Permit , CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -10096
DEVELOPMENT SERVICES DATE ISSUED: 3/30/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S12600
SITE ADDRESS: 09777 SW WASHINGTON SQUARE RD D9,10 ZONING: C - G
SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG
Project Description: 2 SERVICES AND 60 BR. 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: 2 W /SERVICE OR FEEDER: 60 PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 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 ELECTRICAL DIMENSIONS INC
BY THE MACERICH COMPANY PO BOX 12146
9585 SW WASHINGTON SQUARE RD 3961 N WILLAMS AVE
TIGARD, OR 97223 PORTLAND, OR 97212
Phone: Contact #: PRI 503 - 282 -7255
FAX 503 - 280 -1619
FEES
Description Date Amount Reg #: ELE 26 -432C
[ELPRMT] ELC Permit 4/6/2006 $559.00 LIC 44008
[TAX] 8% State Surcharge 4/6/2006 $44.72 SUP 29645
Total $603.72 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: Z 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.
Electrical Permit Application ,
• F OROFFICE USE ONE)
ClitUI 'Y'igard � �� — .Ddb ;Ii Permit No " _.. — - 9
13125 SW Hall Blvd., Tigard, OR 972 Plan Review Other Permit:
Phone: 503.639.4171 Fax: 503.598.1960 c� 1 O ) do "''�w1: I ` � DateiBy:
Inspection Line: 503.639.4175 � , e9 0 L '' �,. Date Ready/By P'�j J I ® S e e Pape 2 for
(h
Internet: www.ci.tigard.or.us Rp Notified/Method: / / Supplemental Information
TTY OP TIG P
P ftroKRJ9 PLAN REVIEW
New construction ❑ Ad ion/lLalteration/replacement Please check all that apply
Demolition ❑Other. ❑Service over 225 amps, corttm'I ['Hazardous location
❑ Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft.,
CATEGORY OF CONSTRUCTION of I- and 2- family dwellings 4 or more new residential
❑ 1- and 2- family dwelling ,ommercial/indusirial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑Building over three stories ['Feeders, 400 amps or more
❑ Multi- family ❑ Master builder ❑ Other: DOccupant load over 99 persons ❑Manufactured structures or
JOB SITE INFORMATION AND LOCATION ❑Egress/lighting plan RV park
Job no.: (V5 Job site address: G 'w4.51. R [Wealth facility ❑other:
I (� Submit i sets of plans with any of the above.
City/State/ZIP: ' 0 / O w q 7z3 The above are not applicable to temporary construction service.
Suite/bldgJapt no.: Project name: FEE *. SCHEDULE
1 16 .sr lL_l /l oRC peatAtioe 1 Qty. I Run' I Total I ..
Cross street/directions to job site: New residential single- or multi - family dwelling unit.
_ Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: e so r / / #?1 I Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
Tax map/parcel no.: Limited energy, non- residential 75.00 2
DESCRIPTION OF WORK Each manufactured or modular
'` IYDtc --T -r- 11 dwelling, service and/or feeder _ 90.90 2
Services or feeders installation, alteration, and/or relocation
200 amps or less Z 80.30 1,401
- 201 amps to 400 amps • 106.85 2
0 • PROPERTY OWNER _ " . I " 0, TENANT ' - " - 401 amps to 600 amps 160.60 2
Name: 601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City/ State/ZIP: Temporary services or feeders installation, alteration, and/or
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 >t to 400 > 10030 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
' . - :, '• ❑ "' 'I - ❑' CONTACT• PER$ON '. • . A. Fee for branch circuits with
service or feeder fee, each e, 6.65 31 2
Business name: branch circuit l9�
B. Fee for branch circuits
Contact name: without service or feeder fee, 46.85 2
each branch circuit
Address: Each add'l branch circuit 6.65 2
City /State/ZIP: Miscellaneous (service or feeder not induded)
Pump or irrigation circle 53.40 2
Phone: ( ) I Fax: ( ) Sign or outline lighting 53.40 2
E-mail: Signal circuit(s) or limited-
. r . " . • • . CONTRACTOR . • energy panel, alteration, or
— � - —' �
Sri U SONS ��11.t., extension. Describe: Page 2 2
Business name:
Address: 3Ct 61 ,U (O ` yfh,� / -v6- Each dd it inspection over allowable 62.50y of the above
City/ State/ZIP: ,A- / -� a /cR q q2z . Investigation per hour (1 hr min) 62.50
Phone: (3) 2.... l Fax: C j ) 20 _(61,7 Industrial plant per hour 73.75
1 ELECIRICAL PERMIT FEES*
CCB Lic.: 44'0 Q 8 I Electrical Lic.' . _4 z I Suprv. Lic.: Zq,L/_s Subtotal -120-.
