3 Date/Bv Permit No /I 13125 SW Hall Blvd., Tigard, OR 97?'!3 t / : 503.6394171 Fax: 503.598.1960 o. - ; r t•lan Review Phone: : 503. ine: 303.639 4175 MAY 2 6 200 1 ;';l l Date/By: Other Permit: ` �„ Date Ready /By: J e See Po e 2 far Internet: www ci.tigard.or.us /.1-� OF TIGARD Notified/Method. ? / r f I Supplemental Information TY>�gett4ARIVISIUN • ... ... ' PLAN REVIEW .. ❑ New construction [ Addition /alteration/replacement Please check all that apply: ❑ Demolition q Other. DService over 225 amps. comm'I ['Hazardous location CATEGORY .OF CONSTRUCTION • ['Service over 320 amps - rating ❑Suildng over 10,000 sit, ft., of 1 -and 2- family dwellings 4 or more new residential ❑ 1- and 2- family dwelling [1ComirierciaVindustrial ❑ Accessory building []system ovcrb00 volts nominal units in one structure ❑Building over three Stories ['Feeders, 400 amps or more © Multi - family Master builder ❑ Other • . JOB SITE INFORMATION 'AND LOCATION ❑Occupant load over 99 persons ❑Manufactured structures or ❑Egress/hghting plan RV park ,lob no.: � t Job site address; , k L , F :Wealth-care facility ❑Other: Submit 2 sets of plans with any of the above. City /State/ZIP:-11 � C The abo ve arc ota licable temporary v� . pp to tern construction service Suitt /bldgiapt. no.: Project name: ., . FEES:, SC,HEDULE.: -i •` ".` - . ` 1 . . `. ' I ; , Description Qty. Fee. Total r• Cross street/directions to job site: New residential single- or multi family dwelling unit. Includes attached gars is 1.000 sq. ft or less 145.15 4 Subdivision: I Lot no.: Ea. add'I 500 sq. f . or portion 33 40 1 Tax map/parcel no.: Limited enerty, residential 75.00 w 2 ,:. :. 75.00 2 DESCRIPTION ,.'. Limitmanu manufactured •r mo 5.00 O OF, WORK . �i, r � - ti • �� c 4 4wi Each manufactured ar modular t „ y , 4 dwelling, service and/or feeder 90.90 2 � l U - Services or feeders installation, alterat and /or relocation 200 amps or less 80.30 2 ❑ PROPERT OWNEIY' EN A 201 401 amp t o 400 am 0 2 1 ;,µ:..0 "T N.f;?' Ps 1 6,85 Name: �,(A - - amps to 600 amps 160.60 2 • T i" 601 amps to 1.000 amps _ ___ 240.60 2 Address: Over 1,000 amps or volts 454.65 2 City/State/ZIP; Reconnect only . 66 2 Temporary services or feeders installation, alteration, and/or Phone: ( ) Fax: ( ) • relocation Owner installation: This installation is being made on property that I own which is not 200 amps or less 66.85 1 201 amps to 400 amps 100.30 3 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, - ew, alteration. orextension. per panel .,.' - . ❑ .APPLICANT, „ :1 - ,; ° " ee for b .❑• CONTACT PERSON ;i• ^ y,:: ; " - � •'� A • F branch circuits with . s erv i ce or f eeder ea Business name: t _ — branch circuit 6 65 3 Contact name: B. Fee for branch circuits p�. — wi /howl service or feeder fee, t 46.85 0 2 Address: each branch circuit I • Each add'i branch circuit It i 6.65 '''? • 3 City/State/ZIP: Miscellaneous (service or feeder not included) Phone: ( ) Fax : : ( ) Pump or irrigation circle 53.40 2 E-mail: -_ Sip or outline lighting 53.40 2 Signal circuit(s) or limited- - - . , -''' . • 'CONTRACTOR , , , • energy panel, alteration, or Business r►amC: Hi l l SbOrO Electric extension. Describe: Page 2 2 ectric L.L.C. Addrt:ss: 21185 NW Evergreen PKWY Ste #1 1 0 V Each additional inspection over allowable in any of the abov Per inspection 62.50 City/State/ZIP: Hillsboro, OR. 97124 Investigation ( ) tla perhour I he 62.50 Phone: (5 0 3) 439-9666 Fax: (503 )6 01 -3680 Industrial plant per hour 73.75 CCB Lic.:1 3 4 4 81 I Electrical Lic.:3 4- 4 9 9 C I Supt''. Lie.: 49415 ELECTRICAL .PERMIT FEES Subtotal 1 Suprv. Electrician signature, required: -- Plan review (25% of permit fee) Print nano; Jo , glk i tacco / Date: ' ,-, State surcharge (8% of permit fee) 1' �— ��i TOTAL PERMIT FEE I`� 1 ,cow Authorized signatu _ - .: nV� - I 1� This pernrh expiry if expir ira permit is not obtained within 180 Print name: days after it has been accepted as complete / Date: • Fee methodology sat by To- County Building Industry Service Board ' •• Number of inspeeliore per permit allowed :�BuitdlrywerinitslEl.C.ronen..