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Permit CITY OF TIGARDfP ELECTRICAL PERMIT t COMMUNITY DEVELOPMENT ° Permit #: ELC2011 -00381 TI.GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/12/2011 Parcel: 1S 1260000300 Jurisdiction: Tigard Site address: 9627 SW WASHINGTON SQUARE RD FCO2 Project: Sonic Subdivision: WASHINGTON SQUARE MALL Lot: Project Description: Electrical for TI. 8/11/11, Reprinted permit to include (1) low voltage system for point of sale. 8/18/11 reorinie to add (1) feeder,(28) branch circuits and (1) additional low voltage for CCTV. r^" Contractor: MARK ADAMS ELECTRIC INC Owner: PPR WASHINGTON SQUARE LLC PO BOX 2748 BY THOMSON PROPERTY TAX SERVICES CLACKAMAS, OR 97015 ATTN HILARY RAYMOND CARLSBAD, CA 92008 PHONE: 503 - 557 - 8543 PHONE: FAX: 503 - 557 -8508 FEES Quantity Description Date Amount 1 ea Services or Feeders - 200 07/12/2011 $100.70 Specifics: amps or less 42 crt Branch Circuits w /Purchase 07/12/2011 $311.64 Type of Use: COM Service or Feeder Class of Work: ALT 1 ea 12% State Surcharge - 07/12/2011 $49.48 Electrical Type of Const: 1 ea Limited Energy 08/11/2011 $75.00 Occupancy Grp: 9 12% State Surcharge - 08/11/2011 $9.00 Electrical 28 crt Branch Circuits w /Purchase 08/18/2011 $207.76 Service or Feeder 1 ea Signal circuit or Limited 08/18/2011 $75.00 Energy Panel 34 12% State Surcharge - 08/18/2011 $33.93 Electrical (manual) Total $975.29 Required Items and Reports (Conditions) This permit is is -- - •' -ct to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in . cordance with 'proved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. AT' NTION: Oregon la re s you to follow the rules adopted by the Oregon Utility Notification Center. Those r s are set forth in OAR 952- 001 - ■010 throu h OAR 952 -0 90. Y may obtain a copy of the rules or direct questions to OUNC by calling r 503.232.19 / 0.3 344. / Issue. By: Permittee Signature: 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: CO TRACTOR ° LLATION ONLY SIGNATURE OF SUPR. ELEC' ` Date: LICENSE NO. Call 503.639.4175 by 7:00 a.m. for the next available inspection date. 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. • TAX/ 4onV',i2e71 / o ; V6.L -L�4 / cid l 1 A. ,e_ ' ,, CITY OF TIGARD ELECTRICAL PERMIT . , 2 _ COMM DEVELOPMENT Permit #: ELC2011 -00381 1 3125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/12/2011 T . GAR- Parcel: 1S1260000300 Jurisdiction: Tigard Site address: 9627 SW WASHINGTON SQUARE RD FCO2 Project: Sonic Subdivision: WASHINGTON SQUARE MALL Lot: Project Description: Electrical for TI. 8/11/11, Reprinted permit to include (1) low voltage system for point of sale. Contractor: MARK ADAMS ELECTRIC INC Owner: PPR WASHINGTON SQUARE LLC PO BOX 2748 BY THOMSON PROPERTY TAX SERVICES CLACKAMAS, OR 97015 ATTN HILARY RAYMOND CARLSBAD, CA 92008 PHONE: 503 - 557 -8543 PHONE: FAX: 503 - 557 -8508 FEES Quantity Description Date Amount 1 ea Services or Feeders - 200 07/12/2011 $100.70 Specifics: amps or less 42 crt Branch Circuits w /Purchase 07/12/2011 $311.64 Type of Use: COM Service or Feeder Class of Work: ALT 1 ea 12% State Surcharge - 07/12/2011 $49.48 Electrical Type of Const: 1 ea Limited Energy 08/11/2011 $75.00 Occupancy Grp: 9 12% State Surcharge - 08/11/2011 $9.00 Electrical Total $545.82 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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 the 180 days ATTENTION. Oregon law requires you to follow 6 . . . . . . . . .t h e Oregon Utility Notification Center. Those rules are forth in OAR 952 -001 -0010 throug e ' - •r; - 001 -0090. You may obt= n a copy of ` -. • .' -ct .u .tions to OUNC by calling 503.23 J •r 1.:5..332. V / � Issued By: _� l -- io s ;.r_ Permittee Signature: 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' Date: LICENSE NO. Call 503.639.4175 by 7:00 a.m. for the next available inspection date. 