Permit ,, CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2007 -00173
COMMUNITY DEVELOPMENT DATE ISSUED: 3/21/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
�� � (� c�� PARCEL: 1 S12600 -00300
SfTEADDRESS: �9 7 S W WASHINGTON SQUARE RD B8 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG
PROJECT: BOMBAY EXPRESS
Project Description: TI - (10) branch circuits. Job No. 54603Q
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: 9 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 STONER ELECTRIC
BY THE MACERICH COMPANY 1904 SE OCHOCO STREET
9585 SW WASHINGTON SQUARE RD MILWAUKIE, OR 97222
TIGARD, OR 97223
Phone: Contact #: FAX 503 - 659 -2824
PRI 503 - 462 -6500
FEES
Description Date Amount Reg #: ELE 26 -122C
[ELPRMT] ELC Permit 3/21/2007 $106.70 LIC 44823
[TAX] 8% State Surcharge 3/21/2007 $8.54 SUP 3496S
Total $115.24 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 r-mor an 180 days. ATTENTION: Oregon law requires you to follow rules adopted • e Oregon Utility Notification Center.
Those r es are set forth ' 0 52- 01 -0010 through OAR 952 -001 -0100. You may obtain c• • es of these rules or direot questions to OUNC at
503.2 .6699 or 1.800.33 .344. � `1
Issue By: ,,, Permittee Sig • .ture l ' �L�/ 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
, "/ /t3c,p 'Z r___ ___
SIGNATURE OF SUPR. ELEC'N:c_____ 1 / 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.
j7 07:52 FAX 5036592824 STONER ELECTRI 0 001
Electrical Permit Application roil o l l( C. l' s r 0 N l.)
City of Tigard O ' Received Date/B . �o Pem No •: C ? 00 l 7
13125 SW Hall Blvd, Tigard, OR Pbot Review Other Permit 503.639.4171 Fax 503, 8. oOl ""` ►1111 I `' Dam • '
Inspection Line: 503.639.4175 2 " I i 1 '
r� Ready/By: ® See Page 2 for
Internet: www.ei_tigard,orms MA _ Notified/Method: Supplemental information
> $1 * i 1 90 ' ' . " PLAN RIEVlE
I tio /alteration/Y l acemc nt Please check all that a
❑ N ew construction ❑Service over 225 amps, commi ❑Hazardous location
❑ Demolition ❑ Other. ❑Service over 320 amps - rating ❑Buildng over 10,000 sq. ft.,
' CATEGORY OF ,CONSTRUCTION ' „ ' of 1- and 2- family dwellings 4 or more new residential
❑ 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 or more
❑ Multi- family Master builder 0 Other. ❑Occupant load over 99 persons ❑Manufactured structures or
' ' 'iOB 'SICTE INFORMATION , AND LOCATION /6 7 ❑Egress/lighting plan RV park
❑Health-care facility ['Other. -
Job no ":5 030 Job site address: 5w (I Uiii41,* 5 E Submit 2 sets of plans with any of the above.
T
City/State /ZIP: i4 Rap 0 2- et I Z/- 3 1 The above are not applicable to temporary construction service.
s FEE* SCHEDULE .1 .
Suite/bldg"/apt no.: FCb q 1 Project name: 130h4 BM x 0iz tlaaipeion ( Qty. ] Fes J Total I •'
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: I Lot no.: Ea. add'I 500 sq. R or portion 33.40 1
Limited energy, residential 75.00 2
Tax map/parcel no.: '
Limited energy, non - residential 75.00 _ 2
'. ' 'DESCRIPTION OF•'WORK . Each manufactured 0r modular
dwellip, service and/or feeder 90.90 2
1Z-6 G 6 �. — MOD , Services or feeders installation, a lteration, and/or relocation
200 amps or less 1 80.30 2
201 amps to 400 amps ! 106.85 2
d] PROPERTY O VNNER ❑ TENANT ' 401 amps to 600 amps _ 160.60 2
Name: 601 amps to 1,000 amps 240.60 2
Over 1,000 amps or volts _ 454.65 2
Address:
Reconnect only 2 y _
City / State/ZIP: Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) l 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, ar extension, per panel
A . F ee for branch circuits w ith
❑ APPLICANT I• ❑CONTACT PERSON service or feeder fee, each
6.65 2
Business name; branch circuit .
