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Permit
CITY O 1 TIGARD GAR® - ELECTRICAL PERMIT PERMIT #: ELC2007 -00406 COMMUNITY DEVELOPMENT DATE ISSUED: 6/15/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S12600-00300 SITE ADDRESS: 09620 SW WASHINGTON SQUARE RD G -6 ZONING: C -G SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG PROJECT: MARK'S HALLMARK Project Description: TI - (31) branch circuits. 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: 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 FRAHLER ELECTRIC CO BY THE MACERICH COMPANY 11860 SW GREENBURG RD 9585 SW WASHINGTON SQUARE RD TIGARD, OR 97223 TIGARD, OR 97223 Phone: Contact #: FAX 503 - 639 -4673 PRl 503- 639 -4627 FEES Description Date Amount Reg #: ELE 34 -13C [ELPRMT] ELC Permit 6/15/2007 $246.35 LIC 37410 [TAX] 8% State Surcharge 6/15/2007 $19.71 SUP 1816S Total $266.06 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 B ' // / i A Z] /� / Permittee Signature: :2.a. ,47f 1f ('/ ' fl 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 Application � FOR OFFICE USE ONLY City of Tigard - :9 e/}3 'ived y . W5/6 S PerrmtNo. C 2/0q _ CO[�(0 II • 13125 SW Hall Blvd., Tigard, OR 97223 ' ,- . d ) Plan Review `��►► �w Phone: 503.639.4171 Fax: 503.598.196`7 C 1 007 Date/By Other Permit. T I G A It D Inspection Line: 503.639.4175 eUI r O F- i - ! , Date Ready/By t ^ ® See Page 2 for Lnternet: www.tigard- or.gov �`D ldr ^ �7 pitii ) Nottfied/Method: (� Supplemental Information TYPE OF WORK �dVV b�ll Al ©r � iS iO PLAN REVIEW ❑ New construction ® Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below). El Demolition ❑ Other: where Service or feeder 400 amps or more ❑ Building over three stories where the available fault current ❑ Marinas and boatyards CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings ❑ 1- and 2- family dwelling [3 Commercial/industrial ❑ Accessory building amps s o o r all other a exceeds 1 ns ❑ Commercial-use 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 ", "1 -2 ", "1 -3 ", Job no.: 64906 I Job site address: 9620 SW WASHINGTON SQUARE ROM 100HP or more. • occupancy ❑Six or more residential units. ❑ Recreational vehicle perks city/ State/ZIP: TIGARD OR 97223 ❑ Health -care facilities. 0 Supply voltage for more than ❑Hazardous locations 600 volts nominal Suite/bldg. /apt. no.: 1 1 Project name: MARK t S HALLMARK ❑ Service or feeder 600 amps or more FEE SCHEDULE Cross street/directions to job site: Bese iption I Qty. I Fes 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 75.00 2 DESCRIPTION OF WORK (with above sq. ft.) Limited energy, multi- family 75.00 2 TENANT IMPROVEMENT residential (with above sq. ft.) 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: 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: ( ) I 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 Owner signature: Date: Branch circuits — new, alteration, or extension, r panel A. Fee for branch circuits with ❑ APPLICANT I ❑ CONTACT PERSON above service or feeder fee, 6.65 2 each branch circuit Business name: B. Fee for branch circuits without service or feeder fee, Contact name: 46.85 46 2 first branch circuit Address: Each add'l branch circuit 30 6.65 199.5 2 Miscellaneous (service or feeder not included) City/State/ZIP: Each manufactured or modular dwelling, service and/or feeder 90.90 2 Phone: ( ) Fax: : ( ) Reconnect only 66.85 2 E - mail: Pump or irrigation circle 53.40 2 CONTRACTOR Sign or outline lighting 53.40 2 Signal circuit(s) or limited - Business name: FRAHLER ELECTRIC COMPANY energy panel, alteration, or Address: 11860 SW GREENBURG ROAD extension Describe: Page 2 2 City/ State/ZIP: TIGARD 1 OR 97223 Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: ( 503) 639 -4627 Fax: ( 503) 639 -4673 Investigation per hour (1 hr min) 62.50 CCB Lic.: 37410 Electrical Lie.: 34 -13C Suprv. Lie.: 1816S Industrial plant per hour 73.75 Suprv. Electrician signature, ELECTRICAL PERMIT FEES Subtotal: I 246.35 Plan review (25% of permit fee): Print name: R W. ER Date: 06/14/07 State surcharge (8% of permit fee): 19.71 Authorized signature: TOTAL PERMIT FEE: 266.06 This permit application expires if a permit is not obtained within 180 Print name: Date: days alter it has been accepted as complete. I: UBuildtug\Petnits\ELC -P i i 0523/06 44tw615Ttt tros/COM/WEB I L 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: ❑ Audio and Stereo Systems* El Burglar Alarm El Garage Door Opener* El 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: El Audio and Stereo Systems El Boiler Controls El Clock Systems El Data Telecommunication Installation El Fire Alarm Installation El HVAC El Instrumentation El Intercom and Paging Systems El Landscape Irrigation Control* ❑ Medical El Nurse Calls El Outdoor Landscape Lighting* El Protective Signaling El Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I•�BuiIdvgwam;u� 03/23/06 CITY OF TIGARD BUILDING DIVISION' PERMIT #: ELC2007 -00406 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/15/2007 Phone: (503) 639 -4171 i�ln Inspection Requests (24 Hrs.): (503) 639 -4175 . " :_ INSPECTION WORKSHEET FOR DATE: 7/30/2007 TIME: 7:02AM PAGE: 37 SITE ADDRESS: 09620 SW WASHINGTON SQUARE RD G -6 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: MARK'S HALLMARK DESCRIPTION: TI - (31) branch circuits. