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Permit
CITY OF T I G A R D ELECTRICAL PERMIT PERMIT #: ELC2000 -00501 „ t> iIiA DEVELOPMENT PMENT r SERVICES 639 -4171 RVIICES DATE ISSUED: 9/1/00 - 13125 / PARCEL: 1 S126C0 -01107 SITE ADDRESS: 09753 SW WASHINGTON SQUARE RD D -2 SUBDIVISION: WASHINGTON SQUARE ZONING: C -G BLOCK: LOT : JURISDICTION: TIG Project Description: Electrical work for commercial 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: 1 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: 20 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 KEC ELECTRIC INC BY THE MACERICH COMPANY 2110 NW ALOCLEK DRIVE ATTN: JANET FISHER, ASSET MGNT SUITE 614 SANTA MONICA, CA 90407 HILLSBORO, OR 97124 Phone: Phone: 439 -0904 Reg #: LIC 99267 SUP 4489S ELE 34 -426c FEES Required Inspections Type By Date Amount Receipt Elect'I Service PRMT CTR 9/1/00 $204.50 2720000000( Elect'l Final 5PCT CTR 9/1/00 $16.36 2720000000( Total $220.86 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 copie rates ordirect questions to OUNC at (503) 246 -1987. PERMITTEE'S SIGNATUR 41 / ISSU BY: �b t. f 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 IN TALLATION ONLY SIGNATURE OF SUP ELEC'N: DATE: LICENSE NO: Call 639 -4175 by 7:00pm for an inspection the next business day &L c_ a crcro - o0 5o I ( OF TIGARD E��E) Plan Check # Electrical Permit Appli _ _ on 13125 SW HALL BLVD. Recd By A TIGARD OR 97223 NUG f� 3 20014 Date Rec'd Phone (503) 639 -4171, x304 m 8EV E1OpMEN 1 Date to DST til inspection (503) 639 -4175 Print of Type Permit# Fax (503) 598 - 1960 Incomplete or illegible will not be accepted Called '. Job Address: 4. Complete Fee Schedule Below: Name of Development Number of Inspections per permit allowed Name (or name of business) / rt .,_,/ ouhy, t A I_e Service included: Items Cost Sum a/�� Address '-7L/ .5/ $41 1,,,y51,,.a>a, SQ R,, Al 0 4a. Residential - per unit r 1000 sq. ft. or less $ 117.75 4 City/State/Zip fl 7 Each additional 500 sq. ft. or Commercial Ea Residential CI Limited thereof $ 26.75 1 Limited Energy $ 60.00 Each Manuf d 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 :•;formation for COT data base). Installation, alteration, or relocation > ,F:ctrCn! C:onti actor KEC ELECTRIC, INC. 200 amps or less $ 64.25 2 Add r; r 2110 NW ALOCLEK DR #614 201 amps to 400 amps $ 85.50 2 i✓f °. State OR Zip 97124 401 amps to 600 amps $ 128.50 2 y HILLSBORO St - -- p 601 amps to 1000 amps $ 192.50 2 Phone No.503- 439 -0904 Over 1000 amps or volts $ 363.75 2 ,..ob No. (r)© - // 9 q Reconnect only $ 53.50 2 Elec. Cont Lice. No. 34 -426C Exp.Date 10/1/ 4c. Temporary Services or Feeders OR State CCB Reg No. 99627 Exp.Date 5/23/ Installation, alteration, or relocation COT Business Tax or Metro No. 4834 Exp.Date 4/1/ 200 amps or less $ 53.50 2 r �y�,., 201 amps to 400 amps $ 80.25 2 / 401 amps to 600 amps $ 100.00 2 Signature of Supr. Elec'n / Over 600 amps to 1000 volts. see "b" above. License No. Lly 5' Exp.Date (D /i Phone No. _5.03-519-9481 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. -'nrlt 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 I $ 37.50 3? . Each additional branch circuit AO $ 5.35 j o . efl. 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 panel, alteration or extension / $ 60 00 r ' 3. Plan Review section (if required): * Minor Labels (10) $ 100.00 =;ease check appropriate item and enter fee in section 58. 41. Each additional inspection over 4 or more residential units in one structure the allowable in any of the above - Per inspection $ 50.00 ^ _____ __ c:� and feeder 225 amps or more Per hour $ 50.00 ___ S ,:tern over 600 volts nominal In Plant $ 59.00 _- C,assdied area or structure containing special occupancy as described in N.E C Chapter 5 5. Fees: Ste' 6a. Enter total of above fees $ ti * Submit 2 sets of plans with application where any of the above apply. 8% Surcharge (.08 X total fees) $ ( ° Not required for temporary construction services. Subtotal $ 5b. Enter 25% of line 5a for NOTICE Plan Review if required (Sec 3) $ PERM,TS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR ti'::,RK :5 USPE`'DED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account # aC A' A,' y T'Mr Ai TER WORK IS COMMENCED Total balance Due $ t I - ,:st'.`.Irr.::.: \,.Ircuic due CITY OF TIGARD BUILDING INSPECTION DIVISION • MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP DAte Requested 0 AM PM BLD Location F Suite MEC Contact Person Ph PLM Contractor Ph SWR BUILDING - Tenant/Owner ELC ,1-4trtrD - D CIO/ 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 G a 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 AIL l LECTRICAL - .ugh In lDGibia• Low Voltage Fire Alarm Final • 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 Other Date Y Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CFTC OF TIGARD BUILDING INSPECTION DIVISION ., 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST g BUP '- Date Requested 2 i2 AM PM BLD Location„ 0 7 7 5- 5'4'i S � f/Y Suite - Z MEC--- Contact Person rernas ttrn Ka u Ph PLM Contractor Ph SWR / BUILDING Tenant/Owner ELC �iGG - G & -g U 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 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 = ce Rough I � / ( /h) UG /Sla• Low Vol .ge CGvfn Fire Alar 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 inspection RE: [ a le to inspect - no access ADA - Approach /Sidewalk Other Date l ,? Inspector Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. e OF TIGARD.BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP - Date Requested '1�'� AM PM BLD . Location l Suite VZ MEC Contact Person ( 1'(.1M. > A 4 b ) Ph PLM Contractor Ph SWR BUILDING Tenant/Owner iS ' 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 �2� 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 P T FAIL CEL&GRI Service Rough In UG /Slab Low Voltage Fire Alarm 1'r� 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 Date G Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the site. •