Permit i ii ., CITY OF T I G A R D ELECTRICAL PERMIT
PERMIT #: ELC2000 -00341
ll DEVELOPMENT SERVICES DATE ISSUED: 6/20/00
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S12600-01107
SITE ADDRESS: 09619 SW WASHINGTON SQUARE RD
SUBDIVISION: ZONING: C -G
BLOCK: LOT : JURISDICTION: TIG
Project Description: Install electrical for tenant improvement.
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: 2 W /SERVICE OR FEEDER: 79 PER INSPECTION:
201 - 400 amp: 1 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 TURC ELECTRIC
BY THE MACERICH CO 995 SW HIGHLAND DR
ATTN: JANET FISHER, ASSET GRESHAM, OR 97080 -6352
SANATA MONICA, CA 90407
Phone: Phone: 661 -8872
Reg #: LIC 00088541 _ ,
SUP 3970S
ELE 26 -825C
FEES Required Inspections
Type By Date Amount Receipt
Ceiling Cover
PRMT DEB 6/20/00 $636.65 0003151 Wall Cover - — . -
PLCK DEB 6/20/00 $159.16 0003151 Underground Cover ---
5PCT DEB 6/20/00 $50.93 0003151 Elect'I Service
Elect'I Final
PI
Total $846.74 OA\ V�
This Permit is issued subject to the regulations contai -d in e Tigard Muniapal Code, State of OR Speaalty Codes and all other applicable laws
All work will be done in accordance with approved pl - s. Th permit will expire if work is not started within 180 days of issuance, or if work is
suspended for more than 180 days. ATTENTION: •regon I- requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952 - 001 - 0010 through OA" 952 - s1 - 0080. You may obtain copie • nes- . es or direct questions to OUNC at (503)
246 -1987.
PERMITTEE'S SIGNATURE ISSUE' BY: dolt, _ its..
OWNER INSTALLA ■ N ONLY
The installation is being made on property I own 'ch is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CON' CTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: X DATE:
■ LICENSE NO: 3 l 7o c5
Call 639 -4175 by 7:00pm for an inspection the next business day _
CITY OF TIGARD Plan Check # (p /--
'- a Electrical Permit Application
13125 SW HALL BLVD. R ecd By ��
Date Recd to - / -
TIGARD OR 97223 /
Date to P.E. U7, -- /9 - e*t�
Phone (503) 639 -4171, x304 Date to DST (, • /7- CEO
Inspection (503) 639 -4175 Print of Type Permit #,FGeR?OGb o
Fax (503) 598 - 1960 Incomplete or illegible will not be accepted Called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development 7O€ll�y F394A/ Number of Inspections per permit allowed
Name (or na e of.i j.•�., Service included: Items Cost Sum
Address = Of '. , 'L/ . S', ei 4a. Residential - per unit
1000 sq. ft. or less $ 117.75 4
City/State /Zip T7 C I ja i.') t9 2 f 7 24l- 36 73- Each additional 500 sq. ft. or
portion thereof $ 26 Z5 1
Commercial N Residential El 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 3-0
Electrical Contractor L L E� .� a( Z.. 200 amps or less . 1 $ 64.25 /.Z s
Address ( S- tv it 201 amps to 400 amps ___/_ ___/_ $ 85.50 RS ,;
�O [ 401 amps to 600 amps $ 128.50 2
City 6p7 = State (912- Zip q -2 b 8 0 601 amps to 1000 amps $ 192.50 2
Phone No. - : ; Over 1000 amps or volts $ 363.75 2
Job No. . only $ 53.50 2
Elec. Cont. Lice. No. ` ; • • Date l G -(- 2 f7b0 tC Temporary Services or Feeders
OR State CCB Reg. No. it = p.Date 4 .. u ZDc' nstallation, alteration, or relocation
COT Business Tax or M= ro o. I ' Exp.Date lt-i 200 amps or less $ 53 50 2
201 amps to 400 amps $ 80 25 2
401 amps to 600 amps $ 107 00 2
Signature of Supr. Elec'n Over 600 amps to 1000 volts,
�y \ S/ see "b" above.
