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Permit
C ITY OF T I GAIL D ELECTRICAL PERMIT k PERMIT #: ELC2005 -00469 jijl DEVELOPMENT SERVICES DATE ISSUED: 8/18/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S12600-00300 SITE ADDRESS: 09367 SW WASHINGTON SQUARE RD ZONING: C -G SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG Project Description: Electrical TI. Limited energy systems are: audio /stereo & 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: SIGNAL/PANEL: 2 MANF HM/ SVC/ FDR: 601 +amps -1000 volts: MINOR LABEL (10): SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: 2 W /SERVICE OR FEEDER: 144 PER INSPECTION: 201 - 400 amp: 1 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 DRYER ELECTRIC INC BY THE MACERICH COMPANY 9409 NE COLFAX ST 9585 SW WASHINGTON SQUARE RD DBA: ROSE CITY ELECTRIC TIGARD, OR 97223 PORTLAND, OR 97220 Phone: Phone: 503 - 771 - 5667 FEES Reg #: ELE 26-1142C LIC 153466 Description Date Amount SUP 2876S [ELPRMT] ELC Permit 8/18/2005 $1,375.05 [ELPLCK] ELC Pln Rev 8/18/2005 $343.76 REQUIRED ITEMS AND REPORTS [TAX] 8% State Surcharge 8/18/2005 $110.00 Total $1,828.81 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 1-88%-332-2344. Issued By: / / a _ 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. crt,_t, - a vv7 gplication FOR OFFICE USE ONLY , Received DateB Permit No.: J , Tigard, OR 97223 Plan Review .> 4171 Fax 503.598.1960 / ,E a °j� i`I Date/B : Other Permit. Line 503.639.4175 ;. al °_ „ Date Ready/By: Juris: El See Page 2 for diet: www.ci.tigard.or.us Notified/Method Supplemental Information ' TYPE OF;.WORK• ■ ' PLAN REVIEW ❑ New construction ® Addition /alteration/replacement Please check all that apply: ❑ Demolition ❑Other: Service over 225 amps, comm'l ['Hazardous location ❑Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft., ' CATEGORY OF CONSTRUCTION • ' • . . . • of 1- and 2- family dwellings 4 or more new residential ❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure ❑ Multi - family ❑Master builder ❑Other: ❑Building over three stories ['Feeders, 400 amps or more ❑Occupant load over 99 persons ❑Manufactured structures or • JOB SITE INFORMATION AND. LOCATION ' 2 . ❑Egress/lighting plan RV park Job no.: 29753 Job site address :S ❑Health -care facility ❑Other: SW WASHINGTON SQUARE RD Submit 2 sets of plans with any of the above. City/State/ZIP: TIGARD OR 97223 c t 3(O7 The above are not applicable to temporary construction service. • Suite/bldg. /apt. no.: S -1 Project name: WILLIAMS SONOMA FEE* SCHEDULE . Description I Qty. I Fee. I 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 4 Subdivision: Lot no.: Ea. add'' 500 sq. ft. or portion 33.40 l Limited energy, residential 75.00 2 Tax map /parcel no.: Limited energy, non - residential 75.00 2 DESCRIPTION OF WORK • • - Each manufactured or modular PANELS AND BRANCH CIRCUIT WIRNG dwelling, service and/or feeder _ 90.90 2 Services or feeders installation, alteration, and/or relocation AUDIO AND FIRE ALARM WIRING 200 amps or less 80.30• 4 () • (00 , 2 . ' ❑ PROPERTY OWNER I . ❑ TENANT , • 201 amps to 400 amps ' 106.85 161, 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 Reconnect only 66 85 2 City/State /ZIP: Temporary services or feeders installation, alteration, and /or relocation Phone: ( ) Fax: ( ) 200 amps or less 66.85 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: Date: Branch circuits — new, alteration, or extension, per panel ❑ APPLICANT ` I • ❑ CONTACT PERSON • • A. Fee for branch circuits with service or feeder fee, each 6.65 