Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2007 -00811
COMMUNITY DEVELOPMENT DATE ISSUED: 11/30/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09607 SW WASHINGTON SQUARE RD L01 B ZONING: C - G
SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG
PROJECT: FAST FIX JEWELRY
Project Description: Electrical TI. Adding low voltage for data & phone cabling.
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: 1 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 PROFESSIONAL ELECTRIC SYSTEMS INC
BY THE MACERICH COMPANY 22021 S MELVA CT
9585 SW WASHINGTON SQUARE RD BEAVERTON, OR 97004
TIGARD, OR 97223
Phone: C ontact #: PRI 503- 680 -0292
FAX 503 - 680 -0292
FEES
Description Date Amount Reg #: ELE CI 13
IELPRMT] ELC Permit 11/30/200' $213.30 LIC 67529
[TAX] 8% State Surcharge 11/30/200' $17.06 SUP 2624S
[ELPRMT] ELC Permit 11/30/200' $75.00
(additional fees not listed here) REQUIRED ITEMS AND REPORTS
Total $311.36
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 -0 - ough S : 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 y: f / I 00 l Permittee Signature: ■(- Ar
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: / � %jf� 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.
Electric i Permit Application FOR OFFICE USE ONL '
Received � 7 /
III City of Tigard Date/By. l lI D / Permit No g,. ha7- 6'08//
q 13125 SW Hall Blvd , Tigard, OR 97223 Plan Review
Ill Phone' 503 639 4171 Fax 503 598 1960 Date/By Other Permit
Ti G A K D Inspection Line. 503 639 4175 Date Ready /By lo�os � ® See Page 2 for
Internet www tigard -or gov Notified/Method 'f I 4t Supplemental Information
TYPE OF WORK , - . PLAN REVIEW - - .
❑ New construction 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 stones
❑ Demolition ❑ Other: where the available fault current ❑ Mannas and boatyards
CATEGORY OF CONSTRUCTION - - - exceeds 10,000 amps at 150 volts or ❑ Floating buildings
less to ground, or exceeds 14,000 ❑ Commercial -use agncultural
❑ 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 ", "I -2 ", "1 -3 ",
Job no.: Job site address: C ' - ,t 100HP or more occupancy
9 0- 5 k/ Wa. 47 , ❑ Six or more residential units ❑ Recreational vehicle parks
City/State /ZIP: , D 7 l < 2 (� 7j ^ � / ❑ Health -care facilities ❑ Supply voltage for more than
i t y G r/: 3 ❑ Hazardous locations 600 volts nominal
Suite/bldg. /apt. no.: Project name: ❑ 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'l 500 sq ft or portion 33 40 I
Tax map /parcel no.: Limited energy, residential 75 00 2
DESCRIPTION OF WORK (with above sq ft )
t / C Limited energy, multi- family 75 00 2
i 4'1A 01 f i M proµenh• I ` /ell" • Ca/ 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 I %CONTACT PERSON - above service or feeder fee, 'fi 6 65 2
10/.0 / 1� each branch circuit fit/
Business name: t�i!S5/ ( is 6 / t j t'f yr a I �f 4?L'►2 S !� hL, B Fee for branch circuits
� ` without service or feeder fee,
l/
Contact name: arv /44'rC4. Si first branch circuit 46.85 2
Address: O f !� r .t°wG(, r Each add'I branch circuit 6 65 2
c Miscellaneous (service or feeder not included)
City/State /ZIP: )0.e
4/ 4 V,r/- r r - k 0 j 9 70 y Each manufactured or modular 90 90 2
dwelling, service and/or feeder
Phone: (o 6 8 a 2.9,2._ Fax: : (F'3) G 3 a - 5-6.2y Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53 40 2
' . CONTRACTOR, Sign or outline lighting 53.40 2
• Business name: Signal circuit(s) or limited -
Pro f e5 sl w ( F k y - 1.1'r ( Cp ( S 4 �C�.S T C c energy panel, alteration, or
Address: 2 a of i s , A, e I va C' , Y extensio� / Page 2 7 cv 2
o City/State /ZIP: I ra (-etc ',et- (Z OR 970,94 Each additional inspection over allowable in any of the above
Per inspection 62 50
Phone: ( ) & A &go , Z 92 Fax: ( Q 3 ) 4., 3? col,/ Investigation per hour (I hr mm) 62 50
\ t i* GCB Lic.: 1 6 7 5 : Electrical Lic.: C I 13 i Suprv. Lic.: 60 9 5- J Industrial plant per hour 73.75
Su rv. Electrician signature, re uired�G z/ I * /e / / 6G :- ELECTRICAL PERMIT FEES P g q Subtotal.
