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Permit CITY OF TI G A R D ELECTRICAL PERMIT PERMIT #: ELC2001 -00096 1i DEVELOPMENT SERVICES DATE ISSUED: 3/26/01 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S126C0-01107 SITE ADDRESS: 09455 SW WASHINGTON SQUARE RD A -15 SUBDIVISION: WASHINGTON SQUARE ZONING: C -G BLOCK: LOT : JURISDICTION: TIG Project Description: Commercial TI - Job No. 90124. 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: 1 W /SERVICE OR FEEDER: 56 PER INSPECTION: 201 - 400 amp: 1 1st W/O SRVC OR FDR: PER HOUR: 401 - 600'amp: EA ADD'L BRNCH CIRC: 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 Ceiling Cover PRMT CTR 2/13/01 $559.55 2720010000( Wall Cover PLCK CTR 2/13/01 $139.89 2720010000( Underground Cover 5PCT CTR 2/13/01 $44.76 2720010000( Elect'I Service Elect'I Final Total $744.20 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 -0080. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -1987. PERMITTEE'S SIGNATURE ( az -' 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 1 / 3/ - Electrical PermitAApplication t r ' . Date received: o -/3 _ a 0 t Permit no.: / DO I _,. • % _, ' j 1 City of Tigard !: _.,,. Project/app I. no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd, Tigari, OR 97223 Date issued: By: Receipt no.: t Phone: (503) 639 -4171 Fax: (503) 598 -1960 Case file no.: Payment type: C Land use approval: /f 'j . . ;', ,I1'PE OF PERMIT` t' - .. 0 1 & 2 family dwelling or accessory 0 Commr:rcial/industrial 0 Multi - family Tenant improvement 0 New construction Cl Additic n/alteration/replacement 0 Other. D artial JOB SITE INFORMATION - _ . Job address. la w / - / ..1 ' '` Bldg. no.: Suite no.: Tax map /tax lot/account no.: Lot; 4 B k: Subdivisi.n: . Project name• ��� �� Descrij on and location of work on premises: Estimated date of completion/inspection: - - gIVIIIlfillfEIJtI:1W4r1LVIMPN O)DIF, 4. Ili 111 ' 77 . 7 " ---7 7' 7 . - - Job no: 9'' / 4/ Fee Max Business name: New Tech Electric Description Qty. (ea.) Total no. limp Address: 1400 NE 48th Avenue New residential -single ornmtti- famByper dwelling tilt. Includes attached garage. City: Hillsboro I StateOR I 2,1P: 97124 Serviceinehtded: Photo 3- 64 8 -1900 I Fa,6 4 8- 3131 l E -mail: 1000 sq. ft. or less 4 CCB no.: 41868 I Elec. bus. lic. no: 26 -418C - Each additional 500 sq. ft. or portion thereof City /metlSCZ� :) Limited energy, residential 2 Limited mited energy, non - residential 2 / .2-9-0/ Each manufactured home or modular dwelling • Signature of su . g el ician (required) Date Service and/or feeder I , Sup. el name(print)j 1 i vy • L C -ow uznse no: Services orfeeders— Installation, i alteration or relocation: ' . PROPERTY OWNER 20t) am I ps or less . Q / 2 Name (print): 201 amps to 400 amps / / . , • 2 Mailing address: 401 amps to 600 amps • 2 601 amps to 1000 amps 2 City: State: 22P: Over 1000 amps or volts 2 Phone: Fax: E -mail: Reconnect only 1 Owner installation: The installation is being made on property Iowa Temporary servicesor feeders - ... which is not intended for sale, lease, rent, or exchange according to alteration orrelocation: ORS 447, 455, 479, 670, 701. 200 amps or les J _ 2 201 amps to 400 amps 2 Owner's signature: ate: 401 to 600 2 Branch circuits - new, alteration, _ or extension per panel:: I Name: A. Fee for branch circuits with purchase of Address: service or feeder tee, each branch circuit 1 J, 2 Sh ;2P B. Fee for branch circuits without purchase of service or feeder fee, first branch circuit: • Phone: Fax: E-mail: Each additional branch circuit: . PLAN REVIEW (Please check, all tha : M> se.