Permit C ITY OF TIGARD ELECTRICAL PERMIT
• PERMIT #: ELC2006 00679
COMMUNITY DEVELOPMENT DATE ISSUED: 11/30/2006
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1512600 -00300
SITE ADDRESS: 09473 SW WASHINGTON SQUARE RD A8 ZONING: C -
SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG
Project Description: 11 branch circuits for TI
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: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 10 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 FRAHLER ELECTRIC CO
BY THE MACERICH COMPANY 11860 SW GREENBURG RD
9585 SW WASHINGTON SQUARE RD TIGARD, OR 97223
TIGARD, OR 97223
Phone: Contact #: FAX 503 - 639 -4673
PRI 503 - 639 -4627
FEES
Description Date Amount Reg #: ELE 34 -13C
[ELPRMT] ELC Permit 1 1/30/2001 $113.35 LIC 37410
[TAX] 8% State Surcharge 11/30/200( $9.07 SUP 18165
Total $122.42 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: ( Permittee Signature: t,
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.
Electrical Permit ApplicationRECE J J 1.
FOR OFFICE i tiSl' ONLY
City of Tigard Received I MEM= Permit No. LC , - .00(
° 13125 SW Hall Blvd., Tigard, OR 97223 NOV 2 9 7006 Plan Review
III I
B Phone: 503.639.4171 Fax: 503.598.19 0 Date /B riG ��u . Other Permit
TIG.AK6
Inspection Line: 503.639.4175 L,ITY Date Ready/By RI See Page 2 for
p Kalil
Internet: www.ti d -or. ov Notified/Method Supplemental Information
g BUILDING DIVISION
" TYPE OF WORK . " , - ' PLAN REVIEW _ • ,
Please check all that apply (submit 2 sets of plans w /utems checked below).
❑ New construction �Addition/alteration/replacement
❑ Service or feeder 400 amps or more ❑ Building over three stones
❑ Demolition ❑ Other: where the available fault current ❑ Mannas and boatyards.
• - - CATEGORY OF 'CONSTRUCTION ... exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
❑ 1 -an 2-family dwelling less to ground, or exceeds 14,000 ❑ Commeraal -use agncultural
y g ® Commercial/industrial ❑ Accessory building amps for all other installations buildings
❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump ❑ Installation of75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system larger separately denved system.
❑ Addition of new motor load of ❑ "A ", "E ", "I -2 ", "1 -3 ",
Job no.: 64382 Job site address: 09473 SW WASHINGTON S ROAD l or more oceuearon
Q ❑ Six x o or r more residential amts 0 Recreational vehide parks
City /State/ZIP: TIGARD OR 97223 ❑ Health -care faalities ❑ Supply voltage for more than
❑ Hazardous locations 600 volts nominal.
Suite/bldg. /apt. no.: A8 Project name: CINNABON T.I. ❑ 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 145.15 4
Tax map /parcel no.: Ea. add'I 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
_ DESCRIPTION OF WORK (with above sq ft.)
Limited energy, multi - family 75.00 2
REMODEL OF CINNABON STORE residential (with above sq ft.)
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
• ❑ PROPERTY OWNER I .0 TENANT 201 amps to 400 amps 106.85 2
Name: 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 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 599 amps 133.75 _ 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
A. Fee for branch circuits with
❑ APPLICANT I 0 CONTACT PERSON 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 10 6.65 56.50 2
Miscellaneous (service or feeder not included)
City /State/ZIP: Each manufactured or modular
dwelling, service and/or feeder 90.90 2
Phone: ( ) Fax: : ( ) Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
CONTRACTOR ` Sign or outline lighting 53.40 2
Business name: FRAHLER ELECTRIC COMPANY
Signal panel, or limited- o or
energy panel, alteration, or
Address: 11860 SW GREENBURG ROAD extension. Describe: Page 2 2
City/State/ZIP: TIGARD, OR 97223 Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: ( 503) 639 -4627 Fax: ( 503) 639 -4673 Investigation per hour (1 hr min) 62.50 `
CCB Lic.: 37410 Electrical Lic.: 34 -13C Suprv. Lic.: 1816S Industrial plant per hour 73.75
)� ELECTRICAL PERMIT FEES '
Suprv. Electrician signature, r �� d: 4,.,./1.'-
,/i/ Subtotal: 113.35
��.. �/ Plan review (25% of permit fee):
Print name: R. w. FRAHLER Date: 11/28/06 State surcharge (8% of permit fee): 9.07
Authorized signature: TOTAL PERMIT FEE: 122.42
Print name: Date: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
• Number of inspections allowed per permit.
