Permit •
^" ELECTRICAL PERMIT
IR CITY OF PERMIT #: ELC200700141
•
COMMUNITY DEVELOPMENT DATE ISSUED: 3/9/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09669 SW WASHINGTON SQUARE RD C3 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG
PROJECT: BROOKSTONE
Project Description: (14) branch circuits & (1) low voltage for phone /data.
Job #64688.
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: 1
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: 13 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
PRI 503- 639 -4627
FEES
Description Date Amount Reg #: ELE 34 -13C
[ELPRMT] ELC Permit 3/9/2007 $208.30 LIC 37410
[TAX] 8% State Surcharge 3/9/2007 $16.66 SUP 1816S
Total $224.96 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: �f+ Permittee Signature: � C-4 ��,e
OWNER INSTALLATION ONLY i\
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 A , s ION O F I IC L l 1: o' i_ x
city of Ti and re. P T a ce
; -._ Re _ :
13125 SW Hall Blvd., Ti I 40 • .0. � may - Q Permit No - /I 0
' Phone: 503.639.4171 Fax 503.598.1960 ,. other Pest
TIC; . I D Inspection Line: �
503.639.4175 ` ' O (1 200� Date Ready/By. . Jens: El See Page 2 for
Internet www.tigard- or.gov 1 '� Notified/Method SupplementalInformatien
ir..,y. �Fu '. "t � 71, 3-,.. .v.,:,--. i . - vks'r -, n ='::� .-s ^T' , .. r �X"�Y, �Ti �.
-'` .FL �"`c'" >"s ' ? . - ice"" - � -. :.,•, . s.
❑ New construction ® Additicl 6 em 1 Please check all that apply (submit 2 sets of plans wfitems t below):
❑ Demolition ❑ Service or feeder 400 amps or more ❑Building over three stories.
❑ Other: • where the available fault carnal ❑ Marinas and boatyards.
' -` " i l c'a" a " ,rx'`` - - h (� c P a e (s ~ • 9 , r `s - , . F- exceeds 10,000 amps 01 150 volts or ❑ Floating buildings.
id�:sr.= e5�-. rr. ` �' ' °'�'� '. .;'� --" °` `�:"`"�' '�'°� =" - less to gonad, or exceeds 14,000 ❑ Commercial -nu agricultural
❑ l- and 2- family dwelling G Commercial/ industrial ❑ Accessory building amps for an other installations. buildings.
❑ Multi-family ❑ Master builder ❑ Other. ❑ Fire pump. ❑ Installation of 75 RVA or
3 '''''''' xy c +r "" " rs- �- ❑ Emerguicy system larger separately derived system.
l _: t. e .91[;..+... / �.v-Wt CP - wt..,1,r----,.." ...�. ' -
u`�i < _� d _ e. - �"' y l�sy? ` 9'� ' .; �` El Addition of new motor load o ❑ " ", "E", "1 -2 ", "1 -3" ,
Job no.: 64688 Job s 9669 SW WASH INGTON SQUARE RD 100HPor . occupancy.
❑Six amore residential ®ts ❑ Recreational vehicle parks.
City/State/ZIP: TIGARD, OR 97223 ❑ Health-care fealties. ❑ Supply voltage for more than
❑ Hazardous locations. 600 conics nominal.
Suite/bldg. /apt. no.: CO3 I Project name: BROOKSTONE T. I . ❑ Service or feeder 600 amps or more.
