Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00564
V DEVELOPMENT SERVICES DATE ISSUED: 10/4/2006
•I I� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S135BA -01802
SITE ADDRESS: 10101 SW WASHINGTON SQUARE RD ZONING: C -
SUBDIVISION: WASHINGTON SQUARE TOO LOT : 025 JURISDICTION: TIG
Project Description: 200amp service, 5 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: 1 W /SERVICE OR FEEDER: 5 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 BROADWAY ELECTRIC - COCHRAN INC
BY THE MACERICH COMPANY 626 SE MAIN
9585 SW WASHINGTON SQUARE RD PORTLAND, OR 97214
TIGARD, OR 97223
Phone: Contact #: FAX 503 - 238 - 2098
PRI 503- 234 -6564
FEES
Description Date Amount Reg #: ELE 37 -546C
[ELPRMT] ELC Permit 10/4/2006 $113.55 LIC 72942
[TAX] 8% State Surcharge 10/4/2006 $9.08 SUP 3447S
Total $122.63 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: fU'etal Permittee Signature: el
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 Applica CE V 6, FOR OFFICE USE ONLY
City of Tigard n �s 1° 4 06 % 11111=1 l t X.UOb -Ob &
13125 SW Hall Blvd., Tigard, OR 97223 OCT O
C 0 �1 16 Plan Review
Phone: 503.639.41,71 Fax: 503.598.1960 '.e; r-:y 1 ,� Date/B Other Permit
Inspection Line: 503.639.4175
CITY • e.'.e't :- ::` I I Date Ready/By: kris ® See Page 2 for
Internet www.ci.tigard.or.us Notified/Method: Supplemental Information
_ ssuitniNG DIVISION
;4 : •.TYPE WORK''= t '.; -, . _- : •.: ''`...::;•: PLAT 1tE_VIEW• - .
❑ New construction 12 Addition/alteradon /replacement Please check all that apply:
❑ Demolition ❑Other. ['Service over 225 amps, comm'l ['Hazardous location
['Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft.,
- - _ :- •CAEGORY§F C ONSTRi1CtIONi; _ . • of 1- and 2- family dwellings 4 or more new residential
❑ 1- and 2- family dwelling E ommerciayindustrial ❑ Accessory building ['System over 600 volts nominal units in one structure
['Building over three stories [Weeders, 400 amps or more
❑ Multi-family ❑ Master builder ❑ Other:
['Occupant load over 99 persons ❑Manufactured structures or
,.. • _ - JOB SITE INFORMATION ANli LO CATION '' ' - t ,
' 1 • ['Egress/lighting pplan RV park
Job no.: 14.0?O„�� "t ' ,` 1 I Job site address: INN I " �1 si , t (� [ ❑Healh care facility [Other:
"* Submit 2 sets of plans with any of the above.
City/ State/ZIP: —Fla C� gi) " " v 1 The above are not applicable to temporary construction service.
Suite/bldg./apt no.: Project name: .. -
Darrfptioa - . Qty. ( Fee. I Total (
Cross street/directions to job site: New residential single- or mufti - family dwelling unit.
Includes attached garage. .
1,600 sq. ft. or less 145.15 4
Subdivision: I Lot no.: Ea. add'' 500 sq. R or portion 33.40 1
Tax map /parcel no.: Limited energy, residential 75.00 • 2
. Limited energy, non - residential 75.00 2
' .. _ _ . ',DESCRIPTION OF' WORK ,, - -2..:- , ' c °- . . Each manufactured or modular
�frcfYrc1I ft{ s� v 1 1 /)�„,1 � cY . S erv ii es r e eeand/orfeeder 90.90 2
l/l 1 r r 1 � aCy,� Services or feeders installation, alteration, and/or relocation
200 amps or less / 80.30 Oft 3O 2
• ; n PROPERTY OWNER - : TENAixT ., 201 - amps to 400 amps 106.85 2
I . - - 401 amps to 600 amps 160.60 2
Name: e 6 „� C rc 61), �� (-�¢� amps , 601 as 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: ( ) 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 amps 133.75 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
• - APPLICANT - • r ' - 1 C • CONT.Adr4ERSON -_ A Fee for branch circuits with
service or feeder fee, each 5 5”
Business name: Ye C.c� ( ('mt�jl �.,I- s branch circuit 6.65 _) 2
l "^ �i ^r B. Fee for branch circuits
Contact name:
without service or feeder fee,
Address: each branch circuit 46.85 2
Each add'' branch circuit 6.65 2
City/State/ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) I Fax : : ( ) Pump or irrigation circle 53.40 2
E- Sign or outline lighting 53.40 2
Signal circuit(s) or limited-
_ ,.. . -'- ._ , _ ,' . . _ ?, CONTRACtOR '
'-' energy panel, alteration, or
: . extension. Describe: Page 2 2
Business name: /mac 6A.%....4 e.\.i `e c - -r -
Address: 2 5 A w "\ � `� 1 Each additional inspection over allowable in any of the above
1 P a inspection 62.50
City/ State/ZIP: ?o 4-- \--` q.r► 09- 1 2 -4 Investigation per hour (1 hr min) 62.50
Phone: o 5 Fax Industrial plant per hour 73.75
(s 3) 23�} — �� �y (s 3) Z3� -2
'ELECrlilcALLYKRM T - FEFS +'
CCB Lic.: "7 2, C\ 42_ I Electrical Lic.: 31 -5 lo G I Suprv. Lic.: 34-41_5 .1_' Subtotal ( j , %-+;--
Suprv. Electrician signature, required: ' Plan review (25% of permit fee)
Print name: `fl Date: 1 Q I z l O� State surcharge (8% of permit fee) •� g
G C�he. G. Dat TOTAL PERMIT FEE (a'x, 4,
Authorized signature:
This permit application expires if a perud is not obtained within 180
Print name: days alter It has be a cce pted as co
!�, � Sh Date: 10 12,1 a Co • Fee methodology set by Tri -Cotmty Building Industry Service Board
•• Number of inspections per permit allowed.
Bl dm$1PammlELC-PamaApp.doc 12/03 440.4613T(iWO2/COM/WEB
CITY OF TIGARD i BUILDING DIVISION PERMIT #: ELC2006 -00564
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/4/2006
Phone: (503) 639 -4171 yr i
Inspection Requests (24 Hrs.): (503) 639 -4175 .' l t
INSPECTION WORKSHEET FOR DATE: 10/20/2006 TIME: 7:01AM PAGE: 49
SITE ADDRESS: 10101 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE TOO LOT #: 025 TYPE OF USE:
PROJECT NAME: BANK OF AMERICA
DESCRIPTION: 200amp service, 5 branch circuits.
OWNER: WASHINGTON SQUARE LLC, PHONE #: ,
CONTRACTOR: BROADWAY ELECTRIC-COCHRAN INC 15 Si 4 A®(4 PHONE #: 503- 234 -6564
Inspection Request Scheduled For: Date: 10/20/2006 Pour Time:
''..e : nspe . • - l escription Confirm # Contact # Message
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g. PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
—•; ___ - -- ;74;,;--- FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: &Y, N 0 e Date: to ( 1Ofr.O Phone #: (503) 718-
1 .