Permit CITY OF T I GA R D ELECTRICAL PERMIT
PERMIT #: ELC2002 -00069
I 'j DEVELOPMENT r SERVICES I CES 639 -4171 DATE ISSUED: 3/19/02
- 13125 SW i
PARCEL: 1S126C0-01107
SITE ADDRESS: 09591 SW WASHINGTON SQUARE RD B -10
SUBDIVISION: WASHINGTON SQUARE ZONING: C -G
BLOCK: LOT : JURISDICTION: TIG
Project Description: TI
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: 90 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 WEST PORT ELECTRICAL CORP
P.O.BOX 21545 10594 SW SUNNYSIDE DR
SEATTLE, WA 98111 WILSONVILLE, OR 97070
Phone: Phone: 503 - 582 -1777
Reg #: LIC 138789
ELE 3 -482C
SUP 4430S
FEES Required Inspections
Type By Date Amount Receipt Ceiling Cover
PLCK CTR 3/19/02 $189.78 2720020000( Wall Cover
Elect'I Service
PRMT CTR 3/19/02 $759.10 2720020000( Elect'I Final
5PCT CTR 3/19/02 $60.73 2720020000(
Total $1,009.61
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 t an 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification
Center. Those rules are set ■•rth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to
Permit Signatur `or 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: 1 7 ° Y 36 S
Call 639 -4175 by 7:00pm for an inspection the next business day
FROM : WEST PORT ELECTRIC FAX NO. : 5035820166 Feb. 19 2002 08:10PM P1
i1 %,�U %2t1Ui 12:27 FAX 5033981960 CITY OF TIG�IRD
1
Electrical Permit Application
/ �!
►yam j UQ MNIIC1 , Datere vd: ►. a 2,- Permit Ile L— a 1� —00 0 . • i ,�, ': . 'l �' City of Li d Ptcjrst/tppLno Wire data;
no e S onf Address; 13125 SW Hall Blv • ,, • . e • 7275 Weed: ; By: • , 1 Receipt no.:
Moto: (503) 639 - 4171 1001 0 Z 83J Mc — ynt�nt '
Flux: (503) 598-2960 cets
Land use approval: . _ : • -
"- i `
i'i.Pr. tn.' I'tttrtl'I'
❑ 1 & 2 family dwelling or accessory r e meta ielfwdust[lal O Multi - funny 0 T m
aDE isuprvvcatt
Q New eoNStruction I' ' ' • ;, Ct6NalteratioNreplat anent 0 Other. , 0 Partial
.
. 14iIt 4d 11: 1?\1'OR'\ NI 1ON ' .
Job
ob atldtb8b: L '~ S Suits eo. Tax • • •. tax lot/account no.:
IA: !Iodic: • • • "vision: Z -
1=17=111V G (t, (s. , s . o -. • on and • aeon of w• on . . -.
Estimated data of .,..•∎,. - • "on:
�i A � l�l. IC: 1tI(1\ III 54:11r:nk'I.I •
Job on ....... ....
Badness nil= ri E'° t► • C 1 G neriisatial er . . • Address: 7 - • -, k ., t., • etwollbzwiLlododdotiodird Pra & I
CIry : .3: 3Tkrki p ax: I in '' 1000 a
CCB too.: I . ' MIN Elec. bus. lie. no
Earl -6rTrR ,. it. or portion thoosat 1111111 111111111111 1
CI /motto tic. '7[ INi ■ • ,•.
r!aq�.1. .:: s •. tared Data ■�- ;$-
SSup. blear. on= 0013 G ' 1S C�a Mc ' Z. . _ Qv ;r .. 'T . . .
-' ........ altentlaa arithmetical •• .. t'ttt.kl'f-ltI 0 ' 1f wv . •• •. orlon 1111111 2 •
.,,: sdtltess. 401 to e, ' �II1!rl elll!
Cl . Std: 70'; • ' . atopsorvolta NomMININIIIIIIILIII .
