Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00677
•• DEVELOPMENT SERVICES DATE ISSUED: 9/14/2005
�I�II
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171 PARCEL: 1S12600 -00300
SITE ADDRESS: 09700 SW WASHINGTON SQUARE RD NORDS ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG
Project Description: North entrance remodel.
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: 1
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: 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:
PPR WASHINGTON SQUARE LLC GEORGE + SONS ELECTRIC CORP
BY MACERICH COMPANY PO BOX 339
9585 SW WASHINGTON SQUARE ROAD CLACKAMAS, OR 97015
TIGARD, OR 97223
Phone: 503 - 639 -8865 Phone: 503 - 654 - 8634
FEES Reg #: LIC 35600
ELE 3 -117C
Description Date Amount SUP 3185S
[ELPRMT] ELC Permit 9/14/2005 $53.40
[TAX] 8% State Surcharge 9/14/2005 $4.27 REQUIRED ITEMS AND REPORTS
Total $57.67
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: 1 z / 7 Permittee Signature:
OWNER INSTALLATION ONLY
The installation is being made on property I own whicllis 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.
09/13/2005 14:38 503 - 653 -6886 GEORGE & SONS ELECTR PAGE 01
' Electrical Permit Appli tion 1 4 , 1(i I I 1 11 1 1'N 1 1 1\ 1
t,
City of Tigard 1 1 ECEIV I Da a Y.�I� /�/ � 5 t� Permit No, /�4�rN (/�-'{j 1
13125 SW Hall Blvd., Timed, OR 97223 Plan Review
Other PwYniu
Phone: 503.639.4171 Fax: 503.598,1960 SEP , = f � l DatdB
Inspection Line: 503.639.4175 13 Date Read' /By: runs B See P. 2 for
Internet. www.ci.tigard.or.us Z Notified/Method: . it I Sappleatmtaltefermation
' ' . 1 �j '.' • ' i': y all '"d p ] 7 , f i :.I 7,7%. . - • • i ce 1. , _ _ ....., ... .. l ..... .
Di�.4 1 � �' : : a ' 1,..:•.. ' ∎ af ' r NO `9:9 'r11 s V �r'''`` ' I" • d ' . . , , . r .. ... ... _. :+• . .r .
ID New construction ®Additio a l ' A ld 1' IiitEInent Please check all that apply.
Service over 225 ' comet UHazardous location
❑ Demolition CI Other:
['Service over 320 amps - rating ❑Bulldog over 10,000 sq. ft.,
. t . .l, q : ,... , ., oft - end 2-family dwellings 4 or more new residential
❑ I- and 2- family dwelling CRI Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
12 Multi-family ❑Master builder ❑ Other: ['Occupant ❑ Building over three stories ❑ ['Feeders, 400 amps or more
�lr , : .: ,� „ '.',.3 .. Occupant load over 99 persons Manufactured structures or
2
i ,,,,:, �,..,. ,t . ; .,., , , , = iikoli i " v r,4'11dN ❑Egt ss/lightingplan RV park
Job no.: 1166 Job site address: 9700 SW Washington Sq. Rd ❑H�� c� facility ❑ er
Submit," sets of plans with any of the above.
City/State/ZIP: 97223 . The above are not applicable to temporary construction service.
Suite/bldg./apt. no.: l Project name: Nordstrom Store
D e,erlpdon Fee. 1 Total I
Cross street/directions to job site; New residential single- or multl- family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145 15 _ 1 4
Subdivision: Lot no.: Ea add'I 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
Tax map /parcel no.: Limited energy, non- residential 75.00 2 • `gin' ^'A4 , 1/ I '''' • • 1 . . . . • ' ' ' ' ' • , • Each manufactured or modular
I • . ' ;u e, rr; 1
North entrance remodel dwelling, service and/or feeder 90.90 ,_ 2
- __ Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
` ; a,1; i + „i ;;a; • :w;;; ; C TE1dAPf'P 201 amps to 400 amps 106.85 2 • :, 401 amps to 600 amps 160.60 2
Name:
601 amps to 1,000 amps 240,60 2
Address: Over 1,000 amps or volts 454 65 2
City/ State/ZIP: Reconnect only _ 66.85 i 2
Temporary services or feeders installation, alteration, and/or
Phone: ( ) I F ax: ( ) relocation
200 amps or less 66.85 1 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 exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2
Owner signature: I n Date: Branch circuits - new, alteration, or extension, per panel
. , :;',11. . ,' . d 11 l i ;e A i,, :,,,.: • I • . :•• . • , ; 1,p ' TAcr PLASON A. Fee for branch circuits with
Business name: branch or feeder fee, each 6.65 2
branch circuit
Contact name: B. Fee for branch circuits
without service or feeder fee,
46.85 2
Address: each branch circuit
Each addl branch circuit 6.65 2
City/State /ZIP: Miscellaneous (service or feeder not Included)
Phone: ( ) I Fax:: ( ) Pump or irrigation circle 53.40 2
Sign or outline lighting / 53,40 37, KO 2
E -mail: Signal circuit(s) or limited -
s Ir ' `.4: !,'. i A f'i't ' ' iltki;'' :' °F lt;,..) }' :, . :i'. ;_ ..... energy panel, alteration, or
extension. Describe: Page 2 2
Business name: George and Son's Electric Corp.
Address: PO Box 339 Each additional inspection over allowable In any of the above
Per inspection 62.50
City/State/ZIP: Clackamas OR 97015 investigation per hour (I hr min) 62 50
Phone: (503) 6544634 I Fax: (503) 653 -6856 Industrial plant per hour 4- 73,75
'E11CTRIW :' '.1 8* •
CCB Lic.: 35600 I Electrical Lic.: 31 7 -C I Suprv. ' .: 3185 - Subtotal 0"3, }/D
Suprv. Electrician signature, required: Plan review (25% of permit fee)
State surcharge (8% of permit fee) 1 f [21
Print name: Date: 09 -13-05 r�,41
��4t /S� TOTAL PERMIT FEE 7
Authorized signature: This permit application expires If a permit Is not obtained within 180
days after it has been accepted us complete
Print name: ) Date: • Fee methodology set by Tri- Cotmty Building Industry Service Board
' •• Number of inspections per permit allowed.
imeodinaWecreas isc- Perattiwos.ox 1 7/W 440 -461 IT( Itv0KOMM'EB
CITY OF TIGARD
BUILDING DIVISION - PERMIT #: ELC2005-00677
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9114/2005
Phone: (503) 639 -4171 y
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/14/2005 TIME: 7:12AM PAGE: 122
SITE ADDRESS: 09700 SW WASHINGTON SQUARE RD NORDS CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: NORDSTROM
DESCRIPTION: North entrance remodel.
OWNER: PPR WASHINGTON SQUARE LC, PHONE #: 503 - 639.6865
CONTRACTOR: GEORGE + SONS ELECTRIC C RP PHONE #: 503 - 654 -8634
Inspection Request Scheduled For: Da -: 11/14/2005 Pour Time:
Code # Ins • ection Description Confi # Contact # Message
199 Electrical final 021088 - 1 503 - 654 - 6634 Y
Corrections /Comments /Instruc ions:
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: • N Date: k l • I y .C6 Phone #: (503) 718- •44