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Permit . CITY OF TIGARD ELECTRICAL PERMIT • PERMIT #: ELC2004 -00163 el DEVELOPMENT SERVICES DATE ISSUED: 3/31/2004 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S12600-00300 SITE ADDRESS: 09644 SW WASHINGTON SQUARE RD SUBDIVISION: RV'AgHINGTON SQUARE ZONING: C -G BLOCK: LOT : JURISDICTION: TIG Project Description: 1 200amp service and 36 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: 1 W /SERVICE OR FEEDER: 36 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 DYNALECTRIC BY THE MACERICH COMPANY 2904 SW FIRST AVE. 9585 SW WASHINGTON SQ RD PORTLAND, OR 97201 PORTLAND, OR 97223 Phone: Phone: 503 - 226 -6771 Reg #: LIC 066793 SUP 4817S FEES ELE 26 -59C Description Date Amount Required Inspections [ELPRMT] ELC Permit 3/31/2004 $319.70 [TAX] 8% State Surcharge 3/31/2004 $25.58 Elect'I Service Rough -in Total $345.28 Elect'I Final 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 rf 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 -0100 You may obtain copies of these rules or direct questions to OUNC at (503) 246 -6699 or 1- 800-33 344 � Issued By: /4 Permit Signature: d1l /f !M 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: it/ Z - Call 639 -4175 by 7:00pm for an inspection the next business day MRR 29 2004 2:43PM DYNRLECTRIC 503 226 7720 p.2 EA ectrical Permit Ap - � i' � � � FOR OFFICE USE ONLY City of Tigard �qpQ 2 n : 3d o PermitNo.: aoO/ OD 13125 SW Hall Blvd., Tigard, OR 97223 MAR 2 9 2004 P lan Revie Other Permit Phone. 503.639.4171 Fax: 503.598.1960 ' "�! ;' I `" Date/B Inspection Line: 503.639 4175 CITY OF T I G A R ! ' - I I Date Ready/By: BM la See Page 2 for Internet: www.ci.tigard.or.u BUILDING DIVISION Y Notified,Metbod. Supplemental Information _ 1:.,•� ` � J. ,wu L1� ' - .F. ,.,, r� - .•:G {t� '� 1 .; ::- - ' t *'��.,,:M., ':: =t •. { .' TMb 1 - : r . y' J,' _ _ '.:b, � ,, , ... - t r : r; , t ' . -�r�. . fir. �yt Z OV •r1�•i:.�,t�: S^'�:;.?J.• �:: :. i ]3 « };���:r�.t,:•'f°*�'�:`u'.;;� .l, .�t-. . •i?•,�E.:;i:�tUi..a'�• '. J�::ie;�Y 1 .; 1'•YN+`;•�Ri'f!rS� ", . ❑ New construction ❑ Addition /alteration/replacement Please check all that apply: ['Service over 225 amps, comm'I C3 Hazardous location ❑ Demolition ❑ Other: ['Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft., ti , f •, _; i:i,S A A k;�' 'r "''`6'.-�i ` C#, �,,,,,t ; P-4 3 ' of I- and 2 -fary �'' m] dwellings 4 or more new residential „1,41 -iN. itF likaPi3.44 •e.' 4,„..:,.... its •-r - -. �.,,. ..o '..�a.; ; i..i:.0 :r;•;ii' 1::.•���-,,„ ❑ 1- and 2- family dwelling XCommercial/lndustxial ❑ Accessory building ['System over 600 volts nominal units m one structure ['Building over three stories ['Feeders, 400 amps or more ❑ Multi -famil Multi-family ❑ Master builder ❑ Other: ['Occupant load over 99 persons ❑Manufactured structures or `'� ..1,1L,-..V. "t ❑ g ,-, , r . , - • 'c es N �# � Y Egress/)igt¢ig e r t s� e p i t, � °rz l'. ' JN t h RV park . /0 0 Job site address: /1 , A ❑Health -care facility ❑Other: Job no. � a 7 g(, V .. ' s/A) !pool - sQ Submit" sets of plans with any of the above. City/State/ZIP: T/ fir , )/ 7e The above are not applicable to temporary construction service. x t - t' .ag W ' 1 • aicr ga pe., u-0r • -a , Suite/bldg. /apt. no Pro ject name: " . a, '` •- ,[ - fir; 7 — l I Sl1 ��a _ 2 nwertp Qty. Fee rata, Cross street/directions to job site: New residential single- or multi - family dwelling unit. Includes attached garage. ._ 1,000'sq, ft. or less 145:15 - ' --- - 4 • - - _ Subdivision: I Lot no.: Fa add'] 500 sq. ft or portion 33.40 1 Limited energy, residential 75 00 2 Tax map /parcel no �y :,g[t 3 r r� Limited energy, eon- residential 75.00 2 il,,ti ".;z . :6F , 1 d ' + B�:iB1:,miufs;'_�9 ,' `''° °, fila opiu otl Each manufactured or modular dwelling, service and /or feeder 9090 2 7TPfrier..A f' i- riGSPIye1'�- Services or feeders installation, alteration, and/or relocation 1 200 amps or lets , 80 30 50 2 k 4t� oslr � l • y i 7 ` � .l , t i' t 7 `` ; .r,:.. . i ° 201 amps to 400 amps 106 85 2 , tltdA @� 401 amps to 600 amps 160.60 2 Name: 601 amps to 1,000 amps _ 240.60 2 Address: Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City/State /ZD?: Temporary services or feeders installation, alteration, and/or relocation Phone: ( ) I Fax: ( ) 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2 Owner signature: Date: Branch circuits - new, alteration, or extension, per panel .. r� �' t =; r. °., �' , �' t vw = � �"1 A. Fee for branch circuits with + r�: e. vi ; t 1 .t ' 't .. 16' 't . . _ , _ w . branch or feeder fee, each 3/_ c�fLJ 6.65 e7 7 - 6,940 2 Business name: B. Fee for branch circuits Contact name: without service or feeder fee, 46.85 2 each branch circuit _ Address: Each add'l branch circuit 6.65 2 City /State/ZIP: Miscellaneous (service or feeder not included) Pump or irrigation circle 53.40 2 Phone: ( ) I Fax : ( ) Sign or outline lighting 53.40 2 B- mail: t s a Signal circuit(s) or limited - .; ''t_ : d C 3 g : I , '�F'i,1i 7 iE N fxai `Gaf p i energy panel, share don, or extension. Describe: Page 2 2 Business name: '! lly L "� Each additional Inspection over allowable In any of the above Address: Q� [XJ / 5� Per inspection 62.50 City/State/ZIP: ©� 97 Investigation per hour (1 hr min) 62.50 5-'233) c;_; O Z /0 , }� ( , / 7 �, Industrial plant per hour 73.75 Phone: ( - „ ' 7 / I Fax: o�ia B r/ F 74 i t t igt f rl 2 ','• '' GCB Lic.: r�79 Electrical Lic.:a6 -5F� Suprv. Lic.:4(53 C Subtotal y � ) 9.70 Suprv. Electrician signature, required` ` - ` Plan review (25% of permit fee) State strrcharge (8% of permit fee) 4, 5 Print name..' s2.1 i1- , D e: 3 , ,),9,10 TOTAL PERMIT FEE 34/5-, a st Authorized signature: This permit application expires If a permit Is not obtained within 180 / days after It has been accepted as complete Print name: Date: 3 , a 9O tJ • Fee methodology set by Tri-County Building Industry Service Board / t o Number of inspections per permit allowed. 1 \ Building\Pendte13LC- ParaitAppdoe 1210$ 440.4415T( INOICOM/WEB CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received J i , 2 - 9 i P Date Requested g 2 -9 — (AM PM BUP Location 't, ' ' I4 S Q - Suite L 1 3 MEC Contact Person o 7 6 t L j ( E( � Ph (51 7 " // PLM Contractor Ph ( ) SWR �1� BUILDING Tenant/Owner �I /. / /�. ' —.r ELC , %Z�L X03 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 — Fi rewall Fire Sprinkler C r Fire Alarm 1 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 Rough -In UG /Slab Low Voltage F ires A rm in ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SIT ❑ Please II for rei spection RE: ❑ Unable to inspect — no access Fire Supply Line 1 ADA Approach/Sidewalk Date \--, so b Inspect° ' ... Ext Other: Final - DO NOT REMOVE this inspection record from the b site. , PASS PART FAIL