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Permit r C ITY OF TIGARD J ELECTRICAL PERMIT PERMIT #: ELC2006 -10060 DEVELOPMENT SERVICES I > DATE ISSUED: 7/17/2006 13125 SW Hall Blvd., Tigard, OR 97223 503-639-4171 PARCEL: 1S12600 -00300 SITE ADDRESS: 09624 SW WASHINGTON SQUARE RD G -7,8 ZONING: C -G SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG Project Description: (6) 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: 0 PER INSPECTION: 201 - 400 amp: 0 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 5 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 ELECTRICAL DIMENSIONS INC BY THE MACERICH COMPANY PO BOX 12146 9585 SW WASHINGTON SQUARE RD 3961 N WILLAMS AVE TIGARD, OR 97223 PORTLAND, OR 97212 Phone: Contact #: PRI 503 -282 -7255 FAX 503 - 280 -1619 FEES Description Date Amount Reg #: ELE 26 - 432C [ELPRMT] ELC Permit 7/17/2006 $80.10 LIC 44008 [TAX] 8% State Surcharge 7/17/2006 $6.41 SUP 2964S Total $86.51 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: A i Permittee Signature: __3_171Q. t 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. �l�) i .i1 -_� . }1ectrical Permit ' - 1 ea • �l D / . v FOR OFFICE USE ONLY ' City of Tigard Received �� v / _ .�TlJ (p - / Ot/� 13125 SW Hall Blvd , Tigard, OR 97223 Plan Revie Date/By f4 Permit No Phone 503 639 4171 Fax 503 598 1960 ii di Other Permit -` 1 i I Date /By Inspection Line: 503.639 4175 N _ Date Ready /By 17 1 ® See Page 2 for Internet www ci.tigard or us Ci I Y 0r 1 I V '''' " i Notified/Method Supplemental Information 13 W ORK !(��I PLAN VIEW ❑ New construction ® Addition/alteration/replacement Please check all that apply ❑ Demolition ❑ Other: ❑Service over 225 amps, comm'l ['Hazardous location EService 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 ® Commercial /industrial ❑ Accessory building ['System over 600 volts nominal units in one structure ❑ Multi family ❑Master builder ❑Other: ❑Building over three stories ❑Feeders, 400 amps or more ❑Occupant load over 99 persons ['Manufactured strut tures or JOB SITE INFORMATION AND LOCATION ®Egress /lighting plan RV park Job no.: Job site address: 9624 SW WASHINGTON SQUARE ❑Health -care facility ['Other Submit 2 sets of plans with any of the above t City/State /ZIP: TIGARD, OR 97223 The above are not applicable to temporary construction service FEE* SCHEDULE Suite/bldg. /apt. no.: G7 & G8 Project name: ANN TAYLOR Description I Qty. I Fee. row 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 I Tax map /parcel no.: Limited energy, residential 75 00 2 Limited energy, non - residential 75.00 2 DESCRIPTION OF WORK Each manufactured or modular INTERIOR REMODEL OF EXISTING RETAIL TENANT SPACE IN MALL dwelling, service and/or feeder 90.90 2 Services or feeders installation, alteration, and/or relocation FOR EXISTING "ANN TAYLOR" STORE. 200 amps or less 80 30 2 ❑ PROPERTY OWNER ® TENANT 201 amps to 400 amps / 106 85 /04 f 6 2 401 amps to 600 amps 160 60 2 Name: ANN TAYLOR 601 amps to 1,000 amps 240 60 2 Address: 1372 BROADWAY -12 FLOOR Over 1,000 amps or volts 454 65 2 Reconnect only 66.85 2 City/State /ZIP: NEW YORK, NY 10018 Temporary services or feeders installation, alteration, and/or Phone: (212)536 -4359 Fax: (212)536 -4211 relocation 200 amps or less 66.85 I 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 ® CONTACT PERSON A. Fee for branch circuits with service or feeder fee, each [ /� Business name: ANN TAYLOR branch circuit X01 6 65 1 l B. Fee for branch circuits Contact name: SARAH NIELSEN without service or feeder fee, 46 85 2 Address: 1120 EAST 80 STREET -SUITE 211 first branch circuit Each add'I branch circuit 6 65 2 City/State /ZIP: BLOOMINGTON, MN 55420 Miscellaneous (service or feeder not included) Phone: (800) 541 -0821 Fax: : (952) 854-4909 Pump or irrigation circle 53 40 2 Sign or outline lighting 53 40 2 E -mail: sarah @elderjones.com Signal circuit(s) or limited- CONTRACTOR D a (-' f .- 1-1 energy panel, alteration, or extension Describe: Page 2 2 � Business name: C �`�Rr.C�-L .1 64 J r ) flYS Address: 7Jg6 r 4ais 4v6._. Each additional inspection over allowable in any of the above Per inspection 62.50 City/State/ZIP: pc RT O I la7 Investigation per hour (I hr mm) 62 50 Phone: ( ) 2. 2 ,Z.b5 Fax: (TD3 )2TO— // / t� Industrial plant per hour 73 75 [ C9 ELECTRICAL PERMIT FEES* CCB Lie.: ' d a i t i Electrical Lic. G - 43 Suprv. Lic.: . S Subtotal !' t Y O Suprv. Electrician signature, required: 411F / , ___--(� Plan review (25% of permit fee) ,----- Print nameT 1 03 �Q ,P S [ra_ Date: 07/ 1-1/14/f State surcharge (8% of permit fee) TOTAL PERMIT FEE t 4;4 Authorized signature: This permit application expires if a permit is not ob mea e.w.....w 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. M O L' Cli i I / CITY OF TIGARD . A 1 BUILDING DIVISION PERMIT #: ELC200 &10060 13125 Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/17/2006 Phone: (503) 639 -4171 R 'IlIt Inspection Requests (24 Hrs.): (503) 639 -4175 =� � INSPECTION WORKSHEET FOR DATE: - f0112/2006 TIME: 7 :01AM PAGE: 29 SITE ADDRESS: 09624 SW WASHINGTON SQUARE RD G - 7,8 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: ANN T AYL_ R DESCRIPTION: (6) branch circuits. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: ELECTRICAL DIMENSIONS INC PHONE #: 503 - 282 -7255 Inspection Request Scheduled For: Date: 10/12/2006 Pour Time: Code # Inspection Descripti. Confirm # Contact # Message 199 Electrical final 038095 -01 503. 209-2129 Y . Corrections /Comments /Instructions: ` tioct3 • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: . tIv (IES . Date: i V( J ob Phone #: (503) 718- !!! 6 CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2006 -10060 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/17/2006 Phone: (503) 639 -4171 :vault Inspection Requests (24 Hrs.): (503) 639 -4175 .. INSPECTION WORKSHEET FOR DATE: 10/2/2006 TIME: 7:03AM PAGE: 45 SITE ADDRESS: 09624 SW WASHINGTON SQUARE RD 0 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: ANN TAYLOR DESCRIPTION: (6) branch circuits. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: ELECTRICAL DIMENSIONS INC PHONE #: 503 -282 -7255 Inspection Request Scheduled For: Date: 10/2/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 130 Ceiling cover 037481 -01 503 -282 -7255 Y Corrections /Comments /Instructions: Viet) 1.4_, VN► C , cob'; Rego ftle-)q 463 1S1 cs)0 ®vTr ertAk&L • ❑ PASS XPARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL •❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ' • N b Ca Date: * Phone #: (503) 718- Mgt . CITY OF TIGARD BUILDING DIVISION PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: ELC1006 Phone: (503) 639-4171 ill 7/'17/ 2000 Inspection Requests (24 Hrs.): (503) 639 -4175 ,..' F. _.. INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 8114t2Of?8 7.81 Alva 6 i SITE ADDRESS: CLASS OF WORK: SUBDIVISION: 096 SW WASHINGTON SQUARE RD 0:134: TYPE OF USE: PROJECT NAME WASHINGTON SQUARE DESCRIPTION: ANN TAYLOR ( branch circuits. OWNER: PHONE #: CONTRACTOR: WASHINGTON SQUARE LLC. PHONE #: ELECTRICAL DIMEN'.:31 INC 503- 2112.72G5 Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm� 1200E Contact # Message 125 Wall cover 034882 -01 503- 209.3771 N Correc •ns /Comme is • - • ions: 't' 144 • ta,PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718- CITY OF TIGARD _ BUILDING. DIVISION - PERMIT #: ELC200 &10060 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/171 ?006 Phone: (503) 639 -4171 1 Inspection Requests (24 Hrs.): (503) 639 -4175 . ': `- INSPECTION WORKSHEET FOR DATE: 7/31/2006 TIME: 7:06AM PAGE:` 66 SITE ADDRESS: 09624 SW WASHINGTON SQUARE RD G -7,8 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: ANN TAYLOR DESCRIPTION: (6) branch circuits. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: ELECTRICAL DIMENSIONS INC PHONE #: 503.282 -7256 Inspection Request Scheduled For: Date: 7/31/2006 Pour Time: Code .# Inspection Description, Confirm # Contact # Message 130 Ceiling cover 034023 -01 503 -2.82 -7255 Y Corrections /Comments /Instructions: (cvt `UL- wOR N Ot S kcs I to 041 Nu. e )t1/40b-,5 „ woag. &1 V4tr.cE%, PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: C'�• N kw) Ls Date: 3 I t Phone #: (503) 718 -