Permit Ar - 'CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00888
�i�L DEVELOPMENT SERVICES DATE ISSUED: 2/21/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09641 SW WASHINGTON SQUARE RD FC -7 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG
Project Description: TI, low voltage is for HVAC.
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: 1
MANF HM/ SVC/ FDR: 601 +amps -1000 volts: MINOR LABEL (10):
SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: 2 W /SERVICE OR FEEDER: 42 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 MARK ADAMS ELECTRIC
•
BY THE MACERICH COMPANY 15609 SE KENSINGTON DR
9585 SW WASHINGTON SQUARE RD CLACKAMAS, OR 97015
TIGARD, OR 97223
Phone: 503 - 639 -8865 Contact #: PRI 503 - 658 -4861
FEES
Description Date Amount Reg #: LIC 160306
[ELPRMT] ELC Permit 2/21/2006 $514.90 ELE 3-596C
[TAX] 8% State Surcharge 2/21/2006 $41.19 SUP 48105
Total $556.09 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
suspende• ore • 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those
rules a - set forth in OAR • • 2 %• • -00 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct que ions to OUNC at
503 -2 6 -6699 or 1- 800 -332 -: 344.
Issu d By: 0 . � 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: 4..ZejZ ' DATE: f>t/
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.
11/10/2005 THU 10:58 FAX 626 280 9189 Cal Arc Design Studio 002/005
Nov 10 2005 9:41AM JAMES LU 6262540837 p ..1__ _
Electrical Permit ApplEgg
City of Tigard - 1 0 2005 raaeeieea OO 8g
13125 SW Hall Blvd.. Tigard, OR 97223 IV _��� i h9 1 Permit No.: 2 s .
Phone: 503.6394171 Fax.: 503598 .1960 Plan Review
CIT OF TIG ` , 4 j Grim. Permit
ttlspeetlon Line: 503,639.4175 y '
: �S ..�'" � . Data Ready/Ely: See Pogo' 2 rOr
llltentet: www.ci.tivwd.ar_u9 ING Noti i cd i Metlexl:
—
BUI LD DI � LP 1 Cgptxementd Information
.‘• . _ r • ,y r ,. � .mi ..".t 4x'=. : -..; _ ` ..i . - • n ,
❑ New construction ® A ddition /altera ion/replacement Please check all that apply:
Q Demolition ❑ Other: ❑:Service over225 arm*, comrri 1 L Hazardous location
,�y(' "^ f ,� M - Ser:iccover320 l Buildn over
•'il :. -i': _ -< :' w.'i>` : - . " as rr : ti - :ealoFni i;.ti?dw :1 i{ :i'a,Rlt;:..M of - arid 2 dwellings g ❑ 4 or n care new si ential
❑ I - and 2- family dwelling ® Commercial/ idustritll Q Accessory building Osystem over 600 volts nominal units in Onc Structure
El Multi ❑ Master builder 1=1 Other:
❑Building over three stories ❑Feedaas, 400 amps or more
' `u!,. .71 1 , , e r ,(( '`a ( 'La'i �s., : -- ❑00cupant load over 99 persons ❑Manu'factured structures or
• .>a�i<...� �.�. c. -'•� , , "` '. ,w,�i'= �fki , ❑ ESress/lighting pion RV park
Job no.: Job site address: 9641 S.W. Washington Square Rd. ❑H:filtt- care tecility ❑other:
Submit 2 acts of plans with any of the above.
City /Starc /ZIP: TiGAfw, OR 97223 'The above are not applicAble to temporary construction service.
Suitc/bld no -: FC -07 Project name: Panda Express ® Washington Sq. f fill ?ri5,�-,'F „f'='t`M.�,r,, < a { , : .' .
Dracrlprtaa I Qt. raw. 1 ) Total i ”
Cross street /directions to job site: New residential single- or multi - family dwelling unit. ,
- - indudus attached garage.
R l ,000 sq. ft. or !ess 145.15 4
Subdivision: I Lot no.: Es. add'i 500 sq• It (Jr portion 33.40 1
Tax ntap /purcel no.: Limited energy, residential 75.00
'',...;'. 1.
� . '. R Limited energy. non - residential 75.00 2
_ 'ij 1 s'; •r;*'�".! :':V f Each manufactured or modular
dwelling, service and /or feeder 90.90 2
Services or feeders installation, alteration and/or relocation
a 200 amts or less I. 80.30 l Rofthe 2
< d '- ''z "1, °r (.::- •, r, ? •t = tii., . : ' =:. - , :1 i `':' 4 p a v 20 t amps to 400 ornps 106.85 2 1
ern ..'
_ 401 amps tv 600 amps 160 60
Name: • 2
.._.s GO 1 amps to 1,000 m nps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
City /State/ZIP: r • - Rectmnec: only 66.85 I 2
Temporary services or feeders inshtllatiion, alteration, and/or -
Phone: (5 )3) Q)9 ' 8$106 l Pax: ( ` ) ---- relocation
Owner installation: This installalicm is being made on
200 amps °' less 66 85 1
intended for sale I $ pm y that I own which is not ' 201 amps to 400 amps 100 39 2
, case, rent, ur exchange, according to ORS 447, 439, 670, and 701. 401 amps Co 600
Owner signature: amps 133 75 2
Date Branch ctrepltg_ new, alteration, or eutension, per panel
h #}!> �•` fIG „',..,,7 • ':,.::i � " � �➢ rr: y w, ' ` < t. :� • yn A. Fee for branch circuits with
.. . �� '""'"` - ” service or ftrcdcr fee, each
Business name: l ► I branch circuit u 6 -66 � �. 2
- Contact name. l 14 -1---#:"..y4 B. Fee for branch circuits
1
without s ervice or feeder f ee, q� -85 2
Address: each branch circuit
Each add'I brunch circuit 6.65 2
City/State/ZIP: Miscellaneous (service or feeder not iududed)
Phone: ( q, tgg Nax:: ( ) Pump or irrigation circle I 53.an 2
E -moil: Sign or outline lighting 5340 2
- • - ••'�' " i"r •'i:• _: ^` 1 "'`3P:;ir'�."i'. +' rr per : ^ ,.. , ,... Signal circuit(s) or Iim tctl-
���'5:.-- .�,,,i: •�'�' N+. rte.. ;:i'f�s1�.1��1i•`- '},�+�'�" �� c"'�8Y Panel. alt lion' or
B u::rness name: w extensive;. panel
MPtie v ., � g M6 ..L€ e7 C�
-- Pages 2
Address: I 5420 ,.t., L r �� Lrscll additional inspection over allowable in any of the above
City /State/ - L1 P: � �1 Q' - Pcrinspection 6250
�� M �5 ��` ` ��� lnvestigaaon per hour (I hr min) 62.50
Phone: ( ' S6 ) (S42 - 14s ui / _ I I Fax: ( ) industrial plant per hour 73.75 1
-p �111 Y�4I Y } 5� 1 a �� r�i'_
R Lie.: /t!a03°�o Electrical Lic.: L� ' L W / '- ::rJr- .r'.d'r. '1I' ,Ktiy'�'4i� - er- Kc • • , q J
CC
.� - 3 S rv. Lic.: 4 /8 (Q S Subtotal i ��� /
'(Suprv. Electrician signature required: Ae / �j�'�� Plan review (2 {
1 5'/0 of permit fee) _ 1
Print name: e. /�� Slate surehar
i /i� Date: Z /i1O� ge (VA of permit fex) - ,y /. �q
Authorized signature: - ( TOTAL PEP MIT FEE 554, Ol
Tbia permit appllcrdoe expires If a permit Is not obtained within t80
-
Print name I Date: • days atter it has been accepted as compete
Fee nvtrhetlotnpy set by Tr;-County Building Industry Service Board
•• Number of inspcuinns per permit Allowed
, \nuildingV+r »,,,l rwLC- PermnApprl„c 12/03
4461615T( > rAry/aB
•
•
CITY OF TIGARD
•
BUILDING DIVISION PERMIT #: I9._C2006 -000:18
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 222•1f200E;
Phone: (503) 639 -4171 sec
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET •R DATE: 4/21/2006 TIME: 7:02AM PAGE: 10
SITE ADDRESS: 09641 SW WAS - NC1 ON SQUARE RD FC-7 CLASS OF WORK:
SUBDIVISION: WASHINGTON 50 ..IARE LOT #: TYPE OF USE:
PROJECT NAME: PANDA EXPRESS
DESCRIPTION: TI, low voltage is for H C .
OWNER: WASHINGTON SQUARE LL ' PHONE #: 6f)3- 638.8865
CONTRACTOR: MARK ADAMS ELECTRIC PHONE #: 503-.6504061
Inspection Request Scheduled For: D. e: 4121/2006 Pour Time:
Code # Inspection Description Confi # Contact # Message
199 EIectiical final 028481'l 603 - 209.6534 `f
Corrections /Comments /Instructions:
1_ A(1Z— ALL (j c g'®
cAN c 'To PANEL : 0K‘13e1.G •
3 g PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: QsNtA6 I V Date: L I 24 a Phone #: (503) 718_243-
5
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: ELC2005- 008:18
13125 SW Hall Blvd.,, Tigard, OR 97223 DATE ISSUED: 2/21/20a,
Phone: (503) 639 -4171 .1�j�l
Inspection Requests (24 Hrs.): (503) 639 -4175 = ,W.
