Permit { CITY OF TIGARD ) )- I S0� ELECTRICAL PERMIT
PERMIT #: ELC2005 -00678
�n DEVELOPMENT SERVICES �-� S ri �� DATE ISSUED: 9/14/2005
'' I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09546 SW WASHINGTON SQUARE RD H -16 ZONING: C -G
S UBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG
Project Description: TI Power and lighting 22 br. circuits. - 11 /15/05: Added (6) 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: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 27 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 GEORGE + SONS ELECTRIC CORP
BY THE MACERICH COMPANY PO BOX 339
9585 SW WASHINGTON SQUARE RD CLACKAMAS, OR 97015
TIGARD, OR 97223
Phone: Phone: 503 - 654 -8634
FEES Reg #: LIC 35600
17C
Description Date Amount ELE 3
SUP 31855 1855
[TAX] 8% State Surcharge 9/14/2005 $14.92
[ELPRMT] ELC Permit 9/14/2005 $186.50 REQUIRED ITEMS AND REPORTS
[ELPRMT] ELC Permit 1 1/15/200' $39.90
(additional fees not listed here)
Total $244.51
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: � �l Permittee Signature: x.e, c?1
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.
. CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00678
44 ,' DEVELOPMENT SERVICES DATE ISSUED: 9/14/2005
i 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09546 SW WASHINGTON SQUARE RD H -16 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG
Project Description: TI Power and lighting 22 br. 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: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 21 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 GEORGE + SONS ELECTRIC CORP
BY THE MACERICH COMPANY PO BOX 339
9585 SW WASHINGTON SQUARE RD CLACKAMAS, OR 97015
TIGARD, OR 97223
Phone: Phone: 503 - 654 -8634
FEES Reg #: LIC 35600
ELE 3 -117C
Description Date Amount SUP 3185S
[TAX] 8% State Surcharge 9/14/2005 $14.92
[ELPRMT] ELC Permit 9/14/2005 $186.50 REQUIRED ITEMS AND REPORTS
Total . $201.42
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Speaalty 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- 2 -
Issued By: X.
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:
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.
F /13/2005 14:51 503- 653 -6886 GEORGE & SONS ELECTR PAGE 01
Electrical Permit G l u I t l i i i ii i I 1
Received G i D
/ Permit No �L.6.00�j —(-
2 7 6 7a
City of Tigard :
13125 SW Hall Blvd., Tigard, OR 9722 rr 1 QQJ Plan Ravi
Phone: 503.6394171 Fax: 503.598,1 4C i 3 V Ash Otter Permit: " ''1' Date/By _ -
Inspection Line: 503.639.4175 s L,� ! I -., Date Ready/By. E See 1 ldoraatj�
Internet: www.o.tigard_or.us Y pF TIG ARD NoriftedrNrethod: / �Ppkb°e°
' rw pt T }q�f;' ., ; „, : T , a
�u�.ar ,.9, -.,u m ,:
❑ New construction ❑ Addition /alteration /teplacetnent Please check all that apply:
❑Se vice over 225 aneps, comm'1 ❑Hazardous location
❑ Demolition I' Other: T.I. ❑Service over 320 amps - rating liBuiidng over 10,000 sq. tit,
! ,Yog i; T "'Y "t"''' " '; . of I- and 2- family dwellings 4 or more new residential
17;,1:: •' I t;, {: +:. .. A +: .11.11:;H:dtk,a111,114 .. ' I 2 4 •• •• • ❑System over 600 volts nominal units in one structure
❑ 1- and 2 - family dwelling ® Commercial /industrial ❑ Accessory building ❑Building over three stories []Feeders, 400 amps more
0 Multi ihmily ❑ Master builder ❑ Other: ❑Occupant load over 99 persons ❑Manufactured structures or
, . . , � J �
`i., I. 4 "I,� 1 4( 1 . , 1 • ' / ❑ggressAightingplan RV park
� ,.Y
'� , . I... I .e;; l ! : IGI <ri7�11'.i { . 7 1 YI4ri . ., lll, '. `• ❑titer: • ❑Health -care facility
Job no.: 1167 Job site address' 9546 SW Washington Sq. Rd Submit 2 sets of plans with any o1 above.
City/ State/ZIP: Tigard OR 97223 The above are not applicable to temporary construction service.
