Permit CI 1 OF �' G�RD ELECTRICAL PERMIT
I V PERMIT #: ELC2005 -00609
l DEVELOPMENT SERVICES DATE ISSUED: 8/22/2005
o� II 13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171 PARCEL: 1512600 -00300
SITE ADDRESS: 09512 SW WASHINGTON SQUARE RD H -2 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG
Project Description: Electrical TI, (8) 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/ FOR: 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: 7 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 SANTIAM ELECTRIC INC
BY THE MACERICH COMPANY 820 REES HILL RD
9585 SW WASHINGTON SQUARE RD SALEM, OR 97306
TIGARD, OR 97223
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Phone: 503 - 639 -8865 Phone: 503 - 365 -0673
FEES Reg #: ELE 24 -386C
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Description Date Amount LIP 14
SUP 4417S 175
[ELPRMT] ELC Permit 8/22/2005 $93.40
[TAX] 8% State Surcharge 8/22/2005 $7.47 REQUIRED ITEMS AND REPORTS
Total $100.87
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 aCn-% R 952- 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at
503 -24 -8332 -2344. , ' / 1
Issue AAu GLAqua i Permittee Signat re: �, .:4 1 // , tat—,---..._
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:
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CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N DATE:
L
LICENSE NO: 7 7
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.
Aug 19 05 01:02p Santiam Electric 5035814886 p.2
108/0/2005 11:44 FAX 5035981000 slmcIll UF TIGARD 'a1001
. i/. 4 .. '4, •oveu
Electrical Permit Apn , ,, , . 1 11 i ,i . toRI.Iii, 1 I ,I.,..) 1
City afTigard ( . 1
97223 TA* Rosin! gar,
■ ■
. iOn Pens* Aro.: ii. a - itAf' - e19 ,
' 13125 SV/ Hall Eilvd.. Tigard, COL Ikk 1 ‘3
More: 503.639.4171 Pase 503.591.19no . in notes B. OncrPante ,
inapeetion Lime 503.639.4175 • 1 .1 1
It e ,■!...... ...... c tl oro fm gRibiar. . EEE*MAIII
Internet wvror.eltigardocus r.VV 9 mSk • ' adarrieliext
..:.: .......*:, . -...!- i":'::-..- ...-:':' ...‘;:.-, '''...:.;:ftr-.i".f.;r:'. a . .0(1 ,.'' : :..
la New COD.Struelian El Arkfitiontalterationterdammern v Please - l'-' an that apply:. . .
• -1 ... OServica met 223 coops, cannel pliseardous loot:inn
El Demolition Maher: - i.e.-me...N:4 - 1(v■prov.Q lAko-u.--
- - OService ova 320 eams - rating 1:113airdag ova 10,000 so. n..
ik':: ....,.'. f•': Of 1• GM 2-11mily dwellinga 4 or there sew residential
. ID 1 - and 2 - fly dwelling 13-CommaraYindustrial 0 Asxcasory haling OSYstein ova 600 vults nominal gill. 6 gmc stnimars
00ailding criallene stories DFOeciets, 400 amps or more
0 Multi-Sanity CI Master hada -n CI Othet: 13
. . . 0econsat load over 99 persons 01 !enca or
' ... • .. .'' si'.) .f ftebett:ii ', ','. - e';'?." DEgreardisluisg plan RV park
DOtber
Job no.: I lob site address952 g, - a p I sq. - Olict4ta•cler (Why
Submit 2 sass ofplam with any ef dte above. .
'1 1C4 •
Cit LA_ , 1:=1 C g.-- c( 7.... 3 The above ans not applkable lo temponey Mt:Auction service.
Stitt/bldg./Vt. MU (,) 14 3,... I Prageet name: Li 1-0---11:._ 7 .' .... '..1k.: • - . • '. i. ; 2 ' ' • •
ti.nai;4ii ..•!) MI .. . _ . ..tr m,4t...9. 1, • 1. -.. ,
Itnnigeas 1 Qtr. I rm. 1 nap I "
Cross sneer/directions to job site: New raidestial single- or molti-fandly &main oak.
Wades attached garage. .
