Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2000 -00265
44 4101 4 DEVELOPMENT SERVICES DATE ISSUED: 05/19/2000
„- I 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
PARCEL: 1 S126C0 -01107
SITE ADDRESS: 09469 SW WASHINGTON SQUARE RD
SUBDIVISION: ZONING: C -G
BLOCK: LOT : JURISDICTION: TIG
Project Description: Install 8 branch circuitsin existing commercial building.
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: 7 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 HASKIN ELECTRIC INC
BY THE MACERICH COMPANY 6307 -B NE ST JOHNS RD
ATTN: JANET FISHER, ASSET MGNT VANCOUVER, WA 98661
SANTA MONICA, CA 90407
Phone: Phone: 360- 735 -0898 K31 µ Reg #: LIC 00064312 _1 ` ' ° E j I
SUP 3178S
ELE 37 -400C
FEES Required Inspections
Type By Date Amount Receipt Elect'I Service
PRMT KJP 05/19/200C $74.95 0002323 Elect'l Final
5PCT KJP 05/19/200C $5.99 0002323
Total $80.94
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 rule r direct questions to OUNC at (503)
246 -1987.
PERMITTEE'S SIGNATURE , I UED BY;4"
'< <: ' NE STALLATION 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: 31 7 S'S
Call 639- 41751by 7:00pm for an inspection the next business day
MAY -19 -00 FRI 12:54 PM HASKIN ELECTRIC 360 735 1196 P.
i CITY OF TIGARD Plan Check # - �„�,__i
I ' ' . .131 25 SW HALL BLVD. Electrical ��rmit Application Recd B ^_
Date Recd
TIGARD OR 97223 Date to P.E. _
Phone (503) 639 -4171, x304 Date to DST __�,•_
Inspection (503) 639 -4175 Print of Type Permit #F LC ZOOO -y ous
Fax (503) 593 -1960 Incomplete or illegible will not be accepted tatted
1. Joh Address: 4. Complete Fee Schedule Below:
Name of Development V Number of Irspecttons per permit allowed
Name (or name of business) 0 N Ce 5 F110A, Service included: Items Cost Surt7
Address (N 1 5w t Z�1t, ,,n_ .,,,, 2G aa. Residential - per unit - -
City/State/Zip r v -� t) O 1 2. Each ad or less 5 117.75 4
p f Each addi [ional 500 sq. ft. or
portion thereof _ S 26.15 1
Commercial cg Residential ❑ Limited Energy S 60.00 __
Each Maned Home or Modular
2a. Contractor installation only: Dwelling Service or Feeder S 72.75 2
(Prior to permit Issuance, applicants most provide contractor license ab. Services or Feeders
information for COT data base). Installation. afteranon, or relocation
Electrical Contractor " y. ,y e `E CTY2- I C,,..A lam. 200 amps or less 5 64.25 __ _ 2
Addreg5 62307 - R, NE. " -r• � r t 1,-)$ '� 201 amps to 400 amps $ 55.50 2
/ 2( 401 amps to 600 amps S 125,50 2
V. City • \f ,State to zip 9 { - 1 601 amps to 1000 amps 5 192.30 ----- 2
Phone No. 7 Z 3% -1013j Over 1000 amps or volts $ 363.75 2
Job No. Recanneid only $ 53.50 -- - - - -- 2
Elec. Cont. Lice. No.3'7 C Exp.Date 10 O/ eJ ac. Temporary Services or Feeders
OR State CCB Reg. No. 3 12 Exp.Oate 74 installation, alteration, or relocation
COT Business Tax or Metro No OOebrj9�9 embate c - 200 amps or less S 63.50 2
201 amps to 400 amps $ 80.25 2
Signature of Supr. EIec'11 e 401 amps to 600 amps s 107.00 ..._,.....m.„._ 2
Over 600 amps to 1000 volts,
3 k - 7c� Io/dl jo , see "b" above_
License No O .Date - 16 _o _ f b1 awl see Branch Chou
Phone NO. � ? CA �( J ` New alteration or extension per panel
a) The fee for branch circuits
2 For owner installations: with purchase of service or
feeder fee -
Print Owner's Name _ Each branch circuit S 5.35 2
Afidre s b) The fee for branch circuits - --
without purchase of service
City ..,.• • . _ State , Zip - ^ -- . or feeder fee,
Ph011e No. _ First branch circuit I S 37.50 37 ' 5D
Each add tional Drano circuit _ "7 $ 5.35 �
The installation is being made on property I own which is not . 4e. Miscellaneous ys
intendeq for sale. lease or rent. (Service or feeder not lnaudeo)
Each puny or irrigation circle _ $ 42.75
Owners Signature ._._ Each sign or outline lighting $ 42 75 '" __�
-- - -• -- -- •- • - Signal ere.11(s) ora limited erner v - - -
* panel, elt,fretion or extension s MOO 3. Plan Review section (if required):* Minor Labels (10) S 14,1,08
Please check appropriate Item and enter fee in section 5B. 4f. Each additional Inspection over Mier.
4 or more residential units in one structure the alfarrabte in any of the above
_____ Service slid feeder 225 amps or more Per inspection S 50.00
Per hour _ S 50.00 _ " --
__ ___ __System over 600 voas nominal In Pip! S 59.00
._ -_ -_ _ Classified area or structure containing special occupancy as -- 7 9 ''-
aascribed in N.E,C, Chapter 5 5. Fees: ' 7
5.3_ Enter total of above fees
- Submit 2 sets of plans with application where any of the above apply. n "A Surcharge (.or x total fees) 5 s,
Not required for temporary construction services. 4 Subtotal .eo S I, g
Sb. Enter 25% of line Sa 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 E:1 Trust Amount* ��
AT ANY TIME AFTER WORK IS COMMENCED, T otal balance Due �_ �, �,(� $
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested �1 ( / /Oo AM 1C PM BLD
Location q I lO e t 04-S t SG GLd1i'‘Ituite MEC
Contact Person tA Ph ¢o- PLM
Contractor Ph osc/ g SWR
BUILDING Tenant/Owner 6 NG ELC W05-002 SOS
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
Roof 4q/
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
ECTRIC
Service
Rough In
UG /Slab
Low Voltage
Fir larm
ART 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: I [ ] Unable to inspect - no access
ADA Q
Approach /Sidewalk D C� ` r DD Inspector i _ � �� Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.