Permit •
• CITY OF TIGARD ELECTRICAL PERMIT
° PERMIT #: ELC2007 -00798
COMMUNITY DEVELOPMENT DATE ISSUED: 11/28/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S12600
SITE ADDRESS: 09499 SW WASHINGTON SQUARE RD A01 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG
PROJECT: BINYON'S
Project Description: (10) branch circuits for TI Job No. 5220
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: f
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: 9 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 ADK ELECTRIC, INC.
BY THE MACERICH COMPANY PO BOX 2676
9585 SW WASHINGTON SQUARE RD BATTLE GROUND, WA 98604
TIGARD, OR 97223
Phone: Contact #: PRI 360 546 - 5155
FAX 360- 576 -6975
FEES
Description Date Amount Reg #: ELE 37 -934C
[ELPRMT] ELC Permit 1 1/28/200' $106.70 LIC 148882
[TAX] 8% State Surcharge 11/28/200' $8.54 SUP 4853S
Total $115.24 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Muniapal 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 rf work is
suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted b Oregon Utility Notification Center.
Those rules are • - rn OAR 952 - 001 -0010 through OAR 952 -001 -0100 You may obtain copy s of these rules or direct questions to OUNC at
503 246 669' or 1 800.3' 44
Issued B : ' , 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:
ONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: / , �� _„ f�-"�- 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.
1
- 7_ 07 02:52p 360- 576 -6975 p.2
Electrical Permit Applica er '- .-1 FOR OFFICE USE ONLY
City of Tigard D k�12%
ill City g a /1 D te ■By: �� 7 Permit No.� JLeeIQ7T W ( O
• 13125 5W Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit.
I G u Inspection Line. 503.639.4175 �oo� Date Ready /By - la See Page 2 for
Internet: www.tigard-or.gov , . a 6 led/Method / Supplemental Information
r_jj or itUA,
TYPE O PLAN REVIEW
� ' New construction El Additi' j SI(O N Please check all that apply (submit 2 sets of plans w /items checked below
❑ Service or feeder 400 amps or more ❑ Building over three stones.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 0 Commcrcal -use agricultural
❑ 1- and 2- family dwelling . 2tommercial/industrial ❑ Accessory building amps for all other installations buildings.
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
❑ Emergency system larger separately derived system
JOB SITE INFORMATION AND LOCATION ❑ Addition of new motor load of ❑ "A ", "E , 'I 2 ", "1 - ",
no; C o Job site address: � !! __ ((77,�� is or or more more Recreational Job no
Y V a
[Isis or more residential units. ❑ Rocreatina] vedncic parts.
City/ State/ZIP: p ❑ Health -care facilities ❑ Supply voltage for more than
g rLRtl tJ2 F kro ❑Hazardous locations 600 volts nominal
Suite/bldg. /apt. no.: 1 Project name: ° iii►-Si €ft45 ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: rlererpptioa I Qh• I Fte. 1 Tatar I •
\, lV l U t \ ,� A-- a New residential single - or moiti- family dwelling unit.
� I Includes attached garage.
Subdivision: I Lot no.: 1,000 sq ft. or less 145 15 4
Ea add'l 500 sq. ft. or portion 33 40 1
Tax map /parcel no.: Limited energy, residential
1
DESCRIPTION OF WORK (with above sq ft ) 75 -00 2
Limited energy, multi -family 75 00 2
PONJCS 10 (j.Ubir residential (with above sq ft.)
