Permit CITY OF TIGARD } *
DEVELOPMENT SERVICES ELECTRICAL PERMIT
PERMIT #: ELC2006 -00318
DATE ISSUED: 6/5/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S135BA-00100
SITE ADDRESS: 10145 SW WASHINGTON SQUARE RD TGI ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE TOO LOT : JURISDICTION: TIG
Project Description: 1 branch circuit.
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: 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 OREGON ELECTRIC GROUP
BY THE MACERICH COMPANY 1010 SE 11TH AVE
9585 SW WASHINGTON SQUARE RD PORTLAND, OR 97214
TIGARD, OR 97223
Phone: Contact #: FAX 503 - 535 -2763
PRI 503 - 234 -9900
FEES
Description Date Amount Reg #: ELE 26 -95C
[ELPRMT] ELC Permit 6/5/2006 $46.85 UC 203
[TAX] 8% State Surcharge 6/5/2006 $3.80 SUP 44605
Total $50.65 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All
work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set
forth in OAR 952 - 001 -0010 through OAR 952- 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699 or
1- 800 - 332 -2344.
Issued By: 'g Permittee Signature: OrV- ° ,,,,
OWNER INSTALLATION ONLY ��`�"'�
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
JUN-20O 6; 02:47PM FROM -OR ELECTRIC SVC 5035352763 T -169 P.002/002 F -305
Electrical rermit ADOi1Canlon . •
City of i gard . t -'
E IVE® o Prnn N 0. G -00 3/ .
13125 SW H$ Blvd. Tigard, •'il '" .� Plan Review
Phone: 503.610.4171 Fax: 5t � ' :. • %r 4 i '!I t N. i . l .ri r, Date Other Pe it:
Inspnaion Line: 503.639.4175 2 2006 - +� " � I L, Ready/By: .1 • : 51 a far
or
In:enset: www,ei.tigard.or.us JUN Notified/Method Sapptemeatal information
CITY IVY TISAVIKRK PLAN REVIEW
❑ New construction BNMfreplaccment Please check all that apply:
❑ Demolition ❑Other: ['Service over 225 amps, comm'I ['Hazardous location
❑ Servicc over 320 amps - rating ['Bulldog over 10,000 sq. R,
CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential
❑ I- and 2- family dwelling El Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal traits in one Structure
1:1 Multi - family 1=1 Master builder ❑ Other. ❑Building over three stories ❑Feeders, 400 amps or more
['Occupant load over 99 persons ❑Manufactumd structures or
• JOB SITE INFORMATION AND LOCATION ❑ Egrea/lighting plan RV park
Job no.: 92466 I Job site address: 10145 SW WASHINGTON SQUARE RD ❑Health tart Euahty ['Other:
Submit 2 sets of plans with any of the above.
City /State/ZIP: BEAVERTON, OR The above are not applicable to temporary construction service.
Suite/bldg. /apt. no.: I Project name: TGI FRIDAYS FEE' SCHEDULE
Den:4* ' L Qty, I Fee I Total 1 "
Cross street/directions to job site: New residential single- or multi -family dwelling unit.
- - Includes attached garage.
1,000 sq. R or less - 145.15 4 _
Subdivision: I Lot no.: Ea. add'l 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 Each manufrctured or modular
WIRE FOR AMP CIRCUIT dwelling, service and/or feeder 90.90 , 2
. Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
❑ PROPERTY OWNER I PI TENANT 201 amps to 400 amps 106.85 2
401 amps to 600 amps _ 160.60 2
Name: TGI FRIDAYS 601 amps to 1,000 maps 240.60 2
Address: 10145 SW WASHINGTON SQUARE RD. Over 1,000 amps or yobs 454.65 2
Reconnect only 66.85 2
City /State/ZIP: BEAVERTON,OR Temporary services or feeders Installation, alteration, and/or
Phone: ( ) I Fax: ( ) relocation
200 amps or less 66.85 I
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 10 600 amps 133.75 2
Owner signature: Date: Branch circuits - new, alteration, or cxtcnsion, per panel
❑ APPLICANT 1 ❑ CONTACT PERSON ti Fee for bnin h circuits with
service or feeder fee, each 6.65 2
Business name: branch circuit
Contact name: B. Fce for branch circuits G
withorrr service or feeder fee. 1 46.85 iiie' e 5 2
each branch circuit
Address: Each add'l branch circuit 6.65 2
City/State/ZIP: Miscellaneous (service or feeder not included) I
Phone: ( ) I Fax: Pump or irrigation circle 53.40 2
( ) Sign or outline lighting 53.40 2
E -mail: Sigrail eircuit(s) or limited -
CONTRACTOR energy panel, alteration, or
extension Describe: Page 2 2
Business name: Oregon Electric Group
Address: 1010 SE 11th Ave Each additional inspection over allowable in any of the above
Per inspection 62.50
City/State/ZIP: Portland, OR 97214 lavcstiga:ion per hour (I hr min) 62.50
Phone: (503) 234 -9900 [it-ix: (503) 5352763 Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES"
CCB Lie.; 203 J Electrical Lie.. • ' I S r . tic.: 4460S Subtotal 141p• 5
Super. Electrician signature required: i, — .- Plan review (25% of perrrdt fee)
i- .P,NY 1 �� a te: 06/' iA Stale surcharge (8% of permit fee) 3 , $ 0
Print M(a K ..
TOTAL PERMIT FEE 50 , 1,G5
Authorized signature: / • This permit application expires If a permit is not obtained within 180
/� — • � `• - . - — . • days after It has been accepted as complete
11-
Print name: rA ark J , -: 06/02/06 • Fee methodology set by 7r- County Building Industry Service Board
i •• Number of inspeaioas per permit allowed.
Witaldiner mitaNELC-PamitApp.doe 1V03 ' 40 - 46rST(r0/02/COM/wEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006 -00318
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/5/2006
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/9/2006 TIME: 7 :02AM PAGE: 36
SITE ADDRESS: 10145 SW WASHINGTON SQUARE RD TGI CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE TOO LOT #: TYPE OF USE:
PROJECT NAME: TGI FRIDAYS
DESCRIPTION: 1 branch circuit.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: OREGON ELECTRIC GROUP PHONE #: 503 -234 -9900
Inspection Request Scheduled For: Date: 6/9/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 031465 -01 503-849-2594 Y
Corrections /Comments /Instructions: -ZION
XPASS El PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1 " `- E Date: C ct Phone #: (503) 718- ot`ILv 1