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Permit w C ITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2005 -00710 111 DEVELOPMENT SERVICES DATE ISSUED: 9/22/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S12600 -00300 SITE ADDRESS: 09374 SW WASHINGTON SQUARE RD ZONING: C -G SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG Project Description: (1) service, (20) branch 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: 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: 20 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: WASHINGTON SQUARE LLC ALL THINGS ELECTRICAL INC BY THE MACERICH COMPANY 10004 NE 7TH ST 9585 SW WASHINGTON SQUARE RD VANCOUVER, WA 98664 TIGARD, OR 97223 Phone: 503 - 639 -8865 Phone: 360- 604 -0241 FEES Reg #: SUP 4665S Description Date Amount LLC 3 7 ELE 37 --818111 C [ELPRMT] ELC Permit 9/22/2005 $213.30 [TAX] 8% State Surcharge 9/22/2005 $17.06 REQUIRED ITEMS AND REPORTS Total $230.36 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 th dir t qu - • OUNC a 503 - 246 -6699 or 1 -800 - 2344. n Issued By: 22 ,s Permittee Signature( / &Cc-) ) OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, e ase, 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. • ^Electrical Permit AD 7. i _ -, `j ._ IVED FOR OFFICE I ISE ONLY City g of Tigard Received Dae/B ,..-1 — — e l Permit No. L C • 67 13125 SW Hall Blvd., Tigard, OR 97223 EP 2 2 2005 Plan Review Phone: 503.639.4171 Fax: 503.598.19 A - , c.•._; i DaWB Other Permit. Inspection Line: 503.639.4175 _J '~'I I L Date Ready/By: FM 65 See Page 2 for Internet: www.ci.tigard.or.us CITY OF TIGARD Notified/Method Supplemental Information O T u Y P E Or� PLAN REVIEW Iew construction ❑ Addition/alteration/replacement Please check all that apply: ❑ Demolition ❑Other: ❑Service over 225 amps, comm'I ❑Hazardous location ❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft., CATEGORY OF CONSTRUCTION of I- and 2- family dwellings 4 or more new residential ❑ 1 - and 2 family dwelling ❑ Commercial/industrial ❑ Accessory building OSystem 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 ❑Egress/lighting plan RV park Job no.: Job site address: Health care facility DOther: L(.JQ 4 Aug A ( O'J ` , Submit 2 sets of plans with any of the above. City/State/ZIP: 7, ,, d The above are not applicable to temporary construction service. Suite/bldg. /apL no.: g Project name: FEE• SCHEDULE Q- cd r Description I Qty. I Fee I Total I •• Cross street/directions to job site: 1A - �t /J A New residential single - or multi- family dwelling unit. l Includes attached garage. 1,000 sq. ft. or less 145.15 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 DESCRIPTION OF WORK Each manufactured or modular l eC_ t f ' Ci ( Se r\)1 \ C� C J1 IS dwelling, Servies o deed e feeders installation, feeder 90.90 2 °� C I f Services r feedrs installation, alteration, and /or relocation 200 amps or less / 80.30 - 2, 3 c2 2 ❑ PROPERTY OWNER I ❑ TENANT 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 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 Business name: branch circuit Wi 6.65 / ,3 2 B. Fee for branch circuits Contact name: 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 E - mail: Signal circuit(s) or limited - CONTRACTOR energy panel, alteration, or , ' Business name: extension. Describe: Page 2 2 A �l? - ,11 ,, ,,,,,, , , E-I- - + (,ad ��� t Address: / D 00 (f - N 7 T L 5`(` t Each additional inspection over allowable in any of the above A Per inspection 62.50 V City/State/ZIP: a IA C(? u v -e t. J17 '?f5-‘49- Investigation per hour (I hr min) 62.50 Phone: (0(,0) ‘,69 6) 1 Fax: (360) ‘,0 — 3O ; Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES* CCB Lie.: f 3oZ()`r5 Electrical Lic.: . /1 Su rv. Lic.: 6, 5 Su ,/ 3, 30 Suprv. Electrician signature, require . / Plan review (25% of permit fee) ,-------- Print name: N. • j. (.10 1 ‘ . 