Permit CITY O F TIGARD G A R D
PERMIT #: ELC2000 00607
4.,,Yln, DEVELOPMENT SERVICES DATE ISSUED: 10/27/2000
� I � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 1 S126C0 -01107
SITE ADDRESS: 09700 SW WASHINGTON SQUARE RD
SUBDIVISION: D18B&JGTON SQUARE ZONING: C -G
BLOCK: LOT : JURISDICTION: TIG
Project Description:
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: 5 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:
PPR WASHINGTON SQUARE LLC NEW TECH ELECTRIC
P.O. BOX 21545 1400 NE 48TH AVE
SEATTLE, WA 98111 HILLSBORO, OR 97124
Phone: Phone: 503 - 648 -1900
Reg #: LIC 41868
SUP 2113s
ELE 26 -418c
FEES Required Inspections
Type By Date Amount Receipt Elect'I Final
5PCT CTR 10/27/200C $6.41 2720000000(
PRMT CTR 10/27/200C $80.10 2720000000(
Total $86.51
This Permit is issued subject to the regulations contained in the Tigard Muniapal Code, State of OR. Specialty Codes and all other applicable laws.
All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is
suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -1987.
PERMITTEE'S SIGNATURE ISSUED BY:�
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 639 -4175 by 7:00pm for an inspection the next business day
10/24/00 TUE 08:03 • FAX 503 648 3131 NEW TECH ELEC fj001
L.I16.um .o. 1 GIItIl.. R■rr.waa..v.•
13113 'SW HALL BLVD. RECEIVED Recd DyY�- i _
TIGARD OR 97223 Date Rec
Type Print O
Phone (503) 639.4171, x304 OCT 2 4 200$ P Date to P.E. Date to DST .
Inspection (503) 639-4175 Incomplete or illegible will not be accepted permit oik.a697T 00%07
Fax (503) 598 =1960 COMMUNITY DEVELOPMENT Called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development n _�
/? Number of Inspections per permit allowed
V Fy Name (or name of.business) Service Included: Items Cost Total
4a. Residential - per unit
Address' /0 . l!,i. / /. /'' ' -, / 1000 sq. ILorless $147.15 a
/ ' Each additional 600 sq. ft. or
City /State/Zp� Q� /.[ portion thereof $33.40 1
Commercial Residential ❑ limited Energy $75.00
Each MAanurd Home or Modular
Dwelling Seine or Feeder $90.90 2
2a. Contractor installation onl 4b. servccrs or Feeders
(Prior to permit issuance, applicants must provide contractor license IM1Stallation, alteration, or relocation •
(gfomtation for COT data base). .. 200 amps or less $80.30 2
Electrical Contractor New Tech Electric, Inc. _ 201 amps to 400 amps $106.85 _ 2
Add 1400 NE 48th Avenue 401 amps to 600 amps - $160.60 - 2
City Hillsboro State OR Zip 97124 601 amps to 1000 amps $240.60 2
Phone No. 503 - 6481900 over 1000 amps or volts $454.65 2
Job No. Al& 74,r-n Reconnect only E66.85 2
Elec. Cont. Lice_ No. /26 -418C r_xp.Date 4c, Temporary Services or Feeders
OR State CCB Reg. No. 4.1.68" Exp.Date lnda0 amps or less or relocation
200 amp.; or leas $86.65 2
COT Business Tax or Metro No. Exp.Date 201 amps to 400 amps 5100.30 2
1 401 amps to 600 amps 5133.75 2
Signature of Supr. dec'n _ Over 600 amps to 1000 vats,
see °b° above.
License No. `/ S!3 S ,Exp- ate 10 o/ 4d. Brandt Circuits
Phone No. 503 -648 -1900 New, alteration or extension per panel
• a) The fee for branch deans
2b. For owner installations: with purchase of service or •
fwderree
Each branch diwlt 58.65 2
.Print rlheahPr'a IVshmp _ . _ b) The fee for branch circuits
wfarout purdras° of service •
Post -it° Fax Note 7671 Data N of , or feeder fee / //g�
I� - -- pages Fret brand, anylt • / $48.86 4.de� r
To j �� %A . Each additional branch circuit , 4" $6.65 Lff
Co./DA t. �/ e tIAiBC 6aneous
v �i / � _ � d (Samoa or feeder not alluded)
Phone U ' �, `, r , Each pump or irrigation circle 553.40
Each sign oroutGne lighting $53.40
Fa' U Fax 1.543 *.0:11 ;313/ Signal circuit(s) ore limited energy
' panel. alteration or extension _ $75.00
3. plan Kevlew section (It regulreuj; Minor Labels ( 5125.00 •
•
Item and enter fee In section 5B. the Each a le In any l Inspection ve er •
Please check appropriate the allowable In a of the. above
4ormore residential units in one structure Per Inspection $8260
• Service and feeder 225 amps or more Per hour $62.50 •
System over 600 volts nominal In Plant • $73.75
Classified area or structure containing special oacrpartcy as 5 FeeS:
desalted In N.EC, Chapter 5 6 Enter total of above fees $
Submit 2 bets of plans with application where any of the above apply. 876 Surcharge (.06 X total fees) $ - ,.��J T
_ Not required for temporary construction services Eater 5 $
6b. Eater 2576 o18re Se. for
NOTICE Plan Review if required (Sec. 3) $ g
Subtotal S
PERMrTS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED
IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR %T rost Accounts 41868
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS Total balance Due $
AT ANY TIME AFTER WORK IS COMMENCED.
iMsts\ton a\elcctric rev.doc - 8/00
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP .r .
Date Requested / / — / y AM PM BLD
Location 77o) /C S Ai S1 • AY Suite MEC
Contact Person Ph .P3 6 q(f •/f ov PLM
Contractor A/c,( Ph SWR
- BUILDING Tenant/Owner ,)p /z- S' 7 R9 ELC "-&edi E C '07
Retaining Wall ELR
Footing
Foundation Access: , v�
z Grp - � FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler itiltir�_ /�Y
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
CUECTer.AL
Service
Rough In
. UG /Slab
Low Voltage
F'
e Alarm
AS . PART FAIL
S
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk
D / /_ /47- 0-0 Inspector Lei E
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
•