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: FRAHLER ELECTRIC CO PHONE #: 503-639-4627 Inspection Request Scheduled For: Date: 7/30/2007 Pour Time: Code # Inspection Description : firm • Contact # Message 199 Electrical final -- 052957 -01 503 - 639 -4627 N Corrections /Comments / Instructions: • • • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 1 l Phone #: (503) 718 - 24%- . CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007 -00406 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/15/2007 Phone: (503) 639 -4171 I Inspection Requests (24 Hrs.): (503) 639 -4175 ...'� 1L INSPECTION WORKSHEET FOR DATE: 7/27/2007 TIME: 7:03AM PAGE: 64 SITE ADDRESS: 09620 SW WASHINGTON SQUARE RD G -6 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: MARK'S HALLMARK DESCRIPTION: TI - (31) branch circuits. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: FRAHLER ELECTRIC CO PHONE #: 503 - 4627 Inspection Request Scheduled For: Date: 7/27/2007 Pour Time: Code # Inspection Description — Co y # Contact # Message 199 Electrical final 052878 -01 503 - 639 -4627 N Corrections /Comments /Instructions: PeAv I E fig. fl $ ,L - ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: v 1' V Date: • 1 1 ` /1 Phone #: (503) 718- VIA — . r CITY OF TIGARD BUILDING DIVISION' k,. PERMIT #: ELC2007- 00406 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/15/2007 Phone: (503) 639 -41714 Inspection Requests (24 Hrs.): (503) 639 -4175 �.. INSPECTION WORKSHEET FOR DATE: 7/25/2007 TIME: 7:02AM PAGE: 49 SITE ADDRESS: 09620 SW WASHINGTON SQUARE RD G - 6 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: MARK'S HALLMARK DESCRIPTION: TI - (31) branch circuits. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: F=RAHLER ELECTRIC CO PHONE #: 503 - 4627 Inspection Request Scheduled For: Date: 7/25/2007 Pour Time: Code # Inspection Description , = onfirm # Contact # Message 130 Ceiling cover 052698 -01 503- 639 -4627 Y - Q1A) Corrections /Comments /Instructions: • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED G— NOe� Inspector: Date: `I• . 2.-6 -- 0 1 Phone #: (503) 718- I A CITY OF TIGARD BUILDING DIVISION I , PERMIT #: ELC2007 -00406 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/15/2007 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639 -4175 I INSPECTION WORKSHEET FOR DATE: 7/24/2007 TIME: 7:00AM PAGE: 42 SITE ADDRESS: 09620 SW WASHINGTON SQUARE RD G -6 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: MARK'S HALLMARK DESCRIPTION: TI - (31) branch circuits. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: FRAHLER ELECTRIC CO PHONE #: 503 -639 -4627 Inspection Request Scheduled-For: Date: 7/24/2007 Pour Time: Code # Inspection Description e - ' • Contact # Message 130 Ceiling cover 0526B9-01 503 - 63 N Corrections /Comments/ Instructions: C S Vtpp MI A - ``_- z u ox 5 i N • 415 R4 V �� vww N eixtz ,jaa yvvanvt w i2► N t 4 114(5 CAN N6Y e,N� Yyae® u F R JiJ vjoIk0� U y 4 ) 1 . Ng. 0.3(6) pM C, w + ( L o • 'AN v6/ C k k u $ >C Ik5 rll` C, AIni (ZvpJ 'NSt csotul`P 1 Icy eolClo w;(ir:, �o X 0 7 ' c - o v 4 - - c cE a L ) wA 4 6a) de 0 0 F0ti vo► cc ► ,� v ; ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS yz FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: v e Noe Le . Date: ill-9101 Phone #: (503) 718- 140 T \ / /��� R CITY OF ■ IGA■ ■® t • BUILDING DIVISION tiix PERMIT #: ELC2007 -00406 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/1512007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/10/2007 TIME: 7:00AM PAGE: 44 SITE ADDRESS: 09620 SW WASHINGTON SQUARE RD G - 6 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: MARK'S HALLMARK DESCRIPTION: TI - (31) branch circuits. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: FRAHLER ELECTRIC CO PHONE #: 503 - 639.4627 Inspection Request Scheduled For: Date: 7/10/2007 Pour Time: Code # Inspection Description - . # Contact # Message 125 Wall cover 051707 -01 ` 503-639.4627 Y' Corrections /Comments / Instructions: pir S 700S. Fc 0 -' k (v-t• LAII)s woeu oNL' t No 1 b sic �►..) q A F1 Cite ALANty4 . c . ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED hn Inspector: Cam' LE'. Date: _ 0 Z 1 Phone #: (503) 718- Iiik•