5 Date Gr, D ® � State surcharge (8% of permit fee) ✓ p TOTAL PERMIT FEE a 3e.) -36 Authorized signature: This permit application expires If a permit is not obtained within 180 days after it has been accepted as complete Print name: Date: • Fee methodology set by Tri- County Building Industry Service Board •• Number of inspections per permit allowed. i \ Buildina\Permits\F1,C- PennttApp doe 12/03 440- 46I5T(10IO2/COM/WFB 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: ❑ Audio and Stereo Systems* El Burglar Alarm El Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* El Vacuum Systems* ❑ Other: COMMERCIAL WORK ONLY: Fee for each commercial system. $75.00 (SEE OAR 918- 260 -260) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls El Clock Systems ❑ Data Telecommunication Installation El Fire Alarm Installation El HVAC El Instrumentation ❑ Intercom and Paging Systems El Landscape Irrigation Control* El Medical ❑ Nurse Calls El Outdoor Landscape Lighting* ❑ Protective Signaling • • El Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations i \BwldingTennits\ELC- PamitApp doc 04/03 CITY OF TIGARD ,, BUILDING DIVISION PERMIT #: ELC2005 -00710 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/22/2005 Phone: (503) 639 -4171 i Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 11/9/2005 TIME: 7:09AM PAGE: 30 SITE ADDRESS: 09374 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: PAPYRUS • • DESCRIPTION: (1) service, (20) branch circuits. `10/26/05 Add feeder. OWNER: WASHINGTON SQUARE LLC, � PHONE #: 503- 639 -8865 CONTRACTOR: ALL THINGS ELECTRICAL INC z �� PHONE #: 360.604 - 0241 Inspection Request Scheduled For: Date: 1 1 2005 Pour Time: Code # Inspection Description Confirm # 1 Contact # Message 199 Electrical final 020839-02 \ 360- 907 -0718 Y Corrections /C. - s nstructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G" 'Ciat V Date: Vt .01 ' Phone #: (503) 718- 11\40 CITY OF TIGARD , B( DIVISION PERMIT #: ELC2005 -00710 13125 Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/22/2005 Phone: (503) 639 -4171 A Inspection Requests (24 Hrs.): (503) 639 -4175 W I ... INSPECTION WORKSHEET FOR DATE: 11/7/2005 TIME: 7:05AM PAGE: 4 SITE ADDRESS: 09374 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: PAPYRUS DESCRIPTION: (1) service, (20) branch circuits. 10/26/05 Add feeder. OWNER: WASHINGTON SQUARE LLC, PHONE #: 503- 639 -8865 CONTRACTOR: ALL THINGS ELECTRICAL INC PHONE #: 360.604 -0241 Inspection Request Scheduled For: Date: 11/7/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 020502-01 503 -572 -6017 Y Corrections /Comments /Instructions: o P r b r ■ r • ti •. - f (0 V v,, k ' V `T Air 5 o e . c J ut41 R.oL beJ I cm PT. cik Y /Cs GtR.t.>-) 6 ■43 Oa's 1J toOAv r, Ptti N '' 1:-- CI V kw%) ►p.* W C1L c -.A I c- i' 6c ? k L. ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS N gq FAIL X CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: v 1 ` 6 8 Le Date: `\ -1 - Phone #: (503) 718 - 2 - " . CITY OF TIGARD . BUILDING DIVISION PERMIT #: ELC2005 -00710 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/22/2005 Phone: (503) 639 -4171 j�l Inspection Requests (24 Hrs.): (503) 639 -4175 "_ .. INSPECTION WORKSHEET FOR DATE: 10/20/2005 TIME: 7:09AM PAGE: 26 SITE ADDRESS: 09374 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: PAPYRUS DESCRIPTION: (1) service, (20) branch circuits. OWNER: WASHINGTON SQUARE LLC, PHONE #: 503- 639.8865 CONTRACTOR: ALL THINGS ELECTRICAL INC PHONE #: 360-604-0241 Inspection Request Scheduled For: Date: 10/20/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 130 Ceiling coy: 018845.01 503-572-6017 Y Corrections /Comments ns ructions: NA N 61 14 10 © foT cwaL oNTIL bA1p, ) N 61" A 1 -L-J t.tS •a_ . D ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED &Act, N Inspector: V� L- Date: /0 1 2 -01 W Phone #: (503) 718 - 1'44 `x. C OF TIGARD BUI DIVISION . , PERMIT #: ELC2005 -00710 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/22/2005 