Permit ` CITY OF F T I GA R D ELECTRICAL PERMIT
PERMIT #: ELC2004 -00031
I � DEVELOPMENT SERVICES DATE ISSUED: 1/22/04
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S126C0 -01107
SITE ADDRESS: 09700 SW WASHINGTON SQUARE RD
SUBDIVISION: OOgb1 JGTON SQUARE ZONING. C -G
BLOCK: LOT : JURISDICTION: TIG
Project Description: Install 15 branch circutis in windows.
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: 14 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 GEORGE + SONS ELECTRIC CORP
BY THE MACERICH COMPANY PO BOX 339
9585 SW WASHINGTON SQ. RD. CLACKAMAS, OR 97015
PORTLAND, OR 97223
Phone: Phone: 503 - 654 - 8634
Reg #: LIC 35600
ELE 3 -117C
FEES SUP 31855
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 1/22/04 $139.95
[TAX] 8% State Surcharge 1/22/04 $11.20 Rough -
Elect'l Final
Total $151.15
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 1-800-37
� /9 Permit Signature: ,, /1
Issued By: t.�ilat. Gc�iJ� g � /� --� C
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
01/20/2004 12:00 503- 653 -6886 GEORGE & SONS ELECTR PAGE 01
•
A Electrical P •
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City of Tigard q Data r.s.lrreth ea o� - 00 0
Ctd of d Address: 13125 SW Hall Blvd T , �tl�,agt ��� dim
Rom (!OS) 639-4171 Our kiwi Y: Rapt no.:
Fax: (503) 59a -1960 CITY OF TIGARD Gas le no.,
Load we approval: BUILDING DIVISION °
I 1 1 . 1 1 1 1 1 ' 1 1 t ij 1 1
O 1 tit 2 family due ' . or accessory A Corntnercild/ industrial
Q New cansfrt I o 0Addition/alteration/ 0h id-- 0 ' h improvement
Addition/alteration/replacement v Other o .
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Job adder �`
Lot: ' ��' �-- T ; • . •. ! Bldg. no.: Suite no.:
Subdivision: -
PrO'°0t name:' Description and location of work on premises: . ►'r
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201 to 460 r��� 2
201 ... to .. �'�
601 to ICAO WNW
Phone: I Over IOpO .. or reb �
() ei iaatallatio The iaaailation is being made on property 1 own T ., r t
which is not kneaded for We. last, rent, or exchange f..•taw.eiw�s- .i11 .
according tod1.ernisorMs
ORS 447, 455, 479, 670, TOl , xoo Mettle=
201 .. . to X00 „ . 2
1 S1.1 \ 1 1 I t — Doc: � 401 to 600 ... EM MN . . 2 ME Mind drain - own, ebealy_
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service a hat* ad btend'el nit I
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Fax E -mail: of ...:. at bear 11x, teat; tread Mode
vi \\ !t1 11I 1111'Ir 1 l1( k .III 11■.c1 :1IhlhI%1 �1Noetlbtawhda* �IL'�%1,��iM
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it sob of with oar of Ire oboes. =I ■ in 1 _
number, are rat qplipclle to temporary coartsuctiall service. OILv
itt to pbaiaur , wow co�eat e� Om. ..0 m Iiii
te juriwies far wart ior�s.ti•o. Notice: Thies permit apptir as P+enm Arse S
XV ° a and
•
6 cads - rover t Ii- s r ! -t �. ., 64114:01 if a permit is not obtained P ICYlew (at _ %)
v4 wrtI n 180 days aft= it has bees State sUtdtarge (8%) ...-
a , ■, .� eooapled as ooa►plete. TOTAL
maims owenco8q
CITY OF TIGARD 24 -Hour
BUILDING Inspectiontine(503) 639 -4175 MST
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
off/ /
Received /�! (f= D ate Requested �! 1 2 /d , 7" / AM PM BUP
Location R 7 70a4,4 • (0 • Suite MEC
Contact Person Ph ( ) 65 se PLM
Contractor Ph ( ) SWR
BUILDING Tenan wner 21, �2 �1 i /UAL 4 - ar)0 31
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: ^ //� • ( SIT
Post & Beam V /2 - • S -- S. -IAA) GO IM.G�/L
Shear Anchors 0'A m C`� i o � ��� —o
Ext Sheath/Shear `�
Int Sheath/Shear
Framing
Insulation r � � 2) � j) 0
Drywall Nailing c� ' J l� Y V
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof eqy
I
Other: 1
Final
PASS PART FAIL ��.,
PLUMBING y Post & Beam
Under Slab
—__ Rough -In
V�1ater Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final .)
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service •
Rough -In
UG/Slab
Low Voltage
F = Alarm
1 0147 Reinspection fee of $ required before next inspection. Pay at City ❑ P 4 P Y tY Hall, 13125 SW Hall Blvd.
- ART FAIL
SITE ❑ Please call for reinspection RE: _ ❑ Unable to inspect - no access
Fire Supply Line / /
ADA / ( - 0
Approach/Sidewalk Date Insp = . / ,i/A■le Ext
Other:
Final DO NOT REMOVE this inspection record f om the Jo site.
PASS PART FAIL
r