Permit r
CITY TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00262
Ali
DEVELOPMENT SERVICES DATE ISSUED: 4/19/2005
��' I " 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09642 SW WASHINGTON SQUARE RD G -12 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG
Project Description: (30) 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: 29 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: Phone: 503 - 639 -4627
FEES Reg #: LIC 37410
Description Date Amount SUP 1816S
ELE 34 -13C
[ELPRMT] ELC Permit 4/19/2005 $239.70
[TAX] 8% State Surcharge 4/19/2005 $19.18 REQUIRED ITEMS AND REPORTS
Total $258,88
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: f P � Permittee Signature: S Q.. � A \?,.R
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.
'b Y
Ele t4cal Perm A \ FOR OFFICE USE ONLY
City of Tigard .
REC Iteeeivea p ,�Q Pest No.: ,�/ 1
13125 SW Hall Blvd., Tigard, OR 97223 ® DatrJBy: `� -/7 Q� y� 1� 6147 ) otzt.2
Phone: 503.639.4171 Fax: 503.598.1960 /, , :r; ...... :M _ . ; \ Plan Review
P; s i n i Date/By: Other Permit:
Inspection Line: 503.639.4175 APR -•1 { � r =!!!:
„ Date Ready/By: Jun f � H See Page 2 for
Internet www.ci.tigard.or.us Notified/Method: T I 0- - Supplemental Information
^u 4` i r:7P Y4. { c +�7c �, �--`a•'a 1 7i - x " ' _ a . \1 ... +fi " -4, ,0 s"1.7 * ,
-4 7 v >iJ r ' W`K v . ' s t 1 h 5 s - L J "�f �.. �'k � !£ �' .i t r gaF S ra ,1•-'•. �� � + - -i 4-( . � � ! " +� "r
cry �,v ...�.x.:_�� 1_._5. _ z .. ? !! 4 6 .. .�? % y' w�._I.S.ai.- � fi t_ v 4 _ d r� :,'-t' � m. y5� fl „ti; �,� +' � -
❑ N - .. Woe . 1 III ® • • . 1 , , .l t - W a i - ti " i : ' f � 1 - I Please check all that apply: •
❑ Demolition ID Other: ['Service over 225 amps, comm'l ['Hazardous location
4 u 1 /r , *, . , - , - ,,� . 1 �zk �4 ,, ['Service over 320 amps -rating ❑ Buildng over 10,000 sq.
l r ' r '- r ,- a a t �F + z ip �� r: r-. ., , o I and 2 -famil dwellin 4 or more slew residentia
❑ 1 and 2 family dwelling ® Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in on_e structure
❑multi-family ❑ Master builder ❑Other ['Building over three stories ❑Feeders, 4400 amps or me
['Occupant load over 99 persons ❑Manufactunred structures
1 . a'.3 u7 "` l , 4 " Y+z - J �?� I stic� �' , a z TM i s iR. ' f - ❑ Egress /lightingplan RV park
Job no.: 62913 Job site address: 9642 SW WASHINGTON SQUARE R II ❑Health -care facility ['Other:
Submit 2 sets of plans with any of the above
City/State/ZIP: TIGARD OR 97223 The above are not applicable to temporary constru ction service.
Suite/bldg./apt. no.: G12 Project name C ACHE r '' ' -g . -- a '. ' m g' t t a,c *. = , *: .
��.._�.._� _,..., -- - -.mot _ G , -- --= _ -.-
Description Qty. Fee. Total
Cross street/dlrections to job site: New residential single- or multi- family dwelling unit.
Includes attached garage.
