Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00081
I 6' DEVELOPMENT SERVICES DATE ISSUED: 4/14/2006
13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09610 SW WASHINGTON SQUARE RD G -1 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG
Project Description: TI Electrical
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: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 30 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 ADVANCED WIRING SERVICES INC
BY THE MACERICH COMPANY PO BOX 644
9585 SW WASHINGTON SQUARE RD CLACKAMAS, OR 97015
TIGARD, OR 97223
Phone: Contact #: PRI 503 - 310 -3655
FAX 503 - 698 -6372
FEES
Description Date Amount Reg #: ELE C7
[ELPRMT] ELC Permit 4/14/2006 $279.80 LIC 162591
[TAX] 8% State Surcharge 4/14/2006 $22.38 SUP 4675S
Total $302.18 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- S 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:
�r ONTRA T!• INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: i DATE: 6 / 4
LICENSE NO: 4 7 1 e7S S'
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.
..- r'Electrical Permit Application . FoR`QF`l icE [ISE ON ..
City f Tigard Rece
� / ermit N
lig ' ° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review � �� 6� 24;101
' C Phone: 503.639.4171 Fax: 503.598.1960 Date/By Other Permit
I GAR() Inspection Line: 503.639.4175 Date Ready/By ® See Page 2 for
Internet: www.tigard Notified/Method ) I G Supplemental Information
' TYPE OF WORK _ - - PLAN REVIEW
p j New construction ❑' Addition/alteration/replacement Please check all that apply:
CI Demolition ❑Other: ❑Service over 225 amps, comm'I 0 Hazardous location
['Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft.,
CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential
❑ 1 - and 2 family dwelling isi Commercial /industrial ❑ Accessory building ['System over 600 volts nominal units in one structure
❑ Multi family ❑Master builder ❑Other; 0 Building over three stories ❑Feeders, 400 amps or more
❑Occupant load over 99 persons ❑Manufactured structures or
JOB SITE `INFORMATION- AND LOCATION 0 Egress/lighting plan RV park
Job no.:��jO _ Job site address: 91(A0 5 G, CG/ , , CG/, f /z1 ❑Health care facility ❑ er
Submit 2 sets of plans with any of the above.
City/ State/ZIP: cable to temporary construction service
ry�iZ T he above are not a pplicable
SCHEDULE
Suite/bldg. /apt. no.: Project name: /tie't° , 4i, dcs Description I Qty. I Fee. I Taal I "
Cross street/directions to job site: New residential single- or multi- family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145 15 4
Subdivision: Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential 75.00 2
Limited energy, non - residential 75.00 2
DESCRIPTION OF WORK , Each manufactured or modular
dwelling, service and/or feeder 90.90 2
/1/e't/ TI Services or feeders installation, alteration, and/or relocation
200 amps or less I 80.30 00. 2
❑ PROPERTY OWNER I . ❑ TENANT ' 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
Name: 601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 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 600 amps 133.75 2
Owner signature: Date: Branch circuits — new, alteration, or extension, per panel
❑ APPLICANT I -- • ❑ CONTACT PERSON . A. Fee for branch circuits with
service or feeder fee, each 6.65 2
Business name: branch circuit
Ca / B. Fee for branch circuits
Contact name: XL9n / 1� 1 H / ti without service or feeder fee, l first branch circuit 46.85 2
Address: ,' ' 3cx 6yY Each add'I branch circuit 3O 6.65 01 6 j'-' 2
City/ State/ZIP: Mielm.,v7 f 970/5 Miscellaneous (service or feeder not included)
— ](3) a
Phone: (may) g ; _�c Fax: : (1M (13702 Pump or irrigation circle 53.40 2
1 > � !/ r/ Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited -
CONTRACTOR energy panel, alteration, or
extension. Describe: 3 Page 2 22..5 2
Business name:
Address: Each additional inspection over allowable in any of the above
Per inspection 62.50
City/State/ZIP: Investigation per hour (I hr nun) 62.50
Phone: ( ) Fax: (o3) 6 63 72 Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES*
CCB Lic.: / 6. ? / Electrical Lic.• C 7 Sup v. Lic.: yG) Subtotal 21, ? •
Suprv. Electrician signature, required: // Plan review (25% of permit fee):
Print name: /� G h Date: 7 't�� G State surcharge (8% of permit fee): �! . 3�
St/7n i R f, TOTAL PERMIT FEE 0 2 . g
Authorized signature: This permit application expires if a permit is not obtained within ISO
days after it has been accepted as complete
Print name: Date: • Fee methodology set by Tn- County Building Industry Service Board
•• Number of inspections per permit allowed �f�
I \Building\Pamns\ELC- PamitApp.doc 0323 /06 440-4615T(I1 /05 /COM/WEB J L{ 5.