INSPECTION WORKSHEET FOR DATE: 4/20/2006 TIME: 1 :04AM PAGE: 7
SITE ADDRESS: 09x;41 SW WASHINGTON SQUARE RD FC - CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: i3ANDA EXPRESS
DESCRIPTION: TI, low voltage is fp, HVAC. O ([
OWNER: WASHINGTON SQUARE LLC, PHONE #: 50363E686f
CONTRACTOR: MARK ADAMS ELECTRIC PHONE #: 503
Inspection Request Scheduled For: Date: 4/20/2006 Pour Time:
Code # Inspection Description. Confirm # Contact # Message
199 ' Electrical final 02839301 603-209-6534 y
Corrections /Comments /Instructions:
ikrY1 N.
O sv - ALL `7 ►OJ cd- 160 (. - .
3 6 be- cCSn.) N e�ti.S e2 Cav9- Li tJ S A
E V I O F 714* tt�N r-1 .
. C) -11,c'{t-i 4 11. . cist4 r se v NA 1 Z Falb
s v t, t', l�'N 6 _
• s 6 ( \ a , ) F t � — t z c . t l % 8 ( c N) a vNt .
s, ,v;e," L'10 i ,
(J _ IA. %.t.\ , . .V It4t� (L 1' n V s ` G
E L.R 1. ot6 - to po'IS fog- cc- V L6(\ .
- FtS V0v c.E - IS A`TPI t TIN -- Th
NIS PMWs' E. Xi5T; e
No s l fv f‘,L- EWTINdi
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL , ❑ NO ACCESS
'Al FAIL . .4 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: I v (S8 (.1 Date: 6-. Phone #: (503) 718 - r
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: EI..C200E -0:)8 )t3
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1121/2006
Phone: (503) 639 -4171 4, mill..
1
Inspection Requests (24 Hrs.): (503) 639 -4175 '!!+
INSPECTION WORKSHEET FOR DATE: 4/19/2006 TIME: '7:02AM • PAGE: 13
SITE ADDRESS: 09Ct11 SW WASHINGTON SQUARE RD FC-7 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: PANDA EXPRESS
DESCRIPTION: TI, low vrllago is for HVAC.
OWNER: WASHINGTON SOUARE LLC, PHONE #: 503
CONTRACTOR: MARK ADAMS ELECTRIC PHONE #: 503-6584661
Inspection Request Scheduled For: Date: 4/19/2006 Pour Time:
Code # ' Inspection Description Confirm # Contact # Message
130 Ceiling cover 028317 -01 503- 209- 55?r-1 Y
Corrections /Comments /Instructions:
— Fe) ' s d c - e w-- _
%41_, ,rkol.. b c`C des
(l PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL 4 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: �4 NOa 1 Date: I q Phone #: (503) 718- 246
I
CITY OF TIGARD
BUILDING DIVISION PERMIT #: El_C2005-00:53f3
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2121/21)06
Phone: (503) 639 -4171 7�
Inspection Requests (24 Hrs.): (503) 639 -4175 yaeBn *V 'f l '
INSPECTION WORKSHEET FOR DATE: 4/12/2006 TIME: 7 :01APal PAGE: 12
SITE ADDRESS: 0t:3 €e41 SW WASHINGTON SQUARE RD FC7 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
' PROJECT NAME: PANDA EXPRESS
DESCRIPTION: ll low voltage is for HVAC,
OWNER: WASHINGTON SQUARE LLC. PHONE #: 503- 6394t"A
CONTRACTOR: MARK ADAMS ELECTRIC PHONE #: 503
Inspection Request Scheduled .For: Date: 4/12/2006 Pour Time:
Code # Inspection Description • Confirm # Contact # Message
120 Electrical rough -in 027854 -01 503-208.5534 Y
Corrections /Comments/ Instructions:
•
L 0 C O U P &a CA bf
ik
y
•
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 4 f ? �- 6 6 Phone #: (503) 718-
CITY OF TIGARD �
L C � P'
BUILDING DIVISION - l� PERMIT eiSt "Q ° kb t
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 IL.
INSPECTION WORKSHEET FOR DATE:)/2-- /D,c TIME: PAGE:
SITE ADDRESS:
9 (0 7 J A J 4,/A1. 0 —,� SAX CLASS OF WORK:
SUBDIVISION: _ LOT #: TYPE OF USE: _
PROJECT NAME: ' F-6-7
DESCRIPTION: • _ ( � J � � L 1 p 0 � rxib`.
OWNER: PHONE #:
CONTRACTOR: 1 /1 (AQ, J/ PHONE #: 2j 9... S'�
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
Corrections /Comments /Instructions:
hl 4 LI.— CAV F3 L (1 'r c A t kcM s®. U . 1 (i
Fluaa sue►any IN) F *4'
)'
^I
, l�
SI PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
K w L Dat 3 2- (503) Inspector: Pho #: 503 718 -2.