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. CITY OF TIGARD ELECTRICAL PERMIT 111111 2 COMMUNITY DEVELOPMENT Permit #: ELC2011 -00381 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/12/2011 Parcel: 1 S 1260000300 Jurisdiction: Tigard Site address: 9627 SW WASHINGTON SQUARE RD FCO2 Project: Sonic Subdivision: WASHINGTON SQUARE MALL Lot: Project Description: Electrical for TI. Contractor: MARK ADAMS ELECTRIC INC Owner: PPR WASHINGTON SQUARE LLC PO BOX 2748 BY THOMSON PROPERTY TAX SERVICES CLACKAMAS, OR 97015 ATTN HILARY RAYMOND CARLSBAD, CA 92008 PHONE: 503 - 557 -8543 PHONE: FAX: 503 - 557 -8508 FEES Quantity Description Date Amount 1 ea Services or Feeders - 200 07/12/2011 $100.70 Specifics: amps or less 42 crt Branch Circuits w /Purchase 07/12/2011 $311.64 Type of Use: COM Service or Feeder Class of Work: ALT 1 ea 12% State Surcharge - 07/12/2011 $49.48 Electrical Type of Const: Occupancy Grp: Total $461.82 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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 the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Th...e rules - - forth in OAR 952- 001 -0010 through OAR 952- 001 -0090. You may obtain a cop - rules or direct questions to OUNC by calling 503.232.1 1 • ; /.r 1.; .332. . Issued By: �y _�� Pbrmittee Signature: /� ! / , . tT/1 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' Date: LICENSE NO. Call 503.639.4175 by 7:00 a.m. for the next available inspection date. 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 ,..., � FOR OFFICE USE ONLY City of Tigard Recei ` J g 0 ++ Date By: 7 y Permit No.: i G .4 , r ' _ a : / " 13125 SW Hall Blvd., Tigard, OR 9 72 1` Plan Review Other Permit: Phone: 503.718.2439 Fax: 503.598.1960 , `� 4 1, 4' 1 Date /By: 67_0 / /. r t 1 i 1 TIGARD Inspection Line: 503.639.4175 J Date Ready /By: Juris: 53 See Page 2 for Internet: www.tigard O �11V � O' otified/Method: Tr....* Supplemental Information ' VW."' 4 Ti7FC F W6iik t3 ce _l " 4 s PLAN REVEN '. , I 46 ..��� (,(� 1`` _ - .-... _,... ��r ,..R nn````tV Please check all that apply (submit 2 sets of plans whims checked below): CI New construction ® Addition /alteratit>yttl/Yeplacement ❑ Service or feeder 400 amps or more ❑ Building over three stories. E l Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. e CATEGORY OF CONSTRUCTION �� �i Ir " ti� exceeds 10,000 amps at 150 volts or ❑ Floating buildings. . kc, f b_ . '. ,,,,x.. .fi '.F " R .. ,�'ix. - , ..Il ..i T' ". less to ground, or exceeds 14,000 ❑Commercial -use agricultural El I- and 2- family dwelling ® Commercial /industrial ❑ Accessory building amps for all other installations. buildings. El Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or Emergency system. larger separately derived system. ,E z 3 JOBSITEEINFORMATIO � t LOCATION ❑ .. ...� .. .,. Add i t i on o new motor l oa d o ❑ .. „ :, ., • �� �� J / / 1-11' or more occupancy. Job no.: Job site address: - � ' s f/" f S , • El Six or more residential units. [3 Recreational vehicle parks. City /State /ZIP: Pe if - (G. iJ 0 t2 , q? 2 2 3 12 Health -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite /bldg. /apt. no.: Fe -2 Project name: Sonic ❑ Service or feeder 600 amps or more. FalaliSE g * FEE }SCHEDULE Cross street/directions to ob site: Ott' I Fee. I Total " I J Locus S / Description I �., � � (� New residential single - or multi - family dwelling unit. �Q t.A I Includes attached garage. _ Subdivision: Lot no.: 1,000 sq. ft. or less 168.54 4 Ea. add'l 500 sq. ft. or portion 33.92 I Tax map /parcel no Limited energy, residential 75.00 2 ZaritV DESCRIPT1fON OF, WORK o y n x (with above sq. ft.) Limited energy, multi- family 75.00 2 Tenant Improvement for Sonic at the Waashington Square Mall food court residential (with above sq. ft.) Services or feeders installation, alteration, and /or relocation 200 amps or less 1 100.70 100.70 2 t > ❑i RERTsY OWNERt� r 201 amps to 400 amps 133.56 2 �.»� �r� . . v� UP r ,.... : �� � . TE�ANTtt� Name: 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 301.04 2 Address: Over 1,000 amps or volts 552.26 2 City/State/ZIP: Temporary services or feeders installation, alteration, and /or y relocation Phone: ( ) Fax: ( ) 200 amps or less 59.36 1 201 amps to 400 amps 125.08 2 Owner installation: This installation is being made on property that I own which is not 401 amps to 599 amps 168.54 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. Branch circuits — new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with APPLICANT.,❑ ,CONTA� SON try above service or feeder fee, ��- � -••� � each branch circuit 42 7.42 311.64 2 Business name: B. Fee for branch circuits without service or feeder fee, first 56.18 2 Contact name: branch circuit Each add'I branch circuit 7.42 2 Address: Miscellaneous (service or feeder not included) City /State /ZIP: Each manufactured or