Permit Ir
' ELECTRICAL PERMIT
- CITY OF TIGA ''
PERMIT #: ELC2005 -00123
� ^ � I I J � DEVELOPMENT I' S SERVICES CES (503) 639 -4171 DATE ISSUED: 3/1/2005 Hall PARCEL: 1S12600-00300
/ SITE ADDRESS: I -SW WASHINGTON SQUARE RD F -2
SUBDIVISION: WASHINGTON SQUARE ZONING: C G
BLOCK: 70 ( 0 LOT : JURISDICTION: TIG
Project Description: (28) 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: 27 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 HASKIN ELECTRIC INC
BY THE MACERICH COMPANY 6307 -B NE ST JOHNS RD
9585 SW WASHINGTON SQUARE RD VANCOUVER, WA 98661
TIGARD, OR 97223
Phone: Phone: 360 735 - 0898
FEES Reg #: LIC 00064312
tion Date Amount SUP 3
Description - 40
p ELE 37 -400C
[ELPRMT] ELC Permit 3/1/2005 $226.40
[TAX] 8% State Surcharge 3/1/2005 $18.11 REQUIRED ITEMS AND REPORTS
Total $244.51
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 -2 .
Issued By: i `/ Permittee Signature: S, sZ:q\?
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:
7. )e „..”
' Call 639 -4175 by 7:00pm for an inspection the next business day.
T his permit and 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.
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MAR - 01 -2005 14:10 HASKIN ELECTRIC, Inc 3607351196 P.01
• -- a, n i t VA IL V niW IQJ 001
i
' I ctrYCal Pe Imit A a) .21 L I� , , P FOR OPFICE USE ONLY
City of Tigard � npR dare , 3 —/ 7).5--------F_ a Permk �
No.: x G)l
13125 SW Hall 81vd., Tigard, OR 97223 !° I H' ` 01 200 Fla Rev Other Permit
Phone: 503.639.4171 Fax: 503.598.1960 u ?J I I 'I' •
Inspection Line: 503.639,417 w T I E1 -- ' - -- ' e Aea r� • s r tags t for
/ >/ — Notiifedk4e6lod: \ - Supplemental hiterelation
Internet www- ei.tigead.or -us ,i { 19fc DI L�1 �..1 _ _ - wer: ••
TYPE OF WORK A w • m1 PLAN REVIEW - A
❑ New rang
nam0lition Addition/attention/replace= , I —
❑Other ® please check all that apply:
I ❑Service over 225 amps, cum' l ❑Aarardous location
❑Service over 320 traps -Ming ODui1dng over 10,000 set ft.,
CATEGORY OF CONSTRUCTION of 1- and 14atmly dwellings d or more new residential
1- and 2 - family dwelling E.Contrnetcialtindustrial ❑ Accesseory building QSYstem over 600 volts nominal units in one structure
❑Building over three stories ❑FacdmS, 400 amps et more
❑ Multi H asl e t builder 1:1 Other: • [I Otuttpeat load ever 99 persons ❑Mtumfncntred otzticntrea or
JOB SITE INFORMATION AND LOCATION ❑Hgrese/ligbting plan RV park
" � D2Icalth rate facility ❑Other.
lob no.:13 \ • Job site address:C ( sin] yJ . _• r " t S AtI -, �; Submit. tats of plans with any of the above.
