Permit • CI
CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00329
0 1 DEVELOPMENT SERVICES DATE ISSUED: 5/18/2005
� I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
"MI. al PARCEL: 1S12600-00300
SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD MGMT ZONING: C -G
SUBDIVISION: OgrgliNGTON SQUARE LOT : JURISDICTION: TIG
Project Description: Installation of (2) J -boxes in concrete slab at bus station on North side of mall.
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
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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: 1 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 FRAHLER ELECTRIC CO
BY THE MACERICH COMPANY 11860 SW GREENBURG RD
9585 SW WASHINGTON SQUARE RD TIGARD, OR 97223
TIGARD, OR 97223
Phone: Phone: 503 - 639 - 4627
FEES Reg #: LIC 37410
Description Date Amount SUP 1816S
ELE 34 -13C
[ELPRMT] ELC Permit 5/18/2005 $53.50
[TAX] 8% State Surcharge 5/18/2005 $4.28 REQUIRED ITEMS AND REPORTS
Total $57,78
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All
work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set
forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699 or
1- 800 - 332 -2344.
Issued By: Permittee Signature: SA N/
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
. .• • Electrical Permit ' , i • 111 i.�. � ; P V E ,
FOR OFFICE USE ONLI
City of Tigard CC Plan R e view
r.) `1 - Ds -- -- Pe®tNdr.6 � 1
13125 SW H a l l Blvd., T i g a r d , OR 972231,A 0J
Phone: 503.639.4171 Fax 503.98.196E11 r" 1$ eater Permit
Inspection Lane: 503.639.4175 1 Date Illy:
i tigud onus CIT OF T I G AR D ^
Internet www.c i 1 j ; ' •.� Dace Reads/BY: ®Sa Page :For
G Divi Notfedttrteihod. - ( Supplemental Informed
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❑ New construction - j Additi Please check all that apply:
❑ Demolition ❑ Other ❑Service over 225 amps, cemms'1 ['Hazardous location
J _ _ ['Service over 320 amps - rating ['Bulling ower 10.000
F. Y rlt,,1;_:_--:,...-±q ., _1 T , �'F of 1- and 2- family dwellings 4 or more mew reside
❑ 1- and 2- family dwelling ti Comercial/industcial ❑ Accessory building ..,. __ ['System over 600 volts nominal units in on structure
El Multi family ❑ Master builder ❑ Other ❑Blaldiulg over three stories ❑Feeders, 4+00 amps err
- - _ x x. ❑O 99 persons ❑Manufactunred structu
'<` t j r � � � t -•:, •,--;3;%;f1-r-.-1, C t'' '.2'''''''::: . { - t ' 1 ❑ Egger hghling plan RV 1ark
Job no.: 62975 Job site address: 9585 SW WASH SQ ROAD ['Health-care facility ❑other`
Submit 2_ sets of plans with any of the above.
City /State: TIGARD, OR 97223 The above se not applicable to temporary constru ction servii
Suite/bldg./apt. no,: Project name: WASHINGTON SQUARE 6 : ` i, - 9 -' :,..1.• ' , -r- •.
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Description Q Fen 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 .
Subdivision: Lot no.: 13a. add'I 500 sq. ft. or portion 33.40
Tax map/parcel no.:
Limited energy, residential 75.00
ti , Iamited energy, non- residential 75.00 •
. E ._.., ... _�.._ • , .. _. _..._ :.r . :1'; - _ ■ _ _... , Each manufactured or modular
INSTALL (2) J -BOXES IN CONCRETE SLAB FOR POWER dwelling, service and/or feeder 90'90•
Services or feeders installation, al ion, and/ or refer-ad.
