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Permit CITY OF T I G A R ® ELECTRICAL PERMIT PERMIT #: ELC2002 -00273 `ill& DEVELOPMENT Tigard, SO R 2 (503) 639 -4171 CES DATE ISSUED: 6/14/02 / Hall PARCEL: 1S126C0-01107 SITE ADDRESS: 09714 SW WASHINGTON SQUARE RD F -4 SUBDIVISION: WASHINGTON SQUARE ZONING: C -G BLOCK: LOT : JURISDICTION: TIG Project Description: Installation of 24 branch circuits for commercial TI. Job No. 02339. 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: 23 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 DRYER + SONS BY THE MACERICH CO 5536 SE WOODSTOCK BLVD ATTN JANET FISCHER ASSET PORTLAND, OR 97206 SANTA MONICA, CA 90407 Phone: Phone: 774 -1606 Reg #: LIC 1114 SUP 2311S ELE 26 -43C FEES Required Inspections Type By Date Amount Receipt Ceiling Cover PRMT CTR 6/14/02 $199.80 2720020000( Wall Cover Rough -in 5PCT CTR 6/14/02 $15.98 2720020000( Elect'l Final Total $215.78 This Permit is issued subject to the regulations contained in the Tigard Munidpal Code, State of OR. Speaalty 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) 246-6699 or 1 -800- 332 -2344. Permit Signature: , J A / j 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: OA✓ /97 G /C'1-f /ON DATE: LICENSE NO: Call 639 -4175 by 7:00pm for an inspection the next business day * Electrical Per t. i ! J - t Z S I I i ,1 I t.-.-I l i , . . _,' j i , u v i- l ' - ' Date received: ( / ? , Z Permit no.: Fi,C to D2- j 73 .,1,.;wi :, City of Tigard Project/appl. no.: Expire date: • City of Tigard Address: 13125 SW Hall Blvd, Ti OII 1101 Date issued: By ‘A Receiptno.: Phone: (503) 639 -4171 ., • Fax: (503) 598 -1960 , T- A- 1( Ut I iktA''v r Case file no.: Payment type: • Land use approval: , ei cPaon - DO /?2 -t z ` • J ' ;'r : TYPE OF' PERMiT .4:: ❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial 0 Multi- family ❑ Tenant improvement ❑ New construction ❑ Addition/alteration/replacement ❑ Other: ❑ Partial y -� } '._ 't .. 4 _.. ` J SITE INFORMATION G, ,,; ; ` Job address: • 7 ) g COASri4W4ro„) SQ IZo . Bldg. no.: Suite no.: - Tax map /tax lot/account no.: Lot: Block: Subdivision: Project name: d LDO Description and location of work on premises: 50...T.4—Ai CZu�tll`6(Z4 -a Estimated date of completion/inspection: q - t - 0 ZZ - CONTR11CTOR APPLICATION "' . . ' • -.;, FEE SCIIEDULE , !r ^' ' 1 _. - ._..,.. Job no: p z3'3 ' Fee Max Business name: D,2 e j Description Qty. (ca.) Total no. insp Address: 5.5 - 3 (D 51%." 0CQ �TZ�/2 B(i(/� Newre l I c multi-family dwelling writ. ]ncludes attached garage. City: iferi ,T'(„-j'yfQ State: ZIP: f - 7&l & Service included: Phone: /4 6. Fax: • E -mail: 1 000 sq. ft. or less 4 Each additional 500 sq. ft. or portion thereof _ Limitcd energy, residential 2 CCB no.: // V Elec.•bus. lie. no: 2 (pc /3 e _ , ___ 2 Ma etrolie. I, ..30 Limited energy, non- residential ___ 2 _____ �� ffV7_ _ , -7 02 Each manufactured home or modular dwelling Signature of supervising el ctrician (required) Date Service and/or feeder .■. 2 Sup elect name(print) .Am-4--40 . + Xe Z, License no Z%ij5 Servicesorfeeders– installation, .: ' `PR OP ER TY OWNE F ''- z alteration or relocation: : r., ` ... 'Y. it: .. L ' Y' ' 200 amps or less 2 Name (print): 201 amps to 400 amps ___ 2 401 amps to 600 amps ___ 2 Mailing address: 601 amps to 1000 amps EMI _ 2 City: State: ZIP: Over 1000 amps or volts _ 2 Phone: Fax: E -mail: Reconnect only ___ 1 Owner installation: The installation is being made on property I own Temporary services or feeders - . which is not intended for sale, lease, rent, or exchange according to installation, alteration,orrelocation: ORS 447, 455, 479, 670, 701. 200 amps or less 2 201 amps to 400 amps ___ 2 Owner's signature: Date: 401 to 600 amps ___ 2 y. v ; -EN r ,.! i ,;._. ` '�a Branch circuits- new, alteration, or extension per panel: Name: A. Fee for branch circuits with purchase of Address: service or feeder fee, each branch circuit 2 City: State: ZIP B. Fee for branch circuits without purchase Phone Fax E-mail: of service or feeder fee, first branch circuit: S 2 Each additional branch circuit: �� is: ".1 ;� PLAN REVIEW(Please check allsthatapph) Misc . (Service or feeder not included): 0 Service over 225 amps- commercial 0 Health -care facility Each pump or irrigation circle ill ■. 2 O Service over 320 amps - rating of 1&2 0 Hazardouslocation Each signor outline lighting ___ 2 family dwellings 0 Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel, 0 System over 600 volts nominal more residential units in one structure alteration, or extension* 1111111 2 0 Building over three stories 0 Feeders, 400 amps or more . *Description: • O Occupant load over 99 persons O Manufactured structures or RV park Each additional inspection over the allowable in any of the above: O Egress/lightingplan O Other. Per inspection ___— Submit _ sets of plans with any of the above. Investigation fee • The above are not applicable to temporary construction service. Other - Not all jurisdictions accept credit cards, please call jurisdiction for more information. Notice: This permit application Permit fee $ / 99 8_,t1...'. O Visa ❑ MasterCard expires if a permit is not obtained Plan.review (at — %) $ q ' Credit card number: I / within 180 days after it has been State surcharge (8 %) $ t 5 Expires accepted as complete. TOTAL $ Z t S 7 L . Name of cardholder as shown on credit card $ Cardholder signature Amount 440.4615 (6/00/COM) • ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: Complete Fee Schedule Below: TYPE OF WORK INVOLVED - RESIDENTIAL ONLY Restricted Energy Fee $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total s Check Type of Work Involved: Residential - per unit . 1000 sq. fL or less $145.15 4 n Audio and Stereo Systems' Each additional 500 sq. ft. or portion thereof $33.40 1 n B urglar Alarm Limited Energy $75.00 Each Manufd Home or Modular Dwelling Service or Feeder $90.90 2 n G arage Door Opener' Services or Feeders n Heating, Ventilation and Air Conditioning System* Installation, alteration, or relocation 200 amps or less $80.30 2 201 amps to 400 amps $106.85 2 n Vacuum Systems' 401 amps to 600 amps $160.60 2 601 amps to 1000 amps $240.60 2 n Other Over 1000 amps or volts $454 65 2 Reconnect only $66.85 _ 2 Temporary Services or Feeders TYPE OF WORK INVOLVED - COMMERCIAL ONLY Installation, alteration, or relocation Fee for each system $75.00 200 amps or less $66.85 2 (SEE OAR 918 - 260 -260) 201 amps to 400 amps $100.30 2 401 amps to 600 amps $133.75 2 Check Type of Work Involved: • Over 600 amps to 1000 volts, see "b" above. n A udio and Stereo Systems Branch Circuits New, alteration or extension per panel • n Boiler Controls _ a) The fee for branch circuits with purchase of service or n Clock Systems feeder fee. . Each branch circuit $6.65 2 n Data Telecommunication Installation b) The fee for branch circuits without purchase of service _ n or feeder fee. Fi re Alarm Installation First branch circuit / $46.85 `l 6 8' Each additional branch circuit 7 , $6.65 , c 2_ 9_ n H VAC Miscellaneous • 1 Instrumentation (Service or feeder not included) n Each pump or irrigation circle $53.40 Each sign or outline lighting $53.40 n Intercom and Paging Systems Signal circuit(s) or a limited energy panel, alteration or extension $75.00 n Landscape Irrigation Control" Minor Labels (10) $125.00 . Each additional inspection over • I I Medical the allowable in any of the above . Per inspection $62.50 n N urse Calls Per hour $62.50 In Plant $73.75 n Outdoor Landscape Lighting Fees: n Protective Signaling Enter total of above fees $ n Other 8% State Surcharge • 5 Number of Systems 25% Plan Review Fee See "Plan Review" section on $ * No licenses are required. Licenses are required for all other installations front of application. Fees: Total Balance Due $ $ / 9 9 e.,..