Services or feeders installation, alteration, and/or relocation
200 amps or less 80 30 2
❑ PROPERTY OWNER 1 ❑ 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
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 I 133.75 2
Branch circuits— new. alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
❑ APPLICANT ❑ CONTACT PERSON above service or feeder fee, 6.65 2
each branch circuit
Business name: B. Fee for branch circuits
without Contact name: first branch circuit
fee. 1 46.85 % raS 2
Address: Each add'l branch circuit q 6 .65 St 5/5 2
Miscellaneous (service or feeder not included)
City/State/ZIP: Each manufactured or modular 90 90 2
dwelling, service and/or feeder
Phone: ( ) I 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: N�K ciQ. L Y� energy pan ul.(a) or t t o i. or
energy panel. alteration. or
Address: l b 1L Z# 0 + extension. Describe Page 2 2
City/State/ZIP: ?E [ •.t WPC- � (C1 Each additional inspection over allowable in any of the above
vim• �y Per inspection 62.50
Phone: (ao ) SU. — S S Fax: (3, D) SW- ~6,9 f� S Investigation per hour (1 hr min) 62.50 •
CCB Lic.: `ti Z Electrical Lie.: G Suprv. Lie.: LfQS3S Industrial plant per hour 73.75
"'�`'`-'' ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: Subtotal: I C(,,
Print name: D j, D ifz9go9- Plan review (25% of permit fee):
/ 7 1 1 State surcharge (8% of permit fee):
Authorized signature: TOTAL PERMIT FEE:
II.5,24
' ._` D aze;
This permi application expires if a permit is not obtained within 1
Print name:
J t.,p. D. �1 v rlrs tt b I� days after it hen been accepted as complete.
\
• Number of inspections allowed per permit
I Vsuddin5\Punn VAELC-PermttApp doc 05/23//6 440- 4615T(11/05/CONVWEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007.00798
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1106/2007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 12/21/2007 TIME: 7 :03AM PAGE:
SITE ADDRESS: ()9.99 SW WASHINGTON SQUARE RD A01 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: L lNYON'S
DESCRIPTION: (10) branch circuits for TI. Job No. 5220. 12/12/07 ADD (1) low voltage data/phone system.
OWNER: WASHINGTON SQUARE LLB', PHONE #:
CONTRACTOR: ADK ELE( ;TRIC, INC. PHONE #: 360
Inspection Request Scheduled For: Date: 12J2112007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
1 90 Electrical final 062018-01 300- FA6 -5Th N
Corrections /Comments /Instructions:
er (Al waat wreaBck. p `P•.30 )
1' p 64.g. ;n asa p(. t$ .y
r \
A PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: N`6L4 Date: i' 2 F 6 ) Phone #: (503) 718 -2• "1 16'
CITY OF TIGARD
BUILDING DIVISION PERMIT #: EL.C2007 -00798
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/28/7007
Phone: (503) 639 -4171 i1
Inspection Requests (24 Hrs.): (503) 639 -4175 .. ' F_—
INSPECTION WORKSHEET FOR DATE: 12/19/2007 TIME: 7 PAGE: M
SITE ADDRESS: 09499 SW WASHINGTON SQUARE RD A01 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: BINYON•S
DESCRIPTION: (101 branch circuits for TI. Job No. 5220. 12/12/07 ADD (1) low voltage data/phone system.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR. ADK ELECTRIC, INC. PHONE #: 360 -' i5-' ,155
Inspection Request Scheduled For: Date: 12/19/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Coiling cover 061779 -01 360 - 609.5763 N
Corrections /Com•- - is /Instructions: 1 ,
411 Ml_ I litt..4. — c Ilkik._- ' . b tE.. c7L
\ , r
4i! PAS. ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: C...-----‘ 0 V?:1 L Date:' 2 ` ICI • 01 Phone #: (503) 718- 7.441'
.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007- 00798
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/20/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 � °'I ��
INSPECTION WORKSHEET FOR DATE: 12/13/2007 TIME: 7:00AM PAGE: 30
SITE ADDRESS: (}9499 SW WASHINGTON SQUARE RD A01 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: BINYON'S
DESCRIPTION: (10) branch circuits for TI. Job No. 6.220. 17J17J07 ADD (1) low voltage ditafphone system.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: ADK ELECTRIC, INC. PHONE #: M1546-615E1
Inspection Request Scheduled For: Date: 12/13/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
13( Low voltage 06145 ` • i • 360 -54G -5155 N
Corrections /Comments/ Instructions:
° 1,16 .ow Vol Az t:■6 LAE aN
c G14O a, r
45 6ofe 6& + R.�('r M-11- Ubi46 k
vJ 12��f C,9 t, �..� s
a JO) (a)-
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
A FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: N t11Q Date: 12 -13-11 Phone #: (503) 718- VA)
CITY OF TIGARD
. BUILDING DIVISION PERMIT #: ELC2007 -00798
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/23/2007
Phone: (503) 639 -4171 /444
Inspection Requests (24 Hrs.): (503) 639 -4175 el 1 2
INSPECTION WORKSHEET FOR DATE: 12/1112007 TIME: 7:00AM PAGE: 16
SITE ADDRESS: 09499 SW WASHINGTON SQUARE RD A01 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: BINYON'S
DESCRIPTION: (10) branch circuits for TI. Job No. 5220
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: ADK ELECTRIC, INC. PHONE #: 360 -546 -5155
Inspection Request Scheduled For: Date: 12/11/2007 Pour Time:
Code # Inspection Description Co ' 1 # Contact # Message
130 Coiling cover 061286 -01 360-607-0000 Y
Corrections /Comments /Instructions:
40 1 2 4
PRO\) P S IIb j 4 QO rsn, ---t.,-- l'et),L8, = Pa ART 2V). ()Q.
