Permit CITY OF TI GARD ELECTRICAL PERMIT
PERMIT #: ELC2000 -00280
111A DEVELOPMENT o
SERVICES 639-4171
DATE ISSUED: 05/30/2000
13125 SW Hall Blvd.,
PARCEL: 1 S126C0 -01107
SITE ADDRESS: 09693 SW WASHINGTON SQUARE RD
SUBDIVISION: Giztikaifi ZONING: C -G
BLOCK: LOT : JURISDICTION: TIG
Project Description: Install 25 branch ciruits for tenant improvements.
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: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 24 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 NEW TECH ELECTRIC
BY MACERICH CO 1400 NE 48TH AVE
ATTN:JANET FISHER ASSETS HILLSBORO, OR 97124
SANTA MONICA, CA 90407
Phone: Phone: 503 - 648 -1900
Reg #: LIC 41868
SUP 2113s
ELE 26 -418c .
FEES Required Inspections
Type By Date Amount Receipt
Elect'I Service
PRMT GEO 05/30/200C $165.90 0002538 Elect'l Final
5PCT GEO 05/30/200C $13.28 0002538
Total $179.18 ORIGINAL
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 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 or direct questions to OUNC at (503)
246 - 1987.
PERMITTEE'S SIGNATURE 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: °> d -70
LICENSE NO:
Call 639 -4175 by 7:00pm for an inspection the next business day
CITY OF TIGARD Plan Check #
Electrical Permit Application
'6125 SW HALL BLVD. RECEIVED Recd By
TIGARD OR 97223 Date Recd
Date to P.E.
Phone (503) 639 -4171, x30WiAY 2 6 2000 Date to DST
Inspection (503) 639 -417 UNl DEVELOPMENT Print of Type Permit # C -67°075
Fax (503) 598 - 1960 Incomplete or illegible will not be accepted Called
1. Job Address: �,, J 4. Complete Fee Schedule Below:
Name of Development �H�S' "7t Number of Inspections per permit allowed
Name (or name of business) ` I' ' ". " Service included: Items Cost Sum
Address 4 . 574/ / i . L 7t/ �V 4a. Residential - per unit
City /State /Zip I #Gl,' 1000 sq. ft. or less $ 117.75 4
Each additional 500 sq. ft. or
portion thereof $ 26.'5 1
Commercial 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 ) Installation, alteration, or relocation
Electrical Contractor e (49 ( � AJ exec - G.' 200 amps or less $ 64.25 2
Addr (.7 s / 74 ay.& 201 amps to 400 amps $ 85.50 2
401 amps to 600 amps $ 128.50 2
City State Zip ___9__2/_g 4' 601 amps to 1000 amps $ 192.50 2
Phone No. ,(43 Over 1000 amps or volts $ 363.75 2
Job No. 6 /00 76 Reconnect only $ 53.50 2
Elec. Cont. Lice. No. ‘ ,C o %ce6 Exp.Date 4c. Temporary Services or Feeders
OR State CCB Reg. No. ."/c'6Ocr Exp.Date Installation, alteration, or relocation
COT Business Tax or Metro No. _ Exp.Date 200 amps or less $ 53.50 2
201 amps to 400 amps $ 80.25 2
Signature of Supr. Elec'n 0e#4 G®� 0 ''- 401 amps to 600 amps $ 107.00 2
Over 600 amps to 1000 volts,
21/ s see "b" above.
License No. Exp.Date /, % i,I � 4d. Branch Circuits
Phone No. l g��/ cc ` 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 �y $ 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) $ 107.00
Please check appropriate item and enter fee in section 5B. 4f. Each additional inspection over
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: gere
5a. Enter total of above fees $
* Submit 2 sets of plans with application where any of the above apply. ..746°I Surcharge (.05 X total fees) $
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 # f
AT ANY TIME AFTER WORK IS COMMENCED. Total balance Due $ /7q, / g
i. \dsts \forms \electric doc
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
\' BUP
Date Requested 0// PM 1c BLD
Location 4 • t - a1/�$uite MEC
Contact Person r % �� 0 -' Ph (0 y ' j 9 DO PLM
Contractor J -"- T-6 1 . Ph SWR
BUILDING Tenant/Owner 1bn V 5K d /1 t ELC 2 O let)
Retaining Wall t ' 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 AC
e4
Wail ,i e g— Fire Sprinkler t
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
E EC RIC:1�►L )
Service
''oug •
• lab
Low Voltage
Fire
• ASS P • 'T FAIL •
SITE •
:.c fill /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 D ate /n� �
Other (O j'?i ] c Inspector - — _ Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
' a
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24-Hour ns ti Line: 639-4175 Business Line: 639 -4171 BUP
/ / Date Re uested 1I.2 ` AM PM BLD
Location l s Suite e-q MEC
Contact Person (C -C.S(& f /-& c) I`ef. c.. Ph 40`a / (rO PLM
Contractor Ph SWR
BUILDING Tenant/Owner 30 kilAc6v— 4- I v ) � ELC v 6� a�
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
ELECTRICAL �'►
Rough I el-
/Slab
Low Voltage
Fire Alarm
( 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 ( P Inspector U Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.