Permit CITY TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00958
�l� DEVELOPMENT SERVICES DATE ISSUED: 1/26/2006
" � ---' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09681 SW WASHINGTON SQUARE RD C6 ZONING: C -
SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG
Project Description: TI Electric/ Low Voltage:
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: 1
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: -2.:
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 FOR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 37 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: Contact #: FAX 503 - 639 - 4673
PRI 503 - 639 -4627
FEES
Description Date Amount Reg #: LIC 37410
[ELPRMT] ELC Permit 1/26/2006 $496.31 SUP 1816S
[TAX] S% State Surcharge 1/26/2006 $39.70 ELE 34 -13C
Total $536.01 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 -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 -8 -332-2344.
Issued By: 7--= ���ie Permittee Signature: 6)
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.
�+ 1.2/13/2005 09:38 8585928829 PAGE 02
1Z/i41/2005 09:12 I) f:_ c - , , i J1MRA1) PAGE 01 T. t electrical Permit .A.oR �r
,(,It 111 11!'I I , t (i `•I ■
City of Tigard DEC 1 A 2005 ?120 = . hy,,,� '0. i.
1312.5 SW Nall . , Ti�md, OR 9723 pl y - . Permit:
Phone 503. 639.4171 Pic s03. 19�O TIGARD � 4 - ' - '1'i � ' ,I �a Fee
Internet o www. 503.639.4175 BUI LDING D IVISION -
iblxWC www.d.tigird.a us tonrnaalimi
TM OP WORK PLAN REtrid W I
CI New construction Addition/alteration/replacement Please check en tray apply
121 Demolition [] Other: ['Service over 225 amps. Gomm, DHazetdous iooatloo j \ 0Serviee over 320 wnpa - *Ming []fiuildng over i0.0o0 sq. R..
CATEGORY OF CONSTRUCTION of 1- and 2.fxrdly dwelling 4 or more new residential
El I - and 2- fhmily dwelling J Commercial/industrial ❑ ACCCSSOry building Osyclem over 000 vita nominal onus In one sbmenm
or more
ID Multi- fhtniiy Q Maacer builder ❑ Other: °Building over three stories ❑iroedc rs, 400 nngrs
�J ❑ i
Occepant load over 99 ps OManulbetured shuatmes ar
JOB SITE INFORMATION AND LOC4TiON y IGO 7 ❑r,pre+sAitltting plan RV w park
ErTML SUES ..
Job no.: Job she address , hz,46 / 5 {(Q. i / OHeoltht+ao hen* y ❑aComm X , - G
Submit 2 sets of plans with any of am above. -
City/State/ZIP: f 2lP: o,e TL. 4 rV .cs h OR 7 o 7 223 The above arc not applicable to =moray construction service.
Suitrlbldg./apt no.: #CO6 Proieet Warne: 11f:E P ° RO Re- FEE* 5CN1iDUL1E
De I I sea I Tom I
Cross stt„ct/drco
itions to job s1tc: New w residential Rideetial single or marhFfam amiFj dwCiNap aoi!
Includes attached rage ■L
1.000 sq. R- al= 145.15 4
Subdivision: 1 Lot no.: Ea. add'I 300 sq. iL or portion 33.40 1
Tax mf�lpanCCf limited enemy. resIdGttfal 75.00 2
Limited energy, non eilentlel 75.00 2 r.
DESCRIPTION OF WORK Each manufactured or modular
r welling, Malice and/or and/or iiz 90.90 2
•��� i ��� i • d Service% or leaders IostaIntfon, alteration. and/or relocation
200 amps or less 9/ t 6030 2
0 PROPERTY OWNER: 201 amps to 400 mops ?/Q 106.85 2
401 amps to 600 amps At Q .160.60 , 2
Name: kA - ilia 0. 601 amps to 1.000 amps f Q 240.60 2
Address: �j 3 o r 11��EMI�/�i[�� ...Over 1.000 amps or volts f 454.65 2
Reeon:rect only 66.85 , 2
ChT/Stale/ZiP: (. 111 p 1 i A ILA G ,, Temporary services or feeders in alteration, and/or
Phone.: (62,(0) qv • I f,( I S Fax: ( ) I relocation impps
a or tom ;(27 66.85 i
Owner inStA cation: This installation is being made on property that I own which Is not 201 amps to 400 amps f9 100.30 2 _
intended for sale. lease. rent, or exchange. according to ORS 447. 449. 670, and 701. col amps to 600 amps c Q 133.75 2
Owner signature; ., ., , , •._ Dale: Brandt cirealtm- new, attentrion. or extension. panel •
❑ APPLICANT I C(MYf ALT PERSON A. Fee for branch circuits wlih
pp 1 1 • service or fader lb; each 6.65 2
Business nine..( 1 S re c S ef V r 1 1 1, branch circuit
Contact name: ( y\ n /� C f - D. ur for breach or _. f .. 4
l J�` S lvlrhowl service or feeder fee, 6 85 6, 2 -
Address: 'L 051' A I first branch circuit
H ach add'I branch circuit .F71 0 -05 yob 2
City/State /ZI P:It r O 1 {n `C i p , ( ct O c ( Mbcetlaneons (service or feeder not inehrdcd)
Phone; ( 10) 2 • Y oU Faye : 810 )3 , 03 / _ pump or intgeliun circle � ! q 53.40 2
E-mail: / V J 1� Sign o outline lighting 1/ 53.40 $ . YO 2
I 1.I • /J p / ' I I . . ■ d A Signal cireuit(s) or limited- ./
•1' - CTOR energy panel. alte Lion. or Z
Business name: '�'(2, f\v \\-.ER. • Te 1 L' a V � Sy$ T E.M `'°� 2 r D 2
Address: 1 18 t o -S W ( eer1 U e - Each additional Inspection over allowable to any Onto above
l_1P: . Y ` ' I 62.50
City/State/
_ t� v 6 , - imatigetIon per hour (I hr nib) 62.50
Phone:() G.)3 L ( Fax: ( 3 O ) , l r1 industrial plant per hour 73.75 .
1 l 1 ELECTRICAL PERMIT FEES *
CCR Lie.: 1 Electrical Lic.: I Suprv Lie.: Subtotal r -4 96. ;
Suprv. Electrician signature required: Plan review (25% of permit fee) �% G
3 . ?U _
Print name; Date: State surcharge (A% of permit fee)
TOTAL PERMIT FEE
Authorized signature:
no pencil airrahwt$oo expixx Ifs perm is nef naletavl widths Ilia
print name: , days after k bat trop, accepted ao axlarlicte ,, (p "O /
Dam " Pee merherrv,u►y sctby 7•Courty Wane Wintry Semite Board
•" ?lumber of impaction per permit allowed.
irk 9 a+1r ers;flnei.Am,.dne Ivo, see nim10102/eOMiwea
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
FRAHLER ELECTRIC CO
11860 SW GREENBURG RD
TIGARD, OR 97223
Electrical Signature Form
Permit #: ELC2005 -00958
Date Issued: 1/26/2006
Parcel: 1S12600-00300
Site Address: 09681 SW WASHINGTON SQUARE RD C6
Subdivision: WASHINGTON SQUARE
Block: Lot:
Jurisdiction: TIG
Zoning: C -G
Remarks: TI Electric/ Low Voltage:
Your company has been indicated as the electrical contractor for the permit indicated above. In order for
the electrical permit to be valid, the signature of the supervising electrician is required. Please have the
appropriate individual from your company sign below and return this Electrical Signature Form prior to the
start of the work to the address above, ATTN: Building Division.
No electrical inspections will be authorized until this completed form is received
OWNER: ELECTRICAL 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 #: Phone #: 503- 639 -4627
Reg #: LIC 37410
SUP 1816S
ELE 34 -13C
AN INK SIGNATURE IS REQUIRED ON THIS FORM
x 41., G 5/roS
Signature of Supe 'sing Electrician
If you have any questions, please call 503.718.2433.
CITY OF TIGARD E L C
BUILDING DIVISION PERMIT #: a0 O5 - p p h i
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: •
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 ill1.
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: q cv g' /, / 4, 562, p, CLASS 6F WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: /J J „ L PHONE #:
Inspection Request Scheduled For: Date: c& -, t - 6 r° Pour Time:
Code # Inspection Description Confirm # Contact # Message
0 GOB t, • • TS (1-g3- 3 0 /
Corrections /Comments /Instructions:
o
NcR cov w V o A E
6,0 3 A At t,
•
y
APASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G- N ve L Date: Z..A - 0b Phone #: (503) 718 - 46'
CITY OF TIGARD
BUILDING DIVISION , PERMIT #: EI ( 0 • w . ,
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/2112013;,
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 .�' . illy
INSPECTION WORKSHEET FOR DATE: 2/17/2006 TIME: 7:06mi PAGE: 75
SITE ADDRESS: O SW WASHINGTON SQUARE RD t.'6 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: METRO PARK
DESCRIPTION: - ri Electric /Low Voltage: 2/16/06: Added (2) km voltage foi data 8, sound. Job 7163508.
OWNER: WASHINGTON SQUARE L1.C, PHONE #:
CONTRACTOR: FRAHLER ELECTRIC CO PHONE #: 6.03,639,4627
Inspection Request Scheduled For: Date: '/17/2006 Pour Time:
Code # • - Description Confirm # Contact # Message
136 Low voltage 027055-01 W3-201-2626
Y
Corrections/ • •• - s nstructions:
QOA
•
•
Uk PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: iT () 66 L Date: 17 U 6 Phone #: (503) 718- .144_41)___
CITY OF TIGARD ELL
BUILDING DIVISION PERMIT #: 5 60 gS 0
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 �i�
Inspection Requests (24 Hrs.): (503) 639 -4175 -.
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: 6 F I L / • S 0 • k p, CLASS OF WORK: '
SUBDIVISION:' LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled Fo Date: 3 - L3 " o Pour Time: /q , m • Code # nspection Desp�i • • Confirm # Contact # Message
A. • g—Q • � , i — l 5 — 3 a /(
Correctio _ - - -- - . [-VA . ....0 :
,
/3 A . d Y'Ckl a-i °. .
I f;14 ilk L Priabl NiAllh NI I r∎Zrals ,
•
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Q C
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ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL El CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G WA Lig . Date: Phone #: (503) 718 - Z.VAOy'
•
•