• •. la/Ic 4404413T( ituriziCOmr9113B CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2006- 00301 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/26/2006 Phone: (503) 639 -4171 A � Inspection Requests (24 Hrs.): (503) 639 -4175 �' ''I L INSPECTION WORKSHEET FOR DATE: 8/17/2006 TIME: 7:01AM PAGE: 46 SITE ADDRESS: 09589 SW WASHINGTON SQUARE RD B9 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: MADE IN OREGON DESCRIPTION: MADE IN OREGON, T.I. (12) branch circuits. Job #1586, OWNER: WASHINGTON SQUARE LLC, PHONE #: 5 03-639 - 0865 CONTRACTOR: HILLSBORO ELECTRIC 1J N It l Lz PHONE #: 503-439'%66 Inspection Request Scheduled For: Date: 8/17 /2006 Pour Time: - o•e • Inspection Description Confirm # Contact # Message 199 Electrical final 03515.5-01 971 -219 -0077 V Corrections/Comments/Instructions: p o .PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED I 1 Inspector. e ° % c Date: t ' 1 F -0-‘ Phone #: (503) 718- Vilip CITY OFTIGARD BUILDING DIVISION . ' PERMIT #: ELC2006•00301 I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/26/2006 Phone: (503) 639 -4171 43' I Inspection Requests (24 Hrs.): (503) 639 -4175 . M! "''.L INSPECTION WORKSHEET FOR DATE: 7/27/2006 TIME: 7 :03AM PAGE: 75 SITE ADDRESS: (}9689 SW WASHINGTON SQUARE RD 8.9 CLASS OF WORK: , SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: MADE IN OREGON DESCRIPTION: MADE IN OREGON, T.I. (12) branch circuits. Job #4586. OWNER: WASHINGTON SQUARE LLC, PHONE #: 503 - 639.8866 CONTRACTOR: HILLSBORO ELECTRIC PHONE #: 503.439 -9666 Inspection Request Scheduled For: Date: 7/27/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 195 Misc. inspection 033854 -01 503 - 693.6888 Y Corrections /Comments /Instructions: Zt', �� p,(� Ni p F (7._.) wial )31■ kil6 , ""--------,_____ j . n PASS y PARTIAL APPROVAL ❑ CANCEL El NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: v ! __ • W M L ill a Date: Phone #: (503) 718- Mgt` CITY OF TIGARD BUILDING DIVISION ';'t PERMIT #:\ ELC2006 -00301 _. 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/26/2006 Phone: (503) 639 -4171 41 Inspection Requests (24 Hrs.): (503) 639 -4175 '`'I... ; INSPECTION WORKSHEET FOR DATE: 7/12/2006 TIME: 7:05AM PAGE: 27 SITE ADDRESS: 09589 SW WASHINGTON SQUARE RD B9 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: MADE IN OREGON DESCRIPTION: MADE IN•OREGON, T.I. (12) branch circuits. Job #4586. OWNER: WASHINGTON SQUARE LLC, PHONE #: 503 - 639 -8865 CONTRACTOR: HILLSBORO ELECTRIC PHONE #: 503 -4.39 "9666 Inspection Request Scheduled For: Date: 7112/2006 Pour Time: Code # . Inspection Description Confirm # Contact # Message -1 — Efeenital-tottgh-ia. 032980 -01 971 - 2190077 • Y t 3• . ->E t 1-..% 0 e1 cm E (l. Corrections /Comments /Instructions: C\ _)'(H---- • Z NR.QN ‘‘.6 IA G ' ` 1 65 0 %., 6L- '' V - C361.6 Pk Q o V eo P (N sv\,. q.0®M C wiA.(1w ©iseLp W ) (Z,. c GAI, j Pte- �O a , kk� 2.-10 .6 2 • ❑ PASS 2141 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G N (% LE Date: 1 1 121 O6 Phone #: (503) 718 - 21 4 . , CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2006 -00301 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2 Phone: (503) 639 -4171 j�l� Inspection Requests (24 Hrs.): (503) 639 -4175 " -.. ` INSPECTION WORKSHEET FOR DATE: 7/I7/2006 : TIME: 7:03AM PAGE: 79 SITE ADDRESS: 09589 SW WASHINGTON SQUARE RD B9 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: - . PROJECT NAME: MADE - IN OREGON DESCRIPTION: MADE IN OREGON, T.I. (12) branch circuits. Job #45B6. OWNER: WASHINGTON SQUARE LLC PHONE #: 503 - 639 -13665 CONTRACTOR: HILLSBORO ELECTRIC PHONE #: 503 - 439 -9666 Inspection Request Scheduled For: Date: 7/6/2006 Pour Time: # Inspection Description Confirm # Contact # Message '1:70 Electrical rough -in 032717 01 971-219-0077 N Corrections /Comments/ Instructions: _MW- - (r r ,,,,,,,L___ _-,,,..:6 C� l o N �_"( cA �CL c-E t L. ►[`f , W 11R oT.47 . 1--EA.,-) V di - Piv ------ p-4$, 5 irk I453 °' ti ce_fwiek-, . ❑ PASS )PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED N U Date: �S 0b Phone #: (503) . Inspector: � � f ( ) 718- 214`$b CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2006- 00301 • 13125 SW Hall Blvd., Tigard, OR 97223 �• DATE ISSUED: 5/26/2006 Phone: (503) 639 -4171 �'' �* Inspection Requests (24 Hrs.): (503) 639 -4175 �':� F'I .�.. INSPECTION WORKSHEET FOR DATE: 7/3/2006 TIME: 7:03AM PAGE: 6 SITE ADDRESS: 09589 SW WASHINGTON SQUARE RD B9 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: MADE - OREGON DESCRIPTION: MADE IN OREGON, T.I. (12) branch circuits. Job ##4586. OWNER: WASHINGTON SQUARE LLC, PHONE #: 503 - 639-8865 CONTRACTOR: HILLSBORO ELECTRIC PHONE #: 503.439 -9666 Inspection Request Scheduled For: Date: 7/312006 Pour Time: - Code # Inspection Description Confirm # Contact # Message 130 Ceiling cover 032617 -01 971 -219 -0077 N Corrections /Comments /Instructions: N o`4 Z E ❑ PASS ❑ ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: v " v `^ Date: 3 , Phone #: (503) 718 - 1 -4 1 417 • •