Permit ELECTRICAL PERMIT
CITY OF TIGARD PERMIT #: ELC2006-00353
DEVELOPMENT SERVICES DATE ISSUED: 6/26/2006
441 ''�I II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09577 SW WASHINGTON SQUARE RD B7 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG
Project Description: (1) service & (35) 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: 1 W /SERVICE OR FEEDER: 35 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 RIVER CITY ELEC LLC
BY THE MACERICH COMPANY 535 NW BROOKWOOD AVE.
9585 SW WASHINGTON SQUARE RD HILLSBORO, OR 97124
TIGARD, OR 97223
Phone: Contact #: PRI 503 - 201 -9687
FAX 503 - 640 -5356
FEES
Description Date Amount Reg #: ELE 34 -656C
[TAX] 8% State Surcharge 6/26/2006 $25.04 LIC 156612
[ELPRMT] ELC Permit 6/26/2006 $313.05 SUP 49435
Total $338.09 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All
work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notifi 'o . enter. Tho e rules are set
forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or dir_ qu:-tions • 1 1 03 - - 6699 or
1- 800 - 332 -2344.
Issued By: �' Permittee Signature.
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Electrical Permit Ap pit l*i ir jl � ��� I F ' FOR OFFICE USE ONLY
City of Tigard Dat Received eBy PermitNo.. K -i 3 5
13125 SW Hall Blvd , Tigard, OR 97223 I pp P lan i1 c Review �� C` _'� v�
Phone: 503.639.4171 Fax. 503.598.1960 J U IV (d �oo �� Other Permit- gow MW �
Inspection Line: 503 639 4175 e' I Dat
Date ReadyBy: fur s / IZI See Page 2 for
T
Internet: www ci.tigard.or.us CI Of' l ikah r Notified/Method f (r Supplemental Information
CITY
T 6 . *I��Q { , r, ,, , , - ,$ . , ,F, ,, ,, > PLAN.,REYIEW
ew construction ❑ Addition/alteration/replacement Please check all that apply
❑ Demolition ❑ Other: ❑Service over 225 amps, comm'I ❑Hazardous location
['Service over 320 amps - rating ❑ Buildng over 10,000 sq ft ,
. . -' "
- 'CATEGORY -;OF CONSTRUCTION' ' ' , ' ;r: of 1- and 2- family dwellings 4 or more new residential
❑ 1- and 2- family dwelling ❑ Commercial/industrial El Accessory building ['System over 600 volts nominal units in one structure
El Multi - family ❑ Master builder ❑ Other: ❑Building over three stories ['Feeders, 400 amps or more
['Occupant load over 99 persons ['Manufactured structures or
. , -'. JOB SITE - INFORMATION AND LOCATION ❑Egress/lighting plan RV park
Job no.: Job site address: 96.. 5'4/
['Health-care facility ❑Other
1TV PT o tU L Submit 2 sets of plans with any of the above
City/State /ZIP' 1 , ,4 q � �/ �s17 t K- a The above are not applicable to temporary construction service
Suite/bldg. /apt. no.: Project name: 0�Kfie) S ---- I "" FEE*' SCHEDULE; e
Description Qty F Total
Cross street/directions to job Site. New residential single -or multi - family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145 15 4
Subdivision: Lot no.: Ea. add'l 500 sq ft or portion 33 40 1
Tax map /parcel no.: Limited energy, residential 75 00 2
Limited energy, non - residential 75 00 2
DESCRIPTION OR WORK Each manufactured or modular
dwelling, service and /or feeder 90 90 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 1 80 30 2
°- : . - ❑ PROPERTY OWNER - :❑ TENANT = 201 amps to 400 amps 106 85 2
' - ' -' ' ' ' '- 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: ( ) 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 600 amps 133 75 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
I APPLICANT` -'., .'
I - . '❑ -CONTACT PERSON A Fee for branch circuits with
service or feeder fee, each 3 6 65 2
Business name: branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee, 46.85 2
Address: each branch circuit
Each add'l branch circuit 6 65 2
City /State /ZIP: Miscellaneous (service or feeder not included)
Pump or irrigation circle 53 40 2
Phone: ( ) Fax: : ( )
Sign or outline lighting 53 40 2
E - mail. Signal circuit(s) or limited-
;, CONTRACTOR ; = ' ,, -' ` energy panel, alteration, or
l�
Business name: ' �G IIML 6 6: c I /r extension Descnbe Page 2 2
Address: ? v� (/ ' v 64440 �" v 1 `
S �•li Each additional inspection over allowable in any of the above
J J ✓�/t� /
Per inspection 62 50
City/State/ZIP: a i N
01- ?7k Investigation per hour (1 hr nun) 62 50
Phone: 03) 7...o1 7.Q.7 Fax: (A3 ) (SIG 5-3 s-4 Industrial plant per hour 73 75
- ELECTRICAL PERMIT FEES* -..: :.'_> .. .
c ---. CCB Lic.:l�6 / Z Electrical Lic. Suprv. Lic.: 4/9 33
Subtotal 3/3 05
i' Suprv. Electrician signature, required:-05 d� Plan review (25% of permit fee)
) C/
Print name: 7 .4c C / ‚ / ,;7 Date. 6 State surcharge (8% of permit fee) ,„,2) 0 L/
TOTAL PERMIT FEE
Authorized signature: ( //_ / This permit application expires if a permit is not obtained within 180
` days after it has been accepted as complete
Print name: . 5q._-(7o Date: ` -(4 �lf� / • Fee methodology set by Tn- County Building Industry Service Board
•• Number of inspections per permit allowed
I \Building\Pernuts\ELC- PernutApp doc 12/03 440- 4615T(10/02/COM/WEB
Electrical Permit Application - City of Tigard • .�
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
RES 13ANAUIL W®RK ,Q W2211 . niggi i
Fee for all residential systems combined .. $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning
System*
❑ Vacuum Systems*
❑ Other:
0-7_ E RCIAL WORK'ONLY:RTaW IMAr. ; i,;
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
\Buddmg'Perrtuts \ELC- PemutApp doc 04/03
CITY OF TIGARD .
• BUILDING DIVISION PERMIT #: ELC200G -00353
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/26/2006
Phone: (503) 639 -4171 440
Inspection Requests (24 Hrs.): (503) 639 -4175 s 1 L
INSPECTION WORKSHEET FOR DATE: 7/24/2006 TIME: 7:01AM PAGE: 2
SITE ADDRESS: 09577 SW WASHINGTON SQUARE RD B7 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: OAKLEY
DESCRIPTION: (1) service, (35) branch circuits.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: RIVER CITY ELEC LLC PHONE #: 503.201 -9697
Inspection Request Scheduled For: Date: 7/24/2006 Pour Time:
•.e # Inspection Description Confirm # Contact # Message
199 Electrical final • 033613 -01 503-347-6456 N
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ' (4„) LE. Date: 1 1 1-4. 06 Phone #: (503) 718- 7-'f 4b
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC200G•00363
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/26/2006
Phone: (503) 639 -4171 Pezet 4
Inspection Requests (24 Hrs.): (503) 639 -4175 1L
INSPECTION WORKSHEET FOR DATE: 7/13/2006 TIME: 7 :02AM PAGE: 7
SITE ADDRESS: 09577 SW WASHINGTON SQUARE RD B7 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: OAKLEY
DESCRIPTION: (1) service, (35) branch circuits. -
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: RIVER CITY ELEC LLC PHONE #: 503"201 -9687
•
Inspection Request Scheduled For: Date: 7/1312006 Pour Time:
Code # Inspection Description, onfi • # Contact # Message
1:30 Ceiling cover 033065 -0• 503-347 -6456 Y
Corrections /Comments /Instructions:" °
r
•
•
•
•
4 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: tV ti3 Date: 21/ 31 Phone #: (503) 718 - X14
CITY OF TIGARD
■ BUILDING DIVISION PERMIT #: ELC2006.00353
13125 SW Hall Blvd., Tigard, OR 97223 • DATE ISSUED: 6/2612006
Phone: (503) 639 -4171 ' ��
Inspection Requests (24 Hrs.): (503) 639 -4175 I! ''_L.
INSPECTION WORKSHEET FOR DATE: 7/5/2006 TIME: 7:OOAM PAGE: 16
SITE ADDRESS: 09577 SW WASHINGTON SQUARE RD B7 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: - • TYPE OF USE:
PROJECT NAME: OAKLEY
• DESCRIPTION: (1) service, (35) branch circuits.
OWNER: WASHINGTON SQUARE LLC; PHONE #:
CONTRACTOR: RIVER CITY ELEC LLC PHONE #: 503 201 - 5667
Inspection Request Scheduled For: Date: 7/5/2006 Pour Time:
• • e # Inspection Description Confirm # Contact # ' • Message •
111100 Underground/ slab cover 032661 -01 503- 347 -6456 N
Corrections /Comments /Instructions:
•
X . PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
• ❑ FAIL .❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 4g Date: 64 Phone #: (503) 718- 2'I O •
•
CITY OF TIGAR® : ,,. ' v -� 1 �� ELC-- 9
i BUILDING DIVISION PERMIT # Oc) as -3
' 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639-4171 +�
Inspection Requests (24 Hrs.): (503) 639- 4175 ' I � ..
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRES : 7 w4, SO. 1� O . CLASS OF WORK:
ION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: to Zg_ p (P Pour Time: (1'1
Code # Inspection Description Confirm # Contact # Message
WALL,, G4��`2. O fa ` (IN F 3 c{ �_ t t5
12� �
Corrections /Comments /Instructions:
$ gc,ocir N rn c.AR L v5 aL. `PE-Mr Q,
o CSC i ;i 3 1y� -_ __
�► LL. Co• G i N t- E I I N S k a- gc
•
PASS .❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1`16 Date: ' . 6 L Phone #: (503) 718- 214