Cross street/directions to Job site: Description _ I Qty. I Fee. I Total
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: I l no.: 1,000 sq. R or less 145.15 4
Ea. add'I 500 sq. ft or portion 33.40 1
Tax map/parcel no
Limited energy, residential
yam, ti- i < 1 .:.. I r sr :; et m c a * kgi, "� .. with bv
above 75.00 2
� SSi1F3�'S' 2' ° ,1�- `��i^�.� i Tai �.S "41���'!"" s t _ . -gyp 'a��"c K .:aF� �.� ( M. 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
- 6`"' c,,a �` pro -- -= 3 ' „ ,- ,,,,,,..z..4.-e, ° r' a F , „ , . '" 201 ampsto400amps 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 signa Branch circuits - new, alteration, or extension, per panel
ture: Date:
_ a �� r Z - -� . F, A. Fee for brandy circuits with
c :yam _ above service or feeder fee, 6.65
each branch cnmit 2
Business name: ; B. Fee for branch circuits
Contact name: without service or feeder fee, 1 46.85 46.85 2
fast branch circuit
Address: Each add'l branch circuit 13 6.65 86.45 2
Miscellaneous (service or feeder not included)
City/ State /ZIP: Each manufactured or modular
dwelling, service and/or feeder
2
Phone: ( ) Fax: : ( ) Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
tgs0[R, -, -tie c y Sign or outline lighting 53.40 2
Business name: FRAHLER ELECTRIC COMPANY Signal circat(s) or limited -
energy panel, alteration, or
Address: 11860 SW GREENBURG ROAD ext s DDNDcnbe: 1 Paget 75.00 2
PRONE AND DATA
City/State/ZIP: TIGARD, OR 97223 Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: ( 503) 639-4627 I Fax: ( 503) 639 -4673 investigation per hour (1 hr min) - - 62.50
CCB Lic.: 37410 - Electrical Lic.: 34-13C1 Suprv. Lic.: 18165 industrial plant per hour 73.75
Suprv. Electrician signature, reed: k ° � , '� ` AZ4
Subtota 208.30
Plan review (25% of permit fee):
Print name: R. W. FRAHLER Date: 03/07 /07 state surcharge (8% of permit fee): 16.66
Authorized signature: TOTAL PERMIT FEE: 224.96
This permit application expires if • permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
• Number of inspedios allowed per permit
l\auilding\Pmmits\ELC -P i itAppdoe 05/13/06 440- 4615T(11/05/C0M/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.
•
Fee for each commercial $75.00
system
(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
IAold doe 03/23/06
CITY OF TIGARD •s•
BUILDING DIVISION t PERMIT #: ELC2007 -0U141
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/9/2007
Phone: (503) 639 -4171 AtAk
Inspection Requests (24 Hrs.): (503) 639 -4175 1111111
INSPECTION WORKSHEET FOR DATE: 3/26/2007 TIME: 7:00AM PAGE: 28
SITE ADDRESS: 09669 SW WASHINGTON SQUARE RD C3 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: BROOKS TONE - -
DESCRIPTION: (14) branch circuits & (1) low voltage for phone/data.
Job #64688.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: FRAHLER ELECTRIC CO PHONE #: 503 639 - 4627
Inspection Request Scheduled For: Date: 3/26/2007 Pour Time:
Code # Inspection Description on ' Contact # Message
199 Electrical final " 045384 -01 503 - 639-4627 Y
Corrections /Comments /Instructions:
c'rt\
•
„‘.
•
-5 f4 " rwv S,1 Vt Stu) .,
t 1� r;tszi rm. N 0l_
PASS ❑ PARTIAL APPROVAL hl ' ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G •�d�� -� Date: 3 '2-4 Q'7 Phone #: (503) .718 - t`i'
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00141
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/9 /2007
Phone: (503) 639-4171 /6 /4011
Inspection Requests (24 Hrs.): (503) 639 -4175 ..
INSPECTION WORKSHEET FOR DATE: 3/15/2007 TIME: 7:01AM PAGE: 29
SITE ADDRESS: 09669 SW-WASHINGTON SQUARE RD C3 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: BROOKSTONE
DESCRIPTION: (14) branch circuits & (1) low voltage for phone/data.
Job fi 4688.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: FRAHLER ELECTRIC CO PHONE #: 503
Inspection Request Scheduled For: Date: 3/15/2007 Pour Time:
Code # • Inspection Description = onfirm,# Contact # Message
105 Underground/slab cover 044879 -01 N , 503-639-4627 N
Corrections /Comments /Instructions:
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G --; b(-J L‘ Date: 3 [i6 O Phone #: (503) 718- 24'g,