Permit •
CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00430
r k DEVELOPMENT SERVICES DATE ISSUED: 8/7/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09751 SW WASHINGTON SQUARE RD D1 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG
Project Description: (19) 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: 18 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 HUGHES ELECTRICAL CONTRACTORS
BY THE MACERICH COMPANY 9640 SW SUNSHINE CT STE 600
9585 SW WASHINGTON SQUARE RD BEAVERTON, OR 97005 -4689
TIGARD, OR 97223
Phone: 503 - 639 -8865 Contact #: PRI 503 - 626 -3344
FAX 503 - 626 -3377
FEES
Description Date Amount Reg #: ELE 34-281C
[ELPRMT] ELC Permit 8/7/2006 $166.55 LIC 49850
[TAX] 8% State Surcharge 8/7/2006 $13.32 SUP 4025S
Total $179.87 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: y � Permittee Signature: h QfLcL1,m..
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.
r Electrical Permit Application FOR OFFICE USE ONE\
:City of Tigard - ' ( - \ , - , Jf 1 Receiv . _ " O . �2
Permit No.: (, a �</I c/ D
DaieJS 13125 SW Hall Blvd., Tigard, OR 9722P . I ' \li' (--- i Mari Review Other Permit
Phone: 503.639.4171 Fax 503.598.1960'' ' '''''''''",:.',/- I
Datr/BY
> 1 I I Date Ready /By: )uric 1' el See Page 2 for
Inspection Line: 503.639.4175 J - Notibed/Me hod: fr I Supplemental Information
Internet www.ci.tigerd.ar.us - Al l 3��) ` '■ ! 1, l ,.� .� :: - _ r �.. . - __ -
�`.. tr '+ `;„�'. rl � ''�.: ;i.� ,"� .`��'�i'"�:r� - `Y%°','� k'„`�; `.. �Y�:r '_�,�- .���,f Y �i"�' ��
"'�� - �... . -� -�-�`" �";' , "_ • `� - _ � Please check all that apply:
12 New construction ®A�dit� �l teL�tlon/re agent 1 Dice over 7.25 amps, comm'I ❑Hazardous location
❑ Demolition ❑ RT IrrfIT(^ d f . C 1T( .- r' ❑Service over 320 amps - rating DBuildng over 10,000 sq. ft.,
�¢ tib�7��_�� ~� yp �'V" y y`� mo^ " ' �� :'' #'"' of 1- and 2- family dwellings 4 or more new residents
" `,i' ', i'k 7. G - -a 6 .. a "�. - -. .aL L ..twoe .„: , A.. s � r 3°. ?.' '.0. 4 `7- S
El l- and 2- family dwelling ® Commercial /industrial 12 Accessory building
al
, �,, . . 7
_ : �; ; �..,�,,��� .� .... ... .�. - - units in one structure
over 6 00 volts nominal
Building over three stories ❑Feeders. 400 amps or more
❑ Multi family 0 Master builder 0 Other. ❑Occupant load over 99 persons DManufacturcd structures or
~� [9' " "�'� -° '',� "' DEgress/lighting plan RV park
. _ gla d ° ` - .` ,
❑Health -care facility DOther
Job no.: 610523 Job site address' ai V�tiimlrl 5 1 Submit 2 sets of plans with any of the above.
City /State/ZIP: 7 17 / �d CR 97223 The above are not applicable to tempora construction service. 7k
Suite/bldg. /apt no.: P roject name: Pdvarloed N riti[n Destaiptioa 1 Qt l Fee. I Total I "
Cross street/directions to job site: %3dlingtn'1 spare p l r aaress frcin New residential single- or multi - family dwelling unit
Includes attached garage.
NEWgrt. Bay. 1,000 sq. ft or less 145.15 4
Lot no.: Ea. add') 500 sq. ft. or portion 33.40 1
Subdivision: Limited energy, residential 75.00 2
Tax map /parcel no.: __ Limited energy, non - residential 75.00 2
r . Each manufactured or modular
:�� -_'� , ��" ^� k� = °2f�SCR�t4I+l;t� (BRA= ����.c, =- __•:,s�- , =.��ur,t:��-
iz.., �� -.