Print name: cif , � h a -e / � r h ai h d Date: 71130/07 Plan review (25% of peimit fee) �-�- --
•� / / �J/� � � , /v � State surcharge (8% of permit fee)
Authorized signature: fr� ,,^- 'rtIft!� v"�` TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
Print name: DOoren M6w ( - G/ Sr Date: l►_20 07 days after it has been accepted as complete.
• Number of inspections allowed per permit
i \Budding\Permits\ELC- PermitApp doe 05/23 /06 440- 4615T(I1/05 /COM/WEB
Electrical Permit Application - City of Tigard d'
Page 2 Supplemental Information
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL ONLY:
Fee for all residential systems combined ... $75.00
Check Type of Work Involved:
❑ 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- 309 -0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
t \BuddingPermns\ELC- PermiApp doc 03/23/06
CITY OF TIGARD
BUILDING DIVISION 4 6,,,,,_ PERMIT #: ELC2007 -00811
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/30/2007
Phone: (503) 639 -4171 1
Inspection Requests (24 Hrs.): (503) 639 -4175 ,..__:- p ,,l�l�h
-_..
INSPECTION WORKSHEET FOR DATE: 12/24/2007 TIME: 7 :00AM PAGE: 16
SITE ADDRESS: 09607 SW WASHINGTON SQUARE RD LOt B CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME. FAST FIX JEWELRY
DESCRIPTION: Electrical TI. Adding low voltage for data & phone cabling.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: PROFESSIONAL ELECTRIC SYSTEMS INC PHONE #: 50
Inspection Request Scheduled For: Date: 12/24/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 062094-02 503-680-0292 \` N
Corrections /Comments /Instructions: 1 ,k ? Rii Q R
N,
``
1
(PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: N VS L. Date: 1 Phone #: (503) 718 - '
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007•00811
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11130/20J7
Phone: (503) 639 -4171 i l l
Inspection Requests (24 Hrs.): (503) 639 -4175 _-_, IL.
INSPECTION WORKSHEET FOR DATE: 12/24/2007 TIME: 7 :00AM PAGE: 17
SITE ADDRESS: 09607 SW WASHINGTON SQUARE RD L01' B CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: FAST FIX JEWELRY
DESCRIPTION: Electrical TI. Adding low voltage for data & phone cabling.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: PROFESSIONAL ELECTRIC SYSTEMS INC PHONE #: 503-680.0292
I
Inspection Request Scheduled For: Date: 12/24/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
115 Electrical service 062094 -01 503 660 -0292 Y
Corrections /Comments/ Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ''''.` 1V im L-. Date: 11 - Phone #: (503) 718-1444
CITY OF TIGARD i
BUILDING DIVISION PERMIT #: ELC2007 0118i'i
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/30/2007
Phone: (503) 639 -4171 �► l l
Inspection Requests (24 Hrs.): (503) 639 -4175 �' ''L.
