Permit ELECTRICAL PERMIT
q.. ...CITY OF TIGARD
COMMUNITY DEVELOPMENT PERMIT #: E 5/2008 00128
DATE ISSUED: 3/5/2008
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: CAFPNANGTON SQUARE LOT : JURISDICTION: TIG
PROJECT: WASHINGTON SQUARE
Project Description: Add lights and fire alarm in hallway to Pottery Barn upstairs storage.
Job No. 65502 FEES PAID UNDER ELC2008 -00066
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: 1
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 FOR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 3 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: Contact #: FAX 503 - 639 -4673
PRI 503 - 639 -4627
FEES
Description Date Amount Reg #: ELE 34 -13C
LIC 37410
SUP 18I6S
Total
REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Muniapal Code, State of OR. Specially 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 f• • - • -n 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center.
Those rul : are set forth • e - 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain copies • ,these rules or direct questions to OUNC at
503.246 •699 • r 1.800.3 ' .
Issue. By: / l t Permittee Signa re: , g „rn r gyJyi
— r
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 Application 1 1: 011:1(.1:- L N E ()Nix
li City of Tigard Received 3A1/4 �/ Permit No.: �(C,?paB�Cb �� $
Date/By .ri /
13125 SW Hall Blvd., Tigard, OR 97223 p�� Revi
II Phone: 503.639.4171 Fart 503.598.1960 Date/By.
Other Pennu:
Inspection Line: 503.639.4175 J - l' I G n I: D
Internet www.ti Notified/Method:
gard- or.gov ` ' / (J, Supplemental Information
�•: ��.��,< w��: r:q;�d�4.r•;7.�+;, ��<>``._- _..6e.- ,- ,;y,.. Ctrs: •::� � w,175' ;y + a+Ji. =' _ ��.:rl q::.���... � ;w';7' .r -s>•: - "x
'�1';� —A ? . f, ",,:�h.l :r. .:t.,.�n,,.w.. a,, __�.�= •:7-. �u•x k` Sw [' •r.
�;�_ ;a:'v''.'�.y � :±'Y[?.i `!.u,''[y, =. -s..: i :._,'�.'�u: h �F`5�., • R;K..,): `',: x', '�'Y.F s �? �� r,'' �. .'..Y_.t..• - >� - 'fA;�� �31C•... ' ��'. r,�:"`!�i ', . ' -
.;:�'. .;re. .� ... `'f?.•c�;.:,rr,- �.•icir.it ��: -af� .`� _...:x•T?t:� � �,,.._� .._. �
❑ New construction .Addition/alteration/replacement Please check all that apply (submit a sets of plans w /;r®e checked below):
El Demolition ❑ Other: ❑ Service or feeder 400 amps or more ❑ �Btu�il a-ovJer boatyards.
thine stories.
` M f y4i .. fil1tS-�SY- ':�C'�•: `
'• _ .v. r 'G•..'.:,•�•.:� where available fault =rent ❑ Mas nd
1^ 1.CS1�tn�,t•�F F'in� « , ;.. - 4 (.'":. �i
!?; �;,,' �',,•.,, �: �: aa«. F.. rJ, i?';:> u4�: �`: � 'ifs'1?1�'I,`� IAN' 6TR�JCel`, IONy 's;:�� #�^�S . `- ��sc'',,sv;.. ermeeds10,000 amps atl50 volts or ❑ Floating holdings.
less El 1- and 2-family dwelling ® Commercia]mdustrial ❑ Accessory building amps o l of or exceeds 14,000 ❑ ass agsiealarel
ID Multi-family 0 Master builder a for all other installations. buildings.
Intaation of 75 K
❑ Other: ❑ Foe P. ❑ Installation derived VVA or
�,e��
4 ii `r": H • q: 411' i',4'• tO_ BJS SY' L " 1g* . '1'10111 yy�������y7�� ,��>��eyp� 3' iv ���fA�'7` .>:: L�� ,;;,i
/ • -,. •.i� •a '•:. �.:a�v Addition sinew motor ad ❑ "A ", "E ", "1-2 ". "1 -3 ".
J o b no.: 6 55 Job s i t e address: 9 - 85 , . . Ig. 100HP or mare o cY.
❑ snr ar mom residential twits. ❑ Recreational vehicle parks.
City /State/LIP: ❑ Health -Date facilities. ❑ Supply voltage for mare than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg./apt. no.: Project name: New f ij,, r , c .1.. Qq e ❑ Service or feeder 600 amps or more.
