Permit A/b,',14.1 CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2003 -00646
DEVELOPMENT SERVICES DATE ISSUED: 10/23/03
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
PARCEL: 1 S1 26C0 -01107
SITE ADDRESS: 09653 SW WASHINGTON SQUARE RD
SUBDIVISION: 0PK HINGTON SQUARE ZONING: C -G
BLOCK: LOT : JURISDICTION: TIG
Project Description: JOB NO. 92463 Tenant Improvement
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: 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:
PPR WASHINGTON SQUARE LLC OREGON ELECTRIC CONST /GROUP
BY THE MACERICH COMPANY 1010 SE 11TH AVE
9585 SW WASHINGTON SQ RD. PORTLAND, OR 97214
PORTLAND, OR 97223
Phone: Phone: 503 - 234 - 9900
Reg #: LIC 203
SUP 4460S
FEES ELE 26 -95C
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 10/23/03 $80.10
[TAX] 8% State Surcharge 10/23/03 $6.41 Elect'I Service
Elect'I Final
Total $86.51
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: Permit Signature: • ii / �� �
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 639 -4175 by 7:00pm for an inspection the next business day
OCT -21 -013 0427PM FROM-Oregon Electric Estimating 5032313587 T -137 P.001 /002 F -962
Electrical Permit Application " V
l,` OFFICE USE ONLY
A City of Tigard Date received: /0/A p Permit no-
• � f '��
dav3 -b
13125 SW Hall Blvd Project/2pol. no.: .� Expire date:
11.1A. Phone: (503) 639 -4171, FAX: (503) 598 -1960 Date issued: By: 'Receipt no.:
internet address: www- ci-tfgard.or.us Case f "• — • Pyment type;
24 -Hour Inspection Re. n - est 503 -639 -4175 _
in 182 family dwell - - -- a Commercial/industrial T 1_i i iie.family D Tenant improvement . ❑ New construction -El addition/alteration/replacement 0 Otner, ❑ Partial
JOB SITE INFORMATIO
Job Address 6 53 ;Washin • • n SC} Rd Bid.. No.: Suite no.: f4.-2.,A , Tax ma. /tax lot/account no.:
Lot: Block: Subdivision
Project Name: Picture People Description and location of work on premises: Picture People TI second floor
Estimated Date of completion/inspection:
Will au call for inspection within 24 hours? Yes ❑ NO i Project Contact Mark Weinbender 503 288 - 8450 Phone
CONTRACTOR APPLICATION FEE SCHEDULE
to: no,
Job No.: $2463 Descrption Qty Fee (ea.) Total • insp
NOW reafd s ingle ar
!
multi-family per dwelling unit
Business name: Orepon Electric Group tncluoea attached garage.
Service Included:
Address: 1010 SE 11th Ave. _ 1000 sa. R. or less $ 145,15 $ - 4
City: PortlandlState: OR Ea Adel 500 SF or Portion 3 33.40 $ - 1
Phone: (503) 234 -9900 Fax: (503) 234 -1001 1E -mall: Limited Energy,1 82 Family $ 75.00 $ - 2
CCB no,: 203 Elec. bus. tic, no.: 26 -95C Limited Energy, Muld- Family $ 75.00 $ - 2
Ci /metro lic, No.: 19
Each rnanufectvred home or
modular dwelling. Servir-0
a. - r A •;;6d.. „ inn , d it P te: 10/21/2003 pndlorfeeder, $ 90,90 $ - 2
v1
Su •. ' eat. Name b Service or Feeders -
- / a ice nse no; 4460S Installation, Alteration or
Relocation;
PROPEP. rOWNER 200 ant -s or ens $ 80.30, $ - ... 2
Name •rint : 2012mps- 400amps $ 106.85 $ - 2
MallIn$Address: I 4otamps- 600amps $ 160.60 $ - 2
City 1State: IZip: 6Otamps- 1000amps 5 240.60 $ - 2
Phone: Fax: 1E-mail Ovor 1000A or Volts 5 454.55 $ - 2
Owner Installation. The installation Is being made on property I own which Is ReCOnrocl Onl $ 66,95 $ - , or not intended for sale, lease, rent, or exchange according to ORS 447, 455, F - I p or - I S erv i ces nstatlatlon ,
F,
479, 670, 701. Alteration or Relocation:
Owner's Si nature; Date; 200 am a or less I 66,65 $ - 2
201amas 400empc 5 100.30 $ - 2
Name: Over 401 amps - 600amps , $ 133.75
$ 2
Branch Circuits - New.