B. Fcc for branch circuits
Contact name: without service or feeder fee, ` 46.85 4645 2
first branch circuit
Address: '
Each odds br anch circuit q 6.65 a5 2
City /State/ZIP: Miscellaneous (service or feeder not included)
Pump or irrigation circle _ 53.40 2
Phone: ( ) I Fax: ( ) Signor outline lighting 53.40 2
E -mail: Signal circuir(s) or limited-
CONTRACTOR ! energy panel, alteration, or
•
extension" Describe: Puge 2 2
Business name: STONER ELECTRIC -
Each additional inspection over allowable in any of the above
Address: 1904 SE OCHOCO
Per intpectiOfl 62.50
City /State /ZIP: MILWAUK E, OR Investigation per hour (1 hr rrvn) 6250
F ax: ( 503) 659 -4968 Industrial plant per hoar 73.75
Phone: (503) 462-6500 . • ., • •, • •E RI ,,,pZR . FEES'
CCB Lie.: 44823 Electrical Lic_: 26 -122C Suprv. Lie.: 3496 Subtotal /0&,...70
Suprv. Elecirician signature, requirc± ,' „Q L,..„..... Plan review (25%of permit fix)
State surcharge (8% of permit fee) g, r S
Print name: MICHAEL FALCONER Date: 3121 0 e7 - 4 —
// TOTAL PERMIT FEE ill 6 r 2
Authorized signature: Tim permit application empire if a permit is not obtained within 180
days alter It bas been accepted as complete
Print name: Date: • Pee mnrhom Kr! 1w 1•ri- r'nnntv Rrnlriino twiner Service. Roam
CITY OF TIGARD
BUILDING DIVISION - PERMIT #: ELC2007-00173
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/21/2007
Phone: (503) 639 -4171 • /mow
Inspection Requests (24 Hrs.): (503) 639 -4175 '= ° L.
INSPECTION WORKSHEET FOR DATE: 4/19/2007 TIME: 7:01AM PAGE: 53
IT WASHINGTON I`
SITE ADDRESS: 09647 SW W,BwHINGTON SQUARE RD G9 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: BOMBAY EXPRESS
DESCRIPTION: TI - (10) branch circuits. Job No. 54603Q
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: STONER ELECTRIC �r I A ` PHONE #: • 503462 -6500
Inspection Request Scheduled For: Date: 4/19/2007 Pour Time:
Code # Inspection Description Confir Contact # Message
199 Electrical final 046749~01 364624 -7026 Y
Corrections /Comments /Instructions:
( 7
•
•
•
D 4 \
•
X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: " N L � Date: t1 o Phone #: (503) 718- .2'S
•
CITY OF TIGARD •
BUILDING DIVISION PERMIT #: ELC2007 -00173
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/21/2007
Phone: (503) 639 -4171 1i1ll
Inspection Requests (24 Hrs.): (503) 639 -4175 __..
.INSPECTION WORKSHEET FOR DATE: 4/4/2007 TIME: 7:01AM PAGE: 5
SITE ADDRESS: 0 %01 SW WASHINGTON SQUARE RD B8 ? CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE _ LOT #: TYPE OF USE:
PROJECT NAME: BOMBAY EXPRESS
DESCRIPTION: TI - (10) branch circuits. Job No. 546030 fulsQ
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: STONER ELECTRIC � „ ( PHONE #: 503 - 4616500
Inspection Request Scheduled For: Date: 4/4/2007 Pour Time:
Code # Inspection Description -oafir . _ _ Contact # Message
130 Ceiling cover 045941 -01 503-806-4390 Y
• Corrections /Comments / Instructions:
w RaNlt A ®aGL.I.S5 _
-! -},Rtb ►J bS tdoCPow6 Pe �
•
11
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: N L- Date: 41 O Phone #: (503) 718- 1-114'6