Permit CITY OF TIGARD ELECTRICAL PERMIT
IN .1
PERMIT #: ELC2006 -00599
COMMUNITY DEVELOPMENT DATE ISSUED: 1/31/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1512600 -00300
SITE ADDRESS: 09757 SW WASHINGTON SQUARE RD D -4 ZONING: C -
SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG
Project Description: NA HOKU. 15 circuits and low voltage (stereo and data).
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: 0
LIMITED ENERGY: 401 - 600 amp: SIGNAL /PANEL: 2
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: 14 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 -I3C
[ELPRMT] ELC Permit 1/31/2007 $289.95 LIC 37410
[TAX] 8% State Surcharge 1/31/2007 $23.20 SUP 18165
Total $313.15 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: Permittee Signature:
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.
I ti , ► .
Electrical Perm't ADDIic tin�, o I:01( OFI It L l:‘,1:. ONLY
L , - Fl. }� / I:01( l i �% 1l I
Ci of Tigard J Received
/ PermitN 79 9 13125 SW Hall Blvd, Tigard, O1,j9'122 r. v ew ��
Phone: 503.639.4171 Fax 503.5S.1960 . • l U U / Plan
aWBy: Other Per
T I G A R D Inspection Line: 503.639.41755 t U �I i I Date Ready/By: r See Page 2 for
Internet: www.tigard- or.goel.0 _�;p1e i1 ;� Notified/Method �/ Supplemental Information
• • TYPE OF WORK PLAN REVIEW •
❑ New construction ® Addition /alte18tico /replacement Please check all that apply (submit 2 sets of plans w /items checked below)
❑ Demolition ❑Other ❑ Service or feeder 400 amps or more ❑ Building over three stories.
when the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
❑ Accessory less to ground, or exceeds 14,000 ❑ Commercial-use agricultural
®
❑ I- and 2- family dwelling Commercial/ ndustrial buil
❑ amps for all other installations. buildings.
Multi-family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
❑ Emergency system larger separately derived system.
. JOB SITE INFORMATION AND LOCATION ❑ Addition of new motor load of ❑ "A ", "E ", "1 -2". "1 -3 ",
Job no.: 64598 l Job site oddness: 9757 SW WASHINGTON SQ RD. 10OHP or more. occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parks.
City/ State/ZIP: TIGARD, OR 97223 ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations 600 volts nominal.
Suite/bldg. /apt no.: Project name: NA HOKU ❑ Service or feeder 600 amps or more.
FEE. SCHEDULE
Cross street/directions to job site: Description I Qty. I Fee. I Tail I •
New residential single- or multi- family dwelling mdt.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Ea add'l 500 sq. ft. or portion 33.40 1
Tax map/parcel no.: Limited energy, residential
75.00 2
DESCRIPTION OF WORK . (with above sq. ft.)
Limited energy, multi - family
TENANT IMPROVEMENT residential (with above sq. ft) 75.00 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
' ❑ PROPERTY OWNER I - ❑ TENANT. 201 amps to 400 amps 106.85 2
Name: 401 amps to 600 amps 160.60 2
Address: 601 amps to 1,000 amps 240.60 2
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
Branch circuits — new, alteration, or extension, r panel
Owner signature: Date:
I A. Fee for branch circuits with
•
❑ APPLICANT ❑ CONTACT PERSON above service or feeder fee,
each branch circuit 6.65 2
Business name: B. Fee for branch circuits
Contact name: without service or feeder fen, 1 85 46.85 2
first branch circuit
Address: Each add'l branch circuit 14 6.65 93.10 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 66.85 2
E Pump or irrigation circle 53.40 2
' CONTRACTOR - Sign or outline lighting 53.40 2
Business name: FRAHLER ELECTRIC COMPANY Signal circuit(s) or limited
energy panel, alteration, or
Address: 11860 SW GREENBURG ROAD extension. Describe: 2 Page 2 150.00 2
DATA CABLE & SPEAKER
City/ State/ZIP: TIGARD, OR 97223 Each additional inspection over allowable In any of the above
Per inspection 62.50
Phone: (503) 639-4627 Fax: (503) 639 - 4673
Investigation per hour (1 hr min) 62.50
-
CCB Lic.: 37410 Electrical Lic.: 34-13C Suprv. Lic.: 1816S Industrial plant per hour 73.75 � - ELECTRICAL PERMIT FEES
p� /
Suprv. Electrician signature, rd: /,)" Subtotal: 289.95
Print name: R. W. FRAHLER Date: 01/30/07 Plan review (25% of permit fee):
State surcharge (8% of permit fee): 23.20
Authorized signature: TOTAL PERMIT FEE: 313.15
Print name: Date: This per application expires If a permit Is not obtained within 180
days after It has been accepted as complete.
