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Permit C ITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2005 -00885 ..4 ': 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: OrtrgINGTON SQUARE LOT : JURISDICTION: TIG Project Description: Duct activation devices.(7) branch circuits. 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: 6 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 11T1-I AVE 9585 SW WASHINGTON SQUARE RD PORTLAND, OR 97214 TIGARD, OR 97223 Phone: Phone: 503 - 234 -9900 FEES Reg #: LIC 203 tion Date Amount SUP 2 Description ELE 26 - 95C [ELPRMT] ELC Permit 1 1/10/200` $86.75 [TAX] 8% State Surcharge 1 I /10/200' $6.94 REQUIRED ITEMS AND REPORTS Total $93.69 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 -80 32 -2 Issued By: - ��� 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. 11 - 09 - 05 12:16PM FROM — Oregon Electric Estimating 5032313587 T -429 P.004/008 F -648 Electrical Permit Application (' g ®� ' - ,�/ (+ Qity of Tigard z, y E �r ® Date/By / ( la (39 Permit No . d _ o rA -a b 0 5 A 13125 SW Hall Blvd., Tigard, OR 97223 Plan Vie' ` ie'• Othe r Permit: C' Phone: 503.639.4171 Fax 503 -598 -t +i/ 9 2005 ' c t�7 1 �` Date f 2005 s a - `I Date Rea 1 El See pact 2 for Inspection Line: 503.639.4175 -- ° Su korcatal Information Internet: www.citigard.or.us Y OF T I 1' 0 Notified/Method; 1 pP i t i n . L r `a • PLAN REVIEW ■ • New construction l Please check all that apply: .1 .. ['Service over 225 amps, comm'l ❑FIazardous location ■ Demolition ■ • ❑Sravice over 320 amps rating 0 Buildng over 10.000 sq. f., CATEGORY • . CONSTRUCTION of 1 -and 2-family dwellings 4 or more new residential ■ 0 Systcrn over 600 volts nominal units in one structure ■ end . „ dwelling ►�1 . , , • , • , Feeders, 400 amps or more ['Banding over three stories ❑ ■ l Multi-family Multi-family ■ Master builder ■ • ❑Occupant load over 99 persons ❑Mtmufactured structures or • : tRTE INFORMA■TION AND • • ❑Egress/lighting plan RV park ❑Health -care facility ❑Other: ,. .. address: 9585 Sw Washington Sq Submit 2 sets of plans with any of the above. City/State/VP: Tigard Or The above are not applicable to temporary construction service, FEE* SCHEDULE Suite/bldgJapt , ! Project n: , i _ o n Sq mall iii , Fie- 7 o rot I Description I Qty- L -• Cross street/directions to job site: Scholl's ferry road New residential single- or multi- family dwelling unit. Includes attached garage. 1,000 sq. R or less 145.15 4 Subdivision: Lot no.: F . a _ 1 sq. ft or portion 33.40 1 Limited eaiergy, residential 75.00 2 Tax map /parcel no.: Limited energy, non - residential 75.00 2 DESCRIPTION OF WORK . • Each manufactured or modular dwdlin service and/or feeder 90.90 2 Add Duct AetvatiiotOS t��.vo Services or feeders installation, alteration, and/or relocation a j e 200 amps or Itss 80.30 2 201 amps to 400 amps 106.85 2 • PROPERTY OWNER ' 7t ❑ TENANT, 401 amps to 600 amps 160.60 2 Name: Washington Square LLC by the Macerich Co. 601 amps to 1,000 amps 240.60 2 tee , Address: 9585 SW Washington Sq. road Reconnect only 66.85 2 City /State/ZIP; Tigard Or. 97223 Temporary services or feeders installation. alteration, and/or - relocation Phone: ( ) Fax: ( ) 200 amps or Owner installation: This installation is being made On property that I own which is not 201 amps to 400 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 , „ , Owner signature_ Date: Branch circuits — new, alteration, or extension, per pixnel • 0 CONTACT PERSON .” A. Fcc for branch circuits with service or feeder fee, each 6.65 2 Business name: brunch ciMit - B. Fee for branch circuits name; Contact wlthour service or feeder fee. — 85 /-/, �CJ each branch circuit ' Each add'I branch circuit t. 6.65 _ t 2 City /State/ZIP' Miscellaneous (service or feeder not included) _ Pump or irrigation circle t Phone: ( Fax:: ( ) Sign or outline lighting 11.11 53.40 © E-mail: Signal circuit(s) or limited- CONTRACTOR energy panel, alteration, or extension. Describe: Page 2 2 name: Business Oregon Electric Croup Each additional inspection over allowable in any of the above Address: 1010 SE Ilth Ave Per inspection 62.50 City/State/ZIP: Portland, OR 9'7214 investigation per hour (1 hr min) 62.50 Phone: (503) 134-9900 Fax; (503) 535-2763 Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES' t I Lic.: 203 Electrical Subtotal ... -7'j Supry. Electrician signature, requi • ed: / ,MFAMIIIIIII Plan review (25 % of perm fee � ) _ _ `` f State surcharge (8% of permit fcc) - O • y Print name: EAL r • — L ' 5/M y a ag� 2&/ TOTAL PERmiT BEE 3 , &I Authorized signature: This permit application expires Wu permit is not obtained Within 1 days after it has been accepted as complete Print twine: j Date: • Fee methodology set by TO Building Industry Service Board •• Number of inspections per ocrmit allowed. CITY OF TIGARD ` , - BUILDING DIVISION PERMIT #: ELC2005 -00885 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/10/2005 Phone: (503) 639-4171 I I Inspection Requests (24 Hrs.): (503) 639 -4175 'IL. INSPECTION WORKSHEET FOR DATE: 12/1/2005 TIME: 7:08AM PAGE: 44 SITE ADDRESS: 095: SW WASHINGTON SQUARE RD MGMT CLASS OF WORK: SUBDIVISION: WASH GTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: WASHINz ON SQUARE EXPANSION DESCRIPTION: Duct activat ,n devices.(7) branch circuits. OWNER: WASHINGTON DARE LLC, PHONE #: CONTRACTOR: OREGON ELECT' C GROUP PHONE #: 503- 234 -9900 • Inspection Request Scheduled For: Date: 12J1/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 022732 -01 503- 849 -5432 N Corrections /Comments /Ins ruc Ions: 'PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: CiSs L. Utate_ Date: 12: I OC ' Phone #: (503) 718 - 4%30