Permit ,9
CITY OF TIGARD ELECTRICAL PERMIT
PERMIT ISSUED: 10 ELC2007
COMMUNITY DEVELOPMENT
DATE ISSUED: 10/18/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S12600
SITE ADDRESS: 09345 SW WASHINGTON SQUARE RD T13 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG
PROJECT: POTTERY BARN KIDS
Project Description: 1 branch circuit, 1 low voltage: (3) smoke detectors, (3) speaker strobes and (1) strobe. Fire Alarm.
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: 1
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: 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 HUGHES ELECTRICAL CONTRACTORS
BY THE MACERICH COMPANY 9640 SW SUNSHINE CT STE 600
9585 SW WASHINGTON SQUARE RD BEAVERTON, OR 97005 -4689
TIGARD, OR 97223
Phone: Contact #: FAX 503 - 626 - 3377
PRI 503 - 626 -3344
FEES
Description Date Amount Reg #: ELE 34 -28IC
[ELPRMT] ELC Permit 10/18/200' $121.85 LIC 49850
[TAX] 8% State Surcharge 10/18/200' $9.75 SUP 4506S
Total $131.60 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: 1 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'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.
Froni'Hughes Electrical 503 626 3377 10/17/2007 16:19 #009 P.001/002
Prett Permit Application Rg C
CHVA FOR OFF IcE USE ONLY
Received / n
City of Tigard Permit r.r o p 1/5
13125 SW Hall Blvd., Tigard, OR 97223 O C T 1 7 ZOO ' Date/By: / `'/, 1 6 0 7 ....6
Plan Review
111 2 Phone: 503.639.4171 Fax 503.598.1960 off %/ oF Inspection Line: 503 639.4175 rieAR ir Date/By. Other Permit:
- 0
T I G AR D BUILDirkie 011919 l trifiReeadyzod. Inds See Page 2 for
,
Internet: www tigard-orgov Supplemental Information
:2 21,::, ,,7 1 :5 ,. , , ; i: , .; .,,,,,, : - , ,,,, -,,,, , , z ' - 5, „ , rAtE ',,, ,, ..:,_,';,;', „ ,, ,, ',-,-,., , ::: - ,1, '7 • .''
0 New construction at Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w/items checked below)
0 Service or feeder 400 amps or more 0 Building over thile stones.
0 Demolition 0 Other: where the available fault current 0 Marinas and boatyards
;,., • , „,-. • _ ,' , '
' CATEORY -0E-- -, . • . , - - . . . - exceeds 10,000 amps at 150 volts or 0 Floating buildings.
less to ground, or exceeds 14,000 0 Commercial-use agricultural
1=1 I- and 2-family dwelling 2 Commercial/industrial 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
0 Emergency system, larger separately derived system
JOB SITE INFORMATION AND 'LOCATION . 0 CI Addition of new motor load of
100HP or more. occupancy.
Job no.: 710666 Job site address: 9345 s w a d l i ng b zn a llure Rca
0 Six or more residential units. 0 Recreational vehicle parks.
City/State/Z1P: Tigard, CR 97223 0 Health-care facilities 0 Supply voltage for more than
0 Hazardous locations. 600 volts nominal.
Suite/bldg./apt. no.: n3 Project name: 1 in Kids ID Service or feeder 600 amps or more.
'
Cross street/directions to job Site. Description I Q 1 Fee. 1 Total I
New residential single- or multi-family dwelling unit
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
• . 75.00 2
. - .. ... (with above so ft)
D ESCRIPTION OF -WORK „ .
Limited energy, multi-family
Install. (3) stcke cbt_ectars, (3) speaker strctEs arrl (1) strdm. residential (with above sq. ti ) 75.00 2
SUite TI 3 . Services or feeders installation and/or relocation
200 amps or less 80.30 2
- --',: l'El'Plloi OWNER' , ' I ' - , :,ILFTENAINT .. ',. 201 amps 10 400 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
.
Temporary services or feeders installation, alteration, and/or
City/State/ZIP: relocation
Phone: ( ) Fax: ( ) 200 amps or less 66.85 I
Owner installation: This installation is being made on property that I own which is not 201 amps 10 400 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 circuits - new, alteration, or extension, per panel
Owner signature: . A Fee for branch circuits with
13 APPLICANT ETICONTActPERSON ' - ‘-: v., above service or feeder fee,
6.65 2
each branch circuit
Business name: B. Fee for branch circuits
without service or feeder fee, 1
46.85 46.85 2
Contact name: first branch circuit
Address:
Each add'I branch circuit 6.65 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
, .
. . Sign or outline lighting 53 40 2
Signal circuit(s) or limited-
Business name: Hughes Electrical Contractors, Inc. energy panel, alteration, or
Address: 9640 SW Sunshine Court, Suite 600 extension. Describe: 1 Page 2 7500 2
Fire Alarm
City/State/ZIP: Beaverton, OR 97005 Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: (503) 626-3344 Fax: (503) 626-3377 Investigation per hour (I hr mm) 62.50
CCB Lie.: 49850 Electrical Lie.: 34-28 IC Suprv. Lie.: 4506s industrial plant per hour 73.75
ELECTRICAC,PERIVIITilfEES
Suprv. Electrician signature, required. <0 -- /— /0 Subtotal. 121 .85
Plan review (25% of permit fee): 0-00
Print name: Carl D. Delgado _ Date: 10/17/2007 State surcharge (8% of permit fee): 9_75
Authorized signature: ( 2 ,>1 / TOTAL PERMIT FEE: 131 .60
This permit application expires if a permit is not obtained within ISO
Print name: Date: days after it has been accepted as complete.
• Number of inspections allowed per permit
I \Building \Pcrmns \ELe-PermitApp dos 05/23106 440-46IST( I I/05/COM/WEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007- 00713
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/18/2007
Phone: (503) 639 -41711 ,,N1u
Inspection Requests (24 Hrs.): (503) 639 -4175 6 ' �-
INSPECTION WORKSHEET FOR DATE: 10/22/2007 TIME: 7:00AM PAGE: 23
SITE ADDRESS: 09346 SW WASHINGTON SQUARE RD T13 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: POTTERY BARN KIDS '
DESCRIPTION: 1 branch ciecuit, 1 low voltage: (3) smoke detectors, (3) speaker strobes and (1) strobe: Fire Alarm.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: HUGHES ELECTRICAL CONTRACTORS PHONE #: 503-626-3314
Inspection Request Scheduled For: Date: 10/22/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
' Electrical final M8039-01 - 503.8'10 -8049 y •
Corrections /Comments /Instructions: 2 t'A
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74 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
• IL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: C- 1 `r (e e) Date: `U Ilk] Phone #: (503) 718- /gib
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