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Permit CITY OF TIGARD ELECTRICAL PERMIT 1 ( : / ° PERMIT #: ELC2007 -00673 COMMUNITY DEVELOPMENT DATE ISSUED: /27/2 9 00 7 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S 135BA -00102 SITE ADDRESS: 10206 SW WASHINGTON SQUARE RD C3 -15 ZONING: C -G SUBDIVISION: WASHINGTON SQUARE TOO LOT : 001 JURISDICTION: TIG PROJECT: BARNES & NOBLE Project Description: 3 phase disconnect. 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 GARNER ELECTRIC BY THE MACERICH COMPANY 2920 SW BROOKWOOD AVE #A 9585 SW WASHINGTON SQUARE RD HILLSBORO, OR 97123 TIGARD, OR 97223 Phone: Contact #: PRI 503 - 648 -4552 FAX 503 - 642 -7925 FEES Description Date Amount Reg #: ELE 34 -305C [ELPRMT] ELC Permit 9/27/2007 $46.85 LIC 121159 (TAX] 8% State Surcharge 9/27/2007 $3.75 SUP 3707S 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: / � _/ Permittee Signature: 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. 10- FK*1 : GAi4NER ELECTRIC FAX NO. :5036427925 Sep. 26 2007 01: 33PM P1 Electrical Perml � _ : 1i '.,: .ui` FOR OFFICl USE ONLY i ' r Received e City of Tigard Received . a V 0 0 0 NZ 13125 SW Hall Blvd., Tigard, C/R 97223 Plan Review • Phone: 503.639.4171 Fax: 503.598.193E? 2 6 1001 ''" r'3'�I DatcIBy OtherPemdC • ,4 Inspection Line: 503.639.4175 - :' Dote Iteady/Br hair. Ili See Pugs 2 for Internet. www.cl.tigard.or.ue r - , •/'-`•� 7.; ;f 1 ,i p :1 11 f , V �• rR , _> , t ., 7 •, i! + i , � Notified/Method: Sttppletneatai lntormadon � , . ogi - r7;'i,.i,N {f ,.. . ,�:� . �Lor v: r ' ' 1 ;n'(trn 1741 � s ,,, F7 s r ^" . . I lQ 1, cL . .. r < . ` ,' 11 . , ' ' ' ( 'j, , . J ' � I ' r Il,� j r n , };, 4 ° . ' �, S�-`- � i4 . I Ni J: + �+} I: ,, , � �{I�, I s } ,, ,F }}, : JJ � �� 1 I 11t�I Y_._�.. r1.4 /, t l ...l .-Y (.. J, /: 1 � �� _,,L � rv?LL '. ... ,'R?. YII� 1 ....: f�.Tc v.lrJ.J riL.]'I >�Ik {{ [{ �v' 1o • ' ❑ New construction o fl';, • - - ., ' on/rep acement . Please check all that apply: ❑ Demolition ■Other: ❑Service over 225 amps, corrmt'i ❑Hazardous location ,•, 'd` Demolition `7 .7r.�ar :} �' ?1 I E ivF:.�? th "d:i .i ?G .1':7f +l !' f : -r 6- 4.;v Zl:'t' ^. ,P`L'I�f- ••a -I �+ ❑Service over 320 amps - rating • ❑ Buildng over 10,000 SQ. ft., 'I '�'a.f I,i�Y..�k {I °i ',, t,', : 1 ' ', --..., .i''JUt �'s,r t`' `i ` `,!!r , v' ''�.1:' . � .r[ �' , I , ' .. i { I11�LI d Lill, , • N i� I � 1 r ;l,? of' I. and 2-family dwellings 4 or more new residential 1 - and 2-family dwelling ►:.! Commercial /industrial 0 Accessory building ❑System over 600 volts nominal units in one structure ['Building over thrice stories ❑Feeders. 400 amps or more L Multi - family 0 Master builder ❑ Other ❑O pant load over 99 persons ❑Manufactured structures or r;1 9 It , n -7Y Js p '7 1 ; ..' -,' i t ; 5� .1 r 1 C ' '.% pa . ti, . Ifft : ... t�t I t 1 , J •�� 11 7,11 ■\ ., f 11 , * I pp C, I1 I Irr 1 <,. Jf I !' ' yt d � ❑� l t e„ ttrt g park p RV r - ; 1s � .'l.ltl.l_.P:1r..1', .J,.�ih.n�i.f {.l �'"�a � L.t.1.i ` ! •._ ' u, �ii �, J0.} ? �.y ill. �i. :.C_ !.,,'d., t3��,u s. ❑Health -care facility ©Otl'er: Job no.: • Job site atidrei s: r Q Co s W Wq$y1f ri f Art ,S N / - ' Submit ,h, seta of plans with any of the above. City/State/ZIP: T j �i ✓A, , g ' . Q7 Z2 3 "M �I fJ The above are not applicable to temporary con$ service. - !Itir?u Am: f .: ,rtYl' �.,�kj4.�. 1 !_S f1ru 1,�t .cJ .. Suite/bldg. /apt. no': Project name: Description pry. s... rant Cross street/directions to job site: New residential single- or multi - family dwelling unit. „_ - -. Includes attached garage. • • • 1,0 eq ft. or less _ 145.15 4 Subdivision: _� . .^ Lot no.: Ba. 