•co'v p ►Zwt 1' r 61, LO VY a r.
to C I t6 N kW o -- val) tRA s ,
° L
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
d X FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: y 6%) ES [", Date: TZ - 11 —01 Phone #: (503) 718 - '7
CITY OF TIGARD h.
BUILDING DIVISION PERMIT #: EL-C2007 -00798
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1
Phone: (503) 639 -4171 ' Al* ;
Inspection Requests (24 Hrs.): (503) 639 -4175 F'L ..
• INSPECTION WORKSHEET FOR DATE: 171 10/2007 TIME: 7:0.1 AM PAGE: 75
SITE ADDRESS: 09499 SW WASHINGTON SQUARE RD A01 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: E3INYON'S
DESCRIPTION: (10) branch circuits for TI. Job No. 5220
OWNER: WASHINGTON SQUARE L.LC, PHONE #:
CONTRACTOR: ADl< ELECTRIC, INC. PHONE #: 360-546-6155
Inspection Request Scheduled For: Date: 12/10/2007 Pour Time:
Code # In ection Description / onfirm # Contact # Message
1
C12.5 Wall cover 061102 -01 360646 -5155 N
Corrections /Comments/ Instructions:
- •
E b, VI - ► V e G Kt: , 1
- 1W
❑ PASS N tyLPARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES. ASSESSED
Inspector: G''' . N 6e) 1_15
Date: MA 0'O Phone #: (503) 718 -14 •
CITY OF TIGARD
BUILDING DIVISION �., ' PERMIT #: ELC2007- 00798
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/28/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 12/4/2007 TIME: 7:01AM PAGE: 23
SITE ADDRESS: 09499 SW WASHINGTON SQUARE RD A01 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: !wows
DESCRIPTION: (10) branch circuits for TI. Job No. 5220
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR:, AD< ELECTRIC, INC. PHONE #: 360
Inspection Request Scheduled For: , Date: 12/4/2007 Pour Time:
Code # Inspection Description Cfirm # Contact # Message
130 Ceiling cover 60743 -01 360.546 N
Corrections /Comments /Instructions:
\141 G$ 1 � K� -
vS - 0 s
►. 17 o I
•
(.
•
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: lT�� I v� Date: q -0 1 Phone #: (503) 718- 17
,
CITY OF TIGARD '�
BUILDING DIVISION ' <-. PERMIT #: aCZoO'l.coca
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11I2.$ (o
Phone: (503) 639- 4171I� +
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 2eZ -0 TIME: PAGE:
SITE ADDRESS: cv-ict9 S W P 6 14 I 0- so,. A 0 1 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION: k7 N y tie) tS
OWNER: PHONE #:
CONTRACTOR: PHONE #:
•
Inspection Request Scheduled For: Date: 1 *. Z8. on . Pour Time:
Code # Inspection Description Confirm # Contact # Message
25' wAU.... CA RR, ON) ,
Corrections /Comments /Instructions:
si ■ Aril A . L PA i'.1•171"6A 1,4 ALL S i N N>QuJ
'Pt (C.. . b 114.- `per e m
•
•
•
•
•
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ' t' t U Date: ■%1e26(07 Phone #: (503) 718 - •