Permit CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2007 - 00216
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/22/2007
PARCEL: 1512600 -00300
SITE ADDRESS: 09685 SW WASHINGTON SQUARE RD C7 ZONING: C - G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: LUCKY BRAND JEANS
Project Description: Install phone cabling. Job #80338
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: X NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
WASHINGTON SQUARE LLC NEW TECH ELECTRIC
BY THE MACERICH COMPANY 13970 SW 72ND AVE
9585 SW WASHINGTON SQUARE RD PORTLAND, OR 97224
TIGARD, OR 97223
Phone: Contact #: PRI 503- 648 -1900
FAX 503- 670 -9572
Reg #: ELE 26 -418c
FEES LIC 41868
Description Date Amount SUP 3849S
[ELPRMT] ELR Permit 6/22/2007 $75.00
[TAX] 8% State Surcha 6/22/2007 $6.00 REQUIRED ITEMS AND REPORTS
Total $81.00
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 di - _ - estions to OUNC at . +3.246.6699 or 1.800.332.2344. /4119/iCith Issued : ' : / Jj, � A d Permittee Signature: ey/f
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.
4'06/21 10:45 5036709571 NEW TECH ELECTRIC PAGE 01/01
Electrical Permit Application FOR (wFicir, USE ONLY
Received remit Tigard (
City of Tigard , 1 1 L.SQZAD • • - 2 I ,
I N 13125 SW Hull Blvd.. Tigard, OR 9 s ':( Plan Review E ` ��
Phone: 503. 039.4171 Fax: 503,598.1900 Datds : ��-1
TIG�tRp Inspection Line: 503.639,41.75 JUN 2 1 /1ii � DiteReady /By: Id See Page 2for
Internet: www.ti gard- orlgov Natificct/Meth�ondy: yy Supplemental Information
, N .h11 ' U',•' FG 1 1 ° : 1fi/C1{p '� I ' 1' •.S , 4 i ;. Y.; ep,i . 1 '' � " 41,11 5::: at b 'I'1' f 'alq ',I, •'lb 1 � V,If i`''' • i i^° ■ �, iYf .T 7 II'1 ` 11/.1 ' `8!'ti 'VA ' t.. 3 1, nit '�. t ,�il,.�l. t Al y, � - !,4, S ' ,- S
�1?iilj t i;.,r , : �rk,;'{�∎i: t g i t i l a t . S + 'MN i � ! ', ?... -,.•, . a: l' n. y.- , ;.'�i; "';''; ='' ; ^; �?';, 1tt. :' ,k4 +rilstf .,iji a ?1irN 'h l t� `,i., n I; ., ,�� � ,/ :S.I �i 4r, . „W�i
skf�, t, i(;<. r$!•, nf' h, r.�. l?`S,catl,[lr'i',iiaid; , �i, .r[�Jm. .u;,(',RrlfrM.h,�3r,•..'. 6,u
El New construction 9 Addition /alteration rep a
In Please check an that apply (submit 2 acts of plans writers checked below):
D Service or feeder 400 amps or more 0 Building over three stories,
❑ Demolition ❑ Other: where the avail/61e fault current D Marinas and boatyards.
I , '.� ' f l ;i
E 1 1 , ° ' 1 :;1 , r'S i '4''1 -4; *' it tips ('' i1:D: exceeds 10 amps nt 150 volts or ❑ Floating buildings.
v,l i l q'�' x i r t ,` ' n 1 t sL•7 LaA � 16t �4 ' " 0 �� • i ' ' i%� .31.111c, , .4 i �{ p it m .,1 , (.,, 4 ,,, Y ,, i , 1 1 1, 1 ' ?�',
rah'i "i1 ('r ' 1, n 1 r'• y=ya 1 rf Ili! i f :f n, ia,101.ftVik 9.r.,,,Lic '. .+,,.:•, r- i''�Y„ 1. ^ I'' , d i d ., �,. ,�`l. �∎. Less to ground, or exceeds 14,000 ❑ Commcreinl•nse agricultural
❑ 1- and 2- family dwelling .,p'Commercial /industrial El Accessory building amps for an ether Installations. buildings.