Suprv. Electrician signature, re, aired' 506"4„,47.4,_40 Plan review (25% of permit fee) IL
� Date: State surcharge (8% of permit fee) 0, �
Print name:
0Tj K-CS /TOTAL PERMIT FEE (7�3I2 — Authorized signature: This permit application expires it a permit is not obtained within 180
days after it bas been accepted as complete
Print name: I Date: • Fee methodology set by Tri -County Building Industry Service Board
e • Number of inspections per permit allowed.
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:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning
System*
❑ Vacuum Systems*
❑ Other.
COMMERCIAL WORK ONLY:
Fee for each commercial system....................... $75.00
(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
CITY OF TIGARD
BUILDING DIVISION r PERMIT #: ELC200& -10096
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/30/2006
Phone: (503) 639-4171 r�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/19/2006 TIME: 7:05AM PAGE: 53
SITE ADDRESS: 09777 SW WASHINGTON SQUARE RD 09,10
CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: HOWSTER CO.
DESCRIPTION: 2 SERVICES AND 60 BR. CIRCUITS.
OWNER: WASHINGTON SQUARE LLC. PHONE #:
CONTRACTOR: ELECTRICAL DIMENSIONS INC PHONE #: 503. 282 -7255
Inspection Request Scheduled For: Date: 6/19/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
115 Electrical service 031896 -01 503.262 -7255 Y
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: �� L - Date: {1 ( q ( 0 Phone #: (503) 718- 210
CITY OF TIGARD
BUILDING DIVISION .. PERMIT #: ELC2006 -10096
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/30/2006
Phone: (503) 639 -4171 / Aa��9p�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/19/2006 TIME: 7 :05AM PAGE: 52
SITE ADDRESS: 09777 SW WASHINGTON SQUARE RD D9,10 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: HOWSTER CO.
DESCRIPTION: 2 SERVICES AND 60 BR. CIRCUITS.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: ELECTRICAL DIMENSIONS INC PHONE #: 503 - 282 - 7255
Inspection Request Scheduled For: Date: 6/19 /2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 031896-02 503 -282 -7255 Y
Corrections /Comments /Instructions:
K-L
•
vV
A PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: k 6 p Date: 4)1R • 0 q Phone #: (503) 718 - 24 Lte(
CITY OF TIGARD ,�
BUILDING DIVISION PERMIT #: ELC2006.10096
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/30/2006
Phone: (503) 639- 4171s�,,� �1
Inspection Requests (24 Hrs.): (503) 639 -4175 °: _..
INSPECTION WORKSHEET FOR DATE: 5/30/2006 TIME: 7:15AM PAGE: 36
SITE ADDRESS: 09777 SW WASHINGTON SQUARE RD D9,10 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: HOLLISTER CO.
