Permit CITY OF T I G A R D ELECTRICAL PERMIT
PERMIT #: ELC2000 -00447
��ll. ,.DEVELOPMENT SERVICES DATE ISSUED: 8/3/00
=-'' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 1 S126C0 -01107
SITE ADDRESS: 09459 SW WASHINGTON SQUARE RD A -14
SUBDIVISION: WASHINGTON SQUARE ZONING: C -G
BLOCK: LOT : JURISDICTION: TIG
Project Description: Electrical TI work, one 200 amp service or feeder and 35 branch circuits.
Job No. 3037.
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: 35 PER INSPECTION:
201 - 400 amp: 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 ELECTRICAL DIMENSIONS INC
BY THE MACERICH COMPANY PO BOX 12146
ATTN: JANET FISHER, ASSET MGNT 3961 SW WILLAMS AVE
SANTA MONICA, CA 90407 PORTLAND, OR 97212
Phone: Phone: 282 -7255
Reg #: LIC 00044008
SUP 2964S
ELE 26 -432C
FEES Required Inspections
Type By Date Amount Receipt
Elect'l Service
PRMT DEB 8/3/00 $251.50 0004187 Elect'l Final
5PCT DEB 8/3/00 $20.12 0004187
Total $271.62
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 e- es or direct questions to OUNC at (503)
246 -1987.
•
PERMITTEE'S SIGNATURE / / ( ISSUE 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
AMP
SIGNATURE OF SUPR. / ELE 'N: ./ , / , iSf f '4`,�` DATE:
LICENSE NO: dl 6
Call 639 -4175 by 7:00pm for an inspection the next business day
CITY OF TIGARD Electrical Permit Ap Plan Check # �/J
13125 SW HALL BLVD. Rec'd By
TIGA � `'1
,D 6 97223 0�
/ A1 Date Rec'd 7 -: 5 / DO
Phone (503) 639 -4171, x304 � 0- JUL 3 1 2000 Date to P.E. ��
Inspection (503) 639 -4175
Print of TAINAMINTY DEVELOPMENT Date to DST permit # f GL' p -6 07
Fax (503) 598 - 1960 Incomplete or illegible will not be accepted Called
1. Job Address: -rr� v 1 4. Complete Fee Schedule Below:
Name of Development'A1! Number of Inspections per permit allowed
Name (or name of business) roar oc,/tS Service included: Items Cost Sum
Address (
S SCt) ( f - 1 _ AO le 4/Lt 4a. Residential - per unit
City/State /Zip 47 / OR 1000 sq. ft or less $ 117.75 4
Each additional 500 sq ft. or
portion thereof $ 26.15 1
Commercial n Residential ❑ Limited Energy $ 60.00
Each Manufd Home or Modular
2a. Contractor installation only: Dwelling Service or Feeder $ 72.75 2
(Prior to permit issuance, applicants must provide contractor license 4b. Services or Feeders
information for COT data base). " Installation, alteration, or relocation
Electrical Contractor 4 L`AY / 5 200 amps or less t $ 64.25 r 26
2
r r 201 amps to 400 amps $ 85.50 2
Address lol &J. ti)--LC� t' L 401 amps to 600 amps $ 128.50 2
City State ��lp '7 1221 601 amps to 1000 amps $ 192.50 2
Phone No.' 2. 7Z5?` Over 1000 amps or volts $ 363.75 2
Job No. "?-,( , . Reconnect only $ 53 50 2
Elec. Cont. Lice. No.2.4 - q 32C. Exp.Date loo 1 /O0 4c. Temporary Services or Feeders
OR State CCB Reg. No. Lit-too Exp.Date Installation, alteration, or relocation
COT Business Tax or Metro No. I '7 y Exp.Date 7 I/60 200 amps or less $ 53 50 2
201 amps to 400 amps $ 80 25 2
401 amps to 600 amps $ 107 00 2
Signature of Supr. Elec'n
.1 Over 600 amps to 1000 volts,
License No. 29 a -S Exp.Date /0/-)//0/ see "b" above.
4
4d. Branch Circuits
Phone No. 2.82.-7 7 c-SS New, alteration or extension per panel
a) The fee for branch circuits
2b. For owner installations: with purchase of service or
feeder fee. //
Print Owner's Name Each branch circuit �j /(p $ 5.35 2.5 2
Address b) The fee for branch circuits
without purchase of service
City State Zip or feeder fee.