Ciry /State/ZIP: , • 'Z The above are not applicable to temporary consQuerlon service. -�
Suite/bldg. /apt no,; name;CRAt PEE' SCHEDULE
�: Project �JL1T�„ � (� auariptioe 1 Qv. L Fee- I Tows L —
Cross street/directions to job site: .J As Cn� N v � New residential single- or muitl•famity dwelling unit.
i--.- tj ~z Includes aaached garioe,
Mwt-'iA..,• • 1,000 sq. R, or less 145,15 4
Subdivision: Lot no.: P.a. add'l 500 sq. ft, or portion 33.40 1
Limited energ�r, residential 75.00 2
Tax map/parcel no.:
Limited energy, non - residential 75.00 2
DESCRIPTION OF WORK Each manufactured or too' tar •
dwelling, service and/or feeder 90.90 2
1 s f> ID Services or feeders installation, alteration, and/or relocatio
200 amps or leas 80.30 2 • ❑ PROPERTY OWNER 0 TENANT 201 amps to 400 snips 106.85 2
401 amps to 600 amps - 160.60 2
Name: 601 amps to 1,000 amps 240.60 2
Address: Over 1,000 arum r of voila 454.65 2
- - Reconnect only 66.85_, 2
City /State/ZIP: Temporary services or feeders installatleb, alteration, and/or
relocation
Phone' ( ) Fax: ( ) 200 Craps or less 66.85 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 a122s 100.10 _ 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701, 401 amps to 600 amps 133.75 2
Owner signature: Dare: Branch circuits. new, alteration, or extension, penning]
❑ APPLICANT I ❑ CONTACT PERSON A. Fee for branch circuits with
_
service or feeder fee, each 6.65 2
Business name: branch circuit
- B. Fee for broach circuits
Contact name: • without service or feeder fee, .
• each branch circuit x- " 2
Id
Address: Each add branch circuit 6.65 II'. ' 2
City/State/ZIP: Miscellaneous (service or l not Included)
Pump or irrigation Circle 53.40 _ 2
Phone ( ) /WV _ I F2X: ( ) Signor outline lighting 53.40 2
E Signal circuits) or limited- - CONTRACTOR energy panel, alteration, or
extension. Describe: Page 2 2 •
Business name: ‘ NJ eels[ ,\ C_, \ NC_
` - _ _Each additional inspection over allowable tp any of the above
Address: to a fs G _ , ...v. _ Per inspection 1 62.50
Clry /State/ZIP: &N ( C D 0 liG42.1 (j4\ q ' ( ( f Investigation per hour (1 hr.nial 62.50
Phone: (,gyp rT 35— pgq I Pax. ())T 3s---1 \q (,p Industrial plant per hour 73.75
, ELECTRICAL PERMIT FEES•
CCB / Lic -_ l D 1 3 ` I Electrical Lio. :61-400C Suprv. Lic.: 3(.18 Suheme! 1 2 , 4 0
Suprv. Electrician signature,, required: - Plan review (25 %orperil* fee)
State surcharge (8% of permit fee) J, i 1
Yrinr nm
ae: %V.I t.ne.o �. c 7 `a I Date: 3 ()S.- TOTAL PERMIT FEE 7.404, 51
Authorized signatw - c; • • , " Tate parmibapplieatten crpirer if a permit it oat obtained withta 180
days after It lies been accepted as oomptete
Print name: Dale: Pee methodology lei by Tri Caumy Witting Industry Service Bpatd
•• Number of inspections per permit Gnawed.
INauildlapPeaphti!LC.FvmhWWdac 12102 4e0
MAR -01 -2005 12:14 50359A1960 96% P.01
I
CITY OF TIGARD • V
BUILDING DIVISION PERMIT #: ELC2005-00123
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/1/2005
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/13/2005 TIME: 7:10AM PAGE: 84
SITE ADDRESS: 09706 SW WASHINGTON SQUARE RD F -9A CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: CRABTREE & EVELYN
DESCRIPTION: (20) branch circuits.
OWNER: WASHINGTON SQUARE LLC, - - PHONE #:
•
CONTRACTOR: HASKIN ELECTRIC INC PHONE #: 360 - 735.0898
Inspection Request Scheduled For: Date: 4/13/2005 Pour Time:
•
Code # Inspection Description • Confirm # Contact # Message
199 Electrical final 004347 -01 360 - 735 -0898 N
Corrections /Comments/ Instructions:
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P PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: i - (3 `OS Phone #: (503) 718-