Permit : ,': ..CITY OF TIGARD ELECTRICAL PERMIT
1111 � " PERMIT #: ELC2007 -00463
II
COMMUNITY DEVELOPMENT DATE ISSUED: 7/12/2007
TIGARD 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: A 8Q IGTON SQUARE LOT : JURISDICTION: TIG
PROJECT: WASHINGTON SQUARE MALL
Project Description: Re- feeding 400 amp house panel. Job No. 13976
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: 4 PER INSPECTION:
201 - 400 amp: 1 1st W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 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: Contact #: FAX 503 - 535 -2763
PRI 503 - 234 -9900
FEES
Description Date Amount Reg #: ELE 26 -95C
[ELPRMT] ELC Permit 7/12/2007 $133.45 LIP 203
[ELPLCK] ELC Pln Rev 7/12/2007 $33.36 SUP 4818S
[TAX] 8% State Surcharge 7/12/2007 $10.68
REQUIRED ITEMS AND REPORTS
Total $177.49
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
suspen• - • : -- - - than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center.
Th.: - rules are set fo I. e - t 52- 001 -0010 through OAR 952 -001 -0100. You may obtain c opi e se rules or direct questions to OUNC at
51 or 1 .800. -
Is ued By: � iL ,I J AL ` � Permittee Sign -ture: L , ,_ /
•
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: _ e . if1/Iiffir 0-A---' DATE:
LICENSE NO: /4 7 / 0 f
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 atthe time of each inspection.
1.
Electrical Permit Applicat' !.I :,, g FOR - OFFICE USE ONLY
Received
_ - -City of Tigar , t ` -` u-- , O� Date/By 7 1 D / JI Perim1 No 7 00 6 3
1114 ° 13125 S W Hall Blvd., l i ga li 97223 1O
Plan Review
g
- 2 - Phone: 503.639.4171 ' ax: 503.59. 600 `r i ,Date/By. Other Permit
Inspection Line: 503.639.4175 1 1 1 C } "tlDate ReadyBy J /' 0 See Page 2 for
I' I G A K U �' r Notif / / / Su
Internet: www.tigard-or.gov � $ I a ar � a Supplemental Information
.° Q4�1'.. •
TYPV �4ky PLAN. REVIEW '
❑ New construction ® Addition/ r Olt replacement Please check all that apply (submit 2 sets of plans w /items checked below)
U , IS Service or feeder 400 amps or more ❑ Building over three stones
❑ Demolition ❑ Othe' where the available fault current ❑ Mannas and boatyards
• 'CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating bwldings
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ 1- and 2- family dwelling ® Commercial/industrial ❑ Accessory building amps for all other installations buildings
❑ Multi- family ❑ Master builder ❑ Other. ❑ Fire pump ❑ installation of 75 KVA or
❑ Emergency system. larger separately denved system.
. JOB SITE INFORMATION AND LOCATION ❑ Addition of new motor load of ❑ "A ". "IF', "1 -2", "1 -3".
Job no.: 13976 Job site address: 9585 Sw Washington Sq. Road 100HP or more occupancy
❑ Six or store residential units ❑ Recreational vehicle parks
City /State/ZIP: Tigard Or 97223 ❑ Health - care facilities ❑ Supply voltage for more than
❑ Hazardous locations 600 volts nominal
Suite/bldg. /apt. no.: Project name: WA Square Mall - Area B ❑ Service or feeder 600 amps or more
FEE SCHEDULE
Cross street/directions to job site: Scholl's ferry road Descript I Qty. I Fee. I Teas i
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Ea. add'l 500 sq ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential
DESC'RIP'TION OF WORK (with sq ) 75.00 2
” with above s ft.
Re 400a House Panel Limited energy, multi 75.00 2
g residential (with above sq 6 )
Services or feeders installation, alteration, and/or relocation
200 amps or less . 80.30 2
® PROPERTY OWNER - , ❑ TENANT 201 amps to 400 amps 1 106.85 106.85 2
Name: Washington Square LLC by the Macerich Co. 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address. 9585 SW Washington Sq. road Over 1,000 amps or volts 454.65 2
City /State/ZIP. Tigard Or. 97223 Temporary services or feeders installation, alteration, 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 2 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 599 amps 133 75 2
Owner signature: Date' Branch circuits - new, alteration, or extension, per panel
A. Fee for branch circuits with
❑ APPLICANT 0 CONTACT PERSON above service or feeder fee, 4
6.65 26.60 2
each branch circuit
Business name: 13. Fcc for branch circuits
Contact name: without service or feeder fee, 46.85 2
first branch circuit
Address: Each add'l branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City /State/ZIP: Each manufactured or modular
dwelling, service and/or feeder 90.90 2
Phone: ( ) Fax: : ( ) Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
• CONTRACTOR Sign or outline lighting 53.40 2
Signal panel, er or limited-
Business name: Oregon Electric Group
energy panel, alteration, or
Address: 1010 SE 11th Ave extension. Describe. Page 2 2
City /State/ZIP: Portland, OR 97214 Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: (503) 234-9900 Fax: (503) 234 -1001 Investigation per hour (1 hr mm) 62.50
CCB Lie.: 203 Electrical Lie.: 26 -95C Suprv. Lie.: 4818S Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required���'�, A ,/ 44 Subtotal: 133.45
Print name: Mark Wcinbender 6/ Date: 7/06/07 Plan review (25% uf'permit fee): 33.36
/`� t ` State surcharge (8% of permit tee): 10.68
Authorized signaturey TOTAL PERMIT FEE: 177.49
n^ U I �, This permit application expires if a permit is not obtained within 180
Print name: ' v ,� /(/C �� 4 KJL,,, 4,'/ -" Date: )/(107 days after it has been accepted as complete.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00463
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/12/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 ,_' 1.L.
INSPECTION WORKSHEET FOR DATE: 8/1612007 TIME: 7:00AM PAGE: 6:3
SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD MGMT OFFIC CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE. LOT #: TYPE OF USE:
PROJECT NAME: WASHINGTON SQUARE MALL
DESCRIPTION: Re-feeding 400 amp house panel. Job No. 13976
OWNER: WASHINGTON SQUARE L.LC, PHONE #:
CONTRACTOR: OREGON ELECTRIC GROUP PHONE #: 503 -234 -9900
Inspection Request Scheduled For: Date: 8/16/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
195 Misc. inspection 054061 -01 503 -849 -5432 Y
• 1�
111 t) kt-- • t
Corrections /Comments/ Instructions:
.-\\\‘\\.,
(PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
-Inspector: G-- 14 0 ES Le Date: tit 41 d Phone #: (503) 718- 1-'F4):,