Permit C ITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00886
1(A
OP DEVELOPMENT Tigard, a � 503 639 -4171 DATE ISSUED: 11/10/2005
13125 PARCEL: 1512600 -00300
SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD MGMT ZONING: C -G
SUBDIVISION: Gifif8ANGTON SQUARE LOT : JURISDICTION: TIG
Project Description: (2) Circuits second floor corridor lighting block T.
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: 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 OREGON ELECTRIC GROUP
BY THE MACERICH COMPANY 1010SE 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' $53.50
[TAX] 8% State Surcharge 11/10/200: $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 -80 2 -2 O _
Issued By: /1) Permittee Signature: > - ze.I Cwt
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 12:17PM 1#0; li o It`1 Ft.ma 5032313587 T -429 P.008/008 F -646
Electrical Permit p I ication . , `
City of Tigard
OV 0 9 2005
Received « / D 1 Permit No.: — Oh n g /
S
Date/B .
13125 SW Hull Blvd, Tigard, OR. 9722 Plan Revie ' other Permit;
Phone: 503.639.4171 Fax: 503.598.1960 / ^ .T C +`' Date /B .
Inspection Line: 503.639.4175 rr yy ' � � I Date Ready /a r ' 10 See rage 2 for
l Cc 1.1 1 OF lU �� - Norifred/Mctho& _ Supplemental Information
lr,ternet www.ci.tigard -onus BjII TG DIV1 SiO
. •. TYPE .OF WORK' PLAN REVIEW ,—
.. Please check all that apply
❑ New construction Addition/alteration/it-placement Ose vice ovcr 225 amps, commit ['Hazardous location
❑ Demolition ❑ Other: _ ['Service over 320 amps - luting ❑Bulldng over 10,000 sq. ft., •
- CATEGORY OF CONSTRUCTION ' of 1- and 2- Family dwellings 4 or more new residential
❑System over 600 Vohs nominal units in one structure
❑ 1- and 2- Family dwelling ®CommerLia]/industrial 0 Accessory building 0 Building over three stories [(Feeders, 400 amps or more
❑ Multi -family ❑ Master builder ❑ Other: ❑Occupant load over 99 persons 0Manu8h Lured structures or
J019 SITE INFORMATION AND LOCATION [(Egress/lighting plan RV park
[(Health -care facility ❑Othcr-
Job no.: 18548 Job site address: 9585 Sw Washington Sq. Road Submit z sets of plans with any of the above.
City /State/ZIP: Tigard Or 97223 The above are not applicable to temporary construction service.
FEEL SCHEDULE
Suite/bldg. /apt_ no.: Project name: Washington Sq mall ex pnehiptioa r Qtr. nee. renal � ""
Cross street/directions to job site: Scholl's ferry road New residential single- or multi- family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: J Lot no.: Ba. add1500 sq. R or portion 33.40 1
_ 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
Second floor corridor lighting block "T" Services or feeders installation, alteration, and/or relocation
200 amps or less _ 80.30 2
201 amps to 400 amps 106.85 _ 2
GS PROPERTY OWNER I 0• TENANT 401 amps to 600 amps 160.60 2
Name: Washington Square LLC by the Macerich Co. 601 amps to 1,000 amps 240.60 2
Address: 9585 SW Washington Sq. road Over 1,000 amps or volts 454 -65 _ 2
Reconnect only 66.85 2
City /State/LW: Tigard Or. 97223 Temporary services or feeders installation, alteralion, and/or
relocation
Phone: ( ) Fax: ( ) 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 li
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 1 • • ❑. CONTACT pERSOTi A Fee for branch circuits with
service or feeder fee, each 6.65 2
Business name: branch circuit _ _ _
B. Fcc for branch circuits
Contact name: w,rhour service or feeder fee, I 46.85 4/6. S'
_ each branch circuit i / �
Address: Each add1 branch circuit — j 6.65 G, . .+' -
City /Stme:/ZIP: - Misccllaneoos (service or feeder n ieluded)
Pump or irrigation circle _ 53.4 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
Address: 1010 SE 11th Ave Each additional Inspection over allowable in soy of the above 1
- Per inspection 62.50
City / State/ZIP: Portland, OR 97214 Investigation per hour (1 hr min) 62.50
Phone; (503) 234 -9900 Fax: (503) 535-2763 Industrial plant per bear 73.75 '• :+
ELECTRICAL PERMIT FEES* •
CCB Lie.: 203 Electrical i .: 26 Suprv. Lie.: 4 5 j s Subtotal 53 ID
Suprv. Electrician signature, required 4 Plan review (25% of permit foe)
Print name: C ti 5/.74/4/j Za. State sur harge (8% of permit fee) ' 9,0 5 I TOTAL PERMIT FEE 57. i C(
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it hat helm accepted as complete
Print name= Date: t Pee methodology set by Tn -County Building laduetry Service Board
. - •• Number of inspections OCT [saran allowed.
. ilea f c$tr iv'. LE 0A i A651 11 CIO (gA i Aag 11 r 4 I j.4 f c' +f
CITY OF TIGARD
BUILDING DIVISION PERMIT #: FLC2005.011636
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11 /10000f;
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4 75
INSPECTION WORKSHEET FOR DAT 12/79/7005 TIME: 1 :00AM PAGE: 41
SITE ADDRESS: 09f 85 SW WASHINGTON S' )UARE RD MGMT CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: WASHINGTON SQUARE EXP`', SION
DESCRIPTION: (2) Circuits second floor corridor '' block T.
-.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: OREGON ELECTRIC GROUP PHONE #: 5O3- 3'1 -cB0O
Inspection Request Scheduled For: Date:., 12J29/2005 Pour Time:
Code # • - • lescription Confir ,,# Contact # Message
193 Electrical final 024138- .1 x;03-849.5432 Y
7
Corrections /Commen s - . :
1 / 'ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
U AIL ❑ ALL FOR IN E T ON ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: t 2 25 1Ifr Phone #: (503) 718- •1 � ' "
•