Address! Alteration or Extension Per
Panel; A. Fee for Drench
City: _ State: Zip: circuits with purchase of service
Qrfooder fee, each branch
Phone: Fax: E -mall: circuit $ 6,65 $ - 2
B. Fee for branch circuits W /Out i
Purchase of Service or Feeder.
1St Branch Ckt 1 S 46.95 $ 4635 2
El Service over 225 amps -comrr ❑ Health-care facility Each additional branch circuit 5 $ 6,65 $ 3325
O Service over 320 amps - rating of ❑ Hazardous location Miscellaneous • (service or
feeder not Included)
1$2 family dwellings ❑ Building over 10,000 square feet four or Each pumperlrrinatlon circle S 53.40 $ - 2
❑ System over 600 volts nominal more residential units in one structure Each Sign Outline Lighting 5 53.40 $ - 2
❑ Building over three stories O Feeders, 400 amps or more Signal Clrcultts) or Limtted Energy
Panel Alteration or Extension'
❑ Occupant load over 99 persons ❑ Manufactured structures or RV park s 76.00 $ - 2
0 Egress/lighting plan ❑ Other: - oeacrrp0on:
Submit 2 sets of plans with any of the above.
The above are not applicable to temporary construction service. EachAdditlonal Inspection mot
RECEIVED the AllOwabfe In any of the
fler(�� B V ® Notice; This permit application Above. Per Inspection -
�® !! expires !f a permit !s nor S 62.50 g
obrolnad within 450 days errs' If Investigation fee:
OCT 2 has been accepted as complete. (Outer
1 1003 Permit Fee $80.10
Plan review 25% $0.00
CITY OF TIGARD State Surcharge 8% i $6,41 4.11
9
BUILDING DIVISION Total $86 - 59
� OCT -27 -03 10:46AM FROM-Oregon Electric Estimating 5032313587 T -188 P.002/002 F -026
CITY OF TIGARD / ' `�"'� � ELECTRICAL PERMIT
(f ERMIT #: ELC2003 -00646
� ,, DEVELOPMENT SERVICES OCT 2 ISSUED: 10/23/03
1 13125 SW Hall Blvd_, Tislard, OR 97223 (503) 2 00
�a 1 1 � � 3 PARCEL: 1S126C0 -01107
SITE ADDRESS: 09653 SW WASHINGTON SQUARE RD
SUBDIVISION: tVa ol-IINGTON SQUARE C GRolt. ZONING: C-G
BLOCK: LOT : JURISDICTION: T1G
Project Description: JOB NO. 92463 Tenant Improvement
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT UNE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAUPANEL:
MANF HMI SVC/ FDR: 601 +amps -1000 volts: MINOR LABEL (10):
SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: WISERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 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
f000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
PPR WASHINGTON SQUARE LLC OREGON ELECTRIC CONST /GROUP
BY THE MACERICH COMPANY 1010 SE 11TH AVE
9585 SW WASHINGTON SQ. RD. PORTLAND, OR 97214
PORTLAND, OR 97223
Phone: Phon 503 - 234-9900
eg LIC 203
SUP 4460S
FEES .. LE 26 -95C
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 10/23/03 $80.10
[TAX] 8% State Surcharge 10/23/03 $6 lect'I Service
Elect'I Final
Total $86.51
This Permit is issued subject to the regulations contain n Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws.
All work will be done in accordance with approved plans. 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)
2466699 or 1 -800 -332 -2344. --
Issued By: Permit Signature: s
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 639 -4175 by 7:00pm for an inspection the next business day
„OCT 27 - -03 10:46AM FROM — Oregon Electric Estimating 5032313587 T -188 P.001 /002 F -026
.- ,w
' • hahh `�•ni
ELECTKI; RECEIVED
' ECEIVE®
1010 SE 11 Avenue
Portland, OR 97214 , OCT 27 2003
CCI3# CITY OF TIGARD
503 - 2349900 BUILDING DIVISION.
503 - 234 -1001 (FAX) CITY OF TIGARD
BUILDING DIVISION
4
4t1
Fax
To: _ City of Tigard, Development From: Alan F. White
Services
Fax: 503 - 598-1960 Pages: 2 including cover
Phone: Date: 10/27/03
Re: CC:
❑ Urgent ❑ For Review ❑ Please Comment ® Please Reply ❑ Please Recycle
• Comments:
Our job for Picture People, in the Washington Square Mall, Suite M2A has been
cancelled. We would like to cancel and request a refund on the permit associated
with this job, Permit Number ELC2003 -00646_ Please credit VISA card Number
4246x0400 -0977 -7063, expires 04/06. The name on the card is Alan F White.
Tha , you,
turn- SC - 12D
Alan F White
/4/Z 7/o
e -ty-zet- 7 4 - 1/ 27--rue,„: