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Permit eftY OF TIGARD PERMIT PERMIT #: ELC2002 -00260 ���;� DEVELOPMENT SERVICES DATE ISSUED: 6/18/02 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S126C0 -01107 SITE ADDRESS: 09573 SW WASHINGTON SQUARE RD B -6 SUBDIVISION: WASHINGTON SQUARE ZONING: C -G BLOCK: LOT : JURISDICTION: TIG Project Description: Electrical for TI. Installation of 1 401/600 amp service /feeder and 59 branch circuits. 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: 59 PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: 1 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 MID VALLEY ELECTRIC INC. P.O.BOX 21545 PO BOX 655 SEATTLE, WA 98111 WILSONVILLE, OR 97070 Phone: Phone: 503 - 682 -2955 Reg #: ELE 3 -542C LIC 151602 SUP 3483S FEES Required Inspections Type By Date Amount Receipt Ceiling Cover PRMT CTR 6/11/02 $499.20 2720020000( Wail Cover Elect'I Service 5PCT CTR 6/11/02 $39.93 2720020000( Rough -in PLCK CTR 6/11/02 $124.80 2720020000( Elect'l Final Total $663.93 This Permit is issued subject to the regulations contained in the Tigard Munidpal 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 9 901-0010 through OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to Permit Signature: Z/ — 0 Issued By:i / 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: m -- - ) c 19# . DATE: LICENSE NO: 3 -.) '� Call 639 -4175 by 7:00pm for an inspection the next business day - Tv fT's (7 /V /6-Z__ • °+ ? U 1 - 0 0()` t b Electrical Permit Application 4 Date received 6. _o -0 ,. Permit no.: EL 21 - 002 6 .. � City of Tigard Project/appl. no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97 - C,JI J ry f g ', '^�' � ' � = Date issued: By: Receipt no.: Phone: (503) 639 -4171 J ' ?' Fax: (503) 598 -1960 - N '" Case file no.: Payment type: ti ���' Land use approval: fk TYPE OF PERMIT ❑ 1 & 2 family dwelling or accessory ❑ Commercial%4i'strial ❑ Multi- family ❑ Tenant improvement ❑ New construction ❑ Addition/alteation/replacement ❑ Other: ❑ Partial JOB SITE INFORMATION Job address: (,Jq,gL 0-,.` t� 4 a.- 6.3-01 6 Bldg. no.: Suite no.: Tax map /tax lot/account no.: Lot: C Block: 'Subdivision: .-r-;j4, Z o r- g 7)„23 Project name: I Description and location of work on premises: L 1 4.,,,v S-k, r , L el. j -( Estimated date of completion/inspection: e..frt , •.4' S , io --(4"- CONTRACTOR APPLICATION FEE SCHEDULE Job no: 9 (' G Fee Max Business name: h; Val E 1e. al-v i Description Qty. (ea.) Total no. Insp o p New residential - single or multi - family per Address: 6 \L (.S J1 dwelling unit. Includes attached garage. City: C,a. 0.,,.X14— I State:D it— I ZIP: 11 1 o'L Service included: Phone: 4 $1 - ,2 S I Fax: V-1) q 0VE -mail: 1000 sq. ft. or less 4 CCB no.: )51 C 2 . bus. lic. no: j — S µa G Each additional 500 sq. ft. or portion thereof Limited energy, residential 2 City /metro lic. no.: �. --/ "a Z Limited energy, non - residential 2 4 _ i Each manufactured home or modular dwelling Signature of supervising e :,rt (required) D. to A/ - e 2 Service and/or feeder 2 Sup. elect. name (print): ` ov4 -v'- .x,1,5 Lie- nseno:�y , 3 Serncesorfeeders - installation, alteration or relocation: PROPERTY OWNER 200 amps or less 2 Name (print): 4.5 — / — O 201 amps to 400 amps 2 Mailing address: 401 amps to 600 amps ' jc(o 8i 10 (2 i- 601 amps to 1000 amps 2 City: I State: I ZIP: Over 1000 amps or volts 2 Phone: I Fax: I E -mail: 'Reconnect only 1 Owner installation: The installation is being made on property , Temporary services or feeders - - which is not intended for sale, lease, rent, or exchange according to installation, alteration,orrelocation: ORS 447, 455, 479, 670, 701. 200 amps or less 2 201 amps to 400 amps 2 Owner's signature: Date: 401 to 600 amps 2 ENGINEER Branch circuits - new, alteration, • or extension per panel: Name: A. Fee for branch circuits with purchase of / Address: service or feeder fee, each branch circuit ,Si G 4 — 1 � a 2 City: I State: I ZIP: B. Fee for branch circuits without purchase Phone: Fax: E -mail: of service or feeder fee, first branch circuit: 2 Each additional branch circuit: PLAN REVIEW (Please check all that apply) Misc. (Service or feeder not included): ❑ Service over 225 amps - commercial ❑ Health -care facility Each pump or irrigation circle 2 ❑ Service over 320 amps -rating of I &2 ❑ Hazardous location Each sign or outline lighting 2 family dwellings 0 Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel, ❑ System over 600 volts nominal more residential units in one structure alteration, or extension* 2 ❑ Building over three stories ❑ Feeders, 400 amps or more *Description: ❑ Occupant load over 99 persons 0 Manufactured structures or RV park Each additional inspection over the allowable in any of the above: O Egress/lighting plan 0 Other. Per inspection Submit sets of plans with any of the above. Investigation fee The above are not applicable to temporary construction service. 49-- Not all jurisdictions P application Permit fee $ y °) � accept credit cards, please call jurisdiction for more information. Notice: This permit G,/ O Visa CI MasterCard expires if a permit is not obtained Plan review (at ?S" %) $ hay Q- y State surcharge 8% Credit card number: I / within 180 days after it has been g ( ) •••• $ Expires accepted as complete. TOTAL $ Name of cardholder as shown on credit card • $ Cardholder signature Amount 440 -4615 (64)0 /COM) - .. l, Electrical Permit Fees: Limited Energy Fees: Complete Fee Schedule Below: TYPE OF WORK INVOLVED - RESIDENTIAL ONLY /� Restricted Energy Fee $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total `, Check Type of Work Involved: Residential - per unit 1000 sq. ft. or less $145.15 4 n Audio and Stereo Systems Each additional 500 sq ft. or portion thereof $33.40 1 n Burglar Alarm Limited Energy $75 00 Each Manufd Home or Modular n Garage Door Opener Dwelling Service or Feeder $90 90 2 Services or Feeders n Heating, Ventilation and Air Conditioning System" Installation, alteration, or relocation 200 amps or less $80.30 2 201 amps to 400 amps $106.85 2 m Vacuum Systems' 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. n 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. Each branch circuit $6 65 2 n Data Telecommunication Installation b) The fee for branch circuits without purchase of service n Fire Alarm Installation or feeder fee. First branch circuit $46 85 Each additional branch circuit $6 65 n 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 Signal circuit(s) or a limited energy panel, alteration or extension $75.00 ❑ Landscape Irrigation Control* Minor Labels (10) $125.00 Each additional inspection over ❑ Medical the allowable in any of the above ' Per inspection $62.50 ❑ Nurse Calls , Per hour $62.50 In Plant $73.75 ❑ Outdoor Landscape Lighting" Fees: n Protective Signaling Enter total of above fees $ n Other 8% State Surcharge $ Number of Systems 25% Plan Review Fee See "Plan Review" section on $ No licenses are required. Licenses are required for all other installations front of application. Fees: Total Balance Due $ Enter total of above fees $ ❑ Trust Account # 8% State Surcharge $ Total Balance Due $ i:\dsts \fortes \elc- fees.doc 10/09/00 I I CITY OF TIGARD. 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received Date Requested 7/ AM PM BUP G Location / •- 7 3 lit) /4 + • S • Ra Suite MEC Contact Person Ph ( ) 15 PLM Contractor Ph ( ) g;- — a '9515 — SWR r BUILDING Tenant/Owner ELC — a <co' 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 cc�� Fire wall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof . 1 C d Other: - - Final PASS 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 PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage . Fire Alarm • 4 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. *4- SS PART FAIL SITE ❑ Please cal for reinspection RE: 111 Unable to inspect — no access Fire Supply Line • 'ADA Approach/Sidewalk Date a 2 '2 Inspe or / = % i Ext Other: Final DO NOT REMOVE this inspection record from th :- Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour l• BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received Date Requested 9 \;.;,\ b AM PM BUP Location C 25 - 7 3 WJ \ S� a Suite MEC Contact Person � �� Ph Rb ) QS PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Z 0 0 0IO D 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 \l \ Fire Sprinkler �1 ° 1'�S Fire Alarm Susp'd Ceiling Roof Other: - - Final PASS 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 O e Dampers • - • - PART FAIL CTRL L ough -In UG /Slab Low Voltage Fire Alarm Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL SITE ❑ Please call f.r reinsp= tion RE: Unable to inspect — no access Fire Supply Line ADA (j / Approach/Sidewalk Date e - - I Z- Inspect / ` �`" Ext Other: Final DO NOT REMOVE this Inspection record from t, job site. . PASS PART FAIL - CITY OF TIGARD ` 24 -Hour . BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST VZ-6 BUP Received Date Requested AM PM BUP Location C s ]3 Loll-. .5 0 Suite g MEC Contact Person Ph ( ) PLM Contractor Ph ( ) 7S / — f // SWR BUILDING Tenant/Owner ELC dd �D Footing ELC Foundation 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 \ (, L / DV SAP 1 Fire Sprinkler v \� J Fire Alarm vv Susp'd Ceiling Roof Other: - - — Final PASS 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 PASS PART FAIL ELECTRICAL Service Gt , 61.1 (0 . UG /Slab Low Voltage Fire Alarm Final • ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS % FAIL SITE ❑ Please call for reinspection RE: 111 Unable to inspect — no access Fire Supply Line J ADA Approach /Sidewalk Date O 4g...G O � Inspector Ext Other: Final DO NOT REMOVE this inspection record from th ob site. PASS PART FAIL CITY OF TIGARD '` 24 -Hour • . BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION — Business Line: (503) 639 -4171 MST BUP Received Date Requested 7/( ? AM PM BUP Location 9 73 <.0 Q 2- Suite MEC Contact Person �-c Ph ( ) PLM Contractor 1 �.�1 — PW > ) `73C- - 9 q SWR BUILDING Tenant/Owner o � ELC Footing Foundation ELC Access: Ftg Drain ELR n■ Crawl Drain */#& Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear PU S 5 Framing Insulation `� � 1)-D& J TY © ` 3 / Drywall Nailing I C, 1 1 V (� w 1' c a 1 , � Firewall Fire Sprinkler ^ �/ Fire Alarm I Y " . L )b 61 �� �0'-D , " 0 �� I c' 1 G Susp'd Ceiling Roof Other: - - Final \ 0 CO S PASS 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 Z1_■D00- d Post & Beam . Rough -In Gas Line. Smoke Dampers Final PASS PART FAIL ELECTRICAL Service n ab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS FART FAIL SITE Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA / ` /O Approach/Sidewalk Date / / Q Z Inspect t i`La1 Other: Final DO NOT REMOVE this Inspection record from the job te. PASS PART FAIL CITY OF TIGARD■ 24 -Hour < BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISIOIV ° • Business Line: (503) 639 -4171 MST / BUP Received Date Requested 1 6 1 7 AM PM BUP Location J S 7 W / c Sc;)_ Foe Suite -- c° MEC Contact Person �.