Phone: Vniillin E-msd1: llm111r1111:11•11
pwuer • , • The installation is being castle on prwettyl own Teotpmtrr6ervhtdvrfeodew- _
which is not intended for ttole.1ease�, root. or exratt+nge woman to ` +
CRS 447, 4.5S, 47A, 610, 701. 700 - odcn 2
-- -- -- ...... - - -.. Dom: earm . .1111..11 I
Na:
er�thaim perptsrd
whir pute
A Fes fqr b►anoh olteullta tiase of
Ell Adtfuoss: Write or fees* O . th ranchaitc it I
• Eriz1au17 oft�cr.ice 0tatr„caawhdrouit IIIIII
!'1;r1.\ 1 {t, ^Yik: 11' ('!'I�: tarok all.tl1.tt 4.44.17,1 r !*T1 :"fi y 1!"9"71'. _
a gaeioeovarnS elabeceeantetdsi 0 tiriltitamthaity -
berviC6rtva 320uetprtaa'ie of t&2 0 Fiatitatotartowtion : -, °:' oroadkne l♦.111111.1111111
Fatally dwellings Q Eulid'mg aver 10 Ct10 aquatc ices lbtuor ! ,
C $ynttmover6t)Ovoim aomtaei mons residentiil swan one =OWE . _ ��.
0 thadmgoveMlumeratos 0 Fonev.400 amps or more , •„
❑ Moores( lord evee9Dpersoen 0 MarufaemtederoeaomorRVput ....._._. __...,.._�...,..-_..__.. . �._ ,-,.-
O eiresa!!igl ingpls4 0 Otba: > . meths sop of W s
Mends_ , MEMO
seta of plum with any Mae above. ��
tee
The above meant • • • Heals to temperaty eoestraJo i service.
xot cdeea rand meel,eoae D
to Visa t] M .,.e'•. -r �'a' adiimet6dtsa for msea tafona>wa. N pomdt epptiOatiOn Permit toe: _..... �,.,. _ $ , 761 . 1
�« a :0 1fa Pena is !tot obtained Plan review (et ZS %) .$ _ 1 a9 ./115
ceder owl 0o e os c —...L4,... vdtb;a 111D says after It has bran State surcharge (s%) .... $ _ �, 3
ot.bnwe on
accepted as borepleas_ TOTAL $ . '` „' 7 ' 4 I
44046!5 t6
V YM.T1( 0,)/ -- -
/ 1 '
•
24- f , .
BUILD , 7 _ � j � - Inspet., , 39- 4175 t • -
INSPECTION DIVISION ) Business Line: (503) 639 - 4171 MST
BUP
Received Date Requested 3 AM PM BUP
Location Suite MEC
Contact Person q.5 Ph ( ) 3 �9 ( 6 4 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner (I U .�-I c �� ELC �� d
Footing
Foundation ELC
Access:
Ftg Drain
ELR
Crawl Drain
Slab Inspection Notes: n c SIT >.
Post & Beam . _ f�'-✓ �1 it
Shear Anchors •
Ext Sheath/Shear i
I
Int Sheath/Shear
Framing � X1401. h-
\ }�
Drywall g Sb S g �Y1 �� L S 7-k»
D all Nailing �`�
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof w
Other:
Final S 1.4 s 1--(91341, (k0,1- _
PASS PART FAIL
PLUMBING CAA AtNi H G x NUJ -
Post & Beam
Under Slab {�
Rough -In C E G S g 1 1 G6- CulA L4ST,
Water Service
Sanitary Sewer S Z F m A 1 `PL
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other: f'i S
Final
PASS PART
MECHANICAL FAIL Lo , ) � Ni _
rs
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: El Unable to inspect — no access
Fire Supply Line
ADA -
— 2/ Date � / ✓ �� Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
BU "13111111911111D . „'.
L I Insp L 1 39 -4175 MST a
?INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested a-'N 0 ` 1 AM PM BUP
Location Suite MEC
Contact Person Ph ( ) PLM
X 0 02
Contractor Ph ( ) SWR tob 661 1
BUILDING .. Tenant/Owner ELC
Footing ELC
Foundation Access:
Ftg Drain p ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Drywall P `, , 0 - C L)i i
Drywall Nailing � V 1`� K U
Firewall
Fire Sprinkler
Fire Alarm 0 Ni( \ , �, `
Susp'd Ceiling \ �i
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
• . •h -In
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: LI Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk o a t h ` + Insp III _ _. I glamor,/ Ext
Other:
Final DO NOT REMOVE this Inspection record ;rem t . job site.
PASS PART FAIL
CITY OF TIGARD.;...4. 24 -h � .
