Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2007 -00471
COMMUNITY DEVELOPMENT
DATE ISSUED: 7/11/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09689 SW WASHINGTON SQUARE RD C -8 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG
PROJECT: COACH
Project Description: TI - install (31) branch cirucits and low voltage data and buzzer.
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: 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 FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 30 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 7/11/2007 $396.35 LIC 37410
[TAX] 8% State Surcharge 7/11/2007 $31.71 SUP 1816S
Total $428.06 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 1.800.332.2344.
f / Permittee Signature:
Issued = �. /� /! �. � � p,Q, il yliCll.'hDy1
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.
4 `F
Electrical Permit Applicatio , 1 FOR OFFICE USE ON LY
� ��L � . Rexived
City of Tigard Datds . � Permit No.: E AO
AV 13125 SW Hall Blvd, Tigard, OR 97223 ^ t ��r
Plan
• 7 Review
Phone: 503.639.4171 Fax 503.598.1960 , , . 2007 D Other Permit.
T I G A R D Inspection Line: 503.639.4175 - ' y Date Ready/By: ltms. ® See Page 2 for
Internet: www.tigard-or.gov C II Y OF TIGARD Notified/Method• it 6— Supplemental Information
TYPE OF Vail "�ING DIVre�'ION PLAN REVIEW
❑ New construction [j Addition/alteration /replacement Please check all that apply (submit a sets of plans w /stems checked below).
❑ Demolition Service or feeder 400 amps Or more ❑ Building over three stones.
❑ Other: where the available fault current ❑ Marinas and boatyards
CATEGORY OF CONSTRUCTION . exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
❑ 1- and 2- family dwelling ® Commercial/industrial ❑ Accessory building less to ground, a exceeds 1 ns ❑ commercial Esc agricultural
for all other installations buildings.
❑ Multi- family ❑ Master builder ❑ Other. ❑ Fire pump ❑ Installation of 75 KVA or
JOB ,SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately denved system.
0 Addition of new motor load of ❑ "A ", E ", "1.2 ", "1 -3 ",
Job no.: J site address: I00HP or more. occupancy.
itdd
64964 968 9 WASHINGTON SQUARE ROAD ❑ six or more residential units ❑ Recreational vehicle parks.
City/State/ZIP: TIGARD, OR 97223 ❑ Health -care facilities 0 Supply voltage for more than
❑ Hazardous locations 600 volts nominal
Suite/bldg. /apt no.: C— 8 Project name: COACH ❑ Service or feeder 600 amps or more.
FEE' SCHEDULE
Cross street/directions to job site: Description on I Qty. I Fab Total ,
Description I •
New residential single- or multi- family dwelling m it.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Ea. add'l 500 sq. ft. or portion 33.40 1
Tax map/parcel no.: Limited energy, residential
75.00 2
DESCRIPTION OF WORK (with above sq. ft.)
Limited energy, multi- family 75.00 2
TENANT IMPROVEMENT residential (with above sq. ft.)
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
- ❑• - PROPERTY OWNER ❑ . 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: ( ) t 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 circuits — new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
❑ APPLICANT I ❑ 'CONTACT PERSON above service or feeder fee,
each branch circuit 6.65 2
Business name: B. Fee for branch circuits
Contact name: without service or feeder fee, 1 46.85 46.85 2
first branch circuit
Address: Each add'l branch circuit 30 6.65 199. 50 2
Miscellaneous (service or feeder not included)
City /State/ZIP: Each manufactured or modular 90.90 2
Phone: dwelling, service and/or feeder
( ) Fax: ( ) Reconnect only 66.85 2
E-mail: Pump or irrigation circle 53.40 2
CONTRACTOR 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: 2 Page 2 150. 2
DATA, BUZZER
city /state/ZIP: TIGARD, OR 97223 • Each additional inspectlon over allowable In any of the above
Per inspection 62.50
Phone: ( 5O3> 639 -4627 Fax:( 503) 639 -4673 Investigation per how (1 hr min) 62.50
CCB Lic.: 37410 Electrical Lic.: / 33 4 / ) _ 13c Su TV. Lic.: 18165 Industrial plant per hour 73.75
Suprv. Electrician signature, � �J� /�/ ELECTRICAL PERMIT FEES
Subtotal: 396.35
Print name: Date: Plan review (25% of permit fee):
R R. W . F'RAHLER 07/10/07 State surcharge (8% of permit fee): 31.71:
Authorized signature: TOTAL PERMIT FEE: 428.06 _
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
DBuild'ing\e,minWFLC -P i i tApp.doc 05 /13/06 440- 4615T(11/05/COM/WEB
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK ONLY:
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:
COMMERCIAL WORK ONLY: -
Fee for each commercial $75.00
system
(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
El Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
Other 2 2 €Y
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
1• MBuildiingWamas\II.GPamitApp.doc 03/23/06
•
• CITY OF TIGARD
•
BUILDING DIVISION PERMIT #: EL.C2007 -00471
• 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/11/2007
Phone: (503) 639 -4171 aby
Inspection Requests (24 Hrs.): (503) 639 -4175
'INSPECTION WORKSHEET FOR DATE: 9/24/2007 TIME: 7:00AM PAGE: 44
SITE ADDRESS: 09689 SW WASHINGTON SQUARE RD C CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: COACH
• DESCRIPTION: TI - install (31) branch cirucits and low voltage data and buzzer.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: FRAILER ELECTRIC CO PHONE #: 503-639 -4627
Inspection Request Scheduled For: Date: 9/24/2007 Pour Time:
Code # Inspection Description Confir Contact # Message
135 Low -, _ •.e 056162 -01 503-639-4627 Y
erections /Comments /instructions.
CZ s��L. �Z A. Q& G L. c ' Nai`� AppozrAs
t) Rt■ co IN •
e l172:71-07
t .PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
1 ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
•
Inspector: 1V tea< Date: 9 tyi Phone #: (503) 718- /11°115--L
CITY OFTIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00471
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/1112007
Phone: (503) 639 -4171 Ay.
Inspection Requests (24 Hrs.): (503) 639 -4175 . ': F
INSPECTION WORKSHEET FOR DATE: 9/24/2007 TIME: 7:00AM PAGE: 43
SITE ADDRESS: 09689 SW WASHINGTON SQUARE RD C CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: COACH
DESCRIPTION: TI - install (31) branch cirucits and low voltage data and buzzer.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: FRAHLER ELECTRIC CO PHONE #: 503-639-4627
Inspection Request Scheduled For: Date: 9/24/2007 Pour Time:
■
Code # Inspection Description Confirm Contact # Message
199 Electrical final 056162 -02 503-639-4627 \ Y
Corrections /Comments /Instructions:
No t`P s 5 v
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL XCALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED C t_ Inspector: '�i K ? KZ0 Date: y I l T1 Phone #: (503) 718- ott
• CITY OF TIGARD
BUILDING DIVISION PERMIT #: EL,C2t1 -00
13125 SW Hall Blvd., Tigard, OR 97223 - DATE ISSUED:
Phone: (503) 639 -4171 brOP't „ , I „ rl
Inspection Requests (24 Hrs.): (503) 639 -4175 �! °' .. i .11. Q']
INSPECTION WORKSHEET FOR DATE: Ct • 10 . TIME: PAGE:
•
SITE ADDRESS: 9 sit) 1S g116 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: GOAc L k
DESCRIPTION: --
OWNER: PHONE #:
CONTRACTOR: v., ( 4k .ten PHONE #:
Inspection Request Scheduled For: Date: Ct.1tygl Pour Time:
Code # Inspection Description Confirm # Contact # Message
105 vaubo&. 614
130 cs►1 IZO R�`xlu..��
Corrections /Comments/ Instructions: •
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•
•
•
•
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Cr—. I �
�. �v�7L� Date: ( O Phone #: (503) 718- ” ' " "
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 00471
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/11/2007
Phone: (503) 639 -4171
s. Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION, WORKSHEET FOR DATE: 9/7/2007 TIME: 7:00AM PAGE: 31
SITE ADDRE 09689 SW WASHINGTON SQUARE RD C CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: COACH
_ DESCRIPTION: TI - install (31) branch cirucits and low voltage data and buzzer.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: FRAHLER ELECTRIC CO PHONE #: 503-639-4627
Inspection Request Scheduled For: Date: 917/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 055326 -02 503- 639 -4627 Y
Corrections /Comments /Instructions:
Not
•
P' SS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
Y1 FAIT n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
X1 p
Inspector: S--" 6 8 Date: O Phone #: (503) 718-
.
