Permit CITY OF TIGARD ELECTRICAL PERMIT
11 q
PERMIT #: ELC2007 -00807
COMMUNITY DEVELOPMENT DATE ISSUED: 11/29/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S12600-00400
SITE ADDRESS: 09800 SW WASHINGTON SQUARE RD SEARS ZONING:
SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG
PROJECT: SEARS
• Project Description: Supply circuit.to 2 F/A power supplies.
Location: Main elec. room, next to boys t- shirts.
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: SIGNAUPANEL:
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: 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 MILESTONE ELECTRIC
BY THE MACERICH COMPANY 1800 NW 169TH PL SUITE B700
9585 SW WASHINGTON SQUARE RD BEAVERTON, OR 97006
TIGARD, OR 97223
Phone: Contact #: PRI 503 - 645 - 5323
FAX 503 - 690 -4843
FEES
Description Date Amount Reg #: ELE 34 -618C
[ELPRMT] ELC Permit 11/29/200' $46.85 LIC 153480
[TAXI 8% State Surcharge 11/29/200' $3.75 SUP 45745
Total $50.60 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:r
Permittee Signature: (1 r
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.
Nov. 29. 2007 8:52AM Milestone Electric No. 8844 P. 1
l . ''` Electrical Perm' '� FOR OFFICE USE ONLY
City of Tigard p "� � l c. vi 31 ? vanii N AS2.001 — do
13125 SW Hall Blvd , Tigard, oI�97 Plan Review
3 9 9 200 F40/ Phone: 503.639.4171 Fax 503.59 94 •,,;r;; i, ' DaedBy OtherPemut:
Inspection Line; 503.639.4175 C OF TIGARD — d l Data Ready/By: Jps/ BI See Page 2 for
Internet www.citigard.or. Notified/Method A Supplemental Infonpadoe
. . • 'TYPE. OF WORK . . • t.., ', : • , . r • Pe 11V' BV aw . , . .
0 New construction Addition/alteration/replacement Please check all that apply:
❑ Demolition ❑ Other: 0 Service over 225 amps, control ❑hazardous location
❑ Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft.,
CATEGORY OF CONSTRUCTION „ • ' • ' of 1- and 2- family dwellings 4 or more new residential
❑ 1- and 2- family dwelling ommereial/industrial ❑ Accessory building 0 System over 600 volts nominal units in one structure
❑ Multi - family Master builder ❑ Other; ❑Building over three stories ❑ Feeders, 400 amps or more
0 Multi gMaster builder 0 Other:
JOB SITE INFORMATION AND LOCATION ❑Occupant load ova 99 persons ❑ Manufacteut -d structures or
❑ggress/Iighttng pin RV park
Job no.: 7 3 / I Job site address:M S e 5 2 J ❑Health-care facility ❑Otter:
L
r-- '` Submit 2 sets of plans with any of the above.
City /State/ZIP: / t - � J (9,„ g 72_2 The above are not applicable to temporary construction service.
Suite/bldg. /apt no.: Project name: s A"S f/ 6 ... ED
Cross street/directions to j ob site: New I Qty. I a� I . I "
��� N Ne r single- or multi - family dwelling unit
Includes attached garage.
Se_Jo r . f:✓r„ k , S 1,000 sq. ft. or less 145.15 ' 4
Subdivision: /tic �•� t i of n o.: EL add'l 500 sq. ft. or portion 33.40 1
• /Yt' hi / S,.e Limited energy, residential 75.00 2
Tax map/parcel no.: �'
Limited energy, non - residential 75.00 2
DESCRIPTION OF WORK Eacb manufactured or modular
/ ' a . F/ " P mcf if "� �
dwelling, service feeder 90.90 2
�� � uf / � - Services cet or feeders ry installation, alteration, and/or relocation
■ �S + Y f 200 amps or less - 80.30 2
' ❑ PROPERTY OWNER • ❑ TENANT. , • 201 amps to 400 amps 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 amps or volts 454.65 2
Reconnect only 66.85 2
Ciry / State/ZlP: Temporary services or feeders installation, alteration, and/or
Phone: ( ) I Fax: ( ) relocation
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 600 133.75 2
Owner signature: Date: Branch circuits —new, alteration, or extension, per panel
. ❑ . APPLICANT ' . , ' ... ❑ CONTACT PERSON A Fee for branch circuits with
Business name: service or feeder fee, each 6.65 2
branch circuit
Contact name: B. Fee for branch circuits
without service or feeder fee, / 46.85 t 2
Address: each branch circuit
Each add'I branch circuit 6.65 2
City/State/ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) Fax: : ( ) Pump or irrigation circle 53 40 2
Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited-
' ' ' CONTRACTOR ' energy panel, alteration, or
Business name: /4 f n,L_ e_ 47 l,C extension Describe: Page 2 2
Address: 22220_, Sf ti l / 4Q Each additional inspectono over allowable in of th e a bove
City / State/ZIP: p Per inspection
(� 'el. if ,‘, or, / 20106 Inve per hour (11u min) 62.50
Phone: (SO) Gq� s-3 �3 I Fax: (5-0T 4, 9O V f 3 Industrial plant per hour 73.75
p � ELECTRICAL PERMIT FEES*
CCB Lic.: /53 izJQ Electrical Lic.: 31 Suprv. Lic.: 4f ' 7(65t' Subtotal GK, ,
Suprv. Electrician signature, required t 10.1•10 Plan review (25% of paroit fee)
Print name: /"feirk , , l Date: / r p
,2 State surcharge (8% of permit fee) 3 7�
4 � TOTAL PERMIT FEE 5v 4
Authorized signature: r This permit application aspires if a permit is not obtained within I80
A days after it has be® accepted as complete
Print name: ff �I Date: /�,"� • Fee methodology set by Tri -Canty Building Industry Service Board
• • Number of i inspections per permit allowed.
latuildmglPemutAELC PerroitApp 12/03 440- 46157(lwo2/COM/W®
CITY OF TIGARD
BUILDING DIVISION A . PERMIT #: El_C2007 00807
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/29/2007
Phone: (503) 639 -4171 �f i
Inspection Requests (24 Hrs.): (503) 639 -4175 ° 1L
INSPECTION WORKSHEET FOR DATE: 12/13/2007 TIME: 7:0OAM PAGE: 23
SITE ADDRESS: 09800 SW WASHINGTON SQUARE RD SEARS CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: SEARS
DESCRIPTION: Supply circuit to 2 F/A power supplies.
Location: Main elec. room, next to boys t- shirts.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: MILESTONE ELECTRIC PHONE #: 503 - 645-5323
Inspection Request Scheduled For: DM 12/13120Q7 Pour Time:
Code # Inspection Description ( C nfirm # Contact # Message
199 Electrical final 1457 -01 503.572 -6870 ` Y
ELN6D
Corrections /Comments /Instructions:
c
L .l
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: � r t0E7 L' Date: I7.-I 3-11 Phone #: (503) 718 - 1-111110