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Permit A R 'CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2005 -00712 DEVELOPMENT SERVICES DATE ISSUED: 10/27/2005 ;: 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S12600 SITE ADDRESS: 09510 SW WASHINGTON SQUARE RD H -1 ZONING: C - SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG Project Description: T.I. Low voltage is for phones. RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0.00 0 - 200 amp: PUMP /IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG: LIMITED ENERGY: 0 401 - 600 amp: SIGNAL /PANEL: 1 MANF HM/ SVC/ FDR: 601 +amps -1000 volts: MINOR LABEL (10): SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: 1 W /SERVICE OR FEEDER: 29 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 J.C. ELECTRIC, INC BY THE MACERICH COMPANY 118 NW 184 STREET 9585 SW WASHINGTON SQUARE RD RIDGEFIELD, WA 98642 TIGARD, OR 97223 Phone: Phone: 360 887 - 7889 FEES Reg #: ELE 37 -724C LIC 118452 Description Date Amount SUP 4289S [ELPLCK] ELC Pln Rev 9/29/2005 $92.49 [TAX] 8% State Surcharge 10/27/200' $25.18 REQUIRED ITEMS AND REPORTS [ELPRMT] ELC Permit 10/27/200' $314.70 Total $432.37 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 suspend- • : - than 180 days ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules - re set forth in O' •52- 001 -001 • through OAR 952 - 001 -0100 You may obtain copies of these rules or direct questions to OUNC at 503 46 -6699 or 1- 800 -33 344 Iss ed By: A , i I' i Permittee Signatur 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: ��� l ��` �� 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. Oct 24 05 01:26p JC Electric Inc 1 360 887 5584 p.1 t , . v ' Electrical Permit Appiiil I V E ® FOR OFFICE USE ONLY • City of Tigard OCT [[ Received , �� �� Jl 200J Date/By (C/,'�Q� PennnNo, wise/ 7 / 13125 SW Hall Blvd , Tigard, OR 97223 Plan Review Phone. 503.639 4171 Fax 503 598.196 !" ' � I T Y O F T I GA' ' ' "f" I �� Date/By. Other Penult, Inspection Line. 503.639.4175 ■ ° I Pare Ready/Br runs BUILDIN ® IVI- S ScePage 2for Internet: www.ci.tigard.or.us � � Notifi � supplemental Information �. — : ..:.. .." � .=f is ::l::i; - -- • :u "'" - - LAN 1211.IElY' ❑ New construction g Addition /alteration/replacement Please check all that apply: ['Service over 225 amps, comm'l ['Hazardous location ❑ Demolition ❑Other: :::•,. _ :, y _ ❑Service over 320 amps — rating ❑Builds over 10,000 sq ft , :, R g q . , CATE.GORYI:Q1i . ' : ;i- :- .:_:_i o I - and 2 dwellings ' • � - � $ Q��,,m, p;r!!! =:fuEp, _�',, %;; -: ; i� � �: y dwellm 4 or more new residential ❑ 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building ['System over 600 volts nominal units in one structure ['Building over duce stories ['Feeders, 400 amps or more ❑ Multi - family 0 Master builder ❑Other: . . JOB SITE INF,OI NI'J D ELQCATI , ;i;i iii - " ['Occupant load over 99 persons ❑Manufactured structures or - .. . :..... ......._�;H=� _ ... ..... ,_. ❑Egress/lighting plan RV park Job no.: Job site address: ❑Health -care facility ❑Othet 1 a 1 9s�d sW Wes' gQ • AR Submit 2 sets of plans with any of the above. City /State /ZIP: 'G� s • ` )3 The above are not applicable to temporary construction service. State /bldg. /apt no.. SQ 1 Project name: ;: "FEE*,SCIEDlN,:g . - Description I Qty. - I Fee. I Total Cross street/directions to job site. New residential single- or multi- family dwelling unit. Includes attached garage. 1,000 sq. ft or less I 145 15 I Ft Subdivision: Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 I Tax map /parcel no.: - Limited energy, residential 75.00 2 DESCl2IP 'I N F energy, non-residential 75 00 2 7 O, ..© a - ri:.,....;.:yi:' 'r' ;, Limited nergy non- dential • - .. , ...