License No.,, 6 C Exp.Date 6 - /
_
Phone No. b 1 ( 4d. Branch Circuits
New, alteration or extension per panel
a) The fee for branch circuits
2b. For owner installations: with purchase of service or
feeder fee. '1 t,
Pnnt Owner's Name Each branch circuit IV $ 5.35 l ,� 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 irrigation circle $ 42.75
Owner's Signature Each sign or outline lighting $ 42.75
Signal circuit(s) or a limited energy
3. Plan Review section (if required):*
panel, alteration or extension $ 60.00
Minor Labels bels (10) $ 487 -'90
Please check appropriate item and enter fee in section 5B. 4f. Each additional inspection over OD ..A9
I/ 4 or more residential units in one structure the allowable in any of the above
Per inspection $ 50.00
Service and feeder 225 amps or more Per hour $ 50.00
System over 600 volts nominal In Plant $ 59.00
Classified area or structure containing special occupancy as
described in N E.C. Chapter 5 5. Fees: c., j
5a. Enter total of above fees $ 3
* Submit 2 sets of plans with application where any of the above apply. off, y,Surcharge (.95 X total fees) $ ,y a? , _
Not required for temporary construction services. Cl~ Subtotal . $
5b. Enter 25% of line 5a for fit;,
NOTICE Plan Review if required (Sec 3) $ /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 # 7 � j
I
AT ANY TIME AFTER WORK IS COMMENCED. Total balance Due $ C'
i \dsts \forms \electric doc
STOP WORK ORDER
CITY OF TIGARD BUILDING DIVISION
13125 SW HALL BOULEVARD
(503) 639 -4171
JOB ADDRESS %?// 1 ? a)?•
OWNER k14 a c_.` A `
CONTRACTOR .. - -mac- I • C�
PERMIT NUMBER CLC �fJ���- OD � y/
YOU ARE IN VIOLATION OF THE FOLLOWING:
Ct� a0 00-co3 kr'l
4t1 2 fiA-t .Atiei 6.1 --
/4/0 /1,1 7 &mirk 1 / e7 .110_
7 / 5 teilfidvd kt7 Vg/ (4‘/
AND HEREBY NOTIFIED THIS S N DAY OF Ja. , 20 ere--
AT yS' M, THAT NO MORE WORK SHALL BE DONE ON THESE
PREMISES UNTIL THE ABOVE VIOLATION HAS BEEN CORRECTED AND
VERIFIED BY THE CITY. CORRECTIONS SHALL BE MADE WITHIN
DAYS OF THE ABOVE DATE. FAILURE TO COMPLY WITH THIS NOTICE WILL
RESULT IN THE ISSUANCE OF A CIVIL INFRACTION SUMMONS.
DO NOT REMOVE THIS NOTICE -
LC let 7
BUILD G yP CTOR
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
�32 Date Requested ° 31-196 AM PM BLD
Location v` l l 5W 4), 5 0 Suite MEC
Contact Person Ph 3 5 7 PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC Pop -0®3//
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
Drywall on
Drywall Nailing
Firewall C-12-'
Fire Sprinkler / - — — -
Fire Alarm 1
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
Service
Rough In
UG /Slab
Low Voltage
Fire
Fi�••'�
PART FAIL
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 r nspection RE: 4 41. ] Unable to inspect - no access
ADA /l
„e
Other
Approach /Sidewalk Date (� Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
` e CITY OF TIGARD BUILDING INSPECTION DIVISION 04)
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST
BUP
qs' em Date Requested 6 424 AM PM BLD
Location 7 & 7 Suite MEC
Contact Person Ph PLM
Contractor Ph • SWR
BUILDING Tenant/Owner ELC00c dC 3 1/
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Slab
Crawl Drain Inspection Notes: it /y / - (4-3
Post & Beam (- �4-�1. SIT
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
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
T FAIL
ELECT
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PART FAIL
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 V Approach /Sidewalk D l/ I
Other Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
•
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 •
BUP
Date Requested (0 /712/00 AM PM BLD
Location q CO D / ( lA l(_. btaiko Suite MEC
Contact Person - 71..!/ f.. Ph i 2S8 "I J, PLM
Contractor Ph SWR
BUILDING Tenant/Owner 21-1,„"A. 21-1,„"A. J ELC 1,000-003(1(
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 — • / ;,- 4 T-72,4
Fire wall /r 1=-O
Fire Sprinkler (.O
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
PA R FAIL
LECTRICA
Service
- ou•h
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 Date 1 E Inspector i` Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site
, CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 ' Business Line: 639 -4171
, •
BUP
Date Requested ‘7 Z-3 �
961? (V ) AM y ' M BLD
Location Suite MEC
Contact Person Ph PLM
Contractor Ph
BUILDING Tenant/Owner
\I r 0 t� SWR
bei-P__"} ELC 11� - 00 31
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam •
Ext Sheath /Shear . r.
