Permit r CITY OF TIGARD ELECTRICAL PERMIT
OF V PERM
' r< ° CO DEVELOPMENT
DATE ISSU IT ED #: : 5/9/2007 ELC2007 -00319
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09607 SW WASHINGTON SQUARE RD L -2A ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG
PROJECT: WA SQ SPACE L -2A
Project Description: (2) New 200 amp services and (20) branch circuits with service.
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: 2 W /SERVICE OR FEEDER: 20 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 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 5/9/2007 $293.60 LIC 118452
[TAX] 8% State Surcharge 5/9/2007 $23.49 SUP 4289S
Total $317.09 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: / n Af , ' . ! // Permittee Signature: Se J4 /
� f � c-a fivt'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.
05/09/2007 11:40 3608875584 J.C. ELECTRIC, INC. PAGE 02/02
El ec t t ' � T
ical Permit Applicati
�, g " � `: i i)l l is is list; ()Ni
' City of Tigard — r s iel 101 S U\1 Permit No.. ELC20O.3. .._6()31,9
. i • 13125 SW IIa11 Blvd., Tigard, OR 97223 4 pv 9 2007 Plan Review
; Phone: 501639.4171 Fax; 503.598.1960 l'iri l Date v; Other Pernntt
inspection Line 503.639.4175 Date Ready/By: nuts la See Page 2 for
1'1GARV
Internet: www.ugard- or.gov Cl 'is . •:.ad/lvl e(bodr ' v 'i ] (J I .IU ' ' : S 8upplemeatal Information
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ryl New construction CI Addition /alteratiob/t eplacernent Please check 311 that apply (submit 2 sets of plains w /items chinked below),
❑ Service or feeder 400 amps or more ❑ Building over tbxao stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards
? 1
!f `PP(�' 3w 11( iI t II1}, f'�i,{ 1 1 1 9 1 211 1 !',rlt 11"F 1 11 i 1 „ 1"1;
1 , I , r 1 11 11*. ,n i9 Irltlf r 11 ((r� 4 if �iil.i` IE' { �f It tt { 1 ` {4' it exceeds 10,000 amps at 110 volts or CI Floating buildings
:!!Bill, It /4:1, 11(61 El,:i 1,,,N, CiI:11ili 41i�;7!11i111!1 I it.!Ilid l mile IG';F1t! ,llr , 14” i!+Ilil11 fi ! tititl ci?ill!�Ilyd tic 41r :flit :Ills; J:�: iililtlUit, ! , ii F
less to ground, or exceeds 14,000 ❑Commercial -use agricultural
❑ I- and 2- faamily dwelling ® Commercial/industrial ❑ Accessory building amps for all other installations. buildmgs
❑ Multi- family ❑ Master builder ❑ Other: 0 Fine pump ❑ bastallatton of 75 KVA or
I '1'!j, j,T' ;j! + {1 9 +F [ 4 '4 41 fljvr!Sj'� ? v? t lt.k ll P +l j ;ll A 1111 ?if?' , ''jia; vt�' 1'Y.:•i ju = ❑Emergencysystem. larger separately derived system.
i l�il i k ° 111 11 1 ii i l i 1 !I �+l i i ill ihll,li ll i ( n i l l, t ,E'1►ri / 1 u > ill ��I l�l,eile „ _l� l ll�ta'I. €( 111(!1,l�liljll�fl 1 11 � 1 1 h+�l i . 1���11 ❑A diii�, w mot
�hadof ❑ ., A ., " ',
It Job no.: Job site address: � j \ ,�, , S Q , Q__ 1001* or more. occupancy.
�� El or more rtlidentiel ,.n:k• ❑ Recreational vehicle parks,
City /State/ZIP: ' l fee
uZ C3� a ❑ Health -care facilities. ❑Supply voltage for more than
1 ❑H locations 600 volts nominal,
Suite/bldg./apt. no.: 1 Project name: ..A\ S �Q � ...::.v,
❑ S ervice or der 600 s more
ff1 llt,; �1 !! l ,lr f lllvl" N1Ajll1l, �,� or 1, 'St l i� ('41 1 ti 1 r 1 t'�t` t rl}rtC !
I tf diliIt.l.:lf : ittl :t)ti.l!,n�.rlltN>.!,itm, 1 :;' 1,iTAI :h ill# li�-1 ;k:gl
Cross street/directions to job site r L.- A Dascriptlon Qty. Fee. Total
New residential single- or multifamily dwelling unit.
Includes attached garage.
Subdivision: s 1 Lot no.: 1,000 5q. ft. or less 145.15 ' 4
Tax map/parcel no - Ea. add'I 500 sq. ft. or portion 33.40 1
, i 1 g if i Limited energy, residential
�, til l})l l 1 }}',ill li>llii ' t l�li , t 1
j��.�L , 7ry?{ +n_iitlt(}It tt�vr Ir initt6tinfll '('fiii .1;1t1lfltall - fi' li[ijl i ; 75.00 2
II t l4(Y !.:4.14.1; i 1tlf !Ili 1�1,. *.§ ,.1111 l i,9, L,:t h Anrr }l :il;drh 111! 1.,111 l+t i!lkin f .m, In l tl•.1;111ti.ir a ,trt11141El! .i'b..11li`1r Wile, 4r.,a.:74. a sq R .)