DESCRIPTION: 2 SERVICES AND 60 BR. CIRCUITS.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: ELECTRICAL DIMENSIONS INC PHONE #: 503 -2.82 -7255
Inspection Request Scheduled For: Date: 5/30/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 030744 -01 503- 282 -7255 N
Corrections /Comments /Instructions: \ I OlE5
O S ( 1-t. --)C et) CI k 0)45 CL C0 l'
e 6n`V rvs, L cs.g l t, Ago cry Gam+
P ASS 111 PARTIAL APPROVAL 111 CANCEL ❑ NO ACCESS
/ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 4 Sikat 11 v 061E Date:6 30 be Phone #: (503) 718- 204k)_
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006- 10096
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/30121106
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/27/2006 TIME: 7:04AM PAGE: 56
SITE ADDRESS: 09777 SW WASHINGTON SQUARE RD D9,10 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: HOLLISTER CO.
DESCRIPTION: 2 SERVICES AND 60 BR. CIRCUITS.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: ELECTRICAL DIMENSIONS INC PHONE #: 503 -2132 -7255
Inspection Request Scheduled For: Date: 4/27/2006 Pour Time:
• ° Inspection Description Confirm # Contact # Message
105 Underground/slab cover 0281334-01 503-209 -2129 N
Corrections/Comments/Instructions:
•
0, PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G (1- --i 1 ' vB Date: ' 27 v Phone #: (503) 718 :2.A
CITY OF TIGARD , L
BUILDING DIVISION PERMIT #: ELC200fi '100:36
1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/3012006
Phone: (503) 639 -4171 11/
Inspection Requests (24 Hrs.): (503) 639 -4175 I _
INSPECTION WORKSHEET FOR DATE: 4125/2006 TIME: 7:00AM PAGE: 64
SITE ADDRESS: 09777 SW WASHINGTON SQUARE RD D9,10 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: I
PROJECT NAME: HOLLISTER CO.
DESCRIPTION: 2 SERVICES AND 60 BR. CIRCUITS.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: ELECTRICAL DIMENSIONS INC PHONE #: 503 -2B2 -7255
Inspection Request Scheduled For: Date: 4/25/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 028635 -01 503.282 -7255 N
Corrections /Comments /Instructions:
--- T"u'16 NtpR.(IV i4 t., 16 F0a— Cvrv-F.0. cc 1\-., cJ
oNL C 1A& t.,iw-
►2e i N1. 6- w 114..1 A RATZ-
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teve ttA V 14 6N w S E?J S'D
N1 M KVA i p R-1 c-
'438= lxi PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: &KM t'))31.4 Date: Al26166 Phone #: (503) 718 ii4J ,
CITY OF TIGARD . (, .
BUILDING DIVISION " • PERMIT #: ELC2005-10096
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/301200; I
Phone: (503) 639-4171 639-4171 Any liohi
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/14/ 2006 TIME: 7:07AM PAGE: 75
SITE ADDRESS: 09777 SW WASHINGTON SQUARE RD D9,10 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: HOLLISTER CO.
i DESCRIPTION: 2 SERVICES AND 60 BR. CIRCUITS.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: ELECTRICAL DIMENSIONS INC PHONE #: 503. 282 - 7255
Inspection Request Scheduled For: Date: 4/1402006 Pour Time:
Co # Inspection Description Confirm # Contact # Message
•
125 ' Wall cover 028035-01 503.202 -7255 Y
Corrections /Comments /Instructions: E38 \ *�
V a 401...4113W, Z ._ ¶6L t 2�2•' �
AVM._, tki& St1/444.L. catitb. wi t6 Nrcr 33 Fnk-,
4. V . sztk • 16' ) 10 F-4.1430 s vRrf■cc
Pegg va l'iN9 kttzjy‘ NS tisl.. )N
33L•.3 c • sleep
\\\Ef N ® N IM A LL a , h op /3 R ! N U (tic
.e% LINE .
o k. "Q o c a \rek e `A 1 sIss o It w cl is A Qi 4--,
w PA-L. 6, t. ►4O ;N- oa.. a- `� 12 V wrpt -L6
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: CTI A del1 L Date: L A t I L 0 Phone #: (503) 718- 2A4b•