Suite/bldg. /apt. no.: 1 Project name: Bergman Luggage '' ap �o } ^ Pm lend , .;
Cross street/directions to job site: New residential single- or multi- family dwelling nail.
Includes attached garage.
1,000 sq, ft. or less 145.15 _ 4
Subdivision: Lot no.: Ea. add'! 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
— ., s''t; I NIP, " �` .9;41:.,1 Each manufactured or modular •
T.I. including power and lighting Services service and/or feeder 90.90 _, 2
Services or (ceders Installation, alteration, and/or relocation
ZOO amps or less 80.30 2
..��'' „� Q 201 amps to 400 amps 106.85 2
i
' , ;1 i1 :1;, : c: ,, T�1t111;D'IT ; „
;,1 i t �'f� i ia,.• :• 'Ii; :. ':.11
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
Phone: ( ) 1 Fax: ( ) relocation 200 amps or less 66.85 1
Owner installation: This installation is being made on property that 1 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
i. :.0. ; e ),,! ;• I,,,i; , ra il • FF .. A. Fee for branch circuits with
,• , e a : ,J h�;:;i I . ib, . I. till, w, F!'ACI 1!B1t 1V h
service or feeder fee, each 6.65 2
name: Business n; branch circuit - ,
B. Fee for branch circuits
Contact name: w,thoui service or feeder fee,
each branch circuit i 46.85 #1 2
Address; Each addl branch circuit 2/ 6.65 , /KAI 2
City/State/ZIP: Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 l 2
Phone: ( ) 1 Fax: : ( ) Sign or outline lighting 53.40 2
E - mail: Signal circuit(s) or limited-
) l'; "I mo w , !!''°^"♦ . , .. , • , panel, alteration, or
�?t' 1s>P + „' "5 w i . s:. • c. energy p 2 2
extension. Describe: Page
Business name: George and Son's Electric Corp. _
Address: PO Box 339 Each additional inspection over allowable in any of the above
Per inspection 62.50
City/ State/ZIP: Clackamas OR 97015 Investigation per hour (I hr min) 62.50
Phone: (503) 6544634 Fax: (503) 653 -6886 Industrial plant per hour 73.75
. , t»!.$(,`.1'I74.F3R
CCB Lic.: 35600 1 Electrical Lief 3117 -C Suprv. Lie.: 3185 -S Subtotal igg
Suprv. Electrician signature, required: ‘00,,sogoilip. Plan review (25 of permit fee)
Print name: D ate: 09 -13 -05 State surcharge (8% of permit fee) i f y, el 2.
TOTAL PERMIT FEE ,..2cm Z
Authorized signature: '[bib penult ■ppncanoa aspires If a permit is not obtained within r80
days Alter it has Nod accepted as complete
Print name: Date: • Fee methodology set by Tri -County Building Industry Service Board
•• Number of inspections per permit allowed,
1• 1klattia &Permitn5LC.PuiWtApp•doa 1703 4404bl silImt+LCOm/v/Ea
OF TIGARD
B ING DIVISION PERMIT #: ELG2005 00678
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/14/2005
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 1t
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
3/27/2005 7:05AM 93
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION: 09546 SW WASHINGTON SQUARE RD H L #: TYPE OF USE:
PROJECT NAME: WASHINGTON SQUARE
DESCRIPTION: BERGMAN LUGGAGE
TI Power and lighting 22 br. circuits.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: GEORGE + SONS ELECTRIC CORP PHONE #: 503 -654 -8634
Inspection Request Scheduled For: Date: 9/27/7005 Pour Time:
Code # Inspection Descrip • - Confirm # Contact # Message
105 Underground/slab cover 016631 -01 503-6 • Y
Correctio - • me en " - � M
•
•
N S PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Noe Date: 9 fa1(Q') Phone #: (503) 718 - Lu Y%
CITY OF TIGARD
BUILDING DIVISION °' PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: ELC2005 00678
Phone: (503) 639-4171 9/14/2005
Inspection Requests (24 Hrs.): (503) 639 -4175 s' °''L.
