Permit i. CITY OFTIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00060
i : I n DEVELOPMENT SERVICES DATE ISSUED: 2/4/2005
^VII 13125 SW Hall Blvd.. Tislard. OR 97223 (503) 639 -4171 PARCEL: 1S12600 -00300
SITE ADDRESS: 09700 SW WASHINGTON SQUARE RD
SUBDIVISION: 4(AflIa1GTON SQUARE ZONING: C -G
BLOCK: LOT : JURISDICTION: TIG
Project Description: Lighting for additional 1st fl exit and exit corridor.
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: 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:
PPR WASHINGTON SQUARE LLC GEORGE + SONS ELECTRIC CORP
BY MACERICH COMPANY PO BOX 339
9585 SW WASHINGTON SQUARE ROAD CLACKAMAS, OR 97015
TIGARD, OR 97223
Phone: Phone: 503 654 - 8634
Reg #: LIC 35600
ELE 3 -117C
FEES SUP 3185S
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 2/4/2005 $53.50
[TAX] 8% State Surcharge 2/4/2005 $4 Electrical rough -
Electrical final
Total $57.78
This Permit is issued subject to the regulations co ntained 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- 332 -2344
•
Issued By:":172 / Permit 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 639 -4175 by 7:00pm for an inspection the next business day
02/03/2005 15:42 503 - 653 -6886 GEORGE & SONS ELECTR PAGE 01
�' lec� al
CPermit ADia ' ,
l �� EN I(IK F IIIII( I ■I (1 \I 1
.City of Tigard �,`�V/V Received
13 (23 S W Hall Blvd, Tigard, OR 97223 RAY' Y C )�- Pena; • No ' U40_5'000 ( O
Phone: 503.639.4171 Fax: 503.598.1960 21 ,,, ,:,
Plan Review it: 9
Inspection Line 503.639.4175 FEB 0 3 -i W.- 2 ���e Julie 1r to see Pages for
Internet: www ci.tigard-or.us Rp D�
{ 11 4' ny tt :t ; ;,n s,1r , p � f _ Ltl/ Supplemental [etermade
ateaP.7lItXSi}�y�'li'ie !, r Ci }n�'ti�i,a�if�utri .•!�i
® A .?",.!' . . 1 t :. that apply: , rt ; {
rep !cement Please check all tha ' . �
❑ New construction •
❑ Demolition ❑ Other:
❑Service over 225 amps, ., , 'I DHezaMoua location
' ',',Y, �i tl. 1 .r.,, r , y,:,"�� u�� r n t
b �� ` t' t "l s r AL1a�lutisr ="11",«4 ❑ I- and 2-fszn0
r .,•�^ � ' • ���•� 1 a,; t" ' � � , : n , �; a ;. - _ � _ ❑ Buildng over 10,000 sq. ft.,
of 1- and 2-family dwellings 4 or more new residential
❑ 1 - and 2 - family dwelling ® Commercial/industrial ❑ Accessory building ❑System over 600 volts nomi units in one structure
❑ Multi-fimily ❑ Master builder ❑ Other: ['Building over throe stories ['Feeders, 400 amps or more
7 „� l'116' ih {� I iY h: a tl ��µl { � , ,t ..,- : � a , ° 1yI I� �'.1 + i DOe pant load over 99 pe . . ❑Manufactured
! `, ta � t l��' 1 " � IL.,� 1VWVi - . n i '''11411 oY l! q 21' t � r''' 1 o d RS or
.' �� " " �asu it% ❑Egnasnighlmg RV park
Job no.: MA Job site address: 9» sy r DHealth•care facility ❑Other •
"v " "` Submit 2 sets of plans with any . f
City /State/Z1P: y the above
The above are not applicable to porary construction service.
Suite/bldgJapt. no,: Project name; o a f „Ohl . alter fori J ° '` ` t y1�', • + •
Cross street/directions to job site: "tP"0 �• Fee. ratan ••
New residential !!ogre. or mu) family dwelling unit.
Includes attached garage.
1,000 sag. ft. or less 145.15 4
Subdivision; Lot no.: Ea, add'' 500 sag ft or portion II 33.40
Tax map /parcel no.: Limited energy, residential = 75.00 2
(' r i +
E "'' ;p ;�� t' , °���•upr , :� Limited energy, turn- residential p_ 75.00 2
ilia 51111 1 dita fIF1 RMAI.:.
'�' �' ( Each manufactured of modular
_ dwelling, service and/or feeder I■ 90.90 2
Services or feeders Installation, Iteration, and/or relocation
rfFIEffipl!gil!!fli , •. 1',vu.�s m;1��j:� �F4+::uu�„•..m11,� . I ce 200 amps Of less I- 80,30 r 2
� :4m r �,1 itieltiliri(tinthitINIIN...1 ;t ∎:a't' .0 TENANT' • 201 amps to 400 amps I- 106.85 2 • 401 amps to 600 amps 160.60 2
Name:
601 amps to 1,000 amps - 240.60 2
Address; Over 1,000 amps or volts ' 454.65
2
City/State/ZIP: Reconnect only 66 85 2
Temporary services or feeder. I l ' alteration, and/or
Phone: ( ) 1 Fax: ( ) relocation
Owner Installation: This installation is being made on 200 amps or less 66.85 1
intended for sale, lease, rent, or exchange, ac to OR
property , 449, 670, and 70 not 201 ! am ps to 400 amps 100.30 2
^ 401 amps to 600 amps 133.75 2
Owner signature: Date: Branch circuits - new, alteredo. or extension, 1 � y ! ,per panel
t
i� ru ;la 1 , � 5 �r�i , A PERSON '• A Fee for branch circuits with
Business name: service or feeder fee. each
b rdt circuit 6.63 ■ 2
Contact name B. Fee for branch circuits
wrrhoat service or feeder fee,
Address: _ each branch circuit / 46.85 2
Each add'' branch circuit 6.65 2
City /State/ZIP: MIscNlaneous (service or feeder , . 'Deluded)
Phone: ( ) Fax.: ( ) Pump or irrigation circle 53.40 2
E -mail: Sign or outline lighting 53 40 2
IEMOr (jl,i>m`I: ,•,,,,,..i,,,�,�*�Mr, Signal cireuit(s) or limited-
ii Y- +�41atitl'd,1;wi'��r.•a'' �.. r. 1,.... energy panel. alter Or
extens De sc r ibe: Page 2 2
Address: P G , O J, y � Each additional inspection over owable In any of the above
'�J Per inspection .: 62.50
City /State /ZIP: L O R - 7G✓f" Investigation per hour ( I hr loin) 1 62.50
Phone: 0 )4 — - Fax: ( j) d� Industrial plant per hour .� 73 75
CCB Lic.: - X 86 �. »,-
�f640 E lectrical Lie.. $//7- c Suprv. Lic.3 / as ,s. c : y1� Subtotal .a "•,:,::`, •-
Subtotal 57.10
Suprv. Electrician signature, required: Plan review (25% of . it fee)
Print name: ' - t Date: - State surcharge (8% of , a$
O
Authorized signature: • .
TOTAL PE r* � y e 0
--'I Tem pe application expires If a • - mit is not obtal - within 180
Print name days after It has ban a • pied a, complete
Date: • Fee methodology set by Tri -evunty B (ding Industry Service Board
•• Number of inspections per permit alto -
1likdd+ng emoitst6LCr➢ermaApp doe 17/03 440- 4615T( 10/02/COM/WEB
CITY OF TIGARD 24 -Hour 1 ,
BUILDING , InspectiorTLine (503) 639 -4175 MST
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested 3 — 1 AM PM BUP
Location 7' Ll.) f ` SQ. Suite MEC
Contact Person Ph ( ) 6S g6,3( PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC 02(x7, s Ooo
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
P ASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water 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
FAIL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
SS- ART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE ❑ Please call for reinspection RE: 0 Unable to inspect — no access
Fire Supply Line
ADA •
Approach/Sidewalk Date G 5- Inspector Ext
Other:
Final DO NOT REMOVE this Inspection record from the j ,b site.
PASS PART FAIL
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