Permit C 'Y OF " - I G A R D ELECTRICAL PERMIT
PERMIT #: ELC2000 -00413
, 14, DEVELOPMENT H r SERVICES
O
SE RV2 (503) 639 -4171 C Es DATE ISSUED: 7/24/00
13125 /
PARCEL: 1 S126C0 -01107
SITE ADDRESS: 09612 SW WASHINGTON SQUARE RD G -2
SUBDIVISION: WASHINGTON SQUARE ZONING: C -G
BLOCK: LOT : JURISDICTION: TIG
Project Description: Sign or outline lighting.
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: 1
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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: 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 CMR SIGN SYSTEMS
BY THE MACERICH COMPANY 1820 E BURNSIDE
ATTN: JANET FISHER, ASSET MGNT PORTLAND, OR 97214
SANTA MONICA, CA 90407
Phone: Phone: 285 -7918
Reg #: LIC 104219
SUP 319SIG
ELE 26- 695CLS
FEES Required Inspections
Type By Date Amount Receipt
Elect'l Final
PRMT BLD 7/24/00 $42.75 0003939
5PCT BLD 7/24/00 $3.42 0003939
Total $46.17
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 952 - 001 -0010 through OAR 952 - 001 -0080. You may obtain copies of these rules ordirect questions to OUNC at (503)
246 -1987.
PERMITTEE'S SIGNATURE /V./97L E-/ 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:
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LICENSE NO:
Call 639 -4175 by 7:00pm for an inspection the next business day
CITY OF TIGARD Plan Check #
4 13125'SW HALL BLVD. Electrical Permit Application Rec'd By /y '9 /C_
Date Rec'd 2/4707)
0n)
TIGARD OR 97223 /) Date to P E.
Phone (503) 639 -4171, x304 l Date to DST
Inspection (503) 639 -4175 Print of Type Permit # Ez -C.2a710 -40V/?
Fax (503) 598 - 1960 Incomplete or illegible will not be accepted Called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development WASHINGTON SQUARE Number of Inspections per permit allowed
Name (or name of business) CLAIRE "S Service included: Items Cost Sum
Address 9612 SW WASHINGTON SQUARE RD . G',1- 4a. Residential - per unit
TI OR. 97223 1000 sq ft. or less $ 11775 4
City /State /Zip Each additional 500 sq ft. or
portion thereof $ 26.$5 1
Commer i K® 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 CMR /COLUMBIA INC. 200 amps or less $ 64 25 2
Address 201 amps to 400 amps $ 85.50 2
1820 E . BU RN S I DE 401 amps to 600 amps $ 128.50 2
City PORTLAND, State OR Zip 972111 p 601 amps to 1000 amps $ 192.50 2
Phone No. 232 -8153 Over 1000 amps or volts $ 363.75 2
Job No. ✓ N Reconnect only $ 53.50 2
Elec. Cont. Lice. No. 26- 695CLS Exp.Date 10 -1 - 00 \ 4c. Temporary Services or Feeders
OR State CCB Reg. No. 10/1219 Exp. Date 1 01 \j\ Installation, alteration, or relocation
COT Business Tax or Metro No. xp.Date _4440 200 amps or less $ 53.50 2
201 amps to 400 amps $ 80 25 2
Signature of Supr. Elec'n 401 amps to 600 amps $ 107.00 2
i Z Over 600 amps to 1000 volts,
!e t, see "b" above.
License No. 3195 I G Exp.Date ii-01 4d. Branch Circuits
Phone No. 232-8153
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 $ 5.35 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 imgation circle $ 42.75
Owner's Signature Each sign or outline lighting f $ 42.75
Signal circuit(s) or a limited energy
panel, alteration or extension $ 60.00
3. Plan Review section (if required): * Minor Labels (10) $ tee -se
Please check appropriate item and enter fee in section 5B. 4f. Each additional inspection over Ma ire.)
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
descnbed in N E.C. Chapter 5 5. Fees: F. i
5a. Enter total of above fees $ o_ . ,s
* Submit 2 sets of plans with application where any of the above apply. p b y� p 5 ° 10 Surcharge ( total fees) $ 7
Not required for temporary construction services. ' Subtotal $ '
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 $ Yg
i \dsts \forms \electric doc
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CITY OF TIGARD BUILDING INSPECTION DIVISION MsT
24 -lour Inspection Line: 639 -417 Business Line: 639 -4171
BUP
Date Reque ted AM PM BLD
Location A : ea . A r A'� Suite MEC
Contact Person / Ph PLM
Contractor &MA_ Ph 2 —7 9/f SWR
BUILDING Tenant/Owner ELC b v P41.
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 ,.e/vL
Fire Alarm
Susp'd Ceiling
Roof ce,a 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
AS PART FAIL •
LECTRIC
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
l e AV 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
Other Dat 7 / 2 rA Ins / Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.