— Enter total of above fees ❑ Trust Account # 8% State Surcharge $ / 5 ci g Total Balance Due $ Z (S ' 8 i :1sts\forms\elc- fees.doc 06/07/01 "'r CITY OF TIC A • 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received Date Requested AM PM BUP - Location ON $ 01 & 5 Suite S y MEC Contact Person 5 , 14 Ph ( ) W-O 3 PLM Contractor F SO v4 Ph ( ) SWR BUILDING Tenant/Owner � ELC e Z - Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: f SIT Post & Beam /CIO Ai Shear Anchors ` Ext Sheath/Shear f n pp v i ,!L L c of AlWels Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler CR/X1E/Fri Fire Alarm F")-( Susp'd Ceiling Roof (� /� Other: i , � l f� 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 LECTRIC S ervice C`Pr �� 7 Rough -In Guv.,„\., UG/Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: 111 Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date — 4 02 Inspector • 1 .. Ext Other: 1 / Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF T1GA 24 -Hour BUILD IIG Inspection Line: (503) 639-4175 DIVISION Business Line: (503) 639 - 4171 MST BUP Received Date Requested 7,7 AM PM BUP Location �7� I� 0 Ri Suite F MEC Contact Person L '\/ ... Ph ( ) 9 -6(13,z_ PLM Contractor _ &we _ Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: c SIT NA K7 Post & Beam �J - pr�� c F/./d , Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall _ _ � — ��'�' -- Fire Sprinkler -_ — -- _-- '' ,— , �=�' - —- Fire Alarm Susp'd Ceiling Roof l f �/ 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 • Servize ough�- UG/STab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL S Please call for reinspection RE: Unable to inspect - no access Fire Supply Line ADA � r/ l Jf • Approach /Sidewalk Date > . Inspector l ✓ o� Ext Other: "-'I Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL 4 CITY OF TIGAR_D 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received Date Requested 7//, AM PM BUP Location ' 7/ � sn - �� Suite F MEC Contact Person _ _J _•� Ph ( ) PLM Contractor h ) �� f d d SWR 7 BUILDING Tenant/Owner ELC � / 3 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 — A - Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Alm '., 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 V Service ough- Slab I '■ Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. (alp' PART FAIL SITE fl Please call for reinspection RE: 111 Unable to inspect — no access Fire Supply Line ADA / Approach/Sidewalk Date 1 c - Inspector ( ci G Ext Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD ., 24 -Hour . BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 - 4171 MST BUP Received Date Requested 7/a.3 AM PM BUP Location 9 7/Li te) 4— ' S - 1C1 Suite F - 1 MEC Contact Person `i �� Ph ( ) 9 6 9 —d 03 Z PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC — Z 2 73 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 Firewall Fire Sprinkler � `� Fire Alarm r'�I Ni6 C , s re Susp'd Ceiling ! I•�� Roof Other: �� • Final V $ L co 6M_ 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 S o Q u UG /Slab • Low Voltage Fire Alarm Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL SITE [ Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date 7 ° Inspector 4 k Ext Other: Final DO NOT REMOVE this inspection record from t ob site. PASS PART FAIL CITY OF TIGARD 24 -Hour • ,S BUILDING Inspection Line: (503) 639 -4175 - INSPECTION DIVISION Business Line: (503) 639 -4171 MST l BUP Received Date Requested AM PM BUP = Location 77/ l Gt1 -- sQ 2 Suite G — MEC - / - - s4 9- _ D d 3 PLM • Contact Person - �_ �� Contractor Ph ) SWR BUILDING Tenant/Owner ELC o2 — O 2 7 3 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 Firewall Fire Sprinkler Fire Alarm 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 Fire Alarm QF PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE ❑ Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date d _ Inspector Ext • Other: Final DO NOT REMOVE this inspection record from t job site. PASS PART FAIL