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Permit CITY OF TIGARD ELECTRICAL PERMIT 1111 COMMUNITY DEVELOPMENT PERMIT #: ELC2008 - 00328 DATE ISSUED: 6/11/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S12600-00300 SITE ADDRESS: 09561 SW WASHINGTON SQUARE RD B01 ZONING: C -G SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG PROJECT: STRIDE RITE Project Description: TI. 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: 19 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 SW GREENBURG RD 9585 SW WASHINGTON SQUARE RD TIGARD, OR 97223 TIGARD, OR 97223 Phone: Contact #: FAX 503 - 639 -4673 PRI 503- 639 -4627 FEES Description Date Amount Reg #: ELE 34 -13C [ELPRMT] ELC Permit 6/11/2008 $173.20 LIC 37410 [TAX] 12% State Surchar 6/11/2008 $20.78 SUP 51 lOS Total $193.98 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 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 -e e • h OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 50 46.6699 or 1 800 332 2344 • Issued ' ' ♦ / ,, / ' 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. Electrical Permit Application City of Tigard ECEIV Rix vea �o � 1 or - Permit No.: • A? ..... / . 4 08' $ ` Phone: Phone: 503.639.4171 171 Fax: 503.598.19e S50 Hall Blvd., Tigard, OR 9 ► „R23 19 60 0 2008 Other Pevmt u N D D e/ ate/By B _ T I G A R D Inspection Line: 503.639.4175 Date Ready/By: / See Page 2 for Internet www.tigard- or.gov t l �G'A'� Notified/Method "Z plemental Information - TYPE OF 'WO '1 OF � FAfNlG - • "PLAN.RE'VIEW- - ❑ New construction ® Addition/al etaagi ' n ' t Please check all that apply (submit 2 sets of plans w /stems checked below) ❑ Service or feeder 400 amps or more ❑ Building over three stones ❑ Demolition ❑ Other where the available fault current ❑ Mannas and boatyards CATEGORY OF CONSTRUCTION - exceeds 10,000 amps at 150 volts or ❑ Floating buildings. ❑ 1 -and 2- family dwelling ® Commercial/industrial less to ground, or exceeds 14,000 ❑ Commercial -use agncultural ❑ Accessory building amps for all other mstallauans. 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 ", "1 -2 ", "1 -3 ", Job no 658 Job site address: 9561 SW WASHINGTON SQUARE 100HPormore. occupancy ❑ Six or more residential units ❑ Recreational vehicle parks. City / State/ZIP: TIGARD, OR 97223 SPACE B1 ❑ Health -care facilities ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts normnal. Suite/bldg. /apt no.: B1 Project name: STRIDE RITE #2048 ❑ Service or feeder 600 amps or more. '.FEE SCHEDULE Cross street/directions to job site: Desolation I on. I Fee I Total I • New residential single- or multi -family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 1 4 Tax map/parcel no.. Ea. add'l 500 sq. ft. or portion 33.40 1 Limited energy, residential - , = r', . : DESC�TION::OF "WORK: , , . - ''" ;( (with above sq. ) 75.00 2 ft. Limited energy, multi- family 75.00 2 REMODEL OF TENANT IMPROVEMENT SPACE residential (with above sq R) Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 . - , , ;❑ - PROPERTY :OWNER - ;I_ _ ❑: - 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 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 599 amps 133.75 2 Branch dreutts — new, alteration, or extension, per panel Owner signature: Date. A. Fee for branch circuits with - -,L •APPLICANT ' P'' - , ; -,I , . - ❑ CONTACT PERSON - above service or feeder fee, 6.65 2 Business name: each branch circuit B. Fee for branch circuits without service or feeder fee, 46,85 46.85 2 Contact name: first branch circuit Address: Each add'l branch circuit 19 6.65 176_39 2 Miscellaneous (service or feeder not included) City /State/ZIP: Each manufactured or modular dwelling, service and/or feeder 90.90 2 Phone: ( ) Fax :: ( ) Reconnect only 66.85 2 E -mail: Pump or irrigation circle 53.40 2 . . - . - . - -- - - ' „ - - Sign or outline lighting 53.40 2 Signal circuit(s) or limited - Business name: FRAHLER ELECTRIC COMPANY energy panel, alteration, or Address: 11860 SW GREENBURG ROAD extension Describe: Page 2 2 City / State/ZIP: TIGARD, OR 97223 Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: (503 ) 639 -4627 Fax: ( 503) 639 -4673 Investigation per hour (1 br min) 62.50 CCB Lic.: 37410 Electrical Lic.: 34 -13C Suprv. Lic.: 5110S Industrial plant per hour 73.75 Suprv. Electrician signature, required; a ( ELECTRICAL 'PERMIT :FEE 1 71.20 / Y f i / y,�, 1 ( Subtotal: Plan review (25% of permit fee): Print name: ADAM ETHERINGTON Date: 06/06/08 crate surcharge (12% of permit fee): 20.78 Authorized signature: TOTAL PERMIT FEE: 193 Print name: Date: This p application expires its permit Is not obtained within 180 days after It has been accepted as complete. Electrical Permit Application - City of Tigard Page 2- Supplemental Information LIMITED ENERGY PERMIT FEES: illt-SIDEI■ITIAC*ORitONLY: Fee for all residential systems combined $75.00 Check Type of Work Involved: El Audio and Stereo Systems* 0 Burglar Alarm El Garage Door Opener* El Heating, Ventilation and Air Conditioning System* El Vacuum Systems* CI Other: CO g RCIWAV610E-D14LY:7,17f:: Fee for each commercial $75.00 system (SF.F OAR 918-309-0000) Check Type of Work Involved: El Audio and Stereo Systems El Boiler Controls El Qock Systems I=1 Data Telecommunication Installation El Fire Alarm Installation fl HVAC 1=1 Instrumentation 1=1 Intercom and Paging Systems El Landscape Irrigation Control* El Medical El Nurse Calls El Outdoor Landscape Lighting* El Protective Signaling 1:1 Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2008•0032B 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/11/2009 Phone: (503) 639- 4171 IA Inspection Requests (24 Hrs.): (503) 639 -4175 61 ' I • INSPECTION WORKSHEET FOR DATE: 7/22/2008 TIME: 7 :01AM PAGE: 48 SITE ADDRESS: 09561 SW WASHINGTON SQUARE RD B01 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: STRIDE RITE DESCRIPTION: TI. • OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: FRAFILER ELECTRIC CO PHONE #: 503 - 639 - 4627 Inspection Request Scheduled For: Date: 7/22/2008 Pour Time: • Code # Inspection Description Confirm # Contact # Message 199 Electrical fin al 072998 -01 503 - 639-4627 Y Corrections /Comments /Instructions: ( 7111 • tl PASS ' ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: C "\ uV )Q) (--E • Date: 1 "Vi-' CA Phone #: (503) 718- ZI t CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2008 -00328 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 61111/20013 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/21/2008 TIME: 7:01AM PAGE: • 42 SITE ADDRESS: 09661 SW WASHINGTON SQUARE RD 601 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: STRIDE RITE DESCRIPTION: Ti. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: (' RAFILER ELECTRIC CO PHONE #: 603 Inspection Request Scheduled For: Date: 7/21/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Eloctiical final 072916 -01 503- 639.4627 N rections /Comments /Instructions: • cr PtcAil `kn 1A05 1161116 ottAi4. 6V6\) AZ? . 1 I El . (sU © W Wit/ LE � •t■ _■ ti_ Vt_ r1 a wi N1 ® tivJ6 . bkq . .3.(63 u , pe C- a (J Appk,*(5 N o(L u 0(g A Li- - ersAr`r 6/ okfoR4-643 olikp isz,b oft N4101/1111111.1&;g Ts wow.. P24vi®E. w a6L cy2 1-A 16 To An A 1' • V‘gaT Si 905 WtitA(., , A& 3 (A) The electrical installation defects noted on this report shall be corrected and an inspection request made within 20 calendar days per OAR 918- 271 -0030 ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL F; CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G" NW, L Date: 1 . t` Phone #: (503) 718- 44k) CITY OF TIGARD BUILDING DIVISION °` PERMIT #: ELC2008- .00328 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/11/20013 Phone: (503) 639 -4171 1 1i� l , Inspection Requests (24 Hrs.): (503) 639 -4175 .. `__.. INSPECTION WORKSHEET FOR DATE: 7/17/2008 TIME: 7:00AM PAGE: 52 SITE ADDRESS: 09561 SW WASHINGTON SQUARE RD B01 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: STRIDE RITE DESCRIPTION: TI. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: FRAHLER ELECTRIC CO PHONE #: 503 -639 -4627 Inspection Request Scheduled For: Date: 7/17/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 1 30 Ceiling cover 072772 -01 503 -639 -4627 Y -- Corrections /Comments /Instructions: ? PA, - 30b 81 I tooav`� �W 0. t� �3 1 %3 V ye cseci bf- c. (AZLE `MG 6‘-\, 1 t-E .6 ' i i , P" A. 330.30 ® 'Ni 64tkoa. G s 1(\ - >°U.3s .30 • Q Y, ® c ov G;‘ L :7T ) 1 -'�40� 5 AS 1 i L- 001 50 ; c J s a w* c 4k[J ere 0F ciza— Z Cf e, OK5 o E . PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL II CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED • Inspector: ' v Date: Phone #: (503) 718- 1'M _n_f4kL__ CITY OF TIGARD BUILDING DIVISION PERMIT #: EL.C2008 -00328 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: €i'11 /2009 Phone: (503) 639 -4171 Inspection' Requests (24 Hrs.): (503) 639-4175 WORKSHEET FOR DATE: 7/9 /2009 TIME: 7:00AM PAGE: ;0 SITE ADDRESS: 09561 SW WASHINGTON SQUARE RD B01 CLASS OF WORK: ' SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: STRIDE RITE DESCRIPTION: TI. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: FR AHLER ELECTRIC CO PHONE #: 503.639.1627 Inspection Request Scheduled For: Date: 7/0/2009 Pour Time: Code # spection Descriptio Confirm # Contact # Message 130 , ing cover 072304 -01 971- 221 -7388 Y Corrections/ • - -nts /Instructions: 4 Q ❑ PASS A RTIAL APPROVAL . ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: j4,Q Date: - i ` Phone #: (503) 718- _1\44