•
CITY OF TIGARD
r• BUILDING DIVISION PERMIT #: ELC2007 -00471
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 7/11/2007
Phone: (503) 639 -4171 i
Inspection Requests (24 Hrs.): (503) 639 -4175 ...' F - —
INSPECTION WORKSHEET FOR DATE: 8/7/2007 TIME: 7 :00AM PAGE: 32
SITE ADDRESS: 09688 SW WASHINGTON SQUARE RD G8 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: COACH
DESCRIPTION: TI - install (31) branch cirucits and low voltage data and buzzer.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: FRAHLER ELECTRIC CO PHONE #: 503-639 -4627
Inspection Request Scheduled For: Date: 9/7/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
Y ` 105. Underground/slab cover 055326 -01 503-639 -4627 Y
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: r• 6€ L Date: 91? [07 Phone #: (503) 718- l !t
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: ELC2007- 00471
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/11/2007
Phone: (503) 639 -4171 �a
Inspection Requests (24 Hrs.): (503) 639 -4175 .,.' IL.
INSPECTION WORKSHEET FOR DATE: 9/7/2007 TIME: 7:00AM PAGE: 30
SITE ADDRESS: 09689 SW WASHINGTON SQUARE RD C CLASS OF WORK:
' SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: COACH
DESCRIPTION: TI - install (31) branch cirucits and low voltage data and buzzer.
OWNER: WASHINGTON SQUARE LLC PHONE #:
CONTRACTOR: FRAHLER ELECTRIC CO PHONE #: 503.639 - 4627
Inspection Request Scheduled For: Date: 97/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
125 Wall cover 05532603 503-639 -4627 - Y
Corrections /Comments /Instructions:
1
•
114
❑ PASS ': TIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FO' SPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G"'"), N rSe, t .6 Date: 11 I O Phone #: (503) 718- Vitt
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00471
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/11/2007
Phone: (503) 639 -4171 Vit Inspection Requests (24 Hrs.): (503) 639 -4175 ., ...
INSPECTION WORKSHEET FOR DATE: 8/31/2007 TIME: 7 :00AM PAGE: 31
SITE ADDRESS: 09689 SW WASHINGTON SQUARE RD C-8 CLASS OF WORK:
s SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: COACH
•
I DESCRIPTION: TI - install (31) branch cirucits and low voltage data and buzzer.
OWNER: WASHINGTON SQUARE LLC. PHONE #:
CONTRACTOR: FRAHLER ELECTRIC CO PHONE #: 603- 639.4627
Inspection Request Scheduled For: Date: 8/31/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 __Ceiling cover 054378 -02 503.63 4627 \Y
Corrections /Comments /Instructions:
6� t V a o il..: S R(f) l Rta \ f2bi4 VI LS . 1 1
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•
• S \\ow ti;oNloowS' 41 Or2 (bi
•
n PASS ,PARTIAL APPROVAL ❑ CANCEL El NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
" Inspector: G ---- - N v 6B Date: 1) 1 I O Phone #: (503) 718 1111.6)
-
CITY OF TIGARD
F, BUILDING DIVISION PERMIT #: ELC2007 -00471
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/11/2007
Phone: (503) 639 -4171 +�
Inspection Requests (24 Hrs.): (503) 639 -4175 �..
INSPECTION WORKSHEET FOR DATE: 8/31/2007 TIME: 7:00AM PAGE: 33
SITE ADDRESS: 09689 SW WASHINGTON SQUARE RD C-8 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
` PROJECT NAME: COACH
• DESCRIPTION: TI - install (31) branch cirucits and low voltage data and buzzer.
• OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: FRAHLER ELECTRIC CO PHONE #: 503- 639`4627
. I
i = Inspection Request Scheduled For: Date: 8/31/2007 • ' Pour Time:
Code # Inspection Description Confirm # Contact # Message
125 Wall cover 054978 -01 503 - 639 -4627 Y
Corrections /Comments /Instructions: ,�,,� r �
�ile,� & 0 �Ri615P �6►-6" 6F I
k1
•
n PASS $PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: CD N(6e) Date: t /I 01 Phone #: (503) 718- 214
_• .