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 41 I1 J, t Y J 7p ,' � ( 1ryT; l '1' y ' s . ' , a ,-a J p f l ! r r nYT 11 .1 t , 1 ' 1 0 I � • 'IiWfl • ' , ::ITIltf 'J! J -1.i. i e t ;�4' 4!, sl:� , . i ^c!! 1, CGV H . , } � 4 : . :J1 �4 .,' , ; ti ;;,a, c ; ; d _ l . , v r�: 'i Bach manufnchlredormodular • ^� /�� dwelli se rvice and/or feeder _ 90.90 2 -Phase_ S Di et; ova f+i e. •_. Services or feeders installation, alteration, and/or relocation G y 200 amps or less 80.30 2 '1)C' 1 1 ',Ji\ I (+1 , .It,I1F�Y, ' / �..' 1V. ' �21 ' .�`C {1 �1 1 .1� M {�' Sr l fl l r l�ll 5,( Fk\ ii.i t i�` : 'Ji f J - '��s : 1 201 amps to 4001mpe 106-85 2 , ,..... /11 ... "i tJ I' ,, fiat s .: � :2 ; i... J'^ ':', te- 4;.. <t:_.} �,.,.f 1. 4 ,,, .. 2I:.::1c-'1. t ,2 - 1,911 I7','il 401 amps to 600 amps 160.60 2 Name: v1.e S O L [,e ^^ 601 amps 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 � � g ., relocation Phone: ( ) s � 9 ( 5s Fax: ( ) . 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 , ", I J l 1 lf . < 1 ' , yr / . /ic.g , v I l .7 l , ' ; ; f� ` f 9 ,, 4 .,A3 f t A. Fee for branch circuits witls • r t ` ._t!i'.. '> } ,: � �1A„l ! - Io d..: r �J A, N Y ; +l � -,: .l.i:,.1 i;:!,., a!r I „C , t :(. �._r, :6.. , e, ,,cl i o (..T .6_,.. I <cJ service or feeder fee, each 6.65 2 Business name: • branch circuit • - B. Pee for branch circuits Contact name: without service or feeder fee, I 46.85 ••S‘ 2 - •- - _ each branch circuit Ades: _ _ Each add'l branch circuit 6.65 2 City/State/ZIP: Miscellaneous (servlceor feeder not Included) Pump or irrigation circle '_ ` 53.40 2 Phone: ( ) w �, Fax: : ( ) T Sign or outline lighting • ' 53.40 2 • E - mail: • Signal circuit(s) or limited •, e �.�� ; . -.�. . IS:,' * ; t �I' i ' i T: �, .S ^'n '19;R N V ; i' �' a i:4:„ i 2:; ;, ever Panel' alteration, OT i r� r7 I I 1 Fri r r (��' (� f:. ,:!- 'f : ytii . R w , yd 1 � g { 'Y i ;i.:c , .d i', r:: c ,:r.� . " b'.ISiF'Ir�c�..,u.,T p Page 2 2 h:,'tl1,rd:..: � : , ' extension, Describe: Business name: } ' • � Q `- Each additional inspection over allowable In any of the above Address: .) • ?. L /(t, /e=' .'__, A i _ Per inspection 62.50 City/State/ZIP: ( -�' ' � i l �. I ( 0 . , ' �C) ` tom i 7 ( a•I Investigation per hour (t to min) , 62.50 `` - 1 "' - 1 - • Industrial plant per hour 73.75 • Phone: ( 1) \) ( ( A Sj ��l < .; �- 1. - Faxes -- • �) C.,� / e5y 2L� '`‘ie T: .AtirELll ll it l41 KI,�'° If'r• _N ??::7!4 CCB Lie.: ( 'LA � Gi I Elect' ice! Lie.:? S ic.: �.) - 7 r) Subtotal e $` • Suprv, Electrician signature, required: d /1/�%;// , _ Plan review (25% of permit foe) • - -- State surcharge (R% of permit fee) 3• �^ Print name: �. c'_4\. -� L-•t Z. ( -7.,6 ''Trt,.i - ... Date: • ,�.o . 7 ( ... minx, PERMIT FEE 50.40 Authorized signature: This permit appl eatlon expires If a permit le not obtained within ISO. days after It hat been accepted as complete Print name: ! Date: • Fee methodology se) by Tit- County Building Industry Service Board • . - • - •• Number of inspections per permit allowed' intlutldepemdt AILC•PmnitApp.•41e I 2ro3 MM•4RIST(t0/02/COMIWBB CITY OF TIGARD BUILDING DIVISION ' f PERMIT #: F_LC2007 -00673 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/27/2007 Phone: (503) 639 -4171 kdreet Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10/12/2007 TIME: 7 PAGE: 59 SITE ADDRESS: 10206 SW WASHINGTON SQUARE RD 03-15 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE TOO LOT #: Q01 TYPE OF USE: • PROJECT NAME: BARNES & NOBLE DESCRIPTION: 3 phase disconnect. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: GARNER ELECTRIC PHONE #: 503- 64B 4552 Inspection Request Scheduled For: Date: 10/12/2007 Pour Time: Code # Inspection Description — Confirm # Contact # Message 1 9 9 Electrical final 057496 -01 503 -648 -4552 N Corrections /Comments /Instructions: - 46\ , - 5 %()\ 1 t411 t) a- N q f \NA \ , PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 1 � 1\1( Date: 10111401 Phone #: (503) 718- A)