dwelling, service and/or feeder 90.90 2
Services or feeders installation, alteration, and /or relocation
200 amps or less 80.30 2
_ �. _ • _t 201 amps to 400 amps 106.85 2
'om E = eF �, � ; =_ a 401 amps to 600 amps 160.60 2
Name: 601 amps to 1,000 amps 240.60 2
Over 1,000 amps or volts 454.65 2
Address: Reconnect only 66.85 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 600 amps 133.75 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
n r Ti _',.;• +' ,... � .' , _^ `; - err CO0 , ,: S0 T A Y _,: A. - Fee for branch circuits with / / , L9 7 0
�r = service or feeder fee, each 1 9 6 65 1 2
Business name:
branch circuit
B. Fee for branch circuits ` i
Contact name: without service or feeder fee, / 46.85 y6 3 2
each branch circuit
Address: Each add branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City/State/ZIP:
Pump or irrigation circle 53.40 2
Phone: ( ) I Fax: : ( ) Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited-
- _ �• .-- ~ x J `;- r energy panel, alteration, or
Spa r ' 1 ,. u�N _� e - :_ -:: k -_ Page >w� �_ ,c - , . extension. Describe. e 2 e 2
Business name: Hughes Electrical Contractors
Each additional inspection over allowable in any of the above
Address: 9640 SW Sunshine Ct, r Suite 600 Per inspection 62.50
• City/State/ZIP: Beaverton, OR 97005 investigation per hour (1 hr min) 62.50
( 503 )626 -3344 503 337720�� 7 ~ Industrial plant per hour 73.75
Phone L (L !!Y ^^yytt�� ; x ., , 4 A `. - ')R11 "' S *;� =' - rt'A°: 1
Fax
C ;
CCB Lic.:49850 Electrical Lic 34- Sup . Lic.: , • , 5 Subtotal J35/
J Plan review (25% of permit fee) 0
Suprv. Electrician signature, required: `/
� /31/2006 State surcharge (8% of permit fat) 4(
Q; f /fJ �--
Print name: Greg L. Wolfe Dale: TOTAL PERMIT FEE -
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete
Print name: I Date: • Fee methodology set by Tri- County Building Industry Service Board
Number of inspections per permn allowed.
i \Buldang\PermitsSLC-PennitApp doe 12103 440 -461 ST(10/02/COM/Wsa \-N-
•
CITY OF TIGARD
BUILDING DIVISION - PERMIT #: ELC2006-00430
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/7/2006
Phone: (503) 639 -4171. Z
Inspection Requests (24 Hrs.): (503) 639 -4175 ...' F --
INSPECTION WORKSHEET FOR DATE: 10/512006 TIME: 7:30AM PAGE: 67
SITE ADDRESS: 09751 SW WASHINGTON SQUARE RD D1 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: ADVANCED NUTRITION
DESCRIPTION: (19) branch circuits.
OWNER: WASHINGTON SQUARE LLC, PHONE #: 5503- 639 -8865
CONTRACTOR: HUGHES ELECTRICAL CONTRACTORS - PHONE #: 503 - 626-3344
Inspection Request Scheduled For: Date: 10/5/2006 - Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Electrical final 037713-01 505-572 -0577 N
Corrections /Comments /Instructions:
Ci6 Do.k -e-13-31sts“ a 5 R:i.<4 arA
;NI IVO av �L. � o� d cc,% P hOty
U •
PASS El PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 11 `► cC Date: ,O Phone #: (503) 718- 2 %1"
CITY OF TIGARD
BUILDING DIVISION - PERMIT #: ELC200 6-00430
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/7/2006
Phone: (503) 639 -4171 +►a +�
Inspection Requests (24 Hrs.): (503) 639 -4175 • "�I �..
INSPECTION WORKSHEET FOR DATE: 10/3/2006 TIME: 7:06AM PAGE: 67
SITE ADDRESS: 09751 SW WASHINGTON SQUARE RD D'I CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: ADVANCED NUTRITION
DESCRIPTION: (19) branch circuits.
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503 -539 -8855
CONTRACTOR: HUGHES ELECTRICAL CONTRACTORS PHONE #: 503-626-3344
Inspection Request Scheduled For: Date: 10/3/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 037501 -03 503-572-0577 N
Corrections /Comments /Instructions:
1� ► 07 • ?`ice
® 'P [Peel gO i M.MAG 6 Aac,t - 110 . 2\
R45 k 1`•R■ 11 V 4- .
1
OE; U CL cAU./ 0
f t. tog
it.C/t 6S 1E1 VE ;U CJ a
L.1
The electrical instalintiov riafar_ta nntAri
on this report shall be corrected and
an inspection ratplaQt made within•20
calendar days per OAR 918- 271 -0030
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: c-5-4t-U.16., Date:1C1 Phone #: (503) 7181 k
CITY OF TIGARD
BUILDING DIVISION - PERMIT #: ELC2006.00430
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: B/712006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8/28/2006 TIME: 7 :00AM PAGE: a5
SITE ADDRESS: 09751 SW WASHINGTON SQUARE RD D1 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: ADVANCED NUTRITION
DESCRIPTION: (19) branch circuits.
OWNER: WASHINGTON SQUARE LLC. PHONE #: 503 - 639-865
CONTRACTOR: HUGHES ELECTRICAL CONTRACTORS PHONE #: 503 - 626-3144
Inspection Request Scheduled For: Date: 8/28/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough -in 035616 -01 503 -572 -0577 N
•*L.L6 vEI L1 Net ApR.D 1 .44V.
Corrections /Comments /Instructions:
CD lAo ° . ow welJb / 0 O61 4 .s a,v■0.
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: • Date: 1 2.i ` 0 Phone #: (503) 718- 1-446