(Senice orfeedernotIncluded): Cl Service over 225 amps - commercial 0 Health- carefacility Each pump or irrigation circle, 2 0 Service over 320 amps - rating of 1 &2 0 Hazardous locaticn Each sign or outline lighting i 1 2 family dwellings 0 Building over 10, )10 square feet four or Signal circuit(s) or a limited energy panel, 0 System over 600 volts nominal more residential units in one structure alteration, or extension* , j , , • I 2 more 0 Building over three stories 0 Feeders, 400 amp : or am • s .PAN . n: �016J1 tM11 e L � • 0 Occupant load over 99 persons 0 Manufactured strictures or RV park Each additional inspection over the allowable in any of the above: O Egress/lightingplan 0 Other Per inspection _ I I I I Submit sets of plans with any of the above. - Investigation fee - The above are not applicable to temporary construction service. Other G� Not all jurisdictions accept credit cards, please call jurisdiction for more inf. emadan. 10 Visa ❑MasterCard Notice This permit application Permit fee �`� - 5 •jS expires if a permit is not obtained flan review (at _ %) $ 2. - I t61,p 1 Cmm& card numoer: _ / / within 180 days Ef cr it has been State surcharge (8 %) .... $ _ / / ' a p. T OTAL ' • I J ' ■ I Exres I accepted as complete. $ I l l Name of cardholder m shown on edit car � D $ Cardholder Signature Amount 1-4615 (6ANC . _ L '31 .•,. ' 5 aib i-7)3 • • _ •. . • • r • ....• • is g bC hod -- 27) L s b • _ Eret,trical Permit Fees: Limited Energy Fees: TYPE OF WORK INVOLVED - RESIDENTIAL ONLY Complete Fee Schedule Below: Restricted Energy Fee $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total `i' Check Type of Work Involved: Residential - per unit 1000 sq. ft. or less $145.15 4 ❑ Audio and Stereo Systems Each additional 500 sq. ft. or portion thereof $33.40 1 ❑ Burglar Alarm Limited Energy $75.00 Each Maned Home or Modular ❑ Garage Door Opener` Dwelling Service or Feeder $90.90 2 Services or Feeders ❑ Heating, Ventilation and Air Conditioning System' Installation, alteration, or relocation Q /, 200 amps or less l $80.30 8b / i] 2 -1-1 Vacuum Systems' 201 amps to 400 amps / $106.85 • ern 2 401 amps to 600 amps $160.60 2 601 amps to 1000 amps $240.60 2 ❑ Other Over 1000 amps or volts $454.65 2 Reconnect only $66.85 2 Temporary Services or Feeders TYPE OF WORK INVOLVED - COMMERCIAL ONLY Installation, alteration, or relocation Fee for each system $75.00 200 amps or less $66.85 2 (SEE OAR 918-260 -260) , 201 amps to 400 amps $100.30 2 401 amps to 600 amps $133.75 2 Check Type of Work Involved: Over 600 amps to 1000 volts, see "b" above. Audio and Stereo Systems Branch Circuits n Boiler Controls New, alteration or extension per panel a) The fee for branch circuits with purchase of service or Clock Systems feeder fee. 3 7a � 7 qt)2 Each branch circuit ,S (p $6.65 ❑ Data Telecommunication Installation b) The fee for branch circuits without purchase of service ❑ Fire Alarm Installation or feeder fee. First branch circuit $46.85 Each additional branch circuit $6.65 ❑ HVAC Miscellaneous ❑ Instrumentation (Service or feeder not included) Each pump or irrigation circle $53.40 ❑ Intercom and Paging Systems Each sign or outline lighting $53.40 i / Signal circuit(s) or a limited energy ❑ Landscape Irrigation Control' ' panel, alteration or extension $75.00 Minor Labels (10) $125.00 ❑ 03 Medical n ^ , Each additional inspection over C/vJ V �(1 the allowable in any of the above ❑ Nurse Calls ' 1� Per inspection $62.50 Per hour $62.50 ❑ In Plant $73.75 Outdoor Landscape Lighting' Fees: . ` ( Protective SignalindX9—l'Y'L_ // {nP Enter total of above fees $ a r v3" ` l Other 0 % - </`' e 8% State Surcharge $ . .Y2_7 " I Number of Systems 25% Plan Review Revi ew" section on $ / Fee See "Plan Revi 3 £ i UX - • No licenses are required. Licenses are required for all other installations front of application. l (� �/ Fees: Total Balance Due $ I / ` zO Enter total of above fees $ '7,C' 7 ❑ Trust Account # 8% State Surcharge $ lD .13-0 ,�,1 Total Balance Due $ V