1.000 eg. 11 or less 145.15 4
Subdivision: 1 Lot no.: EL .641 500 eq. ft or potion 33.40 1
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[hafted away, residential 75.00 . 2
Tax maprparcel no.:
Limited enery, eaeoresidentid 75.00 2
*:!..-•::;.::**:' : .: •"'"14AVain f ltOrtOrtilblit? .:. . 1- .T•i ' "•' ' I... -t"` :';' •;,•:!.. : .'!: WI Irstinfaetured =
es Molar
dwelliag, service aadIer feeder • 90.90
-15 rva.A. • ou sedaj‘...3: Serving or feeders installation, slanging, ether atJo
\-4 NiL ) %1_ (r) 100 angst or law
• :-. '• .,'.' !'• 0331EXptitrOpatal * •-.-. ....: ..:..: :".. . i.:•.;:...); .,'.• vi wismer ... .....: :. ., 201 slept° 400 amps
106.
I10.30
115 2
1
401 amps to 600 amps /60.60 2
Name: •
601 imps to 1,000 amps 240.60 2
Address: ' ' OM 1,000 amps or vol1 9 454.65 2
lecennon Goy 66.85 2
City/Stale/ZIP:
Temporary swims or feeders ildallstie a, aiteredrus, eed/or
Phone:( ) 1 Fax ( ) relocation
200 amps es lees 66.83 I
Owner installation: This ins:Madan is being made on prcperly that I own which is not 201 10400 100.30 2
intended for sale. lease, res or exchooge, according to ORS 447, 449, 670, and 701. I
401 amps to 600 asps 133.75 2
Owner signs:arc Dale: anted *nits - dew, a Ravioli. or eatiattlan;*Rerpasel
.,•:: !..: -.' '..,'",. - ;1:1* *04 `1';` . -': ":'!.-; ::: i : -.::: isie : '. A For Ex/mach circuits with
service or feeder foe, each
6.65 2
Business name: 50K„. - 1.0,w._ F Vf1... Winch circuit ,
& Fee fcr branch circuit;
Coal= name: - C - : fY\ &CI k.4. F --' wehosn service or feeder fee, .
1 46.135 4 1 2
AdalfelS: q 43 0 ECL1Lb `141 1 I ei k • ash bunch cinmit
, Each 'dr) brunch *wit 4- 6.65 4 44 . 2
City/State/ZIPict p.4._ °t 1- .. OCO Misetlismaiss (service or finder oat included)
2
Pomp a inipalaa altos • 53.40
P h ( : I fIC: (5f3 ) Zte-0(42 1 rex:0%3) 51C1-1-1MA Sign ar max lighting 5340 2
E-mail:
Sign! eiradt(a) alineired- . • . •
:5 k:1': ':' ' . ..... .7.: ' ::;!-:- A f - .‘ -1-: es ' a gY P cl • litCridiall' or
=anion. Desatle: Page 2 . 2 --
Business name: % ex...K. , ka
\N Emit additives! inipection over allesmisk in stay of the above
E
. P• n a.Q.QA R-1. Lk A . V-
Pa inspection 62.50 .
( CITY/Stale/UP: ' ,,.. c 913 ok, umnigation pa hour (1 Wolin) 6150 - -
VC 1 ., . .
Ph°114; C 935 ) 3(D - D( M (so ) c5g(-q a 1.4' Intinsoiai pent p a i i a r 73.75
.:; : ' • . ',.', .. laiCatIVAL.P112800r X1;123e ::. -. :
CC B Lic i D.1 1 - a - 1 Eledlical , ( 4. 3E(0, Di Surfm L I - H V"}A. Subtotal ' 93.4 u
suprv. Electrician signature. required: . 7/ 10 eeito 7 Rao review (25% of pcnnit foes)
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Print mu. 4-t4 -- yy\1 Date: stl
(....t
tr State
Autho soscburge (8% aflame foe)
' TOTAL PERMIT
accerug a3 ne
rised sign atirm ,,,-- .2.2.-. 116e pun ap
& pllee• int. r ee ra piess u bem ire wren l a sae meta
Print name: I Dm' • • Fee riabodblogy act by116-Comly Blades Industry sami at Bond
" Radler of iartiorti an perm:mit snowed.
LilkaildbygtftultettLe IMO
44040STriraCOMVO5O .
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CITY OF TIGARD A .
BUILDING DIVISION PERMIT #: ELG Zoog co 6,01
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 jt
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: ejVZ W4VIIA/ r I'd S a-'-leer lf CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: S
DESCRIPTION: T C 'NC- •
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
l / F -4 0 !9oSy - 0 / 6/z -
36 ,- o /Sq
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Nittiti Date: '4 b Phone #: (503) 718 1.1.14b •
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