Phone No. First branch circuit $ 37.50
Each additional branch circuit $ 5.35
The installation is being made on property I own which is not 4e. Miscellaneous
intended for sale, lease or rent. (Service or feeder not included)
Each pump or irrigation circle $ 42.75
Owner's Signature Each sign or outline lighting $ 42.75
Signal circuit(s) or a limited energy
panel, a alteration or extension $ 60.00
3. Plan Review section (if required):*
Minor Labels (10) $ 36.90
Please check appropriate item and enter fee in section 5B. 4f. Each additional inspection over /DA 40
4 or more residential units in one structure the allowable in any of the above
Service and feeder 225 amps or more Per inspection $ 50.00
Per hour $ 50 00
System over 600 volts nominal In Plant $ 59.00
Classified area or structure containing special occupancy as
described in N E C Chapter 5 5. Fees:
5a. Enter total of above fees $
* Submit 2 sets of plans with application where any of the above apply. re Of Surcharge ( 85 total fees) $
Not required for temporary construction services. Subtotal ' ‘' I.. - $
5b. Enter 25% of line 5a for
NOTICE Plan Review if required (Sec 3) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $
IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account #
AT ANY TIME AFTER WORK IS COMMENCED Total balance Due $ - 2:7( ' 62-
is \dsts \forms \e lectric.doc
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 7 AM PM BLD
Location 0 5w co 4/5A Sy A'91 Suite 47/ ti MEC
Contact Person 415 - I Ph' 2sj2 7 Z 57) PLM
Contractor Ph X 2 r SWR
BUILDING Tenant/Owner ELC 14/ d'U #5
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 ti e - _t /.
Fire Alarm ,,
Susp'd Ceiling C - � ec..- /,, poi^ m 7) Yli �°YJ / Q P [ _ )
Roof
Misc: �j-
Final / �5 S tom. c �. i c pi AI Q l — cs € A C- k -
PASS PART FAIL
PLUMBING
Post & Beam Old •
Ct° </ Under Slab l yl r
Top Out
Water Service
Sanitary Sewer l l U14 / /
Rain Drains /6L' S�
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
ART FAIL
ELECTRIC
`service
• Rough In ( ce'.
UG /Slab
Low Voltage
Fir- ._
4410 PART 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
Otheoach /Sidewalk Date ? 7-0 5 Inspecto p ,V/ E
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
G BUP
Date Requested 0'" Z AM PM BLD
Location FA-'? w Wm( s( 9, Cfreila-ch/9 Suite 1 / y MEC
Contact Person Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC 0 2-40-4(1-1 ,41 %c c' 7
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 f'' - - /
Firewall
Fire Sprinkler
Fire rm -e
oof
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 ART FAIL
ELECTRICA
ervice
Rough In cellro1
UG /Slab C c•v
Low Voltage
Fire Alarm
Final
PASS PART 740
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 Inspector Ext
Other p
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 AM PM BLD
Location 9 y 5 - 1 5'7/ tfAii. 53, E atKid4-) Suite /7 - / MEC
Contact Person / Ph -7Zf PLM -
Contractor ! / rt.f2 - -C— D e ,�S Ph $� 2.4 r SWR
BUILDING Tenant/Owner ELC `- !i U U �(
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
Fire wall
Fire Sprinkler e- a- rffik
Fire Alarm
Susp'd Ceiling
Roof
IO
Misc: y
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
ELECTRICAL
ervice
Rough In
UG /Slab
Low Voltage
Fire larm
'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 r inspection RE: 'Unable to inspect - no access
ADA
Approach /Sidewalk
Other Date Ext
Final
PASS PART FAIL D N 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
7 `C Date Requested �� - Z 5- Od AM PM BLD
Location '94 5 'O k-"? 5,4e ul e. MEC
Contact Person /1 Ph a 01 dgo' PLM
Contractor Ph SWR
BUILDING Tenant/Owner r ELC L O ' IVO /7
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 r •
MECHANICAL .
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
.131{1DRI-
Service � 9
G�
UG/Slab
Low Voltage
Fire Alarm
M i g - SPART 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 Da
Othe Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.