Cross street/directions to job site: 1W :&'` " Te ~
• DDesolation Desolation 4. sn � 0 I Yee. I Total I •
New residential single- or multi -family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft or less 145.15 • 4
Tax map/parcel Ea. add'l 500 sq. fL or portion 33.40 1
` n + i E t ICi 1lT bF !1 R ; •.k :''" n s "� � (wit above x, d sq )
residential 75.00 2
p �;
/ - t I `' d � ' f y - T rl r Limited energy, multi -family
75.00 2
ftc d �/ S cL.t. cr st f.n !�j we. O pit P� residential (with above sq. 8)
� Services or feeders installation, alteration, and/or relocation
e 200 amps or less 80.30 2
.
W " , 1 :i R ... ;
W .. { " s s 201 amps to 400 amPs 106.85 2
Name: 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
City /State/ZIP: Temporary services or feeders Instalbdlay 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 201 amps to 400 amps 100.30 2
intended for sale, lease, rent, or excheage, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
Owner Branch dreulls —new, alteration, or extension, per panel
�� Date: A. Fee for branch circuits with
r Y -- --4.4.' + O t 'I.tr 2 OI 1 C .:0, .. 'H T * thous service or f fa ; 4- •c "xz.. _. . ��� '" 6.65 2
Business name: each branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee
46.85 2
first branch circuit
Address: Each add? branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City /State ZIP: Each manufactured 0 r mom 9090 2
Phone: ( ) Fax : ( ) dwelling, service and/or feeder
Recta mect only 66.85 2
E - mail
Pump or irrigation circle 53.40 2
`.-0��� -�,Y";;4g ,:riggkt4061V : ' i aC/41 1 ': g.M .c"F'l•4•Weg:;'a "r Sign or outline lighting 53.40 2
z 2- Each additional inspection
Business name: Fab Get/ £ n / c 6,
Signal p a nel t(s) er or limned -
il��D e si C. .set i �i enema p> � or
Address: , � j ' � ,Q extension. Describe: �� ,il J Page 2 2
City /State/ZIP: A „� • R. •1 '7 t over allowable in any of the above
7) (0 7. L./-2..,/ Fax ( )
Per Investigation 62.50
Phone: (r
7/ / (l% r y IG / •
lmvestiga2ion per hoar (l hr min) 62.50
CCB Lic.: "3-7410 Electrical Lic.: . - r 3G Suprv. Lic.: s (0 5 Industrial plant per hour 73.75
Suprv. Electrician signature, required G/ r 43 ;i e' ;;t4 ' ;C. : e,ER U B_ i?igei; ' :"
, a / /,� Subtotal:
Print name: Q� �&fiL 7 7 61Wi ` Date: -7 y.�� Pla review (25% of permit fee):
State surcharge (12% of permit fee):
Authorized signature: TOTAL PERMIT FEE:
Print name: I Date: This per application expires if a permit is not obtained within 180
days after It has been accepted as complete.
Electrical Permit Application - City of Tigard
Page 2- Supplemental Information
LIMITED ENERGY PERMIT FEES:
IWO rtr.— 7.ieratigagE.MIONSIE
Fee for all residential systems combined... ..... $75.00
Check Type of Work Involved.
• Audio and Stereo Systems*
O Burglar Alarm
D Garage Door Opener*
D Heating, Ventilation and Air Conditioning System*
O Vacuum Systems*
O Other
WaTF+10"MONOVIOMRSZNiiiaz -WeitTM
Fee for each commercial $75.00
system.
(SEE OAR 918
Check Type of Work Involved.
El Audio and Stereo Systems
O Boiler Controls
1:1 Clock Systems
0 Data Telecommunication. Installation
O Fire Alarm Installation
• HVAC
o Instrumentation
O Intercom and Paging Systems
0 'Landscape Irrigation Control*
0 Medical
O Nurse Calls
0 Outdoor Landscape Lighting*
• Protective Signaling
O Other _
Total number of commercial systems: ____
*No licenses are required. Licenses are required
for all other installations
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: ELC2008- 0017.8
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/5/2008
Phone: (503) 639 -4171 40/4
Inspection Requests (24 Hrs.): (503) 639 -4175 ° —
INSPECTION WORKSHEET FOR DATE: 3/17/2008 TIME: 7:01AM PAGE: 37
SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD MGMT OFFIC CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: WASHING TON SQUARE
DESCRIPTION: Add lights and tire alarm in hallway to Pottery Barn upstairs storage.
Job No. 65502 FEES PAID UNDER.ELC200I3- 0006E
OWNER: WASHINGTON SQUARE LLC, . PHONE #:
CONTRACTOR: FRAHLER ELECTRIC CO PHONE #: 503
Inspection Request Scheduled For: Date: 3/17/2008 Pour Time:
Code # Inspection Description Confirm -# Contact # Message
199 Electrical final 066775-01 503- 639 -4627 N
Corrections /Co . -nts /Instruct.•
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gk PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: &' N 66 LE Date: 3' ii • V V Phone #: (503) 718 - 1.4 4