Permit I CITY OF F TIGARD I GAR D ELECTRICAL PERMIT
a PERMIT #: ELC2005 -00130
gln DEVELOPMENT SERVICES DATE ISSUED: 3/4/2005
'` �� II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 1S135BA-00102
SITE ADDRESS: 10104 SW WASHINGTON SQUARE RD
SUBDIVISION: bRitIBURG ZONING: C -G
BLOCK: LOT : 001 JURISDICTION: TIG
Project Description: Electrical TI, (10) 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: 9 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 KEC ELECTRIC INC
BY THE MACERICH COMPANY 1281 NE 25TH AVE UNIT K
9585 SW WASHINGTON SQUARE RD HILLSBORO, OR 97124
TIGARD, OR 97223
Phone: 503 - 641 -6545 Phone: 503 - 439 -0904
FEES Reg #: LIC 99267
SUP 4489S
Description Date Amount
ELE 34 -42-42
6c
[ELPRMT] ELC Permit - 3/4/2005 $106.70
[TAX] 8% State Surcharge 3/4/2005 $8.54 REQUIRED ITEMS AND REPORTS
Total $115.24
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Speaalty 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 I . - - - 1 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules are : orth in OAR • .2-i , -00 : through OAR 952 - 001 -0100 You may obtain copies of these rules or direct questions to OUNC at (503)
246 -669'. or 1-800- 332 -23 , .
Issue By: Permittee Signatur •
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:
• NTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: = ' ✓ /�—�� DATE:
LICENSE NO: 7 • 93
Call 639 -4175 by 7:00pm for an inspection the next 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.
Elect f Permit Applica wit (►l�l lc:•l�: 1 Isl? (>m1.)
Cl 1 1f T '� 1iE E Received Jr z--* i PitNo.: Q ty C� Date/By: ,' -- D J �� �/3J
13125 ;;Ni Hull Blvd., Tigard, OR 97223 Plan Review ' 401°J Other Permit
Phone! 503.639.4171 Feu,, 303.598.1960 M 0 F• A:" . l r :'Ii'''' Dalr/DY:
inspection Line: 503.639.4175 Date Ready /Ay; ► K � � BI 5cc Page 2 for
Internet www.et.Ugard,or•us
Notified/method: a , Supplementallnformatiou
W F TIGARD P N > tcw
❑ New construction jg'Additii / r r1(10a SION Please check all that apply:
❑ Other:
['Service over 225 amps, comm'l [jHazardous location
❑ Doutulitiun
I]bervtec over 320 amps — rating ❑BuI1Gng over 10,000 sq. fl.,
' CATEGORY OF_CONSTRIICTION of I- and 2- family dwellings 4 or more new residential
• n I. and 2- family dwelling ommercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
12 Multi- family ❑ Master builder ❑ Other: ['Building over three 3toriat ['Feeders, 400 amps or more
❑Occupant load over 99 persons OManufactured structures or
• JOB SITE INFORMATION AND LOCATION ❑Eo css /lighting plan 1 W park
[Wealth-can facility ['Other --_
Job no.: Job site addres: SW Washington SQ rd Submit 2 sets of plans with any of the above.
City /State/%1'P: Tigard. Or /aYOr The above are not applicable to temporary construction service.
Suite/bldg. /apt. no.: A02 Project name: Activate Cellular FEE" S(:MN UliLl;
Destriplion r Qty. I Fm. I Totni I ••
Cross strect/directions to lob site: New residential single- or multi- family dwelling unit.
Includes attached garage.