INSPECTION WORKSHEET FOR DATE: 9/29/2005 TIME: 7:06AM PAGE: 1
SITE ADDRESS: CLASS OF WORK:
u9546 SW WASHINGTON SQUARE RD H
SUBDIVISION: WASHINGTON SQUARE L #: TYPE OF USE:
PROJECT NAME: BERGMAN LUGGAGE
DESCRIPTION: 11 Power and lighting 22 br. circuits.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: GEORGE + SONS ELECTRIC CORP PHONE # : 503 -654 -8634
Inspection Request Scheduled For: - Date: 9/29/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
125 017010 -01 503-654 -8634 Y
Corrections /Commen s n - • • s:
e ryv
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: \ Date: 9 Zq i5 Phone #: (503) 718- 24 1 '
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2005 -00678
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/14/2005
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/4/2005 TIME: 7:08AM PAGE: 6
SITE ADDRESS: 09546 SW WASHINGTON SQUARE RD H - 16 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: BERGMAN LUGGAGE
DESCRIPTION: TI Power and lighting 22 br. circuits.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: GEORGE + SONS ELECTRIC CORP PHONE #: 503- 654 -8634
Inspection Request Scheduled For: Date: 11/4/2005 Pour Time:
Code .# Inspection Description Confirm # Contact # Message
130 Ceiling cover 020413-01 503-654 -8634 Y
Corrections /Comments/ Instructions:
•
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: oU �-1� Date: 1 1 • 1 4 - C Phone #: (503) 718- 2 '44 �i
CITY OF TIGARD _
BUILDING DIVISION PERMIT #: ELC2005- 00678
13125 SW Hall Blvd., Tigard, OR 97223. DATE ISSUED: 9/14 /2005
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: '11/14/2005 TIME: 7:12AM PAGE: 121
SITE ADDRESS: 09546 SW WASHINGTON SQUARE RD H -16 CLASS OF WORK: •
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: BERGMAN LUGGAGE
DESCRIPTION: TI Power and lighting 22 br. circuits.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: GEORGE + SONS ELECTRIC CORP PHONE #: 503 -654 -8634
Inspection Request Scheduled For: Date: 11/14/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 021088-02 503 - 654 -8634 Y
Corrections /Comments /Instructions:
0.6u ►0s Fort- 0S1,1" 1 O Ni
13 t rte_kA is
wo 4 146 5 iP LA GPI .
❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL &CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: v N ''`• tsU Le Date: \L' 14 ' QS Phone #: (503) 718-
•
CITY OF TIGARD
•,rA
BUILDING DIVISION PERMIT #: ELC2005 -00678
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/14/2006
Phone: (503) 639 -4171 �' p 1'
• Inspection Requests (24 Hrs.): (503) 639 -4175 ' e I..
INSPECTION WORKSHEET FOR DATE: 11/15/2005 TIME: 7:02AM PAGE: 94
•
SITE ADDRESS: 09546 SW WASHINGTON SQUARE RD H -16 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: BERGMAN LUGGAGE
DESCRIPTION: TI Power and lighting 22 br. circuits.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: GEORGE + SONS ELECTRIC CORP PHONE #: 503- 654 -8634
Inspection Request Scheduled For: Date: 11/15/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 021230-01 5503 -654 -8634 Y
Corrections /Comments/ Instructions:
I ', CZoaJ►Q*' �► 5 rJ i 5 5 v rW B rt 1-.1V ; N AcV
utz.w Ash S.. fltz,- \a..e.v A6 4Te
•
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL 1X1 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: NUJ Date: III/ QS Phone #: (503).718- 2,14 %*
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC200�00678
/ 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/14/2005
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 F 'L..
INSPECTION WORKSHEET FOR DATE: 11/1 6/2005 TIME: 7 :03AM PAGE: 74
SITE ADDRESS: 09546 SW WASHINGTON SQUARE RD 116 J CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: (SER'G1rrAr4 LUGGAGE
•
DESCRIPTION: 11 Power and lighting 22 br. circuits. 11/15/05: Added (6) branch circuits.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: GEORGE + SONS ELECTRIC CORP PHONE #: 503-654-8634
Inspection Re. uest Scheduled For: Date: 11/16/2005 , Pour Time:
Code # n • : on Description Confirm # Contact # Message
199 Electrical fina 02140401 503- 654 -8634 ( Y
Corre ', s /Comments /Instruction..:'
1�cZa rt
FL- 1 •At , feil..
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G Date: t\ (of Phone #: (503) 718- 2.4) I