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10/18/2005 TIME: 7:10AM PAGE: 29 SITE ADDRESS: 09374 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: PAPYRUS DESCRIPTION: (1) service, (20) branch circuits. OWNER: WASHINGTON SQUARE LLC, PHONE #: 503- 639 -8865 CONTRACTOR: ALL THINGS ELECTRICAL INC PHONE #: 360- 604 -0241 Inspection Request Scheduled For: Date: 10/18/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 130 Ceiling cover 018617 -02 503 -572 -6017 N Corrections /Comments /Instructions: N DI ti:•01W ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS k,1 FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: &N 1 1-4 Date: l Phone #: (503) 718- CITY. OF TIGARD BUILDING DIVISION , . PERMIT #: ELC2005-00710 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/22)2005 Phone: (503) 639 -4171 ill Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10/18/2005 TIME: 7:10AM PAGE: 28 SITE ADDRESS: 09374 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: PAPYRUS DESCRIPTION: (1) service, (20) branch circuits. OWNER: WASHINGTON SQUARE LLC, PHONE #: 503- 639 -8865 CONTRACTOR: ALL THINGS ELECTRICAL INC PHONE #: 360 Inspection Request Scheduled For: Date: 10/18/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 115 Electrical service 018617 -03 503-572 -6017 N Corrections /Comments / Instructions: O 1g X914%17 Feces 5& t. )b • ■Ni , ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: CT`P• K.. N (1e L� Date; ,y ` pICC Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2005 -00710 13125 SW Hall Blvd., Tigard,'OR 97223 DATE ISSUED: 9/22/2005 Phone: (503) 639 -4171 o��i� Inspection Requests (24 Hrs.): (503) 639 -4175 .-,�� INSPECTION WORKSHEET FOR DATE: 10/18/2005 TIME: 7:10AM PAGE: 30 SITE ADDRESS: 09374 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: PAPYRUS DESCRIPTION: (1) service, (20) branch circuits. OWNER: WASHINGTON SQUARE LLC, PHONE #: 503-639-8865 CONTRACTOR: ALL THINGS ELECTRICAL INC PHONE #: 360 -604 -0241 Inspection Request Scheduled For: Date: 10/18/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 125 Wall cover 018617 -01 503 -572 -6017 Y Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 6 ' ` 40 Date: 1 01 Phone #: (503) 718- 1 CITY OF TIGARD BUILDING DIVISION - PERMIT #: ELC2005`00710 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/22/2005 Phone: (503) 639 -4171a Inspection Requests (24 Hrs.): (503) 639- 4175jll.. INSPECTION WORKSHEET FOR DATE: 10/10/2005 TIME: 7:04AM PAGE: 70 SITE ADDRESS: 09374 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: PAPYRUS DESCRIPTION: (1) service, (20) branch circuits. OWNER: WASHINGTON SQUARE LLC, PHONE #: 503- 639 -8865 CONTRACTOR: ALL THINGS ELECTRICAL INC PHONE #: 360 -604 -0241 Inspection Request Scheduled For: Date: 10/10/2005 Pour Time: Code # In pection- Descripti>` Confirm # Contact # Message 105 Underground/slab cover 017871 -01 503-572 -6017 Y Corrections /Comments /Instructions: - - AS ❑ PARTIAL APPROVAL ❑CANCEL ❑ NO ACCESS -FAIL-- ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: V T1R 1\)18 L-,6 Date: la ( Qc Phone #: (503) 718- 21 `tab CITY OF TIGARD BUILDING DIVISION - PERMIT #: ELC2005 -00710 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/22/2005 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10/7/2005 TIME: 7:05AM PAGE: 14 SITE ADDRESS: 09374 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: PAPYRUS DESCRIPTION: (1) service, (20) branch circuits. OWNER: WASHINGTON SQUARE LLC, PHONE #: 503- 639-8865 CONTRACTOR: ALL THINGS ELECTRICAL INC PHONE #: 360 - 604 - 0241 Inspection Request Scheduled For: Date: 10/7/2005 Pour Time: Code # In • -ction Description Confirm # Contact # Message 125 Wall cover 017754 -01 503-572 -6017 Y I,05 • c. le t a'7 812 -01 Corrections /Comments /Instructions: • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: GAR---N6 I VVl Date: (C„('1 C? ' Phone #: (503) 718 - 'LN • ` I