Permit A., CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00884
71i� DEVELOPMENT SERVICES DATE ISSUED: 11/10/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD MGMT ZONING: C -G
SUBDIVISION: VGTON SQUARE LOT : JURISDICTION: TIG
Project Description: Second floor lighting block S.
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 FOR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 1 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 OREGON ELECTRIC GROUP
BY THE MACERICH COMPANY 1010 SE 11TH AVE
9585 SW WASHINGTON SQUARE RD PORTLAND, OR 97214
TIGARD, OR 97223
Phone: Phone: 503 - 234 -9900
FEES Reg #: LIC 203
SUP 4460S
Description Date Amount
ELE 26 -956-95
C
[ELPRMT] ELC Permit 11/10/200' $53.50
[TAX] 8% State Surcharge 11/10/200: $4.28 REQUIRED ITEMS AND REPORTS
Total $57.78
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 -3 -2344. //
Issued By: /P A. At, 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: 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.
Ik.._ ,.. - 09 - 0512:16PM FROM—Oregon Electric Estimating 5032313587 T-429 P.002/008 F-648
ctrieal Permit Application
City of Tigard A Received
Dale/By. i (0 ip 5 5 Permit No:/...C,, 0.,00 - y6
13125 SW Hall Blvd., Tigard, OR 9 'Ls Plan Review
Phone: 503,639.4171 Fax: 503.59 _1
: .• .. C El V E Ditk..P. i '. Date/BY. Other Pamir
Inspection Line: 503.639.4175 _s_61■' A l 1 Date Renty/By: . 1 El See glee 2 For
Internet: www.ciligard.orms
Nev 9 2005 Nodfiedarteihod:
. —...— . Supplemental Information
—
• ' " TYPE Oft_WORK _ • - • ' . . PLAN REVIEW
0 New construction El alit EtAe tali ir era _
Please check all that apply
El:4F El Service over 225 amps. comml 0 Hazardous location
0 Demolition 0 crt ['service over 320 amps rating 0Buildng over 10,000 sq. t_
f
.
• CATEGORY OF CONSTRUCTION of 1 2 dwellings 4 Or more new residential
O 1 - and 2-family dwelling El Commercial/industrial 0 Accessory building OSy4em over 600 volts nominal units in onc StruCtUra
1:3Building over three stories 0 Feeders, 400 amps or more
0 Multi-family 0 Master builder 0 Other: [1 Occupant load over 99 persons 0 Maria factured structures or
• . JOB SITE INFORMATION AND LOCATION , . 0Egrelighting plan RV park
. 0 Health-care facility 00ther:
Job no.: 18548 Job site address: 9585 Sw Washington Sq. Road
— Submit 2 sets of plans with any of the above,
City/State/ZIP: Tigard Or 97223 The above are not applicable to temporary construction service.
FEE SCRIEDULR
Suitc/bldg./apt. no.: Project name: Washington Sq mall ex n pantio . *
Discription I Qrd Fm- j Tc"!
Cross street/directions to job site: Scholl's ferry road New residential skip- or multi dwelling unit.
Includes attached garage.
. _ ..
1,000 sq. It. or less 145.15 4
-- _ ,..
or po
. , add"! 500 sq. ft 33.40 1
Subdivision: Lot no.: Ea - _ -
Limited energy, residennal 75.00 2
Tax map/parcel no.; - -
Limited energy, non 75.00 2
. DESCRIPTION OF WORK _ , Each manufactured or modular '
1
1 .. dwellin , sg_e_rvice and/or feeder 90.90_ 2
1 Second floor corridor lighting block "S" —, _
services Or feeders i alteration, and/or relocation
---------- .____—__
J
, 200 amps or less 80.30 2
_ - -,
,
ED Pi..-_. kil.TY OWNER • A7 . 0 TENANT 201 amps to 400 amps 106.85 _ 2
401 amps to 600 amps 160.60 ' 2
_ _
Name: Washington Square LLC by the Macerich Co. 601 amps to 1,000 amps 240.60
... 454.65 2
Address: 9585 SW Washington Sq. road Over 1,000 amps or volts - 2
Reconnect only 66.85 2
City/Suite/ZIP: Tigard Or. 97223 Temporary services or feeders installation, alteration, and/or
relocation _
Phone: ( ) Fax: ( ) _
200 amps or less 66.85 I_ 1 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, or extension, per panel
. 0 APPLICANT ' ' . II: CONTACT PERSON k Fee tbr branch circuits with i
service or feeder fee, each 6.65 1 1 2
Business name: branch circuit
B. Fee for brunch circuits
Contact mune: withow SerViCe Or feeder fee, / 46.8: ft
each branch circuit t -
Address: Each add'l branch circuit / 6.65 _..I
,
City/State/ZIP: Miscellaneous (service or fecdel t included)
_
Pump or irrigation circle s 53.40 2
Phone: ( ) ilax: : ( ) - .
Sign or outline lighting 53.40 2
E • Signal cinmit(s) Or limited-
.
_ CONTRACTOR energy panel, alto or
• _ • .
extension. Describe: Page 2 2
Business name: Oregon Electric Group
. Each additional inspection over allowable in any of the above
_Address: 1010 SE llth Aire Per inspection 62.50
City/State/ZIP: Portland, OR 97214 ai— .._.--------------
1nvcgation per hour (1 hr iiiii0 62.50
Phone: (503) 234 Fax: (503) 535-2763 industrial plant per hour 73.75 -
.. ELEcnucAL PEamrr FEE '
CCB Lic.: 203 Electrical Lie.: 26-95C Suprv. Liu.: --, ; -xi subtotal . ‘ - ' - 3. 50
Suprv. Electrician signature, required: .. / / Plan review (25% of permir fee)
I
.1. ...,j---...;
Print name: .-- ,efig.. 4 . si.,,A-9, 7 P . ,-__ 9 Z65" — slate suraar Of permit fe0 1 /.?
_ T
TOTAL PERMIT FEE 57.
Authorized signature: This permit application expires if a permit is not obtained within IN
days after it has been accepted as complete
Print name: i Date: • Fee methodology set by TO-Calmly Building indastry Service Board
- " Number of insoccrions per remit allowed.
V'
CITY OF TIGARD
BUILDING DIVISION A PERMIT #: ELC200&•00884
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/10/2005
Phone: (503) 639 -4171 1 1111
Inspection Requests (24 Hrs.): (503) 639 -4175 s_' __..
INSPECTION WORKSHEET FOR DATE: 1/23/2006 TIME: 7 :04AM PAGE: 14
SITE ADD • SS: 09585 SW WASHINGTON SQUARE RD MGMT CLASS OF WORK:
SUBDIVISI• : WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: WASHINGTON SQUARE EXPANSION
DESCRIPTION: a, •nd floor Eghting block S.
OWNER: WAS , GTON SQUARE LLG, PHONE #:
CONTRACTOR: OREGO ,LECTRIC GROUP PHONE #: 503 -234-9900
Inspection Request Scheduled For: Date: 1/23/2006 Pour Time:
Code # Ins • - • • : - - . • •tion Confirm # Contact # Message
199 °lectrical final 025396-01 503-849-5432 Y
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1 v 04 Date: 1 r 10 - 0 t Phone #: (503) 718- 2-1114•6