Permit CITY OF TIGARD ELECTRICAL PERMIT
. PI ° COMMUNITY DEVELOPMENT PERMIT ISSUED: E /2008 000s5
DATE ISSUED: 2/6/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S12600
SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD MGMT ZONING: C -G
SUBDIVISION: �PFg(aNGTON SQUARE LOT : JURISDICTION: TIG
PROJECT: WASHINGTON SQUARE
Project Description: Power to a/c unit and exhaust fan for "H" block of tenant spaces.
Job No. 65506
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 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
[ELPRMT] ELC Permit 2/6/2008 $60.15 LIC 37410
[TAXI 12% State 2/6/2008 $7.22 SUP S I I OS
Total $67.37 REQUIRED ITEMS AND REPORTS
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 set fo 'n R 952 - 001 -0010 through OAR 952 -001 -0100 You may obtain copies ese rules or direct questions to OUNC at
503.246.6 9 or 1.800.3 2 ,,n q en
Issued B ��` /'�► " Permittee Signatur 0 / mr // / .. � - .
> 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: T % ,4--- 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 Amplication 0_, 4 w.,_,L1 /11 )
City of Tigard FE / 6/ b 1 0 g „,:p Puma No.:
1111 /_e g.0006_
13125 SW Hall Blvd., Tigard, OR 97223 B 0 5 2008 DaelBY
Plan Review
ll Phone: 503.639.4171 Fax 503.598.1960 Date/By: Other Permit.
. 1G A it 0 Inspection Line: 503.639.4175 CIITVOn triGARD Date Ready/By:
2V:/ 61 See Page 2 for
Internet www.tigard-ongov po Inv, it Notified/Method: - / ( Supplemental Information
....-....i::::,.....,,i81*****.zi:::,....7-...:..:_,:)--7z,,!!..:..=:.,..., ;:,...!„,:-.:'':!,:,a;at';;•;:***YlEw:::.;:-.''''..:..,.1.4
El New construction a Addition/alteration/replacement Please check all that apply (submit a sets of plans Witt= checked below):
0 Service or feeder 400 amps or more 0 Building over three stories.
0 Demolition 0 Other where the available fault current El Marinas and boatyards.
boidokii \otiii , L,-.,..... . • ..:, !,:..-. ,, .:.,, exceeds 10,000 amps at 150 volts or 0 Floating buildmgs.
less to ground, or exceeds 14,000 D Commercial-use agricultural
El 1- and 2-family dwelling [a Commescial/inclusirial 0 Accessory building amps for all other installations. buildings.
0 Multi-family 0 Master builder 0 Other 0 Fire pump. 0 Installation of 75 KVA or
.!... i' : i:.::T 1.': :'adik to6iiittliii!:'.'' '.• : ', '.--.,.',. . •• : ' ... . ..: E A e of motor load of 0 lar -1-2? 1-3", system.
Job no.: 65506 Job site address: 9585 WASHINGTON SQUARE ROAD l(MHP " =re
0 Six or more residential units. occupancy.
El Recreaticmal vehicle parks.
City/State/ZIP: 97223 0 Health-care facilities.
0 Hazardous locations. 0 Supply voltage for more than
TIGARD, OR
600 volts nominaL
SuiteJbldg./apt. no.: Project name: ' H ' BLOCK 0 Service or feeder 600 amps or more.
. ? :SCEEDIILS .;.:; c": . ::•.';.k.;;... : :...;, : :: : ::;::' , ;;::.."
Cross street/directions to job site: • Description I QV. I Fee I Tang I •
New residential single- or multi-family dwelling unit.