Ina Sheath /Shear , W _ / 0
Framing Insulation
Drywall Nailing "R' s_ (ems 4,4-144/47 M ix/ / Firewall 73 /
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
PART FAIL
ELECTRICAL
ice
Rough In
UG /Slab
Low Voltage •
Fire Alarm
Fi
ASS _FART FAIL
S
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 fo einspection RE: ] Unable to inspect - no access
ADA
Approach /Sidewalk Date ‘Y 7 b Inspector _ Ext
Other
Final -
PASS PART FAIL / O NOT REMOVE this inspection record from the job site.
CITY.OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 . „Business Line: 639 -4171
BUP
Date Requested g` AM PM BLD
Location 96/9 5 (A) 4-5 Suite MEC
Contact Person Ph 7 6 PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC 2" -00 3 q
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 it . = 4. ∎ _
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
Service
Rough In
w Volt
F �i �A arm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hail, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] &bIo inspect - no access
ADA
Approach /Sidewalk D ate Q�
Other /1 „e/ Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
7
CITY OF TIGARD BUILDING INSPECTION DIVISION
•
24 -Hour Inspection Line: 639 -4175 . ,. .,Business Line: 639 -4171 MST
BUP
Date Requested / J AM PM BLD
Location 76 /9 St() 'c'45< 5 , Suite MEC
Contact Person Ph 351r- 7,F4 PLM
Contractor (—( Ph SWR
BUILDING Tenant/Owner 79 ELC 2e- ' -G o,3(4/
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
Fire wall
Fire Sprinkler e--r--%A may./
Fire Alarm
Susp'd Ceiling
Roof
Misc: ;/✓A'"�_ °
Final
PASS PART FAIL
PLUMBING el
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
1LECTRICdl7
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
�S •ART FAIL
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ] Please call for reinspection RE: ] Unable to inspect - no access
Fire Supply Line -
ADA
Approach /Sidewalk o
Other Date a ,l) Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION • MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
1 BUP
Date Requested 7--I S AM PM BLD
Location 9 c I l s `✓ C}t 54. f�, Suite MEC
Contact Person P Ph s t PLM •
Contractor 7774, Z C Ph I - SWR
BUILDING Tenant/Owner Po ` —' -e-ry L 7 , I ,J ELC o 2CaUd - 0 a 3 Y (
Retaining Wall 1 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 /I
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
FAS S PA FAIL
L� •
Service
Rou h I dc�
la
oltage •
Fire Alarm
Fin
AS PART FAIL
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 inspection RE: Unable to inspect - no access
ADA
Approach /Sidewalk
Other Date Inspector t
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 . Business Line: 639 -4171
/ BUP
D ate Requested 9 Z o 7 AM PM BLD
Location 96/Y /.. S (:CIA -s l ,1. ,pt. Suite MEC
Contact Person Ph PLM
Contractor .)12 L de-P , Ph SWR
BUILDING Tenant/Owner Pp74?. . 4 Al ELC 10-v-0 oc; '44/
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 - / v►��d i - ma I .
Fire Alarm o �/ / A; Q .eC�
Susp'd Ceiling
Roof d� ./ . %p
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
T FAIL
ELECTRICAL
Rough In
UG /Slab
Low Voltage
Fire Alarm
Fig -
PART FAIL
i r ; 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 rei pection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk
Other Date Kl Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record fromm the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 ,Business Line: 639 -4171
/' / BUP
Date Requested 1S " 1 / AM PM BLD
Location Ste✓ 4/454 S, Suite MEC
Contact Person Ph 3.5`T -79 SL PL �
Contractor Ph J' " V� 00 Oltl; 5./
BUILDING Tenant/Owner _ ELC 2GVV -C✓O
Retaining Wall _ EL 2000 — 0 0 23 S
Footing Access:
Foundation _ FPS
Ftg Drain SGN •
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear f� /'� �--
Framing ! r O
Insulation / n
Drywall Nailing /-= �- 4 �' 0 o o^ v o Z _
Firewall
Fire Sprinkler
Fire Alarm 1 e A T / /� v
Susp'd Ceiling ItA4/Cs e- 0 U /� - D - also o - 7,
Roof L L 3
Misc: /
Final n(/
PASS PART FAIL V
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains ('i Dv) X -
Final
PASS PART FAIL
MECHANICAL j , _
Post & Beam
Rough In
Gas Line
Smoke Dampers nii v _ C C.J lo �CJUS's'
Final S
PASS PART FAIL � 'DS
C} C'D r
Service / -
Rough In
UG /Slab
Lo /'r/oltage
Fire larm
raj;; PA AIL \��'
E
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 D F //c pe Inspector Other Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.