Permit CITY OF TIGARD ELECTRICAL PERMIT
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111 ° PERMIT #: ELC2007 -00484
° COMMUNITY DEVELOPMENT DATE ISSUED: 7/16/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S135BA-00102
SITE ADDRESS: 10108 SW WASHINGTON SQUARE RD A -3 -- ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE TOO LOT : 001 JURISDICTION: TIG
PROJECT: COST PLUS WORLD MARKET
Project Description: Install (6) branch circuits for lighting retrofit.
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: 5 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 BERGELECTRIC CORP
BY THE MACERICH COMPANY 6026 NE 112TH AVE
9585 SW WASHINGTON SQUARE RD PORTLAND, OR 97220
TIGARD, OR 97223
Phone: Contact #: PRI 503 - 255 -1818
FAX 503 - 255 -1919
FEES
Description Date Amount Reg #: ELE 37 -682C
[ELPRMT] ELC Permit 7/16/2007 $80.10 LIC 110521
[TAX] 8% State Surcharge 7/16/2007 $6.41 SUP 5121 S
Total $86.51 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
I� w ork 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 -nnin tkough 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.
S _ _ 2- �n Issu = • I/ //j/ l /` // P ermittee Signature: p 7 077 p/
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.
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007.00484
1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/1642007
Phone: (503) 639 -4171 rill
Inspection Requests (24 Hrs.): (503) 639 -4175 -
INSPECTION WORKSHEET FOR DATE: 1/22/2008 TIME: 7:01AM PAGE: 34
SITE ADDRESS: 10108 SW WASHINGTON SQUARE RD A - 3-- CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE TOO LOT #: 001 TYPE OF USE:
PROJECT NAME: COST PLUS WORLD MARKET
DESCRIPTION: Install (6) branch circuits for lighting retrofit.
• OWNER: WASHINGTON SQUARE L.LC, PHONE #:
CONTRACTOR: BERGEL.EeI CORP PHONE #: 503 - 255 -1818
Inspection Request Scheduled For: I - e: 1/22/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 063619-01 503 - 849.6448 Y
Corrections /Comments /Instructions: �� - D . EAN
S.\ 0 (111 \ N 0\ Z' - ` � c1\6"- )
� � £44 z/.% •. ,
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: C" 1■ (6 Date: L'ZZ' Phone #: (503) 718-