POWER TO AC UNIT AND EXHAUST FAN FOR 'H BLOCK Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft or less 145.15 • 4
Ea. addl 500 sq. ft. or portion 33.40 1
Tax map/parcel no.:
Limited energy, residential
2
75.00
t f'•,:fN ( with a 84. it )
Limited energy, multi-amiy
POWER TO AC UNIT AND EXHAUST FAN FOR 'H' BLOCK residential (with above sq. it) 75.00 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
li . .i / :;'! 4 ;ii. - j,:: . 3:1411/ 4 1i0.4T - . .N . ;;;; . :71?: 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 installation, alteration, and/or
relocation
Phone: ( ) Fax: ( ) 200 amps or less 66.85 i
Owner installation: This installation is being made on property that I on which is not 201 =pa 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
Branch dnaitts - new, alteration, or extension, per panel
Owner signature: Date:
A Fee for branch circuits with
..i';',.*:;:ii :.:.": ,;';' - A . , .: 1 ;?: .: 41;Af.:, , c :".;'4f:EkCier.;Illiket. ;.::: , _ . : : ‘'„'21 . :;;i: above service or feeder fee,
6.65 2
each branch circuit
Business name: B. Fee for branch circuits
without service or feeder fee, 1 . . 85
4
Contact name: branch - 2
first anch circuit
Address: Each add'l branch circuit 2 6.65 13.30 2
Miscellaneous (service or feeder not included)
City/State/ZIP: Each manufactured or modular
9090 2
dwelling, service and/or feeder
Phone: ( ) Fax: : ( ) Reconnect only 66.85 2
E Pump or irrigation circle 53.40 2
. i-f:',"..: -,,t.,;:.:: ;": -....;ji. -;----.::,:);•;•;:. CONTIlt*C110.-5.2,:-=;c-s.::- 'e-.•:- Si °r mtlihe lighting 5340 2
Signal cirrant(s) or limited-
Businessnaine: FRAHLER ELECTRIC COMPANY energy panel, aheration, or
Address: 11860 SW GREENBURG ROAD extension. Describe: Page 2 2
City/State/ZIP: TIGARD, OR 97223 Each additiomd Inspection over allowable in emzof the above
Per inspection 62.50
Phone: ( 503 639-4627. Fax (503 ) 639-4673 Investigation per hour (l hr min) 62.50
CCB Lic.: 37410 Electrical Lic.: 34-13C Suprv. Lic.: 5110S Industrial plant per hour 73.75
r:':::•....i . ..4.-:':..." . .:•.f:.: 1 ELF.CINRICAL-MERMTUTEES:
Suprv. Electrician signature, required: , e „ , r .".14,4-- Subtotal: 60.15
Plan review (25% of permit fee):
Print name: ADAM ETHERINGTON Date: 02/01/08
State surcharge (12% of permit fee): 7.22
Authorized signature: TOTAL PERMIT FEE: 67.37
This permit application expires Ifs permit Is not obtained within 180
Print name: Date: days after It has been accepted as complete.
• .1"
Electrical Permit Application - City of Tigard
Page 2- Supplemental Information
LIMITED ENERGY PERMIT FEES:
Fee for all residential systems combined........ $75.00
Check Type of Work Involved.
0 Audio and Stereo Systems*
El Burglar Alann
11 Garage Door Opener*
El Heating, Ventilation and Air Conditioning System*
El Vacuum Systems*
El Other
Fee for each commercial $75.00
system
(SEE OAR 918
Check Type of Work Involved.
El Audio and Stereo Systems
El Boiler Controls
El Clock Systems
El Data Telecommunication Installation
El Fire Alarm Installation
El HVAC . .
El instrumentation
0 Intercom and Paging Systems
El Landscape Irrigation Control*
0 Medical
El Nurse Calls
0 Outdoor Landscape Lighting*
El Protective Signaling
El Other
Total number of commercial systems: _____
*No licenses are required. Licenses are required
for all other installations
CITY OF TIGARD
BUILDING DIVISION A . PERMIT #: EL_C X008 00065
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/C12008
Phone: (503) 639 -4171 I tl
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 2/25/2008 TIME: 7:00AM PAGE: 31
•
SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD MGMT OFFIC CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: WASHINGTON SQUARE
DESCRIPTION: Power to a/c unit and exhaust fan for "H" block of tenant spaces.
Job No. 65506
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: FRAHLER ELECTRIC Co PHONE #: 503- 639.4627
Inspection Request Scheduled For: Date: 2/25/2008 Pour Time:
Code # Inspection Description Corri Contact # Message
199 Electrical final 065550.01 503.639.4627 N
Corrections /Comments /Instructions:
•
►11t 'ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: r 3 ' J • Date: 1 Phone #: (503) 718- •
V