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Permit .1 • CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT COMMUNITY DEVELOPMENT PERMIT #: ELR2007 - 00439 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/28/2007 PARCEL: 1512600 -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: Low voltage for HVAC. A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: . HVAC: X PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: 1 Owner: Contractor: WASHINGTON SQUARE LLC ARROW MECHANICAL BY THE MACERICH COMPANY 10330 SW TUALATIN RD 9585 SW WASHINGTON SQUARE RD TUALATIN, OR 97062 TIGARD, OR 97223 Phone: Contact #: PRI 503- 692 -1565 FEES Reg #: ELE 34 -47CLE LIC 5193 Description Date Amount [ELPRMT] ELR Permit 11/28/2007 $75.00 [TAX] 8% State Surcha 11/28/2007 $6.00 REQUIRED ITEMS AND REPORTS Total $81.00 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 .' - que s - i NC at 503.246.6699 or 1.800.332.2344. J Issue. By: , al Oa JA ,, I � Permittee Signature: ■ 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. Electrical Permit Annhicatio FOR OFFICE USE ONLY 'EC EI�/E Received r City of Tigard Date/B . / t / Pennrt No. l 1 + • ? 13125 SW Hall Blvd., Tigard, OR 97223 y C NOV 2 , " 2001 P lan Review Other Permit Phone: 503.639.4171 Fax: 503.598.1960 Date/By. Page 2 for TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD GARD Notified/Method r (� Supplemental S Information Internet: www.tigard- or.gov TYPE OF w - DING DIVISION PLAN REVIEW ❑ New construction ® Addition/alteration/replacement Please check all that apply (submit 2 sets of plans whtems checked below) ❑ Service or feeder 400 amps or more ❑ Building over three stones ❑ Demolition ❑ Other: where the available fault cui rut ❑ 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 ❑ 1- and 2- family dwelling ® Commercialindustrial ❑ Accessory building amps for all other mstallatrons buildings ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump ❑ Installation of 75 KVA or ❑ Emergency system- larger separately denved system. JOB SITE INFORMATION AND LOCATION ❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ", Job no.: 3240 Job site address: 00400 SW WASHIGTON SQUARE RD 1001-IP or more occupancy ❑ Six or more residential units ❑ Recreational vehicle parks. City/State/ZIP: T IGARD OREGON ❑ Health -care facilities ❑ Supply voltage for more than ❑ Hazardous locations 600 volts nominal Suite/bldg. /apt. no.: LO1B Project name: FAST FIX ❑ Service or feeder 600 amps or more FEE SCHEDULE Cross street/directions to job site: matron I Q 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 1 Tax map/parcel no.: Limited energy, residential DESCRIPTION OF WORK ( with above sq ft ) 75.00 2 Limited multi-family CONTROL CIRCUIT FOR VAV BOX (HVAC) residential above sq ft.) 75.00 2 Services or feeders installation, alteration, and/or relocation - 200 amps or less 80.30 2 ❑ PROPERTY OWNER I ® TENANT 201 amps to 400 amps 106.85 2 Name: FAST FIX JEWELRY AND WATCH REPAIRS 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: 09499 SW WASHIGTON SQUARE RD Over 1,000 amps or volts 454.65 2 City /State/ZIP: TIGARD OREGON 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, Qer panel Owner signature: Date: A. Fee for branch circuits with ® APPLICANT I ► CONTACT PERSON above service or feeder fee, 6.65 2 each branch circuit Business name: ARROW MECHANICAL B. Fee for branch circuits Contact name: ART / CAMERON without service or feeder fee, 46 85 2 first branch circuit Address: 10330 SW TUALITIN RD Each add'l branch circuit 6.65 2 Miscellaneous (service or feeder not included) City/State/ZIP: TUALITIN OREGON 97062 Each manufactured or modular 90.90 2 dwelling, service and/or feeder Phone: (503) 692 - 1565 Fax: : (503) 691 - 1879 Reconnect only 66.85 2 E Pump or irrigation circle 53.40 2 CONTRACTOR Sign or outline lighting 53.40 2 Signal panel, or limited -� Business name: ARROW MECHANICAL energy panel, alteration, or Address: 10330 SW TUALITIN RD extension. Describe: , Page 2 2 City/ State/ZIP: TUALITIN OREGON 97062 Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: (503) 692 -1565 Fax: (503) 691 -1879 . Investigation per hour (1 hr mm) 62.50 CCB Lic.: 5193 Electrical Lic.: 34 -47CLE Suprv. Lic.: 930 LEB Industrial plant per hour 73.75 �, �° ELECTRICAL PE FEES Suprv. Electrician signature, required: 4 (Z i k ` l 4 4, Subtotal: Print name: /� ,0 r Dg Plan review (25% of permit fee): RoBEQr r, w� ..5-ht �� ./al ' r15) State surcharge (8% of permit fee): Authorized signature TOTAL PERMIT FEE: � I 0 0 , 2 © has b This permit application expires a permit is not t wtthin 180 Print name: ((( /� ' /1' e � � Date: //' days after it has been accepted as s coo mpletplet e. . CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR2007.00439 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/280007 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 12126/2007 TIME: 7:06Am PAGE: 12 SITE ADDRESS: 09607 SW WASHING1 ON SQUARE RD L01 B CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: FAST FIX JEWELRY DESCRIPTION: Low voltage Ior HVAC. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: ARROW MECHANICAL PHONE #: 503 -692 -1565 • Inspection Request Scheduled For: Date: 12/26/2U07 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 062112 -02 503.504 -3508 N Corrections /Comments/ Instructions: C1 Il PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: (669 Date: tZ' ' Isi Phone #: (503) 718- Z