I r v v Bdsts\for ms\eic- fees.doc 10/09/00 CITY OF TIGARD BUILDING INSPECTION . >> 24 Hour:Inspection Line: 639 -4175 Business Line: 639 -4171 MST BUP , Date Requested 3" AM PM BLD Location fiefs" 5 t/ Gv4 )h 5 4 Ad Suite /'� ' 6 MEC Contact Person / Ph G u r 14 PLM Contractor OV & � '-ec Ph SWR BUILDING Tenant/Owner J) V t ( 10 AL g -eel-( 2 ELC Zl�1 t'v Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation , � _ Drywall Nailing , L/ ` /' 7' C-/ 4J7 Firewall Fire Sprinkler / 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 4.1.52-seicA Service UG /Slab Low Voltage Fire Alarm Fin - ART FAIL 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 Other Date . J 7 Q Inspector / Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. • • CITY OF TIGARD BUILDING INSPECTION DIVISION /' 244foui ispection Line: 639 -4175 Business Line: 639 -4171 MST BUP Date Requested 3, Z f AM PM BLD Location 9 (/ 5 - > Sw wq3 hi 5/ AI Suite A-."- MEC Contact Person (3k c,v L0641(.514 Ph 6 PLM Contractor Ph SWR BUILDING Tenant/Owner ELC 2. /r/ GU b y Retaining Wall ELR . Footing Access: Foundation 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 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 C . • Service CA/q.e, Ccv G Rough In UG /Slab Low Voltage Fire Alarm T FAIL SITE 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 rei, spection RE: ] Unable to inspect - no access - ADA Approach /Sidewalk ai• Other Date .1 Inspector Ext Final PASS PART FAIL DO NOT REMOVE thisinspection record from the job site. /. 0® CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour inspection Line: 639 -4175 Business Line: 639 -4171 BUP _ Date Requested Z/ — I ( AM PM BLD f Lip Sw &' , k S, frel - Suite 4-- S MEC Contact Persordal Il 4- 8e' Ph to u, v PLM Contractor Ph SWR //� o9G BUILDING Tenant/Owner //4" ct ! r! 7 , • ELC �ivl Retaining Wall _ ELR Footing Access: Foundation 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 g 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 T FAIL E _ ery Cp f m C GV4' . Rough In UG /Slab Low Voltage Fire Alarm. . . Final - fra, PART FAIL SITE 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 a t e / 'V Other % / O Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from .the job site: CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24H_our inspection Line: 639 -4175 Business Line: 639 -4171 - ' e L/ BUP � )) Date Requested T AM PM BLD Location q v$$ s jam() k. S,. Suite MEC, Contact Person `,u a Ph &'V 8 - PLM Contractor A/ �Ce_4- Ph SWR BUILDING Tenant/Owner ELC ''Z — cx) c Retaining Wall _ EL R Footing Access: Foundation 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 Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL PLUMBING • • Post & Bean . 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 T FAIL • L C L Rough In UG /Slab Low Voltage Fire Alarm. Fin - PART FAIL • BackfilUGrading ' 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: [ nable to inspect - no access ADA Approach /Sidewalk Other Date T – 0/ Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION . MST 24 =Hour Inspection Line: 639 -4175 Business Line: 639 -4171 - BUP Date Requested -L3 AM PM BLD , Location r +1r Sc.d 1 , 'h $4 sf itA' Suite MEC Contact Person C 94r 4 GPa i Ph fi`f .el U PLM Contractor Ph SWR BUILDING Tenant/Owner ELC 2 e,a — G0D r l Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Drywall Nailing Insulation id C Drywal 160 / eC? Y Firewall Fire Sprinkler _ Fire Alarm . Susp'd Ceiling Roof / C_ / — — ..5 . 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 4-tECTRT . Service • Rough In UG /Slab Low Voltage Fire Alarm S ART FAIL • E 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 a t e 1 / _ 2 ^ 3 — 6 111S actor Ext Other p Final PASS PART FAIL . DO NOT REMOVE this inspection record from the job site. .