❑ Multi - family ❑ Master builder 0 Other: 0 Flrc pump O installation of 75 KVA or
c�� 11 u P i
t u`i 1 1 + °» 1' +' 1 ° S ; ,i , ❑ Emergency system, larger separately derived system,
{{i , ! I �` Cri q �,l, r:I,1S i i � i fix : I :f' , ' 1 ` ' ' ,
i' :3,i,?`�''�Nii!. t_; ;'+' `'1 ; p�� �5�.9 i � , ,'���, , �� .,. , .��;�,�,�t7�'Nr, :ti�if,,,1 {� , , 3 itii., ❑ Addition of new motor load of 0 "A", "E", "1-2". -1.1
100HP or more, occupancy.
Job no.: ;,r` . Job site address: , Lf26 opi...f S,,,b i 1t.....11. ( CI Six or more residential units, 0 Recreational vehicle parks.
City/Staic/ZlP: a7¢ D Hoaltheare )outlines- ❑ Supply voltage for more urn
El Hozardoos locations. (r0(1 volts nominal.
Suite/bldg. /apt. no.: I Project name: in Service or feeder 600 amps or more.
{ f u }1 �a }�_Y(�j � {111 rt n'` i a i
jf I'nifi ki i�lagiB I N'i• , lily I.�r� Il Xli>lj �I'`��I1.1A14(f �'h��-'rrio
f��li tin i hi , Id�ll11' I if
Cross street/directions to job site: L lAC kid (f d — 1tcWnrnn �Qey, I rec, Taint
New residential single- or ntmlti- family dwelling unit.
ra-n S Jncludos attached garage. _
Subdivision: [Lot no -: 1,000 sq, ft. or l es s 145.15 4
Tax map /parcel no.: ea. add'I 500 sq. ft. or portion 33.40 • 1
Limited energy, residential 75.00 2
I ; I rag rNS I', n�{ �, .4-D t t I fAS s;, 0,1i l i4 i i :V Ei _ h
?Ii1M �`�', }ii tl �'� r ri i� Cl {�'sgi;lii i h, �'. ���1G A ,. l ' D %` � ' 11„ J% p11*^ 1�4S�ra1f1��E ,'Pi1e�R;!',Ir�,1i , : li ' ; ii � (Wil}1n above SQ. ft.) t ;�li'f f :. , :.... b ( n u - I�.' 1i - .
Limited energy, multi- family 75,00 2
' -- '• '` D . • l ;IV . - 6L4_. residential (with above sq. &) _
2 Services or feeders installation, alteration, and/or relocation
dre 200 amps or tens 80.30 2
';qn 7 w � I ,, 1!1 1 61 ^•, n x.. iip'1{ I 9 . •1 , r „ t .1,1� , .,. i ,
I ,1 R ,
P.;i lifi,i fl' y � w �Jy� y , r gt,!° �i. S•,i t i , A #; ,)illiA :� -,,. i YIP Willi igr !} ',• I ;,c,;kl 1 201 amps s 1ots s 2
,oxi.� ., z,....' " " x , 1 � I:•, fdi''t, ,),):.4)14q 1 i !,' e, 1i0, i11,f,•,'I`I :''14, : k - 1 '41' "S1ihit. %'4(Iiiw?CA!',(1' 1�,,uLl'p - p p'
Name;
�f: At�� 401 amps to 000 amps 160160 2 •
601 amps to 1,000 amps 24040 2
Address; * -Pof , Aex..1 Over 1,000 amps or volts 454.65 2
City /State/ZIP: Temporary services or feeders installation, alteration, and/or H relocation
Phone: ( ) 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 7011 401 amps to 599 amps 133.75 2
Branch circuits – new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
i ,l , ,1: it it w dl ^1 1 ,{ i1 ` ,1'i li' 111` 1i 'i I ..y3 , a ! 1141, 7
',i M {;,1.l i'; ;.;s S 1 * i i, y!i i in :a ifr� ii "'I f;� ,, O M . tjl above service or feeder fee, G GS 2
Business name: B. branch circuit
P,. Fee for branch circuits
Contact namci_?41A A withour service or feeder fee, 40185 2
first branch circuit
Address: Each add'I branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City /State/ZIP: Each manufactured or modular
90.90 2
Phone: dwelling, service and/or feeder
( ) Fax ( ) Reconnect only 66185 2
E -mail: Pump or irrigation circle 53.40 2
' f � ,r N)r' ' i J'il 1fSC�i , :,2 1 411 !'i'.ly'i '
''`e', � :� ! 1 'w> �,i' 9! ?I 1f i 1 g!ir
? ,, Sign or lighting I
;., il��sr'• !�9rEa,a1, ;"�;•4 :�� :,.,�i>� ; <- ,, is�1 r �; ,J,,1j�,1<L ;y ..,'' -ti y%� 1 . �n� t.�11 ;.N?�1'4J lt`{;1�::'i� c �'f .a0 2
' ^l' vya) r`.,�u pi . '.'e. 1 '. 1.19 1. m1�dNaY1 i1?.tr : ^„i. �ts1" & F'-
53
Business name: Signal circuits) or limited-
f�JEL.] T�Lt.( � I�LT�flL i I1..1L. energy panel, alteration, or —
Address: 0 — 4n Zip A■F extension. Describe: 1 Page 2 77 • 2
City /State/ZIP: pop1•vA�t„., I ti_ t r. 2z x 7 Each additional inspection over allowable In any of the above
Per Tone: ( �j6' QC Fax: ( Lip q investigation inspecon 62.50
lnvestigttitin pee hoar (] hr min) 62 -50
CCB Lic.: 490.b Electrical Lic.: - .e}l Suprv. Lie.: ?) . Industrial plant per hour 3,
7_ 75
Suprv, Electrician signature, required: '"'f! + s0 "! �p'3 ";'': }`; 1 ,'11 ";:,1i;:
Subtotal: --- r—,-.—
Print name: Q�l L t�t/'<u�t� Date: fl Plan review (25% of permit fee):
�� State surcharge (8% of permit fcc)'
Authorized signature: TOTAL PERMIT FEE. 1 • r
Print name: Date: This permit application expires It n permit is not nhtnierrt within min
days niter it tang been accepted as complete.
" Dumber or Inspcclltms allowed per permit,
Mutkling \Pennun\rd : C- Pnnm1Anrvi c 0503/04. "l.Ar AG/."..K.Ir y 5T(II/DS/COM/WM
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2007 -00216
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/22/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 _AI. "' i ..
INSPECTION WORKSHEET FOR DATE: 6/28/2007 TIME: 7:01AM PAGE: 92
SITE ADDRESS: 09685 SW WASHINGTON SQUARE RD C7. CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: LUCKY BRAND JEANS
DESCRIPTION: Install phone cabling. Job #80338
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: NEW TECH ELECTRIC PHONE #: 503-648.1900
Inspection Request Scheduled For: Date: 6/28/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 051057 -01 503 -969 -1711 N
Corrections /Comments /Instructions:
•
A PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G cS Date: 6. 21)• 7 Phone #: (503) 718- Z
•
" CITY OF TIGARD .
BUILDING DIVISION PERMIT #: ELR2007 -00216
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/22/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 ��'. -...
INSPECTION WORKSHEET FOR DATE: 6/25/2007 TIME: 7:01AM PAGE: 60
SITE ADDRESS: 09685 SW WASHINGTON SQUARE RD C7 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: LUCKY BRAND JEANS
DESCRIPTION: Install phone cabling. Job #80338
OWNER: WASHINGTON SQUARE LLG, PHONE #:
CONTRACTOR: NEW TECH ELECTRIC PHONE #: 503 -648 -1900
Inspection Request Scheduled For: ate: 6/25/2007 Pour Time:
Code # Inspection Description Con 1 # ntact # Message
199 Electrical final 050805.01 503 - 969 -1711 N
Corrections /Comments /Instructions:
V koN 1 O t aiNt7f 6 ts& Eltom i y s! CA L- b 6
�.
Pry Soo_ 113 AN® a1 Q.3 (A) ('3 sv (2 L) .
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
N FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: `7 NUS Date: 6' '1 Phone #: (503) 718 7 - A4