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Permit ��ji CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2005 -00882 DEVELOPMENT SERVICES DATE ISSUED: 11/10/2005 = -° 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S12600-00300 SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD MGMT ZONING: C -G SUBDIVISION: CARFAQFNGTON SQUARE LOT : JURISDICTION: TIG Project Description: (3) br. circuits for tree well outlets. 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: 2 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 OREGON ELECTRIC GROUP BY THE MACERICH COMPANY 1010 SE 11TH AVE 9585 SW WASHINGTON SQUARE RD PORTLAND, OR 97214 TIGARD, OR 97223 Phone: Phone: 503 - 234 -9900 FEES Reg #: LIC 203 SUP 4460S Description Date Amount ELE 26 -95C [ELPRMT] ELC Permit 11/10/200: $60.15 [TAX] 8% State Surcharge I I/10/200: $4.81 REQUIRED ITEMS AND REPORTS Total $64.96 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- -2344. Issued By: 4 Permittee Signature: A ee--,— 4 114.--- 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. 11-09 -05 12:16PM FROM-Oregon Electric Estimating 5032313587 T -429 P.006 /008 F -648 L Electrical Permit , ! 'c, ' , �� '- - - ' , ED R�d 1 q vg 8 City of Tigard DaaelBy. Permit No.00 — 13125 SW Hall Blvd, Tigard, OR. 97223 Plan Review Other Rood: R / 8 Phone: 503.639.4171 Fax 2005 Ty rem ' " 503598.19b01l� " ' Ready /By. Alms: 13 Sec Inspection Line; 503.639.4175 IVII ` -- r Sapplemeotnl lufort an Internet www.ci.tipanl.or.us CITY OF TIGARD Naiiiedimethead: T / 1 BUItI N k 51 PION . . . .: . PLAN REVIEW • • Please check all that apply: ❑ New construction ®AdditioNaltelazioNreplaee'melrt ❑Service over 225 amps. comm'I 0 Hazardous location _❑ Demolition ❑ Other: ❑ Service over 320 amps – rating ['Bulldog over 10,000 sq. 9., . CATEGORY OF C?ONSTR[UCTION • , of 1 and 2 family dwellings 4 or more new residential Accessory building O System over 600 volts nominal units in one structure ID 1 - and 2 dwelling ®ConmierciaVmdttstl dal I=1 rY g ❑Building ova three stories ❑Feeders. 400 amps or more ❑ Multi - family ❑ Master builder ❑ Other: ['Occupant load over 99 persons I:manufactured sum :nuts or JOB SITE INFORMATION AND LOCATION DEgress/lighting plan RV park ❑Health-care facility ['Other: Job no.: 18548 j Job site address: 9585 Sw Washington Sq. Road Submit 2 sets of plans with any of the above. — City/State/ZIP: Tigard Or 97723 The above are not applicable to temporary construction service. FEE' SCHEDULE Suite/bldg./apt. no.: Project name: Washington Sq mall expaption Deertpd® I Q. I Fee. L Tout New residential single or multi - family dwelling unit. Cross street/directions to job site: Schoil`s ferry road Includes attached garage. _ 1.000 sq. R. or less 145.15 4 Lot no.: Ea_ add'i 500 sq. ft. or portion 33.40 l Subdivision: . Limited energy, residential 75.00 2 Tax map/parcel no.: Limited energy, non - residential 75.00 2 DESCRIPTION OF WORK • • • • Each manufactured or modular dwelling, service and/or feeder 90.90 2 Add Tree Well Outlets Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 _ _ 2 201 amps l0 400 amps _ 106.85 2 I PROPERTY OWNER TENANT - 401 amps m 600 amps 160.60 2 Name: Washington Square LLC by the Macericb Co. 601 amps to 1,000 amps _ 240.60 _ 2 Over 1,000 amps or volts 454.65 _ _ 2 - Address: 9585 SW Washington Sq. road Reconnect only 66.85 _ 2 City/State /ZIP: Tigard Or. 97223 Temporary services or feeders