449;P 2 Business name: branch circuit IUy Contact name: B. Fee for branch circuits without service or feeder fee, 46.85 2 Address: each branch circuit Each add'I branch circuit 6.65 2 City/State /ZIP: Miscellaneous (service or feeder not included) Phone: ( ) Fax: : ( ) Pump or irrigation circle 53.40 2 Sign or outline lighting 53.40 2 F - mail• ___ Signal circuit(s) or limited - Business name: DRYER ELECTRIC dba ROSE CITY ELECTRIC energy panel, alteration, or extension. Describe: AUDIO & i2 Page 2 /5 2 Address: PO BOX 86369 FIRE ALARM City/State /ZIP: PORTLAND, OR 97286 Each additional inspection over allowable in any of the above Per inspection 62.50 _ Phone: (503) 287 -6164 Fax: (503) 282 -1060 Investigation per hour (1 hr min) 62.50 CCB Lic.: 153466 Electrical Lic.: 26 -1142C Suprv. Lic.: 2876S Industrial plant per hour 73.75 ` '4;:i/. %,4 S " ELECTRICAL 'PERMIT FEE' • • Suprv. Electrician signature, required: ((JJ � __ Subtotal i3 - 6 ,0C, Print name: REED G I1 s D a Date: 8 -16-05 Plan review (25% of permit fee) N 3 /7 co State surcharge (8% of permit fee) t 0 ,00 Authorized signature: p^ � p p TOTAL PERMIT FEE ) E N t1 A / Print name: Date: This permit application expires if a permit is not obtained within 18 days after it has been accepted as complete i 1Building\Permits\ELC- PermitApp doe 12/03 440.4615T(10 /02/COM/WE • Fee methodology set by Tri- County Building Industry Service Board • • Number of inspections per permit allowed. Site Address: 9.37 Colt SQ 4A.„ Letter of Transmittal , Building Division J City of Tigard • DATE RECEIVED: TO: SAL DEPT: BUILDING DIVISION RECEIVED SEP 0 e 2005 FROM: C - {(>(�CS ‘\.\ 1 i N CITY OF TIGARD BUILDING DIVISION COMPANY: PHONE NO.:5 - 3 i'I ' 3%S. By: — RE: Z- SOS -0et/6 (Case number, site address, etc.) % \>6 i &.>\5\ 0 w Ct Proj name or subdivision name (Project m and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: I Description: I Copies: I Description: Additional set(s) of plans. '3 Revisions: .,p} LA>~+bctiy $ a vL�,RCr) Cross section(s) and details. Wall bracing and/or lateral analys Floor /roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other (explain): REMARKS: • For Office Use Only: Routed to Permit Technician: Date: Initials: Fees Due: $ _ Date: Initials: Reprint Permit (per Plans Examiner): Yes: No: Notified Applicant: I Date: Initials: is Building \Forms\LetterTransmittal.doc 1/6/04 CITY OF TIGARD BUILDING DIVISION PERMIT #:8 6625 -64 1 14 I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 � �� Inspection Requests (24 Hrs.): (503) 639 -4175 , °__ INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: 73 ( 7 C4/ T • 50. r b • CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: ` Nt. DESCRIPTION: (� OWNER: PHONE #: I CONTRACTOR: PHONE #: 1 Inspection Request Scheduled • • Date: 1 N I - 1 — Pour Time: Cod- • Inspection De - .•tion Confirm # Contact # Message ( Corre . I .111 en s nstructions: • ►2 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL LI CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 1/ 4--- .7 Date: 14//1705 Phone #: (503) 718- Z'ilib .1/ CITY OF TIGARD BUILDING DIVISION - PERMIT #: ELC2005-00469 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/18/2005 Phone: (503) 639 -4171 � Inspection Requests (24 Hrs.): (503) 639 -4175 �+ ° __.. INSPECTION WORKSHEET FOR DATE: 11/16/2005 TIME: 7:03AM PAGE: 89 SITE ADDRESS: 09367 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: A T_ON_SQUARE LOT #: TYPE OF USE: PROJECT NAME: SONQMA_ DESCRIPTION: Electrical TI. Limited energy systems are: audio/stereo & fire alarm. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: DRYER ELECTRIC INC PHONE #: 503-771 -5667 Inspection Request Scheduled For: Date: 11/16/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 021368 -01 503771 -5667 N Corrections /Comments /Instructions: ■- V .< - Q sE NA- '(LET`S► h� s to w441-. t''�'6L✓ cirttoEN. °"mitt. 1ao'244- 61 • 0 L l iTg 0 .4 ::_yip• :L %/4 5 1 Q V' Itszi \I oSAC 6FE 6(‘) c-1 R f . mall. iEi , l L P L 4111 J . nevCi k) Q■ osiv 1 © s r ALL rM z . ( A o ob erg& cr F►6tE AL . S kV Ro - i PcAI '' -p II 13 vlL,Or i. 1 N 6 oa- AN° App a V•L-r. Nv Di o cif A (zovrab, ❑ PASS X PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS *E6L4 ACALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: lT i 0 to LJ : Date: l4 I Phone #: (503) 718- 141116 OF TIGARD BUILDING DIVISION PERMIT #: ELC2005 -00469 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/18/2005 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 11/7/2005 TIME: 7:05AM PAGE: 35 SITE ADDRESS: 09367 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: MLLIAMS- SONOMA DESCRIPTION: Electrical TI . Limited energy systems are: audio /stereo & fire alarm. OWNER: WASHINGTON SQUARE LLC. PHONE #: CONTRACTOR: DRYER ELECTRIC INC PHONE #: 503 - 771 -5667 Inspection Request Scheduled For: Date: 11/7/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 020475.01 503-780.7761 Y Corrections/Comments/Instructions: 0 `V R,VM et..) <-o ccl.,'1>r te. cg. 6 e icsps . ►1�tvCZ�r OL j N icstc • \\ AV ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS IA FAIL ,CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: N ts fp L \ v Date: A • 0 Phone #: (503) 718- CITY OF TIGARD BUIL -DING DIVISION PERMIT #: ELC2005 -00469 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/18/2005 Phone: (503) 639 -4171 /111t Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: TIME: • PAGE: 64 SITE ADDRESS: 09367 SW WASHINGTON SQUARE RD ' CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: WILLIAMS•SONOMA DESCRIPTION: Electrical TI. Limited energy systems are: audio/stereo & fire alarm. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: DRYER ELECTRIC INC PHONE #: 503 - 5667 Inspection Request Scheduled For: Date: 10/31/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 125 Wall cove 019787 -01 503-237 -6164 Y Corrections/Comments/Instructions: �n . 1 / RENtitNi N LEL of vita-L-5. OPASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: GIV 0 (Se) Li Date: V1 IA Its Phone #: (503) 718- Di 4 co • CITY OF TIGARD . , BUILDING DIVISION PERMIT #: ELC200S -00469 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/1012005 Phone: (503) 639 -4171a i l l �l Inspection Requests (24 Hrs.): (503) 639 -4175 1.L. INSPECTION WORKSHEET FOR DATE: 10/27/2005 TIME: 7:16AM PAGE: 96 SITE ADDRESS: 09367 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: WILLIAMS- SONOMA DESCRIPTION: Electrical TI. Limited energy systems are: audio/stereo & fire alarm. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: DRYER ELECTRIC INC PHONE #: 503-771 -5667 Inspection Request Scheduled For: Date: 10/27/2005 Pour Time: Code # sec io : - cription # Contact # Message 115 Electrical service 019489 -01 503 - 287 -6164 Y Corrections /Co : • str '•ns: 1\ 4 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 2 et7 Phone #: (503) 718 -lg CITY OF TIGARD -- ELC2005 -00469 BUILDING DIVISION PERMIT #: 8/18/2005 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 p a i l Inspection Requests (24 Hrs.): (503) 639 -4175 10/24!2005 7:02AM 91 