C ll , 1 � K q 'v Qc Limited energy, multi - family 75.00 2
a — J N ^ 'c % --V - � C ) C.V. . residential with above , , . II
Services or feeders installation alteration, and/or relocation
t 200 amps or less a 80.30 _ ,,g 2
t j . 33 i ° 4-, 11th/ :, t i{ Itl 'ty X1,' t P5 J i !P f if it f:! ; I j r t _ {{I t 3 l il n` i I I t , I .r � f , � , 6,Tr f' nom. I ^ I I II a } i �r((t l ?`
i{i17 1 1#eft+,!,I, r,1 11 „1 1,'(: tlr,! ; :t. i tt:te,!i•!IF ll tin! r -:''F ai iii` 3 /1111 ie '! ll l!!1, :!!I? i l r I l ll l# i ! Ftl !lu ! ZtiGI, I! l r ,i 3 #i 4 :i1 I:EVII i! 201 amps to 400 amps 106.85 2
Nantne: 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/ZlP: Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) Fax: ( ) 200 amps or less 1 66.R5 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 — oew, alteration, or extension, er panel
Owner signature: Date: A. Fee for branch circuits with
{{lif { � � t �nv ti �lt ,cj,n + I; no . t ruj,r ti ff 1:1111
( , l lli 1,1',1
.:1, „ 3 1+ , „,„, � llrtrailll ,•lrslr;l.tr,;:t l /1;1 :11_I lllE!]f 1 . 1 :14 .;:lr( ti. a,I 1 i 7: r llltr.itIll �11 t ;tit t �Ch bra b „ der fee' 7 0 6.65 �, _ 2
Business name: B. Fee for branch circuits
without service or feeder fee, 46 g5 2
Contact name: first branch circuit
Address: Each add'l branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City / State/ZIP: Each manufactured or modular
dwelling, service and/or feeder 2
Phone: ( ) I Fax: : ( ) Reconnect only 66.85 2
E- mail: Pump or irrigation circle 53.40 2
t f f{ i
, p } �lr t ' t ' i r 3 l I ' I' f i I� 1i+i , 1f 1 `}„ rl I ,�,!,1. 1 ! 1 "1' 1 1 t ill l l l fl l i If. 3l , 1 1 0 1 f' ,; t II t t1 r1'+'a'il-t•i Sign outline ll
( # {� 1.1.- Ilalil! ilk, n11 #III la I I lillfll >� II}li : ! 1, 11 l iI v 1 t1.;a ,1.in, n, 11r ,1.., , 11, v n ,.1rr61nllll I.i.�l,l.ntrF11I ,ah ..'IJ ,1
lftll,..l,liii'llr# .,l rrl 111;1/ � ltpili�lll'1, � giitin 53,40 2 8
Business name: Signal circuit(s) or limited -
. C . ..\,ZG` ,1C 1!\.0 energy panel, alteration, or
extension. Describe: Page 2 2
Address: \ \k 1\1. -\ 'Sr
City /State /ZIP: arl�� q��y� Each additional inspection over allowable in an of the above
Per inspection 62.50
Phone: ( -A 1 I Fax: (\;i'.9 $gn — *.. Investigation per hour (1 hr mitt) 62.50
CCB Lic.: 11 -- e .._ I Electrical Lic.: - s -- A-7. - A. , upry Industrial plant per hour 73.75
�� ` ?1.111I1#1�inliillilil 111111- i1! Il.,:: 1,',,+,,; a1lry, `Y11133 illfifN#>1ir1
Suprv. Electrician signature, required: / / subtotal '),q`3 .‘...0
Print name: X e : /
Plan review (25% of permit fee).
7 0 \ CO. CO. • Y (ILE � . / MI d state (8% of permit fee). 'a' - j..�04
Authorized signature: TOTAL PERMIT FEE: ""61^ ep
This permit application
Print name: Date: S 1, pysi thaw elfapermitisnot within 180
� C i _ i . d ays after if has been accepted as complete .
" Member of
I:\ Buildivg\PermitsrEL.C- PamisApp,doc 05/23106 4444615T(l lro5 /COM VE8
F TI ARD
CITY O G
BUILDING DIVISION PERMIT #: ELC2007-00319
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/9/2007
Phone: (503) 639 -4171 1: dgp 1!I
Inspection Requests (24 Hrs.): (503) 639 -4175 ,. ':W °__
INSPECTION WORKSHEET FOR DATE: 6/5/2007 TIME: 7:01AM PAGE: 60
SITE ADDRESS: 09607 SW WASHINGTON SQUARE RD L -2A CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: WA SO SPACE L -2A
DESCRIPTION: (2) New 200 amp services and (20) branch circuits with service.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: JO ELECTRIC INC PHONE #: 360 807.78f39
Inspection Request Scheduled For: Date: 6/5/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 049598.01 360 - 772 -2704 N
Corrections /Comments /Instructions:
\
PAS PARTIAL APPROVAL El CANCEL ❑ NO ACCESS
❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: r N 68 L_ Date: 6 •S' tr) Phone #: (503) 718- Ziq
CITY OF TIGARD
•
BUILDING DIVISION PERMIT #: ELC2007- 00319
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/9/2007
Phone: (503) 639 - 4171 , 1�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/1 /2007 TIME: 7:02AM PAGE: 59
SITE ADDRESS: 09607 SW WASHINGTON SQUARE RD L -2A / 13 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: WA SQ SPACE L -
DESCRIPTION: (2) New 200 amp services and (20) branch circuits with service.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: JC ELECTRIC INC L� J PHONE #: 3604187 -7889
Inspection Request Scheduled For: Date: 6/1/2007 Pour Time:
Code # Inspection Description Con ir-m -# Contact # Message
199 Electrical final 049355 -01 360 - 772 -2704 Y
Corrections /Comments /Instructions: •
c s-s) J �►Os spy
No (tSe vf∎ Fort. IAbbtfi 6 6L
G v i A CS _
V20 2s0S A al. 6 .
•
❑ PASS XPARTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1v If2) Date: 6 - Phone #: (503) 718 - 10