Jf
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK ONLY:
Fee for all residential systems combined $75.00
Check Type of Work Involved:
o S y
❑ Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
❑ Vacuum Systems*
El Other:
COMMERCIAL WORK ONLY:
Fee for each commercial $75.00
system
(SEE OAR 918- 260 -260)
Check Type of Work Involved:
74 Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
7 ,.;,1 Data Telecommunication Installation
❑ Fire Alarm Installation
El HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
El Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
[gt Other C-I✓V
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
l.\Building\Pmmb\ELC- PamitApp doc 03/23/06
CITY OF TIGARD - .; .
BUILDING DIVISION PERMIT #: ELC2006•00081
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 41/4/2006
Phone: (503) 639 -4171 kw ,
Inspection Requests (24 Hrs.): (503) 639 -4175 R_
INSPECTION WORKSHEET FOR DATE: 5/17/2006 TIME: 7:06AM PAGE: 44
SITE ADDRESS: 09610 SW WASHINGTON SQUARE RD G -1 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: YANKEE CANDLE
DESCRIPTION: 11 Electrical. 5/15/06, ADDING (3) LOW VOLTAGE SYSTEMS, AUDIO/ STEREO.), DATA R CCTV.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: ADVANCED WRING SERVICES INC PHONE #: 503 - 310 - 3655
Inspection Request Scheduled For: Date: 5/17/2006 Pour Time:
Inspection Description Confirm # Contact # Message
19 Electrical final 03002B-01
503 - 833 2.980 N
Corrections/Comments/Instructions:
C
' c ,
X PASS .❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
' ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
I ' Z'1l
� �
Inspector: " Date: 1 7 6b Phone #: (503) 718- 7'0
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006- C<J081
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/14/2006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/15/2006 TIME: 7:04AM PAGE: 90
SITE ADDRESS: 09610 SW WASHINGTON SQUARE RC) G - 1 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: YANKEE CANDLE
DESCRIPTION: 11 Electrical
OWNER: WASHINGTON SQUARE t_LC, PHONE #:
CONTRACTOR: ADVANCED WRING SERVICES INC PHONE #: 503 - 310 - 3655
Inspection Request Scheduled For: Date: 5/15/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 029856 - 01 603 - 1333.2980
Corrections /Comments/ Instructions:
1
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: v 4'1 1\g56 Date: s I 66 Phone #: (503) 718 - V-V-I6
CITY OF TIGARD
BUILDING DIVISION PERMIT #: EL C2006-00N11
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/14/2006
Phone: (503) 639 -4171 yaw
Inspection Requests (24 Hrs.): (503) 639 -4175 s' ,1111'
INSPECTION WORKSHEET FOR DATE: 5/4/2006 TIME: '7:00AM PAGE: 68
SITE ADDRESS: 09610 SW WASHINGTON SQUARE RD G -1 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: YANKEE CANDLE
DESCRIPTION: TI Electlical
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: ADVANCED WISING SERVICES INC PHONE #: 503-310-3E-65
Inspection Request Scheduled For: Date: 5/4/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
-- c'�- Electrical rough -in 029224 -01 603-833.2!..180 N
I ZS- WC\ LL. 1:51\113
,�
Corrections/Comments/Instructions:
• PARTIAL APPROVAL El CANCEL ❑ NO ACCESS
• FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: v n 2 1 Lk Date: 51 6 Phone #: (503) 718- 1.4141.
CITY OF TIGARD ,
BUILDING DIVISION PERMIT #: ELC20O6 -00001
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4114/2000
Phone: (503) 639 -4171 `�'°' I
Inspection Requests (24 Hrs.): (503) 639 -4175 .. ' I—
INSPECTION WORKSHEET FOR DATE: 4/20/2006 TIME: 7:04AM PAGE: 77
SITE ADDRESS: 09610 Sl+VWASt1INGTON SQUARE RD G- CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: YANKEE CANDLE
DESCRIPTION: TI Electrical
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: ADVANCED WIRING SERVICES INC PHONE #: 50.3
Inspection Request Scheduled For: Date: 4/2012006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
105 Underground /slab cover 028337 -01 503 -310 365 N
Corrections/Comments/Instructions:
A PASS Q PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: GAR U 8 L Date: LI 26 04 Phone #: (503) 718- Ali&