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 09367 SW WASHINGTON SQUARE RD SITE ADDRESS: WASHINGTON SQUARE CLASS OF WORK: SUBDIVISION: WILLIAMS- SONOMA LOT #: TYPE OF USE: PROJECT NAME: Electrical TI. Limited energy systems are: audio/stereo & fire alarm. DESCRIPTION: WASHINGTON SQUARE LLC, OWNER: DRYER ELECTRIC INC PHONE #: 503 -771 -5667 CONTRACTOR: PHONE #: 10/24/2005 Inspection Request Scheduled For: Date: Pour Time: Ccil% # Ir gctr�car: Dry ceiption MRCP' Y$rg-g-6164 Message Corrections /Comments /Instructions: 2-15%/3V P kttit* tebe Ppp ate°-- - NVci s 1"- s_ U ti c,5 bi r 4 Ss.tott e- ONtoott.. 5 iN cbDE 1Z w' 't risAI N< t Q!V X10 GEt, i 8A) IFS WN 4i��p1R - ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS a x FAIL J"'1 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: CT Ef J # g LE Date: 1 Phone #: (503) 718- 214 CITY -OF TIGARD , BUILDING DIVISION PERMIT #: ELC2005 -00469 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/18/2005 Phone: (503) 639 -4171 4I� Inspection Requests (24 Hrs.): (503) 639 -4175 R: _.. INSPECTION WORKSHEET FOR DATE: 10/3/2005 TIME: 7:07AM PAGE: 74 SITE ADDRESS: 09367 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: WILLIAM S- SONOMA DESCRIPTION: Electrical TI. Limited energy systems are: audio/stereo & fire alarm. OWNER: WASHINGTON SQUARE LLC. PHONE #: CONTRACTOR: DRYER ELECTRIC INC PHONE #: 503 -771 -5667 Inspection Request Scheduled For: Date: 10/3/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 115 Electrical service 017188 -01 503 -287 -6164 N Corrections /Comments /Instructions: 1\i\ N.1 � 5 cAN NZ� wVE6L 6 L ( I `N B OV . ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS JAFAIL ❑ C L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: )9/31(5 l Phone #: (503) 718- 2 g 'Y OF TIGARD .. BUILDING DIVISION . PERMIT #: ELG2005-00469 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/18/2005 Phone: (503) 639 -4171 A� je Inspection Requests (24 Hrs.): (503) 639 -4175 __.. INSPECTION WORKSHEET FOR DATE: 9/22/2005 TIME 7:12AM PAGE: 77 SITE ADDRESS: 09367 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: WWAMS SONOMA DESCRIPTION: Electrical TI. Limited energy systems are: audio/stereo & fire alarm. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: DRYER ELECTRIC INC PHONE #: 503771 -5667 Inspection Request Scheduled For: Date: 9/22/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 125 016333 -01 503- 287 -6164 N Corrections/Comments/Instructions: AA P'1 Ni ; P (- Na.. ivt.A cv 1--u L All_s c-E 1 L c CAV � V \illyks(L Lv L. ilzil ash a pekS / riNi ft_ 6PP I (- waLLs k cE'► L.'s v al PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: " " "O8 LE' . 1 2 0c5 Phone #: (503) 718- ZTfO ' . l CITY OF TIGARD 'R . BUILDING DIVISION PERMIT #: ELC2005 -00469 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/18/2005 Phone: (503) 639 -4171 42.5,4 l i, Inspection Requests (24 Hrs.): (503) 639 -4175 Aj. '''I L INSPECTION WORKSHEET FOR DATE: 8/19/2005 TIME: 7 :07AM PAGE: 83 SITE ADDRESS: 09367 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: WILLIAMS- SONOMA DESCRIPTION: Electrical TI. Limited energy systems are: audio/stereo & fire alarm. OWNER: WASHINGTON SQUARE LLC. PHONE #: CONTRACTOR: DRYER ELECTRIC INC PHONE #: 503-771-5667 Inspection Request Scheduled For: Date: 8/19/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 106 Underground/slab co - 013894 -01 503 -287 -6164 Y Corrections /Commen s ns ruction : PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: —.--4 4 - t-\6 1 vt0 Lg Date: t-f,' wu Phone #: (503) 718 -2y .