•
BUILDING Inspect, � 639 -4175 -
INSPECTION DIVISION Business Line: - (503) 639 -4171 MST
BUP
•
Received Date Requested 3 _ °L 7 AM PM `- x' BUP
Location 75 //A s sf;2.• )z t) Suite MEC
Contact Person Ph ( ) - 7 g PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner V e ELC 2O6 COO (v
Footing
Foundation ELC
Access:
Ftg Dr ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath /Shear
Int Sheath/Shear
Framing
Insulation )1
Drywall Nailing L1 N) C 1 SS I
Firewall NW ba ` D vl r Sri D N - �1,� lrh D hC f\'(5f
Fire Sprinkler
Fire Alarm
Susp'd Ceiling ll
Roof R,•3 00 W I 1 Q1 1\2G k w,N G1 \L) 0\) G `A 1 1“
Other:
Final V MV pLAI
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
tiVa f rf13(-:
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 •- • /27- b _ Inspector ! - - Ext
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
CITY OF TIG4RD ;, • 24 -Hour ! .
BUILDING' • - Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested 3- - D \ AM PM BUP
Location 4 q ) %N (I � - R Suite Q MEC
Contact Person Ph ( ) PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC b OZ- (9 V U q
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 PAS $
Drywall Nailing
Firewall S k %At ►'I �' 1 S %
Fire Sprinkler
Fire Alarm )r.1. S I LC
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 ( )
Gas Line
Smoke Dampers
Final
PASS ez FAIL
ELECTRI L
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 a
Approach/Sidewalk Date, i — 2 - Inspecto P r/ Ext
Other:
Final • DO NOT REMOVE this inspection record'from t job Site.
PASS PART FAIL •
• CITY OF TIGARi 1 24 -Hour
•
503 639 -4175
Inspection Line:
BUILDING p (503) '
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested n y 3 AM PM BUP
�
Location S �/ ( L 14 . SO- (/, Suite / MEC
Contact Person Ph ( ) d / ' 7 8 14' 7 PLM
Contractor ) Ph ( ) SWR
BUILDING Tenant/Owner ELC G?
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 P ) S s e b
Drywall Nailing
Firewall
Fire Sprinkler C
Fire Alarm F/� & r: . 6�� R' �l\
Susp'd Ceiling , c l.
Roof .5i/01144.
Other:
Final 141 f_Gi
PASS PART FAIL
PLUMBING 1q tf t, l r 1,
Post & Beam R'� L� 1 1/Ay
Under Slab i"'°
Rough -In 'p LLD YI n.
Water Service �T
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, 131 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA a Z
Approach/Sidewalk Date ( Inspe or Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
•
CITY OF TIGAR 24 -Hour
BUILDING ' - Inspection Line: (503) 639 -4175 A
INSPECTION DIVISION Business Line: (503) 639 -4171 MST '
Z BUP
Received Date AM PM BUP
Location q 5 ( &CAA'• . — R . o Suite MEC
Contact Person Ph (_ ) c 1 g PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC o
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab ' Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall 2_ 2 J O K
Fire Sprinkler ) i
Fire Alarm - S 51-0 (Z'C
Susp'd Ceiling 11 ll ,`, `�'
Roof ND ry rai o C ` t1 , lN kay
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
V PASS PART FAIL
ELECTRICAL
Service
�UG75>ab
Low Voltage
Fire Alarm
Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
AriMS PART FAIL
SITE Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk
Date Inspector a1 a - c�tiC Ext
Other:
Final - DO NOT REMOVE this inspection record from t e job site.
PASS PART FAIL
CITY OF -TK ARD BUILDING INSPECTION DIVISION p
MST
24 -Hour InspectittULine: 639 -4175 • Business Line: 639 -4171 _
BUP
Date Requested .5 ` AM PM BLD
Location 9 f 5 64: 1,1414- S fit( Suite MEC
Contact Person plc.. ( c- f6yi k 5,e, r -e I Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC A 6 6 Z - 6 0 °41
Retaining Wall ELR
Footing Access:
_ Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: ,,-
Slab SIT -
Post & Beam
Ext Sheath /Shear _
Int Sheath /Shear V ,
Framing .
Drywall at e, \ i V
Drywall Nailing �, � V s �J y
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
(ELECTRIC
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
SS 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 p
Other D J �° Z Inspector .. Ext
Final
PASS PART FAIL V DO NOT REMOVE this inspection record from the.' • • site.