Permit •
`� CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2004 -00241
, ,4i DEVELOPMENT SERVICES DATE ISSUED: 5/10/2004
13125 SW Hall Blvd.. Tioard, OR 97223 (503) 639 -4171
PARCEL: 1 S135BA -00102
SITE ADDRESS: 10164 SW WASHINGTON SQUARE RD
SUBDIVISION: MagURG ZONING. C -G
BLOCK: LOT : 001 JURISDICTION: TIG
Project Description: 1 sign lighting.
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 BACHOFNER ELECTRIC INC
BY THE MACERICH COMPANY 55 SE MAIN
9585 SW WASHINGTON SQUARE RD PORTLAND, OR 97214
TIGARD, OR 97223
Phone: Phone: 233 -2006
Reg #: LIC 44569
SUP 1769S
FEES ELE 26 -451C
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 5/10/2004 $53.40
[TAX] 8% State Surcharge 5/10/2004 $4 Rough -
Elect'l Final
Total $57.68
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 -33 -2344.
Issued By: Permit Signature: d71
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: 7 to 4 5
Call 639 -4175 by 7:00pm for an inspection the next business day
05/07/2004 12:06 5032332963 BACHOFNER ELECTRIC PAGE 01
, E&e0' rical Permit Application 1014 01 I I( I. I til.0 \1.1
'city. di' R ..•• '/
lr!)25 SW Hall Blvd., Tigard, OR •r' lim R : /t7 /
P Permit No'•�r • _ v,3`f/
Phone: 503.639.4171 Fax 503.5'F:'. ` C E I / E D 'n•, r,1r; I Data/BY 0 Other permit:
Inspection Line: 503.639.4175 j4- • J L pate Ready/By. ruts S. Page 1 ran
Internet: www.ci.tigardor,us Notified/Method: Supplemental Information
F, , , l i ; \ 4 `r + 'µ i - � ~ °i ',1•:.',; $' .
' . t �, r i ..3� (tdi1 '4. 1, ,� pp it }i 17 `11�hti SI�n7r it r.v �i --7 ):1 r:J dr cc. d1 +;
,oi r:: . +,' ,;:i 9.n,. ∎r4l i.ni,Y.!I r f,' ,.k.� ' 41.61: ;:t1iPo e.,,IFi .i i t� „''"Mi I 1,a :r t ,, .A 7� T. r t
1
. � , (.1711 ..., . U.Irft .: J'C: . ��.. 1 �.� 1..., }„! ,. .. /�•..'' . .
❑ New construction ❑ItfrattortLreplacement Please check all that apply:
[I Demolition I C '1 'cA ,� i1 , • , ['Service over 225 amps, comm
'I ❑Hazardous location
. - ,, k ,7c U , „ , • . 6.1 . v3 1 , 3 , i m Service over 320 amps -eating ❑Builting over 10,000 sq. R ,
• - >` - ,. •' ,,,„::;.,,,,,,, .1 . . ,<..ar i. ` ,,
.h, .11 1,1 ':: .: ; „usr, ,, -,,
,? f [' of I- and 2- family dwellings 4 or more new residential
❑ 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building ❑system over 600 volts nominal units in one structure
❑Building over throe stories ❑Feeders, 400 amps or more
El Multi fttmlly ❑Master builder ❑Other:
ic . '! 1K 1 S f 1.�. .1 u 7 r ' r• AS, r ['Occupant m 4 t S 6 r t � ; t 1 i l a S I ji ? ? Sn rIry c, ? load over 99 persons ❑Mtarufactured 4trUCtlues Ot
,..:.,!,
.. ;,.,.; r • t,er .,,, :, i . n,.,,,
. r, . .,.: l 4 : .. .
i ,4.11i.,et�i:J l liii.'0, , r ,:;, i d. ,:�P i t � ;5ri 1 ❑Egrcss/lighting pl RV park
'Job no.: 1 693 Job site address: ❑Health -care facility QOther
1 01 10164 SW W. t. ' 4 i • N • : ' E Submit 2 sets of plans with any of the above
City/ Stan/ZIP: TIGARD OR ice mat ' , The a temporary bove are not applicable to tempora construction service.
SuitclbldgJapt. no.: Project name: i � t1! ,a f '`: ; :r.