modular 67.84 2 dwelling, service and/or feeder Phone: ( ) Fax: : ( ) Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E-mail: Sign or outline lighting 67.84 2 VES tIQ E „ CONTRACTQR ra r.,,.. ,... ' a'' Signal circuit(s) or limited Business name: Mark Adams Electric, Inc panel, alteration, or extension. Page 2 2 Each additional inspection over allowable in any of the above Address: P.O. Box 2748 Additional inspection (1 hr min) 66.25/ hr City /State /ZIP: Clackamas, OR 97015 Investigation (I hr min) 66.25/ hr Industrial plant (1 hr min) 78.18 / hr Phone: (503) 557 - 8543 Fax: (503) 557 - 8508 Inspections for which no fee is 90.00/ hr � prr . specifically listed (Vi hr min) 3 CCB Lic.: 174094 1 / Electrical Lic.: C248 "1 /' u . c 1105 1 , , '$. . 5 ELECT L P,.E RICARMT FE C ES`: „ = ,' Subtotal: 412.34 Suprv. Electrician signature, required: - ,,l ....---- Plan review (25% of permit fee): 0 Print name: Mark Adams Date: 7/11.11 State surcharge (12% of permit fee): 49.48 TOTAL PERMIT FEE: 461.82 Authorized signature: This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. N umber o inspections allowed per permit. I: \Building \Permits \ELC- PermitApp.doc 07/01/10 440- 4615T( t l /05 /COM/WEB Electrical Permit Application v��D Foil OFFICE USE ONLY City of Tigard C �p Date j II 5__ Received Permit No.: - , 14 ° 13125 SW Hall Blvd., Tigard, OR 97223 {{ l� Plan Review I/ 0 . Phone: 503.718.2439 Fax: 503.598.1960 P�V ateBv: Other Permit: T I GA R D Inspection Line: 503.639.4175 �` , 51 1,'ate ReadyBy: Juris: ® See P 2 for Internet: www.tigard-or.gov w1 Notified/Method: ; Supplemental Information TYPE OF WORI(Z�I\) PLAN REVIEW ❑ New construction El Addition /alteration/ Please check all that apply (submit 2 sets of plans w /items checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. 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 El Other: ❑ Fire pump. ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. ❑ Addition of new motor load of ❑ "A ", "E ", "1 - ", "1 - ", Job no.: Job site address: q ♦ /' J C IooHP or more. occupancy. C t 514,, £. ' 4J1 11 .0 3:7 Six or more residential units. ❑ Recreational vehicle parks. City/State /ZIP: f ID Health-care facilities. ❑ Supply voltage for'more than d ❑ Hazardous locations. 600 volts nominal. Suite /bldg. /apt. no.: Project name: ❑ Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Description I Qty. I Fee. I Total I * New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 168.54 4 Ea. add'1500 sq. ft. or portion 33.92 1 Tax map /parcel no.: Limited energy, residential 75.00 2 DESCRIPTION OF WORK (with above sq. ft.) / ` Limited energy, multi - family 75.00 2 (A / _ C I / 1 ` " f , residential (with above sq. ft.) ( � e' � / / Services or feeders installation, alteration, and/or relocation 200 amps or less 100.70 2 ❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 Name: 601 amps to 1,000 amps 301.04 2 Address: Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation, alteration, and /or City/State /ZIP: relocation Phone: ( ) Fax: ( ) 200 amps or less 59.36 1 201 amps to 400 amps 125.08 2 Owner installation: This installation is being made on property 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 168.54 2 Branch circuits — new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with ❑ APPLICANT ❑ CONTACT PERSON above service or feeder fee 7.42 2 each branch circuit Business name: B. Fee for branch circuits without service or feeder fee, first 56.18 2 Contact name: branch circuit Each add'I branch circuit 7.42 2 Address: Miscellaneous (service or feeder not included) City/State /ZIP: Each manufactured or modular 67.84 2 dwelling, service and/or feeder Phone: ( ) Fax: : ( ) Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E - mail: Sign or outline lighting 67.84 2 CONTRACTOR Signal circuit(s) or limited - energy Business name //lei /// 4 , y S % .. panel, alteration, or extension. [ Page 2 �5 r � 2 I f Each additional inspection over allowable in any of the above Address: Additional inspection (1 hr min) 66.25/ hr City/State /ZIP: Investigation (1 hr min) 66.25/ hr Industrial plant (1 hr min) 78.18/ hr Phone: ( ) Fax: ( ) Inspections for which no fee is 90.00 / hr specifically listed (A hr min) CCB Lic.: Electrical Lic.: Suprv. Lic.: g' /05 ELECTRICAL PERMIT FEES • Suprv. Electrician signature, required:00`f. Subtotal. 