_ 1,000 sq. ft. or less 1.45.15 4
Subdivision: T ,nt nn.: 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
IWSC'RIPT LON OF WORK'. Ranh manufactured or modular
Electrical TI dwelling, service and/or feeder , 90.90 2
Services or feeders installation, alteration, and/or relocation
200 amps nr less 80.30 , 2
❑ PROPERTY OWNER • ❑ TENANT • • • 201 amps to 400 amps 106.85 2
�� 401 amps to 600 amp P 160.60 2
Name: 601 amps to 1,000 amps 240.60
Address: Over 1,000 amps or volts _ 454.65 2
Reconnect only 66.85 2
City /State/Glt ": Temporary services or feeders installation, alteration, and/or
-
Phone: ) (.4t-, (
45 4 ' I Fax: ( ) relocation
200 amps or IC55 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 ' .. • I ❑• CONTACT PERSON A. Fee for branch circuits with
service or feeder fee, each 6.65 2
Business name: branch circuit
Contact name: B. Fee for branch circuits
without service or feeder fee, if 46.85 Lib 2
Address each branch circuit
Each add'l branch circuit el 6.65 2
City /State/VP: Miscellaneous (service ur feeder not included) ///
Pump or irrigation circle 53.4 2
Phone: ( ) "Fax: : ( ) Sign or outline lighting 53.40 2
A E- mail: _ Signal circuit(s) or limited-
CONTRACTOR : energy panel, alteration, or
• extension. Describe: Page 2 2
Business name: KEC ELECTRIC, INC
Address: 1781 NF. 7.Sth Aye, 1 /nit 1K Each additional inspection over allowable in any of the above
Per inspection 62.5(1
'
City/State/ZiP: Hillsboro, Or 97124 Investigation per hour (11u min) 62.50
Phone: (503) 439 -0904 I Fax: (503) 640-3838 Industrial plant per hour 73.75
/ ELECTRICAL PERMIT FEES "'
CCB Lie.: 99267 ' electrical Lic., 4- 426; Suprv. Lic.: 44895 p� / 6 � Subtotal toe
Suprv. Electrician signature, required: - // I-llll[[ Plan review (25 %ofpermit fa) -
Print name Date: `7 State surcharge (8% of permit fee) / r''
, � _ � sacs 0 TOTAL. PERMIT L L`E f / `J
Authorized ssignature: This peewit application aspires if a permit is not obtained within 1 0
days after it has been accepted as complete
Print name; I Dare. • Fat mrthrvrnlnCy rrt by Tri- C.mmty Huildinc Industry Service Board
• • Number of inspections per permit allowed
i 1Bui IdinaWermitAE1.C- ParmitADO 000 I 2/03 d404615T(10/02/COM/WE13
CITY OF TIGARD •
BUILDING DIVISION PERMIT #: ELC2005 -00130
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/4/2005
Phone: (503) 639- 4171 � li � l
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 3/10/2005 TIME: 7:30AM PAGE: 44
SITE ADDRESS: 10104 SW WASHINGTON SQUARE RD A -2A CLASS OF WORK:
SUBDIVISION: OAKBURG LOT #: 001 TYPE OF USE:
PROJECT NAME: ACTIVATE CELLULAR
DESCRIPTION: Electrical TI, (10) branch circuits.
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503- 641 -6545
CONTRACTOR: KEC ELECTRIC INC PHONE #: 503-4330904
Inspection Request Scheduled For: Date: 3/10/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
105 Underground/slab cover 001140.01 503 - 439 -0904
Y
Corrections /Comments /Instructions: k1 & - A 4 - LO - S& not)
- t--v,5 acts 15 \Ara )wok rva R kalp,b (ouwktAi)>11;
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: / '' `��'�C Date: °6 Phone #: (503) 718 - a-- V 4
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: aet11
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: amraeas
Phone: (503) 639 -4171 'I II
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: MUM TIME: 7:13AM . PAGE:
SITE ADDRESS: ��� ' y WASHINGTON S0UARE RD A 2A CLASS OF WORK:
SUBDIVISION: °A gate LOT #: TYPE OF USE:
PROJECT NAME: Act-PA CEL LIAR
DESCRIPTION: .:c re�,v1,I, (10)13rat►[ w nits.
Cb
OWNER: WASHINGTON SQUARE LLC PHONE #: 503
+
CONTRACTOR: KKC ELECTRIC INC PHONE #: 50 �N
43W
Inspection Request Scheduled For: Date: 31116 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 i ccee m4n701 43 V •
•
Corrections /Comments /Instructions:
Zog
I I '
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
�❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
•
Inspector: /9' / l /fI/ Date: , "31�`/ Phone #: (503) 718 -