Description Qtr. Pm Total ..
Cross street/directions to job site: New residential single or multi - family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: Lot no.: Ea add 500 sq. ft. or portion, 33.40 1
Tax map/parcelpno.: Limited energy. residential 75.00 2
# J ( , i r r j ^ c ?J . 1 Srti 1 i r r l a 1 jr It � x � 1:C Fi 7I �r r r i l c l �, , r � 7 Limited energy, non- residential 75.00 2
} ,
..ru,.,. . r - ... ,,..i ,,. �, ..... >•C*1..: � 11. . t ( !Sit ,�.�1 r ` } l ' 2 vtF.i 7� tt' [ ( b
�_ I ,�' .,r. «, .r, ,.,rl � . I �� �,._�?;. Each menufacmredormodu�ar
dwelling, service and/or feeder 90.90_ 2
m Services or feeders installation, alteration, and/or relocation
200 amps or less ' 80.30 2
c, r ? r , t` f ~ t ' t�` ;, r, V , : r S't 1r g F, 7t5 i t - 7- nl t a: t N t r N 11 201 amps to 400 amps
. , ;`,q ; i t : ;, ?l(,!,,,A.1 ,, i ' ?5' ':,1+1;. w'4 , , I , 1, ` . ,c. ,9'''..,f,...; } D 106.85 2
401 amps to 600 amps 160.60 2
Name: 601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
Reconnect only I 66.85 1 2
City / State/ZIP: Temporary services or feeders installatloe, alteration, and/or
Phone: (M ) Fax: ( ) relocation
200 amps or less 66.85 I
Owner i i" nation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2
intended tyr sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2
Owner signature: Date; r o
+ ."" " ,t'j ^ l', f �" ? r r r s �N ,, }•7 F , , n y r . r, A. Ecc tt circuits - new, alteration, 0 per panel
1
[ lion, o ern al o, r a
1a) „ : 7,, , a; Y. 1 ra 114 ,,ti� !' V 4 (n fr •� fwySt . I,.a4 , A. Fee for branch Cireui wi
" tir.:•t ,, t m " 3 xX ;; serv or feeder fee, each
h
Business name: branch circuit 6.65 2
B Fee for branch circuits
Contact name: without service or feeder fee,
each branch circuit 46.85 2
Address: Each add'I branch circuit 6.65 2
City /State/ZIP: Miscellaneous (service or feeder not included)
Phone: Pump or irrigation circle 53.40 2
( ) Fax:: ( ) Sign or outline lighting 1 53,40 53 A 2
E Signal circuit(s) or limited-
''''.1-'s-> .. r ' 1 t .... l 4 , ! ,: , { ' tr° ) „ ; . _ ;.v l n
4 ,.;f!y,d ,?k� }_y;,. z ., '.:. {t^ 1
f,;,r .e ,l.Rn0.4,.1'..,aj fr " . r4 m .. f,a l LL .D i} 5 ...: t, . :,..,.,..� �panel, al ribe: n, Or
Business name: BACHOFNER ELECTRIC, INC.
extension. Describe: Page 2 2
Address: 55 SE MAIN Each additional inspection over allowable in any of the above
Per inspection _ 62.50
City/ State/ZIP: PORTLAND, OR 97214 Investigation per hour (I hr mm) 62.50
Phone: (503) 233 -2006 Fax: (503) 233 -2963 industrial .lent per hour 73.75
';'.'4,'":1`1;t:.'.;. .. ,i'k'""sC ,,, "s,.iv.1. <, '...i .. .:i. •
CCB Lie.: 44569
F Subtotal 53.40 _
Suprv. Electrician signature, required: - I �;� _ Plan review (25% of permit fee)
/ State surcharge (8% i of permit fo 4. 28
Print name: ROBERT H R. BACHOFNER Date: _ 07 -04 '
Authorized signature: TOTAL PERMIT FEE 57.68
This permit application expires if a permit is not obtained within Ise
Print name: Date: days after ,t has beta accepted as eompkte
Fe methodology set by 76- County Building Industry Service Board
•• Number ofinspections per permit allowed.
t.' aultdingtper ,/ELC- Per.r 12/03 44046I5T(I0102/COMAIFA