INSPECTION WORKSHEET FOR DATE: 0211700 TIME: 7:03AM PAGE: 40
SITE ADDRESS: 09007 SW WASHINGTON SQUARE RD L01 B CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: FAST FIX JEWELRY
DESCRIPTION: Electrical TI. Adding low voltage for data & phone cabling.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: PROFESSIONAL ELECTRIC SYSTEMS INC PHONE #: 503-680-0292
Inspection Request Scheduled For: Date: 12/21/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electiical final 062035.01 503680 -0232 N
Corrections /Comments /Instructions:
gee t GS w"i\ GU 1)60 t .
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<1 — x c‘, .. VtLili. t'$ • C '. • •
$ Z 6 U., s r
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❑ P)ASS: ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
i, FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
`,
Inspector: _ C__••e". gte Date: ,' lir'Cn Phone #: , (503) 718- 1 244)
•
CITY OF TIGARD
BUILDING DIVISION __ PERMIT #: ELC2007..0081i
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1
Phone: (503) 639 -4171 p1 1
Inspection Requests (24 Hrs.): (503) 639 -4175 'I L.
INSPECTION WORKSHEET FOR DATE: 12/20/2007 TIME: 7 :01AM PAGE: 14
SITE ADDRESS: 09607 SW WASHINGTON SQUARE RD L01 B CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: F'AST FIX JEWELRY
DESCRIPTION: Electrical TI. Adding low voltage for data & phone cabling.
OWNER: WASHINGTON SQUARE Lie, PHONE #:
CONTRACTOR: PROFESSIONAL ELECTRIC SYSTEMS INC PHONE #: 503 - 68030292
Inspection Request Scheduled For: Date: 12/20007 Pour Time:
Code # Inspection Description - = • - Contact # Message
130 Ceiling cover 061950-31 503-680-0292 Y
Corrections /Comments /Instructions:
P*vit.ftvisin a Ps et.risi 1 A M
se c, v 2.4.#2.. bit.45•ANI
x10 n_s 'C G-a."r O .
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: CY` N Date: 14 Phone #: (503) 718 - 7►'
CITY OF TIGARD _
BUILDING DIVISION PERMIT #: ELC ?007.00811
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/30/2007
Phone: (503) 639 -4171 �u
l
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 12/13/7607 TIME: 7:00AM PAGE: 8
SITE ADDRESS: 0 %07 SW WASHINGTON SQUARE RD 1.01 B CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: FAST FIX JEWELRY
DESCRIPTION: Electrical TI. Adding low voltage for data & phone cabling.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: PROFESSIONAL EL.ECTRIC SYSTEMS INC PHONE #: 503 - 0292
Inspection Request Scheduled For: Date: 12/13/2007 Pour Time:
Code # Inspection Description - Confirm -# Contact # Message
Un cover 061470.01 603-680-0292 Y
Corrections /Comments /Instructions: /"
I AM
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G 66 Date: v.-15 Phone #: (503) 718- 1.4*
CITY OF TIGARD
A ,
BUILDING' DIVISION PERMIT #: ELC2007•0081 I
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/30/2007
•
Phone: (503) 639 -4171 7_40410.i
Inspection Requests (24 Hrs.): (503) 639 -4175 '_ `' 12.
INSPECTION WORKSHEET FOR DATE: 1215/2067 TIME: 7:01AM PAGE: 12
SITE ADDRESS: 09607 SW WASHINGTON SQUARE RD L01 B CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: '
PROJECT NAME: FAST FIX JEWELRY
DESCRIPTION: Electrical TI. Adding low voltage fear data & phone cabling.
OWNER: WASHINGTON SQUARE LLC, • PHONE #:
CONTRACTOR: PROFESSIONAL ELECTRIC SYSTEMS INC PHONE #: 503- 680 -0292
Inspection Request Scheduled For: Date: 12/512007 Pour Time:
Code # Inspection Description ,C nfirm Contact # Message
125 Wall cover 60860.01 • 503- 680 -0232
•
Corrections /Comments /Instructions:
•
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•
, PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
• Inspector: V y N IC% Date: )2,6 Phone #: (503), 718 - 1.41-1,6∎