Permit `- CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00101
41
•, DEVELOPMENT SERVICES DATE ISSUED: 2/23/2005
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09530 SW WASHINGTON SQUARE RD
SUBDIVISION: WASHINGTON SQUARE ZONING: C -G
BLOCK: LOT : JURISDICTION: TIG
Project Description: Install fixture in millwork, (1) branch circuit.
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: 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:
WASHINGTON SQUARE LLC OREGON ELECTRIC CONST /GROUP
BY THE MACERICH COMPANY 1010 SE 11TH AVE
9585 SW WASHINGTON SQUARE RD PORTLAND, OR 97214
TIGARD, OR 97223
Phone: Phone: 503 - 535 -2652
FEES Reg #: LIC 203
SUP 4460S
Description Date Amount
ELE 26 -95-95
C
[ELPRMT] ELC Permit 2/23/2005 $46.85
[TAX] 8% State Surcharge 2/23/2005 $3.75 REQUIRED ITEMS AND REPORTS
Total $50.60
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- 332 -2344
Issued By: r�� Permit Signature: ..5.,/2e,
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
•
FG4 -21 -2005 12:19PM FROM-OR ELECTRIC SERVICE 5035352763 T -356 P.001 /001 F -250
t c ai rermt >s r► C - _ � .
C ity of Tigard 'f
13125 SW Rail Blvd., Tigard, OR 97223 Plan Re view
Othor Permit:
Phone: 503.639.4171 fax: 503.598.1 [[pp ', i i De y' Aais 9oepge
Inspection Line: 503.639.4175 GD , 200 ,.- -0-4- . , I � adY od -) I si
Internet: www.oi tigard.or -us -
U 41* 1116AI , PLAN REVIEW
Please check oil that apply:
0 New construction ❑ Service over 225 amps. ootr®1 ❑Hozardou9location
❑ Demolition ❑ Other OServ►a over 320 amps - rating ❑8mldstg over 10,000 sq. 9..
CATEGORY OF CONSTRUCTION oft- and 2- family dwellings 4 or more new residential — ['System over 600 volts nominal units in one structure 1 - and 2 dwelling Commercial/industrial ❑ Accessory building ❑Building over three stories ❑Feeders, 400 amps or more
❑ Multi ❑ Master builder ❑ Other: _ ['Occupant load over 99 persons ❑Maaufn toted structures or
csa4i a
,SOB SITE INFORMATION AND LOCATION ❑ �" g p lan RV park [ 0ilealth•care facility
Job no.: 84692 Job site address: 9530 SW Washington Square Submit 2 sets of plans with any of the above.
The above are not applicable to temporary construction service.
City/State/ZIP: Tigard OR 97223 FEE' SCUPDULE
Suite/bldgJapt no.: - 1 6 I Project name: Apple Computer 11eO rm Tarot •"
Cross street/ditectons to job site: _ New residential single- or mdtl -famUy dwelling wilt,
_ Includes attached garage.
1,000 sq. R or less 145.15 4
—.-- Ea add'I 500 sq. R or portion 33 I -
Subdivision Lot no.: Limited energy. residential 75.00 2 �.
Tax map/parcel no.: Limited energy, ntm- residential 75.00 2
DESCRIPTION OF WORK Each tttanufacaued or modular 90.90 2
dwelling, service and/or feeder
install fixture in millwol k _ Services or feeders h stallation, alteration. and/or relocation_
_ 200 amps or less 80.30 2
201 amps to 400 amps � 106,85 2
PROPERTY OWNER I ❑ TENANT 401 amps to 600 amps 160.60 2
Name: Apple P
le Coro uter 601 amps to 1,000 amps 240.60 2
_ - 454.65 2
-
- Over 1,000 amps or volts
Address: 9530 SW Washington Square Rd _ Reconnect only 66.85 2
City/State/ZIP: Tigard, OR 97223 Temporary services or feeders installation, alteration, and/or
relocation
Phone: (61722 -7000 I F ( ) 200 amp or less 66.85 1
Owner installation: This installation is being made on properly that 1 own which is twt
_ 201 amps to 400 amps 10030 2
intended for sale, Ieese, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2
Owner signature' _ Dat e: - ^ Branch cireults - new, alteration, or extension, per panel
I ❑ CONTACT PERSON A. Fee for branch circuits with
❑ APPLICANT — service or feeder fee, each 6.65 2 •
- - branch circuit
Business name: branch
Fee for branch circuits
Contact name: without service or feeder fee, I 46.85 i i` ' bC 2
each branch circuit 2
Address • -
WI _ EaWI branch circuit 6.65
Miscellaneous (service or feeder not included)
City/State/ZIP: ,_p or irrigation circle 53 -40 2
1 Fax:: ( ) S ign or outline lighting 53.40
Phone: ( ) - ' Signal eircuit(s) or limited -
E - mail: energy panel, alteration, or
CONTRACTOR extension_ Describe: Pag 2 2
Business name: Oregon Electric Group eclion over allowable in any orate shove
.. Each additional ias�
Address: 1010 SE 11th Ave Per inspection 62.50
City/State/ZIP: Portland, OR 97214
Investigation per hour (1 hr min) 62.50
_
industrial plant per hour 73 -75
Phone: (503) 234-9900 I Fax (503) 535-2763 ELECTRICAL PERMIT FEES'
CCB Lic.: 203 Electrical Lic.: 26-95C Suprv. Lie.: 4460S
Subtotal `/ 1. - YC
Suprv. �,/�� plan review (25% of permit fee) -- -
ttprv. Electrician signature, required: /f.;f�!_�rnAi�
j���//ff ,`tarn surcharge (8% of fee) 3 . - 7 �
• Print name: /r(�T'"L 4' ei I s ' : 4k4/ TOTAL FERMI_ FEE SO • G c'
Authorized signature. / This permit application aspires It • permit Is not obtained winds' ISO
i / Lam der filer It bar been accepted is Complete
Print name: Jf / �% /e /7:: /j ( Date: 0/2 - • Fcc m ethodology wet by e utty Building Industry Service Board
" Number of inspections per r permit allowed.
CITY OF TIGARD 24 -Hour
BUILDING : Inspection Line: 639 -4175
INSPECTION DIVISION"' Business Line: (503) 639 -4171 MST
BUP
Received q Date Requested - 3 - 3 AM PM BUP
Location / 5 ) A ° sn Suite H - / 0 MEC
Contact Person Ph ( ) � 'I — a� 3 �,� PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner i1L r' . ,, ELC O7ODS l D
Footing � I ELC
Foundation Access:
C 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
PASS PART FAIL
0 f.(
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
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PART FAIL
❑ Please call for reinspection RE: 4-11672.12YExt nable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date s 0 Inspector M
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL