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Permit
, 1 CITY OF TIGARD ELECTRICAL PERMIT 1 4 0 COMM UNITY DEVELOPMENT Permit #: ELC2009-00115 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 03/10/2009 Parcel: 1S1260000300 Jurisdiction: Site address: 9631 SW. WASHINGTON SQUARE RD FCO3 Subdivision: Lot: 0 Project: RUBY THAI KITCHEN Project Description: Install (5) branch circuits Owner: FEES WASHINGTON SQUARE LLC Quantity Description Date Amount BY THE MACERICH COMPANY, 9585 SW WASHINGTON SQUARE RD 5 crt Branch Circuits 03/06/2009 $73 45 wo /Purchase Service or PHONE: Feeder 1 ea 12% State Surcharge - 03/06/2009 $8.81 Electrical Contractor: PORTLAND ELECTRIC CONTRACTORS LLC P O BOX 1422 SANDY, OR 97055 PHONE: 503 - 501 -9064 FAX: 503 - 668 -1999 Type of Use: COM Class of Work: ALT Type of Const: Occupancy Grp: Total $82 26 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable law All work will be done in - - • • . _ . th approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days - ENTION Oregon • . requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952 -' 11 0 through OAR 952 -00 • 01 Yo ay obtain a copy of the rules or direct questions to OUNC by If 2' 6,6699 or 1 800 332.2344 1, - / I ued By: / — Permittee Signa ': _ , n , ( �-Y i� 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' Date: / /0 LICENSE NO. dt 7 y ((( 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. Mar 03 09 10:30p PORTLAND ELECTRIC 503 668 1999 p, - licat RECEIVE ical'ermit Ap l llectr rol( Orhl(1 l:a ii:N6.v City of Tigard Received MAR 0 4 2009-' /ue'�Y 3. ' Perim Nn� t C--Z039 — ( t • 13125 SW 11411 Filvd ., Tigard, OR 97223 1 k,n Review ' S _ Phone' 503.639.4171 I-ax' 503.-598.1960 Chher Perms' I Asa., T1 GARD inspection Line, 503,639.4175 ntc keady /u an pa page 2 fur CITY -OFTIG Y J — . If Interflel: wwW tig,'vd- nr.gov Ired/ metlwd tiupplemenrnl InfSrmation - II�9I�1� �NIS .� _ "1'YPF. OF PLAN RI VII.W ❑ New construction "• ® Ad(hhon /alteration /replaecmcnt Please check all that apply (aubuul 2 sci% anions w /items ehe,,ked below) -- ,. ❑ Demolition ❑ Other. ❑ Service or feeder 400 snips Or more ❑ Building over Three stones where the available fruh current ❑ Mann:* and boatvarde CATEGORY OF CONS'fRl l( - e ,aced& 10,000 amp :,l 150 volts or ❑ flnxnnp hmuld,ng,. - - 1 - and 2-family dwelling r Its, fo - round, Or t.cCuls 14.000 ❑ C •rs• oiz,CUlturad E ® Carnrnercial /induarial ❑ Accessory building amps for all n d,er rnmillnnons buildings. -❑ Multi-family ❑ Master builder ❑ Other: ❑ Fire pwup ❑ IaalaIlalron of 75 K VA or © JOB SITE INFORMATION AND LOCATION 'mergenev largttseparrrelydenvedw rm - ❑ Arid t of new ,motor load of ❑ ' A" "h" ' 1 2 i t" Job no.: Joh site address: 9631 SW Washington Square Rd. I(Mlltl' or more occupancy • -- . _ ❑ sea Of mu,c rv,rdential units ❑ RCCrN1Unh,l veh,el0 parks City /State/ZIP: Tigard. OR. 97223 ❑ I lcahh -cave fralrnex ❑ Supply volume for moss Ilan ❑ H.v.u,h,us Io iitiont non v,dls nominal - Suitc/bldg /apt. rlo,: FC-3 Project name: Rub 4Thai - ❑ serv, or feeder 600 amps or more 1 FF,F' SC'IIEDIII.F Cross street/directions to job sits: — ik = .r o "n 13�L -�_ I ' ---' - — S t r . kr. Tmal New residential single- or multi - family dwelling unit. Includes attached garage. - Subdivision. - lot no,: 1.000 so ft or less 14 5 1 S a I'Ilx map /parcel no. • Ea. add'I 500 sq. tt or pinion 33 40 1 Limited energy, rtidaitial 75.00 2 DESCRIPTION OF WORK (will' :above uq fl ) Reconnect steam tables, install R- recessed fixtures Limited lncrgy, molt - tamily 75.(10 residential (with above 11, Services or feeders installation, alteration, and /or relocation 200 amps or less 5030 2 ❑ PROPERTY OWNER - ❑ FENANT 201 amps to 400 amps 1 06.85 2 Name: 401 amps to 610 amps 160.60 2 601 amps to 1,000 amp, 240 60 2 Addn;ss: _ - _ Over 1,000 amps or volts 454 65 2 City /State /7. IP: Temporary services or feeders installation. Alteration, and /or _ relocation Phone: ( ) Fax: ( ) 200 amps or less 66x5 1 Owner installation: 'Phis installation i being made on p roperty that I own which 'i. not 201 amps to 400 rumps 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: D ate: - - - - -" • _ .-.-. - ice for branch circuits wrrlr - ❑ APPLICANT 1 0 CONTACT PERSON above service or feeder fee, - each bf:uthh circuit 6.65 2 Business name: - R Fcc for brunch circuits without scrvicc o r t cder fee, I 2 Contact nalne: 46 85 46 55 - •.,. __ tir51 branch circuit Address: 1'.ach add'I branch circuit 4 6 65 _ 26.60 2 Misccllaneolts� service or feeder not included) C'ily /State /ZiI': Each manufactured or modular _ 90 90 2 Phone: ( ) Fax: ) dwelhnh „ Service and /or feeder „ -- Reconnect only 66 85 2 R mai l: • -. Puinp or irrigation circle 53.40 2 CONTRACTOR - Sign or outline lighting, 53.40 2 Business name: Portland Electric Contractors 11.0 Signal errcuil(s) or limited. - - - energy Panel, alteration, or Address: 19127 Averill Pkwy extension Describe: Page 2 2 City /State /ZIP: Sandy, OR 9705$ - each additional inspection over allowable in any of the above Per inspection 62 ''hone: ( 503. ) 501 - 9061 lax: (503) 668 -1999 . 50 — _ investigation per trout (I lu oust) 62.50 C'CI) Lie.: 168887 1 Electrical Lie.: C -135 Suprv, Lie _ 3414S Industrial plant per hour 73 75 IN _ - -- - F:LF:( 1'RI(AL PELtM1I' FEES `itlprv, Electrician 5ifirtaturC, required: �� 45 Subtotal - 73, Print name' Don Taber an review (25% o fl of permit tbcl -- - - -- 1)ntc: 3 -3 09 i • •- -- State surcharge (12% of permit fee). R 81 Atit horized signature, -�,.. - ,.. TOTAL PERMIT III:: 52 26 Print name: I)on 'fiber Fate: 3-3-09 I hin permit application expires it a permit in not obtained within -J I da nttrr it hat been accepted an s piece, I WwWm lf4rrmwH I t - Poi • Nwnbur of n,Blwcuom, anuwi,•d pea' permit 6 r M Aoc (15125/05 445..45t 'TO I/0VCOM/WLu