TO BUS STOPS 200 amps or less 80.30
- , , _ * 5 201 amps to 400 amps 106.85
_.. t .) �--, - 1` 7-- t � C _� - 7F-", . 1 � d p ..let rfi :'+ a� ��
--- 17, _. T - -- ,._.. __ ... -. _ 401 amps to 600 amps 160.60
Name: - A V tt- r\ 601 arms to 1,000 amps 240.60
Address: L�H I ■) O ver 1,000 amps or volts 454.65
VeiL L � . 7 V Reconnect only 66.81
City/State/ZIP: Temporary services or feeders installation, slue ration, and
Phone: ( ) Fax: ( ) relocation
Owner installation: This installation is being made on 20 amps or 40 0 66.85
e, g property ,449, 670, aadc701 not 201 amps to 400 amps 100.30
intended for sale, lease, rent, or
exchange, according to ORS 447 401 amps to 600 amps 133.75
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
;ti ; A. Fee for branch circuits with
.... service m feeder fee, each
Business name: branch circuit 6.65
B. Fee for branch circuits
Contact name: without service or feeder fee,
each branch circuit 1 46.85: 46.85
Address:
Each add•l branch circuit 1 6.65 6.65
City/State/ZIP: Miscellaneous (service or feeder not Included)
Phone: ( ) Fax : ( ) Pump or irrigation circle 53.40 .
Phone: or outline lighting 53.40
Signal circuit(s) or 'United-
1 s :` ` ` '.,:` � � � v ii , -. ' c ` # . Yy - 7Y __. -1-•••:."A--,--, s`- r ` , ; 7-- .: : ;�` energy panel alteration, or
Business name: FRAHLER El F,CTRIC COMPANY extension. Describe: Page 2
Address: 11860 SW GREENBURG Each additional inspection over allowable in any of the ab
Per inspection
City/StateJZIP: . TIGARD OR 97223 Investigation per hour (I hr min) 62.50
Phone: ( 503 639 -4627 Fax: (503 ) 639 -4673 . - Indushralplantperhour 73.75
CCB Lie:. 37410- k ' . -a ` 7 s :_ r =, . -b -A M s ' s .f.:li
- Electrical Lic.: - 34 - Supt Lic.: 2334 Subtotal 53.50
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Suprv. Electrician signature, -.- 1 s r/ ` `� Plan review (2586 of permit fee) -
State surcharge (8% of permit fee) 4.28
Print name: MIKE WAGNER Date: OS 1
TOTAL PERMIT FEE 57.78
Authorized signature: This permit application expires If a permit to not obtained within
Print name:
days after It has been accepted as complete
Date: • Fee methodology set by Tri-County Building Industry Service Boer
•• Number of inspections per permit allowed
t l2. 4404613T(IodDvCOMIWan
TEMPORARY PERMIT FROM 05/12/05 THROUGH 05/18/05
CITY OF TIGARD
' BUILDING DIVISION PERMIT #: ELC2005 -00329
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/18/2005
Phone: (503) 639- 4171r,�� 1 �)
Inspection Requests (24 Hrs.): (503) 639 -4175 "'��I
INSPECTION WORKSHEET FOR DATE: 6/9/2005 TIME: 7:09AM PAGE: 53
SITE ADDRESS: 09585.SW WASHINGTON SQUARE RD MGMT CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: BUS STOP
DESCRIPTION: Installation of (2) J -boxes in concrete slab at bus station on North side of mall.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: FRAHLER ELECTRIC CO PHONE #: 503 - 639
Inspection Request Scheduled For: Date: 6/9/2005 Pour Time:
Code # Inspection Description Confirm # . Contact # Message
199 Electrical final 008848 -01 503- 639.4627 N
Corrections /Comments /Instructions:
•
•
•
b PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: y�-� -- Date: / 5 Phone #: (503) 718
!
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELCZOO500329
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 5/18/2005
Phone: (503) 639 -4171
ARO) I
Inspection Requests (24 Hrs.): (503) 639 -4175 ' __..
INSPECTION WORKSHEET FOR DATE: 5/25/2005 TIME: 7 :12AM PAGE: 47
SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD MGMT CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: BUS STOP
DESCRIPTION: Installation of (2) J -boxes in concrete slab at bus station on North side of mall.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: FRAHLER ELECTRIC ;`,,t o 2- R a I t PHONE #: 503- 639-4627
Inspection Request Scheduled For: Date: 5/25/2005 Pour Time:
Code # Inspection Description Confirm # Contact # -- essage
199 Electrical final 00769501 503- 639-4627 N
Corrections/Comments/Instructions:
.N
fi
O 1:(:'''
'
),'\\. Y
1
4l c ,
g.h t • �i
❑ PASS IX PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
/ /,
Inspector: /t. _ _ + Date` - 3 J Phone #: (503) 718-