1 \Building\Permns\ELC- PamnApp doc 05/23/06 440.4615T(I I /05 /COM/WEB
0 .
Electrical Permit Application - City of Tigard. ' '2
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*
❑ Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
❑ Vacuum Systems*
❑ Other.
[ WORK ONLY: '
Fee for each commercial $75.00
system
(SEE OAR 918- 260 -260)
Check Type of Work Involved: : .
❑ Audio and Stereo Systems • - -
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
. ❑ Instrumentation .
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
El Other - - - - - - - - - -
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I \Budding\Pamits\ELC- PamitApp doe 03/23/06
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006-00679
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/30/2006
Phone: (503) 639 - 4171 , 1�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 12i18/2006 TIME: 7:05AM PAGE: 22
SITE ADDRESS: 09473 SW WASHINGTON SQUARE RD AID CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: CINNABON
DESCRIPTION: 11 branch circuits for TI
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: FRAMER ELECTRIC CO PHONE #: 503 - 6334627
Inspection Request Scheduled For: Date: 12/18/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 041211 -01 503- 260 -5591 N
Corrections /Comments / Instructions:
•
Q
V
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G-- • N v 156 L Date: 114 i t o V Phone #: (503) 718- AI__
CITY OF TIGARD A '-
BUILDING DIVISION PERMIT #: ELC2006 -00679
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/30/2006
Phone: (503) 639 -4171 �mJ
Inspection Requests (24 Hrs.): (503) 639 - 4175 .,&- '
INSPECTION WORKSHEET FOR DATE: 12/13/2006 TIME: 7 :04AM PAGE: 18
SITE ADDRESS: 09473 SW WASHINGTON SQUARE RD A8 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: CINNABON
DESCRIPTION: 11 branch circuits for TI
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: FRAHLER ELECTRIC CO PHONE #: 503 - 639-4627
• Inspection Request Scheduled For: Date: 1 2113/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 041041 -02 503-939-8229 Y
Corrections /Comments/ Instructions:
R6uiD - cWw To .
G- mac. t '(Z c. � p i %CAL, (. s )
Eta_ ` E NA t
IN 51p
QA[sPco L- Li . . . .
❑ PARTIAL APPROVAL ❑ CANCEL
❑ NO ACCESS
►�1 FAIL 0 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: IN N V 6 p a Date: 1 t 3 6 k Phone #: (503) 718- 244_
CITY OF TIGARD _
BUILDING DIVISION PERMIT #: ELC2006-00679
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 11/30/2006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 "'ll..
INSPECTION WORKSHEET FOR DATE: 12/13/200 TIME: 7 :04AM PAGE: 19
SITE ADDRESS: 09473 SW WASHINGTON SQUARE RD A8 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: CINNABON
DESCRIPTION: 11 branch circuits for TI
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: FRAHLER ELECTRIC CO PHONE #: 503 - 639.4627
Inspection Request Scheduled For: Date: 12/13/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 041041 -01 503-939.8229 N
Corrections /Comments /Instructions:
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1 V V e) Date: 1 1 131 41) Phone #: (503) 718- 'Mgt`
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006- 00679
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/30/2006
Phone: (503) 639-4171 it 1 11
Inspection Requests (24 Hrs.): (503) 639 -4175 ;.-.1
INSPECTION WORKSHEET FOR DATE: 12/5/2006 TIME: 7:00AIVI PAGE: 5
SITE ADDRESS: 09473 SW WASHINGTON SQUARE RD A8 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: CINNABON
DESCRIPTION: 11 branch circuits for TI
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: FRAHLER ELECTRIC CO PHONE #: 503 - 639
Inspection Request Scheduled For: Date: 12/512006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
125 Wall cover 040677 -01 503- - 939.8229 N
Cor ns /Comments /Instructions:
w R€ vi (.'Q
I—vcz P L. Loc.Af al) ►e4 o pC - Vc A RBA
lo■ K1 4 to Fklba
& vv b
— 3G0 3
❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
/LPASS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: r 0 'W �--C� Date: 12" C- 06 Phone #: (503) 718 - 11 41 '
•