•
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK ONLY:
Fee for all residential systems combined $75.00
Check Type of Work Involved:
El Audio and Stereo Systems*
El Burglar Alarm
El Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
El Vacuum Systems*
El Other:
COMMERCIAL WORK ONLY:
Fee for each commercial $75.00
system
(SEE OAR 918- 260 -260)
Check Type of Work Involved:
® Audio and Stereo Systems
❑ Boiler Controls
El Dock Systems
® Data Telecommunication Installation
❑ Fire Alarm Installation
El HVAC
El Instrumentation
❑ Intercom and Paging Systems
.❑ Landscape Irrigation Control*
El Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
El Protective Signaling
El Other
Total number of commercial systems: 2
*No licenses are required. Licenses are required
for all other installations
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006 -00599
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/31/2007
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 3/28/2007 TIME: 7:00AM PAGE: 38
SITE ADDRESS: 09757 SW WASHINGTON SQUARE RD D-4 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: NA HOKU
DESCRIPTION: NA HOKU. 15 circuits and low voltage (stereo and data).
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: FRAHLER ELECTRIC CO PHONE #: 503- 639.4627
Inspection Request Scheduled For: Date: 3/28/2007 Pour Time:
Code # Inspection Description nfirrr -# Contact # Message
199 Electrical final 045573-01 503 - 639.4627 N
orrection /Co mments/ Instructions:
>f<ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G"c ` V Lc. Date: J �- 61 Phone #: (503) 718 - ,
CITY OF.TIQARD
BUILDING DIVISION PERMIT #: ELC2006-00599
13125 SW Hall Blvd., Tigard, OR 97223 • DATE ISSUED: 1/31/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 3/22/2007 TIME: 7:00AM PAGE: 60
' SITE ADDRESS: 09757 SW WASHINGTON SQUARE RD 0-4 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: NA HOKU
DESCRIPTION: NA HOKU. 15 circuits and low voltage (stereo and data).
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: FRAHLER ELECTRIC CO PHONE #: 503-639-4627
Inspection Request Scheduled For: Date: 3/22/2007 . Pour Time:
Code # Inspection Description - - •- - Contact # Message
130 Ceiling cover 04523301 503-639-4627 N
Corrections /Comments /Instructions:
A PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: L ' . Date: 2:I2-2-10') Phone #: (503) 718- 2443
CITY OFJIGARD
BUILDING DIVISION PERMIT #: ELC2006 -00599
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/31/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 3/21/2007 TIME: 7:02AM PAGE: 35
SITE ADDRESS: 09757 SW WASHINGTON SQUARE RD D-4 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: NA HOKU
DESCRIPTION: NA HOKU. 15 circuits and low voltage (stereo and data).
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: FRAHLER ELECTRIC CO PHONE #: 503. 6394627
Inspection Request Scheduled For: � 3/21/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 045168 -01 503 - 639.4627 Y
Corrections /Comm nts /Tnsstrructions: '
R cwoUt ALL M c ikk M etzatN w 1` - 40
--s -- g A fZ G-RiZ a•k, 1 1 L.ES-
'�C, S i pc1 %WC, o
I•t6cc
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL XCALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 11v v Date: 3 , 2 JIOJ Phone #: (503) 718 - 2tt14.b
CITY OFIIG.ARD
BUILDING DIVISION fi. PERMIT #: ELC2006 -00599
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1131/2007
Phone: (503) 639 -4171 4141f1"i l
Inspection Requests (24 Hrs.): (503) 639 -4175 6 :_..
INSPECTION WORKSHEET FOR DATE: 2/22/2007 TIME: 7:02AM PAGE: 38
SITE ADDRESS: 09757 SW WASHINGTON SQUARE RD D-4 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: NA HOKU
DESCRIPTION: NA HOKU. 15 circuits and low voltage (stereo and data).
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: FRAHLER ELECTRIC CO PHONE #: 503 - 639 -4627
Inspection Request Scheduled For: Date: 2/221 ?007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
125 Wall cover 043746 -01 503 - 936 -7192 Y
Corrections /Comments /Instructions: P
I
owl
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ' \ o FJ Date: 1. 0. 1 Phone #: (503) 718- 1,4 %
„-
CITY OF.TIGARD
BUILDING DIVISION PERMIT #: ELC2006.00599
13125 SW Hall Blvd., Tigard, OR 97223 • DATE ISSUED: 1/31/2007
Phone: (503) 639 -4171 pgt ° 1
Inspection Requests (24 Hrs.): (503) 639 -4175 __—
INSPECTION WORKSHEET FOR DATE: 212007 TIME: 7 :02AM PAGE: 37
SITE ADDRESS: 09757 SW WASHINGTON SQUARE RD D CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: NA HOKU
DESCRIPTION: NA HOKU. 15 circuits and low voltage (stereo and data).
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: FRAHLER ELECTRIC CO PHONE #: 503- 633.4627
Inspection Request Scheduled For: Date: 2/22/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 043746-02 503 -936 -7192 Y
Corrections /Comments /Instructions:
ft
•
PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: L Date: 2 + 2 : 2 101
Phone #: (503) 718 - 2.1