Permit •
" CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2007 -00112
COMMUNITY DEVELOPMENT DATE ISSUED: 2/21/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S12600 -00300
SITE ADDRESS: 09534 SW WASHINGTON SQUARE RD H -12A ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG
PROJECT: BARE ESCENTUALS
Project Description: Electrical TI. Job No. 106281
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: 1 W /SERVICE OR FEEDER: 32 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 ELECTRICAL DIMENSIONS INC
BY THE MACERICH COMPANY 3961 N WILLIAMS AVE
9585 SW WASHINGTON SQUARE RD PORTLAND, OR 97212
TIGARD, OR 97223
Phone: Contact #: PRI 503 - 282 - 7255
FAX 503 - 280 -1619
FEES
Description Date Amount Reg #: ELE 26 -432C
[ELPRMT] ELC Permit 2/21/2007 $293.10 LIC 44008
[TAX] 8% State Surcharge 2/21/2007 $23.45 SUP 2964S
Total $316.55 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 reJan 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center.
Those es are set forth i a • - 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain co i s of these rules or direct questions to OUNC at
503.2 6.6699 or 1.800.
Issu d By: 4 / . „1/ f Permittee Signat6r.• • _,� 1 'I /a Ww°'
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:
RACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: !(� (rr� -� 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.
Electrial Permit Application, _ _ • F OFFICE USE ONLi' -. -
F ti �
Citiyof Tigard 7 ri- 0 • Date/8y.
R eceived A A/ �7 5f � Permit No : L hL�OY /D7��D //�
13125 SW Hall Blvd., Tigard, OR 9 7223 Plan Review
Phone: 503.639.4171 Fax. 503.598.1960 6 ), 7_U 4";s - I D ate K Date/By Other Permit
Ins Line: 503.639.4175 -
r ' -- ' 1j,..., Ready/By J� 0 See Page 2 for
Internet: www.ci.tigard.or.us �, E 6F '`' , , t )l.t Noutied/Method f 6, Supplemental Information
��► th t" WORK
.�. ttr�,nnt PLAN REVIEW
❑ New construction ❑ Addition/alterat n/replacement Please check all that apply:
- j� ❑Service over 225 amps, comm'I ['Hazardous location
❑ Demolition ether: DService over 320 amps — rating DBuildng over 10,000 sq. ft.,
CA RY OF CONSTRUCTION of I- and 2- family dwellings 4 or more new residential
❑ I - and 2- family dwelling „igt ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑Building over three stories ❑Feeders, 400 amps or more
❑ Multi- family ❑ Master builder ❑ Other: DOccupant load over 99 persons ❑Manufactured structures or
JOB SITE INFORMATION AND LOCATION ❑Egress/lighting plan RV park
��H ❑Healthcare facility DOther:
�
Job no.: 'u I Job site address: S Submit _2_ sets of plans with any of the above.
City/State/ZIP: PORT / - d R / q Z'Zf The above are not applicable to temporary construction service.
Suite/bld J t H no.: �7 Project name: G � � G F SCHEDULE
g a P I I — I Ci _ � T` ' . ���GN / � (.t �L� 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 • 0 4 56)-(4.4k6 (2/ ate_— 1,000 sq. ft. or less 145.15 4
Subdivision: Lot no.: Ea. add'1500 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
dwelling, service and/or feeder 90.90
T4- 2
Services or feeders installation, alteration, and/or relocation
200 amps or less I 80.30 70, 2
- 201 amps to 400 amps 106.85 2
❑ PROPERTY OWNER I ❑' TENANT 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: ( ) I Fax: ( ) 200 amps or less 66.85 I
Owner installation: This installation is being made on property that I own which is not 201 to 400 am 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 3Z 6.65 ,51L2
Business name: branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee, 46.85 I 2
Address: each branch circuit
Each add'I branch circuit 6.65 I 2
City /State/ZIP: Miscellaneous (service or feeder not induded)
Pump or irrigation circle 53.40 2
Phone: ( ) I Fax: ( ) Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited-
. CONTRACTOR energy panel, alteration, or
G � G J � T Describe: scribe: Page 2 2
Business name: — mot RTC4"L (:)��]/f -/() � 4)
Address: 3q 6 ( N , C0�L — , )J Each additional inspection over allowable in any of the above
1?� V C� Per inspection 62.50
City /State/ZIP: P(R7 170 / O/ q zZ7._ Investigation per hour (I hr min) 62.50
Phone: (2 2._•30,..— 72_55 Fax: (5)3) Z.50 — r 6, iQ I ndustrial plant per hour - 73.75
ELECTRICAL PERMIT- FEES*
CCB Lic.: /L J Q e ( Electrical Lic.: -- Z c Suprv. Lic.: Zr( ‘,,Zi S Subtotal 2...C1S i 5— -
Suprv. Electrician signature, required: , / Plan review (25% of permit fee) ' • •
•
Date: �j State surcharge (8% of permit fee) "Z3 , 45
t S
Print name:
l 1 �8/7�I� S F 6 � / �6 7 TOTAL PERMIT FEE 3 I f., , 5
Authorized signature: This permit application empires if • 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
Electrical Permit Application - City of Tigard •
Page 2 - Supplemental Information ° A.