installation, alteration, and/or Phone: ( ) I Fax: ( ) relocation 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 ❑ APPLICANT • . ❑ CONTACT PERSON A. Fee for branch circuits with service or feeder fcc, each 6.65 2 Business name: brunch circuit - B. Fee for branch circuits Contact name: without service or feeder fee, / 46.85 . each branch circuit , • 3 c2 . Address: Each add'l branch circuit 6.65 2 City /State/ZIP: Miscellaneous (service or feeder not included) Pump or irrigation circle 53.40 2 Phone: ( ) Fax: ( ) Sign or outline lighting _ 53.40 2 E - mail: Signal circuit(s) or limited- . . •: CONTRACTOR . . : • energy panel, alteration, or extension. Describe: Page 2 2 Business name: Oregon Electric Group J Each additional inspection over allowable in any or the above Address: 1010 SE 11t h Ave Per inspection 6 _ , i_ City/State/ZIP: Portland, OR 97214 lnvotigation per hour (1 hr aria) ) 62 industrial plant per hour 73.75 Phone: (503) 234 - 9900 ` Foie (503) 535-2763 ELECTRICAL PERMIT FEES' CCI3 Lic.: 203 Electrical Lie.: 26-95C Suprv. Lic.:.J685 20/0 Subtoml 61 Suprv. Electrician signature. required: / Plan review (25% of permit fcc) �`-'� J� %� �,� �,y State surcharge ge (8% of permit fcc) I Print name; Ef}/z L.. 5,4 bet TTffa_ / i 9 &j C (s y. 9 - TOTAL PERMIT FEE / Authorized signature: The: permit application empires if a permit is not obtained within 180 days alter it has been accepted as complete Print name: Date: • Fcc methodology set by Tr+- County IBuildins Industry Service Board Number of inspections ver permit allowed. CITY OF TIGARD BUILDING DIVISION PERMIT #: Li. 02006.00 2 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1111012006 Phone: (503) 639 -4171 L41k Inspection Requests (24 Hrs.): (503) 639 -4175 s °t0 INSPECTION WORKSHEET FOR DATE: 11201700€; TIME: 7:00AM PAGE: SITE ADDRESS: (i8 , SW WASHINGTON ON SQUARL RD MGMVIT CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: WA I INGTO N SQUARE E (PAN 5IOI. DESCRIPTION: (3) br. circuitry for tree well Outlets. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: OREGON ELECTRIC GROUP PHONE #: SO3- 234- 9900 Inspection Request Scheduled For: Date: 112',. 7006 Pour Time: Code # Inspection Description Con' Contact # Message 199 Electrical final 026370.0' 503-M9-6432. N Corrections /Comments /Instructions: cjOin1 C; k(Z .S 1'„ — 10 T 2 \c\ F -4 02.5'3 6 1'. ly KPASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: GA ( 1 V ci L Lz Date: t / 2 I V 4 6 t Phone #: (503) 718- Z 4 . 1_ CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2005- 00882 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/10/2005 Phone: (503) 639- 4171I Inspection Requests (24 Hrs.): (503) 639 -4175 L. "__.. INSPECTION WORKSHEET FOR DATE: 12/1/2005 TIME: 7:08AM PAGE: 45 SITE ADDRESS: 0 SW WASHINGTON SQUARE RD MGMT CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: WASHINGTON SQUARE. EXPANSION DESCRIPTION: (3) br. circuits for tree well outlets. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: OREGON ELECTRIC GROUP PHONE #: 503234 - 9900 Inspection Request Scheduled For: Date: 121//2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 022729 -01 503.849.5432 Y Corrections /Comments /Instructions: 1. \isq - f LL. G�.c,'t t, cAL,s Nz vu aa1 , I,.a ts' _ ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS *FAIL ACALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: \J N V Lf Date: 12' f tO Phone #: (503) 718- 2.W L