�.... - - Each manufactured or modular dwelling, service and /or feeder 90.90 2 Services or feeders installation, alteration, and /or relocation 200 amps or less 80.30 2 P1.Q)!ERTY OV1'NE12 • • ' 1', � 201 amps to 400 amps 106.85 2 1 401 amps to 600 amps 160.60 _ 2 Name' �l1 / �VN Alt/ 42S 1LL.t • 601 amps to 1,000 amps 240 60 2 Address. Over 1,0(10 amps or volts 454.65 2 Reconnect only 66 85 2 City/State/ZIP: Temporary services or feeders installation, alteration, and /or Phone ( ) 1 Fax. ( ) relocation 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 Owner signature. Date: Branch circuits amps 133.75 2 Lw , alteration, or extension, per panel , : I;COiyi�' • =-{l'' � P ,0.00 ". circuits with t. t n , • no n er net a "" � Fee for blanch circ service or feeder tee, each 6.65 2 Business name: branch circuit Contact name: B Fee for branch circuits without service or feeder tee, i 46.85 ,t 2 Address. each branch circuit l Each add'l branch circuit t 6 65 ICO fiS 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 u i n circ t(s or limited- t .;r • , _ -s: ener y panel, alteration, or (� exten� D _es i e, Page 2 �� "' 2 Business name: .C. ��•-`i2lC . 1/,C. �JdDt� A Address ��� ^� 19A. Each additional inspection over allowable in any of the above Per inspection 62.50 City /State /ZIP. Q.tg Ff,F'lf.-l.D LPJA R$° D. // Investigation pct hour (1 in mu) 62 50 Phone: (3v V _-fig ,, �t . Industrial plant per hour 73.75 i v 1y� ���. ti ::. >"v�1 C?Tltic,� :w >�t> 1' CCB Lic.. ���a— Electrical Lic.: 3� ,/ Supr 1 ` I } Subtotal Suprv. Electrician signature, required: i� Plan review (25% of permit fee) t� Print name: / // Date: 10 / State surcharge (8% of pemtit fee) � 9 $ % / TOTAL PERMIT FEE , 3 Authorized signature: � This croft application rlication ex tires if a P t I t permit is not obtained within ISO days after it has been accepted as complete Print name: �)u of i Date: �a 41 , • rec m ethodology set by To - Cotmty Building Industry Service Road " Number or inspections per permit allowed- , \ttmiding\Permiits\ELC-Peu nut ape dor 12/03 440- 4615T(10/02/COM/WEo Gliky Nctie - Regis/Wash. Sq. Mall Page 1 • From: <Dean.Hildebrandt @regiscorp.com> To: <garyn @tigard- or.gov> Date: 10/25/2005 11:52:32 AM Subject: Regis/Wash. Sq. Mall Regis does authorize the release of permit to the contractor representative to commence work based on premises as is. They will not need to provide new service to the panel, rather use existing service provided by the Mall for this space. Please confirm receipt of this e -mail, and let me know if you need anything further to keep this project moving. It is truely our hope to have the space completed by the grang opening of this expansion 11/18/2005. Thank You, Dean Hildebrandt Regis Corp. Construction /Design Phone 952 - 918 -4632 Fax 952 - 918 -4602 This email has been scanned for all viruses by the MessageLabs SkyScan service. R c= E L-c 2oOS 00`71 2 CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2005 -00712 44 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/27/2005 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 '''I �.. INSPECTION WORKSHEET FOR DATE: 12/16/2005 TIME: 7:06AM PAGE: 73 SITE ADDRESS: 09510 SWWAS• NGTON SQUARE RD H - 1 CLASS OF WORK: SUBDIVISION: WASHINGTON SO RE LOT #: TYPE OF USE: PROJECT NAME: —REGIS DESCRIPTION:� Low voltage is for p •nes. OWNER: WASHINGTON SQUARE LL , PHONE #: CONTRACTOR: J.C. ELECTRIC, INC. PHONE #: 36(1887 - 7889 Inspection Request Scheduled For: Date: 12/16/2005 Pour Time: Code # Inspection Description Con m # Contact # Message 199 Electrical final 02360" 01 360"772 -2700 N Corrections /Comments /Instructions: 4a PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ ' ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: i /l� Phone #: (503) 718 - tiN-6 CITY OF TIGARD BUILDING DIVISION k _ PERMIT #: ELC2005.00712 13125 SW Hall Blvd., Tigard, OR 97223 - DATE ISSUED: 10/27/2005 Phone: (503) 639 -4171 C + � Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 12/14/2005 TIME: 7:01AM PAGE: 38 SITE ADDRESS: 09510 SW WASHINGTON SQUARE RD H -1 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: REGIS DESCRIPTION: T.I. Low voltage is for phones. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: J.C. ELECTRIC, INC. PHONE #: 360 - 887 - 7889 Inspection Request Scheduled For: Date: 12/14/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 023454 -01 360- 772 -2703 N Corrections /Comments /Instructions: ZAVVIS • ` T 0-' I PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL a t C L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: i ' /•' Date: /2" I i9 Phone #: (503) 718- 2 ' CITY OF TIGARD BUILDING DIVISION PERMIT #: ELCZao x0071 13125 SW Hall Blvd., Tigard, OR 97223 a- DATE ISSUED: 10/27/2005 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 .. 4%611 tifik .. INSPECTION WORKSHEET FOR DATE: 121712005 TIME: 7:00AIM PAGE: 97 SITE ADDRESS: 09510 SW WASHINGTON SQUARE RD H -1 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: REGIS DESCRIPTION: T.I. Low voltage is for phones. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: J.C. ELECTRIC, INC. PHONE #: 3604887 -7889 Inspection Request Scheduled For: Date: 1217/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 130 Ceiling cover 023051 -01 350-772-2702 N Corrections /Comments/ Instructions: At' klp ET s' c Cxa NAIL ft etivd 6.6T44 mo . ki PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: GA MI) Date: 1 1 1 06 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2005 -00712 13125 SW Hall Blvd., Tigard, OR 97223 , _ DATE ISSUED: 10/27/2005 Phone: (503) 639 -4171 q Inspection Requests (24 Hrs.): (503) 639 -4175 _ '''III INSPECTION WORKSHEET FOR DATE: 11/16/2005 TIME: 7:03AM PAGE: 66 SITE ADDRESS: 09510 SW WASHINGTON SQUARE RDt1 -1 j CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: Cl DESCRIPTION: .. Low voltage is for phones. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: J.C. ELECTRIC, INC. PHONE #: 360 - 887 -78B9 Inspection Request Scheduled For: Date: 11/16/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in - 021416 -02 360-772-2701 N Corrections /Comments /Instructions: Ac Lv 4 5 f3 N 1, V i c;CX— s1 CS Va t) ( $ 11 W) S - ❑ PASS XPARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ^r 11 V ii Inspector: 1 �+Q� � Date: 1 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2005 -00712 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/27/2005 Phone: (503) 639-4171 I 1 Insp Requests (24 Hrs.): (503) 639 -4175 ,_•11111 �' "'�_� INSPECTION WORKSHEET FOR DATE: 11/16/2005 TIME: 7: 03AM PAGE: 68 SITE ADDRESS: 09510 SW WASHINGTON SQUARE RD H - 1 CLASS OF WORK: . SUBDIVISION: SHING ATON SQUARE LOT #: TYPE OF USE: PROJECT NAME: tREGIS DESCRIPTION: T.I. Low voltage is for phones. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: J.C. ELECTRIC, INC. PHONE #: 360 Inspection Request Scheduled For: Date: 11/16/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 105 Underground/slab cover 021416`01 360-772-2701 CiCD Corrections /Comments /Instructions: 14PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: a N V® 1 —C - Date: VI 05 Phone #: (503) 718 - 2'4(1 CITY OF TIGARD - .. if BUILDING DIVISION PERMIT #: ELC2005 -00712 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/27/2005 Phone: (503) 639 -4171 °f Inspection Requests (24 Hrs.): (503) 639 -4175 °'I �� INSPECTION WORKSHEET FOR DATE: 11/14/2005 TIME: 7:12AM PAGE: 125 SITE ADDRESS: 09510 SW WASHINGTON SQUARE RD H -1 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: REGIS DESCRIPTION: T.I. Low voltage is for phones. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: J.C. ELECTRIC, INC. PHONE #: 360 - 887°7889 Inspection Request Scheduled For: Date: 11/14/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 125 Wall cover 021085-01 360 -772 -2701 N Corrections /Comments /Instructions: a �. T, ,1 It r---- it - -'�, �- J ti-- A ---.'• 7 7 iv C_ C" L v U - '' - v R-6- rON U N v6 %Anal 114201K -03T . O \& c w 5, • • ✓ PASS El PARTIAL APPROVAL ❑ CANCEL El NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: i i . l ' Q7 Phone #: (503) 718- /446