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Permit CITY OF TIGARD ELECTRICAL PERMIT ,t r PERMIT #: ELC2005 -00456 L kl. DEVELOPMENT SERVICES DATE ISSUED: 6/29/2005 ° �I I ° 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S12600-00300 SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD MGMT ZONING: C - SUBDIVISION: G FESA VGTON SQUARE LOT : JURISDICTION: TIG Project Description: (1) 800 amp circuit. Located in west parking lot by new expansion. Job #18548. 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: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: 1 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 CONST /GROUP BY THE MACERICH COMPANY 1010 SE 11TH AVE 9585 SW WASHINGTON SQUARE RD PORTLAND, OR 97214 TIGARD, OR 97223 Phone: Phone: 503 - 535 - 2652 FEES Reg #: LIC 203 Description Date Amount SUP 4460S ELE 26 -95C [ELPRMT] ELC Permit 6/29/2005 $240.60 [TAX] 8% State Surcharge 6/29/2005 $19.25 REQUIRED ITEMS AND REPORTS Total $259.85 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: 7 Permittee Signature: ..e, p 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. . I Electrical Perm • A • City of Tigard 2005 D r ��>� ■Permit no.:�,((',,�ppj o�3� • 13125 SW Hall Blvd I J Ul 2 8 2005 Project/appl. no.: Expire date: V ' I IG Phone: (503) 639-4171, FAX: (503) 598 -1960 Date issued: By: . (Receipt no.: Internet address: .tigard T RD Case file no.: /(f Payment type: 24 -Hour Inspection R- . u n ��4', ❑ Multi -family ❑ Tenant improvement 13 182 family dwelling or accessory ®Commerci t ❑ New construction ® addilion/afteration/re. acement 0 Other. . 0 Partial JOB SITE INFORIvIATIOI I Job Address: 9585 sw Washington Sq Rd Bldg. No.: Suite no.: Tax map /tax lot/account no.: Lot: Block: Subdivision Project Name: Washington Sq Mall Description and location of work on premises: West Parking lot By new Expantion Estimated Date of completion/inspection: Will ou call for in - ion within 24 hours? Yes ❑ No RI Project Contact Scott Welnbender Phone Cc TRACTOR APPLICATION FEE SCHEDULE Job No.: 18548 Description Qty Fee (ea) Total Imp new reshaenoarsingle or - multi - family per dwelling Business name: Oregon Electric Group unit. Includes attached garage. Service Included: Address: 1010 SE 11th Ave. 1000 sq R or less $ 145 15 $ - 4 City: Portland State: OR Zip: 97214 Ea Addl 500 SF or Portion $ 33.40 , $ - 1 Phone: (503) 234 -9900 Fax: (503) 234-1001 1E-mail: Limited Energy. 1 8 2 Family $ 75.00 $ - 2 CCB no.: 203 _Elec. bus. lic. no.: 26 -95C Limited Energy. Multi $ 75.00 $ - 2 C' /metro lic. No.: 995 Each manufactured home or modular dwelling. Service of Date: 6/28/2005 • and/or feeder. $ 90.90 $ - 2 Service or Feeders - Su.. Elect. Name • 'nt :t Mark Weinbender Lic 4818S Installation, Alteration or Relocation: PROPERTY OWNER 200am• sorkiss $ 80.30 $ - 2 Name (print): 2olamps- 400amps $ 106.8.5 $ - 2 Mailing Address: 4olamps- B00amps $ 160.60 $ - 2 City State: (Zip: 601amps- 1000amps 1 $ 24060 $ 240.60 2 Phone: Fax: 1E Over 1000A or Volts $ 45465 $ - 2 - Owner Installation: The installation is being made on property I own which is not 7 econnect Only I ees ar $ 66 85 8 1 intended for sale, lease, rent, or exchange according to ORS 447, 455, 479, 670, Feeders -1 hhstellatlon, 701. Alteration or Relocation: Owner's signature: Date: 200 em s or less $ 66.65 $ - 2 201amps - 400amps $ 100.30 $ - 2 Name: Over 401amps - 600amps $ 133.75 $ - 2 branch cleruTH = Rew, Address: Alteration or Extension Per Panel: A. Fee for branch City: State: Zip: circuits with purchase of service or feeder fee, each branch Phone: Fax: E - mail: circuit $ 6.65 $ 2 B. Fee for branch circuits W /Out Purchase of Service or Feeder 1st Branch Ckt $ 46.85 $ - 2 • ® Service over 225 amps -com ❑ Health -care facility Each additional branch circuit $ 6.65 $ - ID Service over 320 amps - rating of ❑ Hazardous location miscellaneous - (service or feeder not included) 1 &2 family dwellings ❑ Building over 10,000 square feet four or Each pump or Irrigation circle $ 53.40 $ - 2 ❑ System over 600 volts nominal more residential units in one structure Each Sign or Outline Lighting _ $ 53.40 $ - 2 ❑ Building over three stories © Feeders, 400 amps or more Signal Circuit(s) or Limited Energy Panel Alteration or Extension' ❑ Occupant load over 99 persons ❑ Manufactured structures or RV park - $ 7500 _ $ - 2 ❑ Egress/lighting plan ❑ Other. 'Description' Submit 2 sets of plans with any of the above. The above are not applicable to temporary construction service. Each Additional inspection over the Allowable bh any of the Above. Notice: This permit application Per Inspection - expires H a permit is not $ 82.50 $ obtained within 180 days after it Investigation fee. has been accepted as complete. (Other Permit Fee $240.6 Plan review 25% ' f o 5T' L State Surcharge 8% $19.25 � ,ii, Total Q $3 di,•�� ' 1 • CITY OF TIGARD BUILDING DIVISION - PERMIT #: ELC2005 -00456 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2005 Phone: (503) 639 - 4171 Inspection Requests (24 Hrs.): (503) 639 -4175 -_' I � .. INSPECTION WORKSHEET FOR DATE: 7/8/2005 TIME: 7:10AM PAGE: 78 SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD MGMT CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: WEST PARKING LOT DESCRIPTION: (1) 800 amp circuit. Located in west parking lot by new expansion. Job #18548. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: OREGON ELECTRIC CONST /GROUP PHONE #: 503 - 535.2652 Inspection Request Scheduled For: Date: 7/8/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message Electrical service 010843.01 503-849.5432 Y Corrections/Comments/Instructions: • • • A PASS ❑ PARTIAL APPROVAL ❑ CANCEL El NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: �""" �—v Date: 7 ` `$ Phone #: (503) 718 -