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK ONLY:
Fee for all residential systems combined.. $75.00
Check Type of Work Involved:
El Audio and Stereo Systems*
El Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning
System*
❑ Vacuum Systems*
❑ Other:
, COMMERCIIAL.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
❑ 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
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: ELC2007 -00112
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/21/2007
Phone: (503) 639 -4171 II� �
Inspection Requests (24 Hrs.): (503) 639-4175 1
INSPECTION WORKSHEET FOR DATE: 4/4/2007 TIME: 7:01AM PAGE: 62
SITE ADDRESS: 09534 SW WASHINGTON SQUARE RD H - 12A CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: BARE ESCENTUALS
DESCRIPTION: Electrical TI. Job No. 106281
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: ELECTRICAL DIMENSIONS INC PHONE #: 503 - 282 -7255
Inspection Request Scheduled For: Date: 4/4/2007 Pour Time:
Code # Inspection Description ( ?-edrififfser
A Contact # Message
199 Electrical final 045888 -01 503-233-7551 -. , Y Corrections /Comments /Instructions:
1,1,7
PASS 0 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: C Y -- ' N ( a L.E Date: 3 Phone #: (503) 718- 14L
CITY OF TIGARD _• •
BUILDING DIVISION PERMIT #: ELC2007 -00112
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/2112007
Phone: (503) 639 -4171 �►
Inspection Requests (24 Hrs.): (503) 639 -4175 ' '`'I ..
INSPECTION WORKSHEET FOR DATE: 3/2312007 TIME: 7:03AM PAGE: 50
SITE ADDRESS: 09534 SW WASHINGTON SQUARE RD H -12A CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: BARE ESCENTUALS
DESCRIPTION: Electrical Ti. Job No. 106281
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: EI.ECTRICAL DIMENSIONS INC PHONE #: 503 - 202.7255
Inspection Request Scheduled For: Date: 3/23/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
115 Eleriricai service 045281 -01 503-233-7551 N
Corrections /Comments/ Instructions:
al. PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: • N Date: 151,3' 0") Phone #: (503) 718 - 1-1K
CITY OF TIGARD ,
BUILDING DIVISION A ... PERMIT #: ELC20U7 -001 12
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/21/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 ._ .V.1 ..
INSPECTION WORKSHEET FOR DATE: 3/8/2007 TIME: 7:01AM PAGE: 66
SITE ADDRESS: 0 .9534 SW WASHINGTON SQUARE RD H - 12A CLASS OF WORK:
SUBDIVISION: WASHINGTON SOUARE LOT #: TYPE OF USE:
PROJECT NAME: BARE ESCENTUALS
DESCRIPTION: Electrical TI. Job No. 106281
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: ELECTRICAL DIMENSIONS INC PHONE #: 503 202 - 725fe
Inspection Request Scheduled For: Date: 3/8/2007 Pour Time:
Code # Inspection Description - • m # Contact # Message
125 Wall cover 044489-0 503.282 7256 Y
1 IN Cc.1 - ( C-O.l --.
Corrections /Comments /Ins uctions:
! N S tmA— h/k1 S bt N K• . s'e`A46)
cAct L' Z tst,i4L �► .
of. ittoWefl ts30% Ata._ uotsig‘)
G �i eQom.
0 C3 Lfr.c4- 'CT RA, (s)
•
*It co*q* WIR IN 7o swiIcAS .
kin Reb . T' j tLL (L
'••■• A\14.-5
o0s •
❑ PASS v PARTIAL APPROVAL El CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
I r 211
Inspector: CT • k4R3 l� Date: 3 D Q� Phone #: (503) 718-