7,, t - Plan review (25% of permit fee): Print name: /7 (L_ /,ace Date: Fh �j State surcharge (12% of permit fee): Authorized signature: ► / TOTAL PERMIT FEE: ,� This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. Number of inspections allowed per permit. I:\Building\Permits\ELC- PermitApp.doc 07/01/10 440- 4615T(11/05 /COM/WEB Electrical Permit Application FOR OFFICE USE ONLY Received r e , A � // ^403 , Ill City of Tigard Date/By: Permit No.: Cr 1 3125 SW Hall Blvd., Tigard, OR 97223 Plan Review Z Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: Ti G A R D Inspection Line: 503.639.4175 Date Ready/By: lull s: El See Page 2 for Internet: www.tigard - or.gov Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW Please check all that apply (submit 2 sets of plans w /items checked below): ❑ New construction ❑ Addition/alteration / replacement ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. 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 JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. ❑ Addition of new motor load of ❑ "A ", "E ", "1 - ", "1 - ", Job no.: Job site address: 56 A7 4 01,0 wiR 100HP or more. occupancy. ❑ ❑ Six or more residential units. Recreational vehicle parks. City/State/ZIP: ❑ Health -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: ❑ Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Description I Qty. I Fee. I Total I * New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 168.54 4 Ea. add'I 500 sq. ft. or portion 33.92 1 Tax map /parcel no.: Limited energy, residential 75.00 2 DESCRIPTION OF WORK (with above sq. ft.) e av / ✓1� Limited energy, multi-famil 75.00 2 residential a dential (with above ove sq. ft.) Services or feeders installation, alteration, and/or relocation 200 amps or less / 100.70 /(,�''j.7 2 ❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 Name: 601 amps to 1,000 amps 301.04 2 Address: Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation, alteration, and /or Cit /ZIP: relocation Phone: ( ) Fax: ( ) 200 amps or less 59.36 1 201 amps to 400 amps 125.08 2 Owner installation: This installation is being made on property that I own which is not 401 amps to 599 amps 168.54 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. Branch circuits — new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with ❑ .APPLICANT ❑ CONTACT PERSON above service or feeder fee, 7.42 2 each branch circuit Business name: B. Fee for branch circuits without service or feeder fee, first 56.18 2 Contact name: branch circuit Each add'I branch circuit eqf'' 7.42 o o 7. '7 2 Address: Miscellaneous (service or feeder not included) Each manufactured or modular 67.84 2 City/State /ZIP: dwelling, service and/or feeder Phone: ( ) Fax: : ( ) Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E -mail: Sign or outline lighting 67.84 2 CONTRACTOR Signal circuit(s) or limited energy I . go , Business name: panel, alteration, or extension. Pa. e 2 7 5 2 Each additional inspection over allowable in any of the above Address: Additional inspection (1 hr min) 66.25/ hr Investigation (1 hr min) 66.25/ hr City/State /ZIP: Industrial plant (1 hr min) 78.18/ hr Phone: ( ) Fax: ( ) Inspections for which no fee is 90.00/ hr — specifically listed ( hr min) CCB Lie.: Electrical Lie.: Suprv. Lie.: ELECTRICAL PERMIT FEES_ _„2 _`!/_ Suprv. Electrician signature, required: Subtotal: 3 8 T tP Plan review (25% of permit fee): _ Print name: Date: State surcharge (12% of permit fee): 4G 44' TOTAL PERMIT FEE: ,6", Authorized signature: This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. Number of inspections allowed per permit. I: \ Building \Permits\ELC- PermitApp.doc 07/01/10 440- 4615T(11/05/COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for all residential systems combined .. $75.00 Check Type of Work Involved: n Audio and Stereo Systems* n Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: COMMERCIAL WORK ONLY: Fee for each commercial $75.00 system (SEE OAR 918- 309 -0000) Check Type of Work Involved: n Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation n Fire Alarm Installation n H VAC n Instrumentation n I • ntercom and Paging Systems n L • andscape Irrigation Control* ❑ Medical ❑ Nurse Calls n Outdoor Landscape Lighting* n Proteetive Signaling Other PAS Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:\Building\Permits\ELC-PermitApp doc 07/01/10