Permit CITY OF TI G A R D ELECTRICAL PERMIT
PER ELC2000 -00093
*-ar DEVELOPMENT SERVICES DATE IS �'': 3/6/00
I I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
P L: 1S126C0 -01107
SITE ADDRESS: 09712 SW WASHINGTON SQUARE•RD F -3
SUBDIVISION: 'ING: C -G
BLOCK: LOT : JURITION: TIG
Project Description: Add twenty -five (25) branch circuits 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: 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 ELECTRICAL DIMENSIONS INC
BY THE MACERICH COMPANY PO BOX 12146
ATTN: JANET FISHER, ASSET MGNT 3961 SW WILLAMS AVE •
SANTA MONICA, CA 90407 PORTLAND, OR 97212
Phone: Phone: 282 -7255
Reg #: LIC 00044008
SUP 2964S
ELE 26 -432C
FEES Required Inspections
Type By Date Amount Receipt
Elect'I Service
5PCT DEB 3/6/00 $13.27 0000456 Elect'I Final
PRMT DEB 3/6/00 $165.90 0000456
Total $179.17
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 j:J/Atat tel -c# ISSUEDBY: .�
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: .tee- DATE:
LICENSE NO: 4
Call 639 -4175 by 7:00pm for an inspection the next business day
CITY TIGARD Electrical Permit ApplicIVED Plan Che
13125 SW HALL BLVD. Rec'd By j4 -44/0 4.4
TIGARD OR 97223
MAR 2000 Date Recd -3 -60
Date to P.E.
Phone (503) 639 -4171, x304
Inspection (503) 639 -4175 COMMUNITY DEVELOVIVii Date to DST
Print of Type Permit # Fes° Aon, - ,
Fax (503) 598 - 1960 Incomplete or illegible will not be accepted Called
1. Job Address: , f 4. Complete Fee Schedule Below:
Name of Development Wk41 (GNSa 1Msk i k Number of Inspections per permit allowed
Name (or name of business) Astjei A tketivS Co1QcT Service included: Items Cost Sum
Address \&) A56' I (Q a 5� 1 l 1
t - SQAr' F-3 4a. Residential - per unit
City/State /Zip � 1 1000 sq. ft. or less $ 117.75 4
q.t., Each additional 500 sq. ft. or
71 portion thereof $ 2625 1
Commercial ! wr l 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 • ntra • c-/eG/ L I (.q1.:D I vn p usignis 200 amps or less $ 64.25 2
•
Addr s 10 r . c I pZ / 201 amps to 400 amps $ 85.50 2
City 2I N : State f Zjp 'V 12 401 amps to 600 amps $ 128.50 2
601 amps to 1000 amps $ 192.50 2
Phone No. Z - 2 - 72 57.5 Over 1000 amps or volts $ 363.75 2
Job No. 2 6 Reconnect only $ 53.50 2
Elec. Cont. Lice. No. z, b €132.C. Exp.Date • . / CZ 4c. Temporary Services or Feeders
OR State CCB Reg. No. 4*We Exp.Date / - LS? U Installation, alteration, or relocation
COT Business Tax or Metro No. i1f'7 q Exp.Date / 66 200 amps or less $ 53.50 2
201 amps to 400 amps $ 80.25 2
Signature of Supr. Elec'n .�/ .4,�� 401 amps to 600 amps $ 107.00 2
/� Over 600 amps to 1000 volts,
see "b" above.
License No. 24'6 - S Exp.Date :07../e-50 4d. Branch Circuits
Phone No. _ ' t
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
b) The fee for branch circuits
Address without purchase of service
City State Zip or feeder fee.
Phone No. First branch circuit i $ 37.50 3 '7.6'0
Each additional branch circuit 2 $ 5.35
The installation is being made on property I own which is not 4e. Miscellaneous / 174Z6
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) $ i64A8
Please check appropriate item and enter fee in section 5B. 4f. Each additional inspection over Mr? o0
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 /6D 5;
described in N E.0 Chapter 5 5. Fees: 1
5a. Enter total of above fees $ . D'APP i
* Submit 2 sets of plans with application where any of the above apply. 1)o N. Surcharge (9d)ttotal fees) $ `���■�
Not required for temporary construction services. Subtotal �� $
5b. Enter 25% of line 5a for 1.5 .2 j -
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
$"
i \dsts\forms\electric.doc
I 7q,l 7
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 - Business Line: 639 -4171
BUP
Date Requested It / 3/00 AM PM BLD
nn
Location vl "112- (.06611\ q ( (4 j k -c, Suite MEC
Contact Person g (i,(/L -J Ph 2-q2- 2-SS PLM -
Contractor / 47-7 6- J/ 1 c.,;..1s Ph k Z i c SWR
BUILDING Tenant/Owner ELC Z - c 9 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
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
�1:
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 f r ;inspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk D
Other » 11 P Inspector Ext
Final
PASS PART FAIL DO OT REMOVE this inspection record from the job site.