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Permit CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2006 -00420 DEVELOPMENT SERVICES DATE ISSUED: 8/30/2006 = 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S12600-00300 SITE ADDRESS: 09522 SW WASHINGTON SQUARE RD H -7 ZONING: C -G SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG Project Description: TI 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: 3 W /SERVICE OR FEEDER: 45 PER INSPECTION: 201 - 400 amp: 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 BEAR ELECTRIC BY THE MACERICH COMPANY P.O. BOX 389 9585 SW WASHINGTON SQUARE RD DONALD, OR 97020 TIGARD, OR 97223 Phone: 503 - 639 - 8865 Contact #: PRI 503 - 678 - 1355 FAX 503 - 678 -1108 FEES Description Date Amount Reg #: ELE 24 -107C [ELPRMT] ELC Permit 8/30/2006 $540.15 LIC 20919 [TAX] 8% State Surcharge 8/30/2006 $43.21 SUP 4902S Total $583.36 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 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- 332 -2344. / Issued By: 0,e, � i1 � Permittee Signature: e 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. i E eci ical PerT4 plication °pry � r o , v i � �I ,,� rFOR'OFFICEUSE'OI\LY �'< City of Tigard _ i Received / Y �t 1 - �T • 13125 SW Hall Blvd., Tigard, OR 97223 Date /B tf �' Permit N , �,, -� oW Phone: 503.639 4171 Fax: 503.598.1960 t t\ Plan Re is R t t 2006 , , Date /By: Other Permit: Inspection Line JU 503.639.4175 ' f E. 'I � L .,��, Date Ready /By: turis� 63 See Page 2 for Internet: www.ci.tigard.or.us Notified /Method: J Supplemental Information L11 Y U. YPli ; PLAN REVIEW ❑ New constructioi 1 !TT,fli , jAdditl ngalt� rat' eplacement Please check all that apply: ❑ Demolition ❑ Other: Service over 225 amps, comn'I El Hazardous location - _ _ CATEGORY OF CONSTRUCTION ❑Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft., of 1- and 2- family dwellings 4 or more new residential ❑ 1- and 2- family dwelling i:4 Commercial /industrial ❑ Accessory building )3SystFn over 600 volts nominal units in one structure /' ❑Buil ng over three stories :Weeders, 400 amps or more ❑ Multi - family ❑ Master builder ❑ Other: i ZOccu ant load over 99 persons ❑Manufactured structures or JOB SITE INFORMATION AND LOCATION Job no.: C � ❑Egre s /lighting plan RV park Job site address: 1 2 Jli�/ ❑H th -care sets o facil ity ans an ❑Other: �` Hat 2 f t with of the above. City /State /ZIP: � �( / J `1 ' y I ' -A t ),,,7223 The above are not applicable to temporary construction service. Suite /bldg. /apt. no.: /iL / Project name: f% e_16 ;; �� FEE* SCHEDULE �/ "4 ` ^ � y7 Description I Qty. I • Fee l Total I ** Cross street /directions to job site: New residential single- or multi - family dwelling unit. Includes attached garage. 1 ,000 sq. ft. or less 145.15 I 4 Subdivision: I Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential 75.00 2 Limited energy, non - residential 75.00 2 DESCRIPTION OF WORK Each manufactured or modular 7r t dwelling, service and /or feeder 90.90 2 t Services or feeders installation, alteration, and /or relocation 200 amps or less 3 80.30 jib, ' 2 ❑ PROPERTY OWNER I ❑ TENANT 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 I 2 City /State /ZIP: I Reconnect only 66.85 I 2 Temporary services or feeders installation, alteration. and /or Phone: ( ) I Fax: ( .) relocation Owner installation: This installation is being made on property that I own which is not 201 201 amps to amps to less 400 amps 100.3 66.85 1 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 0 2 401 amps to 600 amps 133.75 2 Owner signature: Date: Branch circuits — new, alteration, or extension, per panel ❑ APPLICANT I ❑ CONTACT PERSON A. Fee for branch circuits with Business name: service or feeder fee, each `�'aJ C 2c branch circuit 6.65 2 Contact name: B. Fee for branch circuits without service or feeder fee, .Address: first branch circuit 46.85 2 Each add'l branch circuit 6.65 12 I City /State /ZIP: Miscellaneous (service or feeder not included) Phone: ( ) I Fax:: ( ) Pump or irrigation circle 53.40 2 E -mail: Sign or outline lighting 53.40 2 Signal circuit(s) or limited - CONTRACTOR energy panel, alteration, or Business name: J extension. Describe: Page 2 2 Address: P 4- eR Each additional inspection over allowable in any of the above �3�1� Per inspection 62.50 City /State /ZIP: / G r rtlteA �pt (ll�©' J'�J�' e✓v �iTT Investigation per hour (I hr min) 62.50 Phone: 613 //� y/ ax: Industrial plant per hour ) �il� L'� �S I F �'�) �73 °��� l Id P P � 73.75 CCB Lic.: ELECTRICAL PERMIT FEES* ,b9 /? I Electrical Lic.: 0 2q-107c I Suprv. Lic.: WZ VS I LQI /.5 Subtotal / Suprv. Electrician signature, required: ' I Plan review (25% of permit fee) Print name: R� p /� � L I Date: / 2 t /o� I State surcharge (8% of permit fee) I V 21 N d t/ !!/�/�'t� S Authorized signature: I TOTAL PERMIT FEE 583 3/„ This permit application expires if a permit is not obtained within 180 Print name: days after it has been accepted as complete Date: • * Fee methodology set by Tri- County Building Industry Service Board ** Number of inspections per permit allowed. 4 is \Bui lding \Pc its \ELC- PennitApp.doc 12/03 440 4515T( /02'COM /WE5 8/30/2006 _„' ,,, C ... Fees Associated With 8:45:23AM CE Case #: ELC2006 -00420 Fee Start End Trans Revenue Created Type Date Date Dept Description Code Account Number By Date Amount Due PRMT 1/1/1990 12/31/2020 [ELPRMT] ELC Permit 220 - 0000 -4315 B13 8/30/2006 540.15 540.15 5PCT 1/1/1990 12/31/2020 [TAX] 8% State Surchar 100 - 0000 -2070 BB 8/30/2006 43.21 43.21 Total Due: $583.36 • i Page 1 of 1 CaseFees..rpt CITY ���� ��U�������� ^ ' �*m o n OF m un����nx�� BUILDING ��U��U��U���� ~�~,,~~°�",~=° ~°,,,~,,~~,~ PERMIT #: ELQ2006- 00420 13125 SW Ha|| Blvd., Tigard, OR 97223 D ATE ISSUED: 8/50V2006 Phone: (503) 639-4171 Inspection Requests (24Hraj:(503)630'4175 INSPECTION WORKSHEET FOR DATE: 11/13/2006 TIME: 7:04AM PAGE: 98 SITE ADDRESS: 09522 SW WASHINGTON SOUARE RD H - 7 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: EDD|EBAUER DESCRIPTION: T} OWNER: WASHINGTON SQUARE LLC. PHONE #: 503-0398065 CONTRACTOR: BEAR ELECTRIC PHONE #: 503'678'1355 Inspection Request Scheduled For: Date: 11113/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 039591'01 503-878-1355 Corrections/Comments/Instructions: PARTIAL APPROVAL 7 CANCEL 7 NO ACCESS FAIL ri CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED Inspector: A1 Date: //~ / 3 -0 6 Phone #: 8503\ 718- `' • CITY OF TIGARD . .. . _. BUILDING DIVISION PERMIT #: ELC2006-00420 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/300006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 9/29/2006 TIME: 7:06AM PAGE: 23 SITE ADDRESS: 09522 SW WASHINGTON SQUARE RD H.-7 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: EDDIE BAUER DESCRIPTION: TI OWNER: WASHINGTON SQUARE L.LC, PHONE #: 503,639.8855 CONTRACTOR: BEAR ELECTRIC PHONE #: 503..678-1355 Inspection Request Scheduled For: Date: 9/29/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 115 Electrical service 037405-02 503-678-1355 N Corrections/Comments/Instructions: • (0 Mt<WIF GIM 0 N) ON 0 94 Et-EC,Tsglice16 tiONZIO 1 T- 4 ( /1 C)11,16\\?■ ST EU- 44:1 Gog - Ptki• ta--. Z Usky‘ I— Ity■Ali 6 1 tx-- ;6 - (c14 ; X4DASS 7 PARTIAL APPROVAL n CANCEL 7 NO ACCESS \ I I FAIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: G' ) N 66L. Date: li_l (jj____k _ Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2006-00490 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: B/30/2006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 9129/2006 TIME: 7:05AM PAGE: 24 SITE ADDRESS: 09522 SW WASHINGTON SQUARE RD 1-1 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: EDDIE BAUER DESCRIPTION: TI OWNER: WASHINGTON SQUARE LLC, PHONE #: 503-639-865 CONTRACTOR: BEAR ELECTRIC PHONE #: 503-670-1365 Inspection Request Scheduled For: Date: 9/2912006 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough-in 037405-01 503-678-1355 Corrections/Comments/Instructions: R.SWX■41Q A A Qad GOra 1;7 k PASS fl PARTIAL APPROVAL 7 CANCEL NO ACCESS • 7 CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED Inspector: N 8 Date: 06 Phone #: (503) 718- L4156 . , • CITY OF TIGARD . • , BUILDING DIVISION A PERMIT #: ELC2006-0800 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/302006 Phone: (503) 639-4171 44 HIL. Inspection Requests (24 Hrs.): (503) 639-4175 A INSPECTION WORKSHEET FOR DATE: 9/12/2006 TIME: 7:01AM PAGE: 1 1 SITE ADDRESS: 09522 SW WASHINGTON SQUARE RD H CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: EDDIE BAUER DESCRIPTION: ri OWNER: WASHINGTON SQUARE LLC, PHONE #: 503-0943065 CONTRACTOR: BEAR ELECTRIC PHONE #: 503.678-13,5f, Inspection Request Scheduled For: Date: 9/12/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough-in 036390-01 503-678-1355 Y Corrections/Comments/Instructions: /------ (pm) 3S SI 1-Utt t L A iop To kA PASS ■■ PARTIAL APPROVAL 7 CANCEL fl NO ACCESS FAIL pi CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED Inspector: G .--, N (16 L Date: 1 Phone #: (503) 718- ___________