1,000 sq. R or less 145.15
Subdivision: Lot no.: Ea. add'l 500 sq. ft. or portion 33.40
Limited energy, residential 75.00
Tax map /parcel no Limited energy, non - residential 75.00
,:t,- � : ,< F- ',., ....: _-5., '....:n 1. _ . 2 ' --riA' , ' ";K.0.1 Each manufactured or modular
TENANT IMPROVEMENT dwelling, service and/or feeder 90.90'
Services or feeders installation, alteration, and/ or relocation
200 amps or less 80.30
a - V •� � l Itz -te a 201 amps to 400 s 106.85
'� s, v ! `F
; .. �^ " " x ' " t1 ,
� 5 .Sl 9 l:' r �F ` t 401 amps to 600 amps 160.60
Name: 601 amps to 1,000 amps 240.60
Address: Over 1,000 amps or volts 454.65
Reconnect only 66.85
City/State/ZIP: Temporary services or feeders installation, alte ration, and/oi
Phone: ( ) Fax: ( ) relocation
200 amps or less 66.85
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
<Y �T u tFy '-t .} f �", ,i f t'i _-,'. , 1j: ft. r f' c y ` i t " . tt t3r7'S? A. Fee for branch circuits with
t i_t}S` _ `2 r L +ai _....IEs L1 .14_ J ' lx , t+. u� _ 51', .ii_ I:L. ` s •P•0 " - 41- a. e t1 ._z7 a�, .y - ' oz:ci r i,;
serv or feeder fee, each 6 65
Business name: branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee, 1 46.85 46.85
Address: each branch circuit
Each add'l branch circuit 29 6.65 192.85
City/State/ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) Fax: : ( ) Pump or irrigation circle 53.40
Sign or outline lighting 53.40
E-mail: Signal circuit(s) or limited -
H S'i - k °'k'F+i� . AS -74: , + 3 Yc h Sri c i } '`a^ fc "- • t4F- FA5,:.; bF'' energy panel, alteration, or
___��.- _ �? .�� +r�r_a:� °E��� s�. i extension. Describe: Page 2
Business name: FRAHLER Fl FCI'RIC COMPANY
Address: 11860 SW GREENBURG ROAD Each additional inspection over allowable In any of the abov
Per inspection 62.50
City/State/ZIP: TIGARD OR 97223 - -- Investigation per hour (l hr min) 62.50
Phone:( 503) 639 -4627 Fax:( 639 -4673 Indusinal plant per hour 73.75
CCB Lic.: 37410 Electrical Lic.: 34 -13C Suprv. Lic.: 1816S Subtotal 239.70
-
Suprv. Electrician signature, d: , �� Plan review (25 °(o of permit fee)
State surcharge (8% of permit fee) 19.18
Print name: R. W. FRAHLER Date: 04/18/05 TOTAL PERMIT FEE
Authorized signature: 258.88
� This perm app expires If a permit is not obtained within IE
days after it has been accepted as complete
Print name: Date: • Fee methodology set by Tri -County Building Industry Service Board
•• Number of inspections per permit allowed.
i' lBuuldngiPamitslffi.C-PernritApp.doe 12/03 440- 46157(10 /02/COM/WEB
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
Fee for all residential systems combined ... $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning • '
System*
❑ Vacuum Systems*
❑ Other: •
S6"3.,11I �' i pp f fCLL� ^ ° S flay c�'Yr i4 F x ��
L�31 Y ts
Fee for each commercial system $75.00
(SEE OAR 918 - 260 -260)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC _ , ..., . _ . _
❑ Instrumentation -
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
el3404ineermiesUILC-raznirapp.aa 04/03
CITY OF TIGARD >. .
BUILDING DIVISION PERMIT #: ELC2005 -00262
13125 SW Hall Blvd., Tigard, OR 97223 . . DATE ISSUED: 4/19/2005
Phone: (503) 639 -4171 gym„, „pi,hri� �,
Inspection Requests (24 Hrs.): (503) 639 -4175 . ' AL
INSPECTION WORKSHEET FOR DATE: 6/9/2005 TIME: 7:09AM PAGE: 77
SITE ADDRESS: 09642 SW WASHINGTON SQUARE RD G -12 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: .
PROJECT NAME: CACHE
. DESCRIPTION: (30) branch circuits.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: FRAHLER ELECTRIC CO PHONE #: 503 - 639 -4627
Inspection Request Scheduled For: Date: 6/9/2005 Pour Time: •
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 00882501 503- 639 -4627 N
Corrections /Comments /Instructions: G
N, • z- .
(cc:
•
Tq,PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: //1 G--� -, Date:' ' Phone #: (503) 718-
.