Permit C ITY OF TIGARD ELECTRICAL PERMIT
P ERMIT #: ELC2005 -00726
h ost DEVELOPMENT SERVICES DATE ISSUED: 9/27/2005
` t-- 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: 200amp service.
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: 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 FRAHLER ELECTRIC CO
BY THE MACERICH COMPANY 11860 SWGREENBURG RD
9585 SW WASHINGTON SQUARE RD TIGARD, OR 97223
TIGARD, OR 97223
Phone: 503 - 639 -8865 Phone: 503 - 639 -4627
FEES Reg #: LIC 37410
SUP 1816S
Description Date Amount ELE 34 - 13C
[ELPRMT] ELC Permit 9/27/2005 $80.30
[TAX] 8% State Surcharge 9/27/2005 $6.42 REQUIRED ITEMS AND REPORTS
Total $86.72
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws
All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is
suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at
503 - 246 -6699 or 1- 800 - 332 -2344
Issued By: Permittee Signature: arll c t 4
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
/:
E l e c t r i c a l Permit AnylicigIGCEIVE I O R O G G I (l_ 1.' I O\ L.1
' 1 . - Z�
City of Tigard D Received • 9 0 ' 7 0 ► ��- 007
13125' Hall Blvd., Tigard, OR 97223 SEp 2 6 P� : .
e *.,r= j. P
Phone: 503.639.4171 Fan 503.598.1960 !4. ' Date/By: Pew
JBy: A f
Inspection Line 503.639.4175 CITY or , 2 i j Dame Ready/By: la 2 the
Interne www.dtigard.orus BUILDIN B
. 1 - xodfied/Ad � Supplemental Information
:.: -'. - "" lYg - .. €;: .s.: "° '"-',"r -f- t fie,, ",n '7�,. ».`. mac* -.?;� 04 ,-v^� a Go {
❑ New construction
i ,�is��'$ . -.... �" .�A� '�i �,.-a:,1f - �,, w lay ate. � ��- e < ^' �a- ��45�.. -° i ,;.• :•,'- ,•,�.,7.��,�� -s: r- ..+.���. _. r yor'���'w 4�
arL_' -- .� �- .. its- a.ds'sst «-_ . :�Y%.z?��?i�� �,e: _ �.�,,.rgi;�.r. : �5;;,�, �-�5
[ Addition/altelatian/replacement Please check all that apply.
❑ Demolition ❑ t c ; =r' ['Service over 225 amps, oomm'l ['Hazardous location
17-1.- ` =�-t''
, - a .,_; .�.�- �.',� =.,.. A � ['Service over 320 amps -rating ❑Buidng over 10,000 sc 8-,
. rr .. r. 91 >j�� g� i[ d N .: w�- 1"" s 'g;' ; Y of 1- and 2- family dwellings 4 or more new residential
� '�`i�1' -- _yam �;� •S ,5-
❑ 1 - and 2 family dwelling ® ComeciaVmdustrial ❑ Accessory building • ❑Sye over 600 volts nominal units in one saturnine
❑ Multi ❑ M836ed builder ❑Other ['Building over three stories ['Feeders, 400 amps or more
� rac v ° ,,� _ r w ? :. as ❑meant load over 99 persons ❑ or
N,.,- i;-a ' .-- ws . . A v, �'s 1 , : ;x. ❑EB �gPim RV park
rte .�'6 -- .` f
^�d•3sr :, '?d . ca. -,. a +w,. ,.. ,. .a -a:., x ^:S .=� _ s :..,_�. _ » Daher:
Job no.: 63244 Job site ate Q Submit : 9546 SW WASHINGTON S ROAD ❑Ae s o
Submit 2 Z sets fpbms with any ofthe above
City/Stater7lP• TIGARD, OR 97223 The above are not applicable to temporary construction service.
Suite/bldg./apt /apt no.. H -16 Project name: BERGMAN LUGGAGE g - °c- '; `;V -. �` 5
Dew 1 Qtr. I Fes Total i "
Cross street/directions to job site: New residential single- or multi-family dwelling unit
Includes attached garage.
• 1,000 sq. it or less 145.15 . 4 -
Subdivision: I Lot no.: Ea. add'1500 sq. B. or portion 33.40 1
Tax map/parcel no.: Limited energy, residential 75.00 2
a - a �� Limited ®orgy, non - residential 75.00 2
� ', e, - m -ti" O1:f::0 1t1 - . a 6 , u 1+. - mod- ; Each -8`8� duly
'v�prgr �, .� Y- - ... a: .. .r. IDe'W� � wS .: �� � � Eat mn1�d�ed or mQYWW
PROVIDE 200 AMP SERVICE
dwelling, service and/or feeder 90.90 2
services or feeders mss, alteration, and/or relocation
200 amps or less 1 80.30 80.30 2
.; -. �` .a e. ^a _ w - 201 amps to 400 amps 106.85 2
��x' - 401 amps to 600 aptps 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, aon, and/or
Phone: ( ) I 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 ampsto 400 amps 10030 2
intended for sale, lease, teat, or exchange, according to ORS 447, 449, 670, and 701. 401 ampsto 600 amps 133.75 2
Owner signature: Date: Branch drafts -new, alteration, or extension, per panel
:"gym 1-:, :: a . :: - ; lei , s ve s a e f A Fee for immch circuits with
1 €µ : ±� sr " `� ' service or feeder fee, each
6.65 2
Business name: branch circuit
B. Fee for brands circuits
Contact name: whim a service or feeder fee,
each branch circuit 46.85 2
br
Address: Each addl branch circuit 6.65 2
City/State/ZIP: Miscellaneous (service or feeder not !nom) - •
Pump or irrigation cede 53.40 2
Phone: ( ) I Fax : ( ) Sign or outline lirtmg 53.40 2
E - mail: Signal circuit(s) or limited-
kr �w` ' - `a e ". :' y - - "r } A energy Panel, alteration, or
te - nr ..' `. , i,, e extension. Describe Page 2 2
Business name: FRAHLER ELECPRIC - COMPANY -
Address: - -- - 11860 SW GREENBURG ROAD - - - " - any of the obove -
Each addtianal inspection over
- - - - - Per inspect - -- -' - 62.50 - - - - - -
C i t y / S t a t e r L I P : - TIGARD; - 97223 - " -- " - - -- -- - - - - I n v l i o n p e r - 62.50
Inchutrial p� � per - - -- 73.75 _
r.
- (- 503) - 639=4627 -- -- - •- -.I Fax: ( 503) 639-4673 - - - _:.r h.' �.3 r :i` r _ :
�, - 7e- ...-. a _
CCB Lic.: 37410 - _ Eleerrieu Lic.: - ' 34 -13C Suprv. L"ic.: - 51105 ; - • - - ., - - -- - subcatai- 80.30
�� • Plan (25% of permit fee)
Suprv. Electrician signature, required State smdiarpe (s96 of permit fee) 6.42
Pthanene: ADAM ETHERINGTON D ate: 09/22/05
TOTAL PERMIT FEE 86.72
Autlwriz�ed signature: This permit application aspires If a permit b not obtained within 180
days after It has been accepted as complete
Pont name: I Date: • Fee methodology set by Tri+Comdy Building Industry Semite Board
•• Number °fin soections ire r semdt allowed.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2005 -00726
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/27/2006
Phone: (503) 639 -41711
Inspection Requests (24 Hrs.): (503) 639 -4175 '� �...
INSPECTION WORKSHEET FOR DATE: 11/15/2005 TIME: 7:02AM PAGE: 87
SITE ADDRESS: 09546 SW WASHINGTON SQUARE RD H -16 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: BERGMAN TRAVEL SHOP
DESCRIPTION: 200amp service.
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503 - 6338865
CONTRACTOR: FRAHLER ELECTRIC CO PHONE #: 503.639 -4627
Inspection Request Scheduled For: Date: 11/15/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 021269 -01 503-639-4627 V
Corrections /Comm- - /Instr ctions:
11 !► .ice i .�Ijia i�6 ' �` � .arL 1 1
y4
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: C - 1- 4 . --b N ( Date: _ I 5-10-- Phone #: (503) 718-
1
! F TIGARD ,
BU G DIVISION PERMIT #: ELC2005.00726
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/27 /2005
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 I I_.
INSPECTION WORKSHEET FOR DATE: 10/13/2005 TIME: 7:04AM PAGE: 100
SITE ADDRESS: 09546 SW WASHINGTON SQUARE RD H - CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: BERGNMAN TRAVEL SHOP
DESCRIPTION: 200amp service.
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503-639 -8865
CONTRACTOR: FRAHLER ELECTRIC CO PHONE #: 503 - 639-4627
Inspection Request Scheduled For: Date: 10/13/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 018215 -01 503- 310 -3686 N
Corrections /Comments /Instructions:
(4) G REA IVVgN 0 3+16 ° B'ttizps Iry S v► c vIZAAcJ CsiNbvi T.
eip R'tnn ov i; ut4 v 5 b v'`P % cJ CL' muiNs A AWE PA r
UA�cs'L.
r 0.1\1.
PRO0 A Roves r � Ne s �� '4AN4 T AN
P � _ V
Edv1p. rt' R 0 S Ezvrut s i 'cm
s p\ 15 .c36 si n��� I (E4A)1 c 6/0
I-Aerr L, P1/4t,�: L- .
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
�4 FAIL CA L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: V G" i�cj�I Date: i Phone #: (503) 718- 244 •
•
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