� / Ph ( ) PLM f� Contractor oJ\ AL Ph ( _) q3 SWR BUILDING Tenant/Owner • ELC — a 6 0 Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain 'V - Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall c, �l '(� nD ' ° \ s I /\ ���) Q o \ Fire Sprinkler 1 �`� 19 - f�� W Fire Alarm Susp'd Ceiling Roof Other: - - Final PASS 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 PASS PART FAIL ELECTRICAL Service •`oug -In U -. Low Voltage Fire Alarm Final Reinspection fee of $ required before.next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS nr AIL SITE 0 Please call for reinspection RE: ❑ Unable to inspect - no access Fire Supply Line / / / ADA Date Approach/Sidewalk - 9es pecto Ext Other: Final DO NOT REMOVE this inspection record from the ob site. PASS PART FAIL v CITY OF TIGARD ` 24 -Hour BUILDING y Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST l BUP Received Date Requested 711-C 1- -s AM PM BUP Location C f .R 73 14 ft - R 'D Suite MEC Contact Person OJI/1,t� Ph ( ) 67e-79-77 PLM Contractor P (S°S ) V - cfci SWR BUILDING Tenant/Owner /yyL I ELC c260 Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: c SIT Post & Beam 'N \ � -- � — � (AUl Shear Anchors \4:1( Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: — - — Final PASS PART FAIL �N�C\ �< • PLUMBING \,� �\ l 49,0 l , /�� /} Post & . Under Slab ►` U `� ��w IA V' `f lam\ Rough -In Water Service • Sanitary Sewer 1 O KEW �' I, 0 Rain Drains Catch Basin / Manhole \(\)) tC)r)2 o b l \\(6 Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL • ELECTRICAL Service UG /Slab Low Voltage Fire Alarm Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. 17 .9 PART FAIL Please call for reinspection RE: Unable to inspect — no access Fire Supply Line / ADA Approach/Sidewalk Data ; Ins' = �1 Ext Other: Final - • DO NOT REMOVE this Inspection record from the site. PASS PART FAIL CITY OF TIGARD` , 24 -Hour � i.- : ;, BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST -. �J 32 BUP L Received Date Requested / -- - AM PM BUP Location U 95 3 5 w Lt/" f A 5 / ,ac. • Suite t-, _ MEC Contact Person Ph ( ) of, Z z4 s' PLM - Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC 't — °" Z 0 0 Footing Foundation Access: ELC lir Ftg Drain ELR ■ Crawl Drain , 1� Slab Inspection Notes: - SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear l Framing A xU Insulation r / -� Drywall Nailing 1"`;;; NIA , Firewall l�, Fire Sprinkler Q 0 0 Fire Alarm Susp'd Ceiling Roof , P Other -- - , 1 . Final PASS PART FAIL PLUMBING &� Post & Beam Under Slab Rough-In t )i'l CIF," rOe ) rld Sanitary Sewer Rain Drains Catch Basin / Manhole ' Storm Drain . W - / -- Shower Pan � p5 c2 r 7 /`C�rE ' - O ther: �-- -- Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers ` �� , II . Final PART FAIL 01-'1 a /4 412 I PASS 6 , -ECECTRICA L - - Rough -In CO e / a hz. Low Voltage m Fire Alarm Final El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL SITE ❑ Please call for reinspection RE: ❑ Unable to inspect - no access Fire Supply Line . ADA Approach/Sidewalk Date — 3 --t) 2 Inspector f a _ 41 ■ _ Ext Other: x / Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL • CITY OF TIGArlD = 24 -Hour BUILDING Inspection Line: (503) 639 -4175 • INSPECTION DIVISION Business Line: (503) 639 -4171 MST UP Received Date Requested �� l Z U AM PM BUP Location 5 3" 73 Lon S & S ' (� MEC Contact Person �'l -'jt - 7 1 {J� Ph ( ) - - 0-6 PLM � b / � ✓C✓�� / vj /4 Contractor e � Ph ( ) D SWR BUILDING • Tenant/Owner L�SN - 0Z 0-- 40 Footing Foundation ELC Access: Ftg Drain Crawl Drain Slab Inspection Notes: 1 _ I Post & Beam / .� - - � / Shear Anchors ■ Ext Sheath/Shear • Int Sheath/Shear Framing Insulation Drywall Nailing Firewall e �� Fire Sprinkler 0n Q ` GS,,L Fire Alarm l � (- / 1 3 � / + c ) Susp'd Ceiling V Roof 7I-J y, S.7 Other: - - — Final PASS 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 PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: ❑ Unable to inspect - no access Fire Supply Line ADA Approach /Sidewalk Date ry° / ^$0,- Inspector • A Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL