Permit Ip
z_; <. CITY OF TIGARD ELECTRICAL PERMIT
° PERMIT #: ELC2008 -00562
COMMUNITY DEVELOPMENT DATE ISSUED: 10/3/2008
3iGAaD: 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09530 SW WASHINGTON SQUARE RD H10 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG
PROJECT: APPLE COMPUTER STORES
Project Description: Job No 98318 Extend 3 circuits
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: SIGNAUPANEL:
MANF HMI 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 CHRISTENSON ELECTRIC, INC.
BY THE MACERICH COMPANY 111 SW COLUMBIA STREET # 480
9585 SW WASHINGTON SQUARE RD PORTLAND, OR 97201
TIGARD, OR 97223
Phone: Contact #: PRI 503 - 419 -3300
FAX 503 - 419 -3728
FEES
Description Date Amount Reg #: ELE 26 -34C
[ELPRMT] ELC Permit 10/3/2008 $60.15 LIC 458
[TAX] 12% State Surchar 10/3/2008 $7.22 SUP 19945
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 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.
r
Issued By:
9"--)11..112-- Permittee Signature: _Au 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.
OCT-03-2008 FRI 09:49 All CHRISTENSON ELECTRIC, INC FAX NO, 95034193695 P. 01/02
. Electrical Permit Application FoR OFFICE ( I IM.: ENI .1
. _ City of Tigard E '''' Received
Date/11 : Permit No,..ELC200,,?....6,0_56 A...
" 13125 SW Hall Blvd., Tigard, OR 2 Plan Review
1 Phone: 503.639,4171 Fax: 503.598.1960 n rt ',,ctr -) nale/By Other Permit
(.., A It 1) Inspection Line: 503.639.4175 DC1 k) Date Ready/By: hail: ' HI See Page 2 for
Internet: www.tigard-or.gov t o o fil 1 Notified/Method: Supplemental Information
TYPE OF y . , .i', , , , .. , :::::!,y.' , .,.../.. ,, ..•,LAN,:4vtgw. ,,, ,; , ;;., , , ,,, :!... , !1;•, ,,,,. ..::: ,, i , • , ::1',.
0 New construction —71,giTtrtilion/alt Please cheek alt that apply (submit 2 sets a r plans w/iterns checked below):
ID Service or feeder 400 amps or more 0 Building over three stories.
0 Demolition El Other: where the available fault current D Marinas and boatyards.
::',',:''..:,"i''.'■'(:':Y,.. :':: .:;, '::: irk6Oiititi,i;:•00.01itIcJiO*,i:':;'::;:,::)K,;;;,:•;;;il.,,;,,;,i,;:.,;,,,:'..,,i::,,; exceeds 10.000 amps a 150 volts or 12 Floating buildings.
less to ground, or exceeds 14,000 0 Commercial atrricultaral
0 1- and 2-family dwelling J161$,Commercial/industrial ID Accessory building amps for 211 other installations- buildings.
Multi-family 0 Master builder 0 Other: prism pump. I=1 Installation of 7S KVA or
' ' ' ' *-7— — " . - r • ' . ' ' • . :' , ' ' , , I '77 0 Emergency system larger separately derived system.
' :. . ■ . 'l: 1 :fil:■: . ',',': ; 'JOB s1irE.)(tvoltrepiTio.. D Addition of new motor load of 0
Job no.: 9 g3/g Job site address: 4 53f - ) SW 1 il A ' , , ,., a i . , P' 1 I DOW' or more,
lik.PA Ji •-: 1 I &I a 1 h a 1.... 0 SIX OT TTIOTC ItSIdelltiai units. occupancy.
0 Recreational vehicle parks.
City/State/ZIP: 11 (W4L el qr aa 3 0 Health facilities.
0 Ha:anions locations. 0 Supply voltage for more than
600 volts nominal.
- •
Suite/bldg./apt. no.: kl Project name: lb D , • . k g Sit4,e .. 0 Service or feeder 600 amps or more.
';!‘':..;,'!':'''. :':;: '';';,.■;V ';; Fiti
Cross street/directions to job site: & . 10-41 S , ,t ° \ .0 0 Description ---- 1 CRY- 1 Fee. 1 Towel 1 *
Now residential single- or multi-family dwelling unit.
' 3 ID 0 -(0 brl - ( ?a-
3 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 i
Tax map/parccl no.: Limited energy, residential 75.00
'DESPRIPTION OF WORK ..'.:'i.'j':':'-":.::'''.;'::,, i:_:,: . . ,,i% : (with above sq. ft) .
Limited energy, multi-far011Y 75.00 2
he..... 3 ( ;If (' ..0 ITS. residential with above sq. ft)
—.-----------
Services or feeders Installation, alteration and/or relocation
200 amps or 105 80.30 2
- -
•.:;:';.;;;;;.:,,';: lai,Pittii*ERT*:OwNtlia.',..:,:,.!,,.,,,,!. .;, 20 I amps 00 400 amps ' 106.85 2
Namc: _401 amps 00 600 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, alter tlon, and/or
relocation
Phone: ( ) Fax: ( ) 200 amps or less 66.85 1
Owner installation: This installation is being made on property 201 amps to 400 amps 100.30 2
that I own which is nOt
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps — 133.75 2
Branch circuits- new, alteration. or extension, per panel
Owner signature:_ Date: A. Fee for branch circuits with
,,IZi,. t „:.!:;:,;,:,,;;' ,;':„' , 1 : 1: u.i0,;:itir,o,:ti , 6*:,,,',„ ,, ,i:; - ; , above service or feeder fee, 6.65 2
. . , .. each branch circuit
Business name: B. Fee for branch circuits
without service or feeder
Contact name: fee, I
46.85 W.02 2
first branch circuit
Address: Each addl branch circuitl a-- 6.65 i 3,3t) 2
— - - Miscellaneous service or feeder not included
City/State/ZIP: Each manufactured or modular 90.90 2
• dwelling. service and/or feeder
' -
Phone: ( ) Fax: : ( ) Reconnect only 66.85 2
E-mail: Pump or irrigation circle 53.40 2
_
—
' ' ::.' :,:-'' . : : .''.'•':'., ' .•. , ;'7''.::r'"; ,i;;,i
CONTRACTOR . .) . ...':.:!, - .:.i;.:.;.',:r,';:: , ;:!';:;';,. ,:':■?;:!,'.: ;,. Sign or outline lighting 53.40 2
, /,_ ■■ , ,
Signal circuit(s) or limited-
Business name: Christenson Electric, Inc. energy panel, alteration, or
Address: Ill SW Columbia, Suite 480 extension. Describe: Page 2 2
City/State/ZIP: Portland, Oft 97201 Each additional inspection over allowable In any of the above
Per inspection 62.50
Phone: (503) 419-3300 x.3328 I Fax: (503) 419-3728 Investigation per hour (I lir min) 62.50
—
CCB Lie.; 458 Electrical Lic.: 26-34C uprv. Lic.: 1' 4S Industrial plant per hour 73.75 _
FEEs ' ',,: '
Suprv. Electrician signature, required: ,'
Ale' a f Subtotal: (
Print name: Robert Axt Date: 4 3/ 0 gi State Plsurchargan review (1296 (25% of permit fee):
t e of permit fee):
Authorized signature: TOTAL PERMIT FEE: 4)7, 3 1
_
This permit appileadon expires if a permit lo not obtained within 180
Print name: Date: days after It has hero accepted at complete.
• Number of inspec ens allowed per permit.
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