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Permit ' 1 C ITY OF TIGARD ELECTRICAL PERMIT 441 PERMIT #: ELC2006 -00090 Z �i�� DEVELOPMENT SERVICES DATE ISSUED: 2/8/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S12600 -00300 SITE ADDRESS: 09800 SW WASHINGTON SQUARE RD SEARS ZONING: C -G SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG Project Description: 1 br. circuit (Kiosk in front of Sears.) 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: 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 HEBERLE ELECTRIC BY THE MACERICH COMPANY 18645 SW FARMINGTON RD. #326 9585 SW WASHINGTON SQUARE RD HILLSBORO, OR 97123 TIGARD, OR 97223 - -_ Phone: Contact #: PRI 503 - 628 -2095 FAX 503 - 628 -3076 FEES • . - Description Date Amount Reg #: SUP 3053S [ELPRMT] ELC Permit 2/8/2006 $46.85 LIC 152342 [TAX] 8% State Surcharge 2/8/2006 $3.75 ELE 34 -160C Total $50.60 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 rf 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- :00 -3.2 -2344. = �, Issued By: � 4 _ � Permittee Signature: �QQ \ ( ��� --�� OWNER INSTALLATION ONLY I 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. 02/07/2006 10: 5036283076 HEBERLE ELECTRIC INC PAGE 01 1 0 t(� ! , Eked" al Permit AD:- : .io. r I.1 11t ()1 1.1(1 I , ,l. ()\.1.) Ci4 of Tigard Received 0) S "�I 13125 SW Hull filed., Tigard, Ok 97223 CC 1 r �QO� Date/B . o lo w i 10 . -- ”Ifi D 19311 nevi Phone: 503.639.4171 Fax: 503.598.1960rE i Date/I3 . OtherPannit: Inspect ion Line: 503.639.4175 .1 1.,` 'I /.. Date Rcadyrtay ® Internet www ci.tigard.or.us CITY OF TIGAR b Nol 6eNMettwd 1- 77(3< Supptemaattl Iararmntign TIidiNSW PLAN REVIEW • ❑ Ncw construction gl Addition /alteration /replacement Please check all that apply: ❑ 13entnlition ❑Other: ❑Service over 225 amps, Comm, °Hazardous location ❑ Se vice over 320 amps - rating ❑ Fluildng over 10,000 sq. fl., CATEGORY OF CONSTRUCPION of 1- and 2- family dwelling% 4 or more new residential I gI Commercial/industrial ❑ Accxssory building ❑SYstan over 600 volts nominal units in one structure ©Building over three stories I0 Feeders. 400 amps or more 13 Multi-family ❑Masts builder ❑ Other: ❑Occupant load over 99 persons ❑ Menu lectured structures or JOB SiTE INFORMATION AND LOCATION ❑Egress/lighting plan RV park Job no.: Job site address: 9600 w6+ artioi ❑Health -care facility ❑Other: Submit 2 sets of plans with any of the above, (:tty /Statc/7_iP• '� f4 9 /122 --3 The above arc not applicable to temporary construction service. Suite/bldg. /apt, no.: �� J Project name: ., �\,c k ' • • FEE•:SCHEDULE 1 - 1 � ' aer ptupq 1 Qq. I Per. I Tan I r. Cross area/directions to jolt • site WY` r New residential single - or multi family dwelling unit. Includes attached garage. 1.000 sq. R. or less 145.15 4 Subdivision: 1 Lot no.: Ea. add'I 500 sq, fl, or portion _ 33.40 1 Tax -- map/parcel !.imbued clergy, residential 75.00 2 cep parcel no.: Limited energy, non - residential 75.00 2 DESCR N OF WORK Bach manufactured or modular \ t�p V 1" dwelling• service and/or feeder 90.90 2 —fe Services or feeders installation, alteration, and /or relocation 10 -t A , 7 S Pi ° r kk 0.S1 R.-e 5 Aa■C 200 amps nr Less 80.30 I 2 ❑ PROPERTY OWNER 0 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 Reconnect only 66.85 2 C. Icy /Stat(/ZIP. Temporary services or feeders installation. alteration, and/or Phonic: ( ) Fax: ( ) relocation 200 amps or less 66.85 I Owner installation: T his 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 eirenita - new. alteration, or extension, per panel ❑ APPLICANT I ❑ CO • - .. A. Pee for hrendt circuits with service or feeder fcc, each Business name: _ .ECl° branch circuit 6.65 2 ! B. Fix: for branch circuits Contact name: • `� 2a ` wtlhoutxvu•,. or feeder rec. /� . Address: - 10NK1Q� each branch circuit 4( "itC 2 Each add•I branch circuit 6.65 2 City/State/ZIP: Miscellaneous (service or feeder not included) Phone: ( ) Fax :: ( ) Pump or irrigation circle 53.40 J 2 _, Sign or outline lighting 53.40 2 E-mail: Signal eirdatit(5) or limited - CONTRACTOR energy panel. alteration, or Business name: extension. Describe: Page 2 2 Heberle Electric, inc. _ _ Address; HEBERLE - MAR Heberle Electric, Inc. - Each additional inspection over allowable in any of the above Per inspection 62.50 (:icy /Staid -- — Aloha, OR 97007 Investigation per hour (I hr min) 62.50 Phone: mvs ( , 4 Fax: (e3) 622 -'i. Industrial plant per hour 73.75 ELECTRICAL PERMIT FEF9• CCI Lie.:15Z34 Z Electrical Lic.: Suprv. l,ic.: S — S Subtotal Suprv. Ricci ban signature required: Air - Plan review (25% of permit foe) ''� - Print arras: 0 00 - • .. '� ! O / State surcharge (8%ofpermit fee) N. Authcui�ed signature.. — TOTAL PERMIT FEE S 6, 0 This pe rmit application expires it a permit a not obtained within IRO Print name: I days after it has been accepted as complete Datc: • Fee =Module n. set by Tri- Cnanty Building IndWry Service Dared \tiuildinalpetminlF:1 C'.Permnnpp dew 12/03 r• Number of num.:hew+ per permit allowed �f 410 41st5T(I0l07X0WWL'13 �r17, b ✓ C P.D • • a — 7 . �, - CITY OF TIGARD .. A BUILDING DIVISION .. PERMIT #: FL C2006-00090 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/8/2006 Phone: (503) 639 -4171 ..�11 � •Inspection Requests (24 Hrs.): (503) 639 -4175 �i ° __.. INSPECTION WORKSHEET FOR DATE: 2J2312006 TIME: 7:01AM PAGE: 89 SITE ADDRESS: 09800 SW WASHINGTON SQUARE RD SEARS CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: KIOSK • DESCRIPTION: •1 br. circuit (Kiosk in front of Sears.) OWNER: WASHINGTON SQUARE I_LC, PHONE #: CONTRACTOR: HEBERLE ELECTRIC PHONE #: 503628 -2095 Inspection Request Scheduled For: Date: 2/2312006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 027357 -01 503-830-0719 Y Correc ' • - - - - - -- - ructions: - 1 . 00 L b- ' - ��� N al PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: GARt \i z A Date: 23 Phone. #: (503) 718 -1\ 1 F f CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2006•00090 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7J0/2006 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 2/21/2006 TIME: 7 :02AM PAGE: 75 SITE ADDRESS: 09800 SW WASHINGT ON SQUARE RD SEARS CLASS OF WORK: SUBDIVISION: WASHING - CON SQUARE LOT #: TYPE OF USE: PROJECT NAME: KIOSK DESCRIPTION: 1 hr. circuit (Kiosk in front of Sears.) OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: HEBERLE ELECTRIC PHONE #: 503-628-2095 Inspection Request Scheduled For: Date: 2121/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 027217 -01 503961 -2736 N Corrections /Comments /Instructions: nket.t 'Is NO 1+Cios liC f R.O 6F S s - AR.S - GoNZA a 501-961- 2135` i s 1.16f ill sit 1 Cg' A `T'µ i s 'T t` try . (3 ; 8s.tax ?) No ANS va0.. -BEN ? '191 i 0°1 8? N o aN itS VM—i• 503 • b 2% 42.0q5 lx A . fAvE '" 1 6!1 acs,k. ES I.) S tt`I • - mNsee'e'i isN The electrical installation defects noted on this report shall be corrected and an inspection request made within 20 calendar days per OAR 918- 271 -0090 ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS K FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED • Inspector: i A i t 1v a " Date: Z Li I t b Phone #: (503) 718 - tU4L I