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Permit '� CITY OF TI G A R D ELECTRICAL PERMIT PERMIT #: ELC2001 -00226 A. «�� DEVELOPMENT SERVICES DATE ISSUED: 05/02/2001 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1 S126C0 -01107 SITE ADDRESS: 09800 SW WASHINGTON SQUARE RD SUBDIVISION: SEWHENGTON SQUARE ZONING: C -G BLOCK: LOT : JURISDICTION: TIG Project Description: Installation of (36) branch circuits to tool area. Job #7980 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: 35 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 MCCOY ELECTRIC CO BY THE MACERICH COMPANY 2014 SE 9TH AVE 9585 SW WASHINGTON SQ. RD. PO BOX 42428 PORTLAND, OR 97223 PORTLAND, OR 97214 Phone: Phone: 234 -7521 Reg #: LIC 00008277 SUP 2175S ELE 26 -82C FEES Required Inspections Type By Date Amount Receipt Wall Cover PRMT CTR 05/02/2001 $279.60 2720010000( Elect'I Final 5PCT CTR 05/02/2001 $22.37 2720010000( Total $301.97 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 -6699 or 1 -800- 332 -2344. / �i Permit Signature: i40� �� 70 - Issued By: Atm AS 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 71 <.� SIGNATURE OF SUPR. ELEC'N: 0 p eil.I, %r2G4ui DATE: LICENSE NO: -/ i 5 5 Call 639 -4175 by 7:00pm for an inspection the next business day • • _ _, `+ Electrical PermitApplication Datereceived:S�- 0 / Permit no.:/ au/ ,( ),'? (_, 1 y `•I 1 I! '. City of Tigard Project/appl. no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd, Ti is Date issued: By: I Receipt no.: Phone: (503) 639 -4171 Fax: (503) 598 -1960 Case file no.: Payment type: • Land use approval: MAY 2 2U�9 TV 1 E OF PERMIT ❑ 1 & 2 family dwelling or accessory l mercial/industrial ❑ Multi - family ❑ Tenant improvement ❑ New construction M'Addition/alteration/replacement ❑ Other: ❑ Partial JOB SITE INFORMATION Job address: ' i a ,_ . - Bldg. no.: Suite no.: Tax map /tax lot/account no.: Lot: Block: Subdivision: Project name: SgAas !Description and location of work on premises:1 0L 14 Estimated date of completion/inspection: , i CONTRACTOR APPLICATION - - ' ,L r FEE SCHEDULE Job no: 79x0 Fee Max Business name: M C Description Qty. (ea.) Total no. Insp I f C� � �tl �!� Address: (Dl LI S g_ 9 tk ,4,0 02_ N ellingunit.I Includes attached garage. per dwelling milt. lachrdts attached garage. City: - 1- ( - 1 I State: 'ZIP: CI 0_2:Z Servicetncluded: Phone: c3. z34 -70..k I Fax: 2;34 -947ZI E -mail: 1000 sq. ft. or less 4 Each additional 500 sq. ft. or portion thereof CCB no.: 5c 2_11 Elec. bus. lic. no: '2.,L2 - $2C.-- . Limited energy, residential 2 • /metro lic. no.: !{ (.01 ' Limited energy, non - residential 2 �j ..Aa , C ra'A 4 / Each manufactured home or modular dwelling 47 ture of supervising electric an ( . ed) Da Service and/or feeder 2 Sup. elect. name (print): farms . L a , License no: ( • Services or feeders — Installation, 1'ROI'ER "1'1' OWNER 200 or relocation: 200 amps or less 2 Name (print): 201 amps to 400 amps 2 Mailing address: 401 amps to 600 amps 2 601 amps to 1000 amps 2 City: !State: 'ZIP: Over 1000 amps or volts - 2 Phone: I Fax: 1E-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 600am.s 2 [NC I N i :l 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 5 (.(9 '232.75 2 City: 'State: !ZIP: B. Fee for branch circuits without purchase Phone: Fax: E -mail: of service or feeder fee, first branch circuit: i 4G IC 1{( 2 Each additional branch circuit: PLAN REVIEW (Please check all that apply) Misc. (Service or feeder not included): O Service over 225 amps - commercial Cl Health-care facility Each pump or irrigation circle 2 O Service over 320 amps rating of l &2 0 Hazardous location Each sign or outline lighting 2 family dwellings ❑ Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel, ❑ System over 600 volts nominal more residential units in one structure alteration, or extension* 2 ❑ Building over three stories ❑ Feeders, 400 amps or more *Description: O Occupant load over 99 persons 0 Manufactured structures or RV park Each additional inspection over the allowable In any of the above: 0 Egress/lightingplan ❑ Other Per inspection I I I I Submit _ sets of plans with any of the above. Investigation fee The above are not applicable to temporary construction service. Other Not all jurisdictions apt credit cards, please call jurisdiction for more information. Notice: This permit application Permit fee $ 27 9 . Ce accept O Visa 0 MasterCard expires if a permit is not obtained Plan review (at _ %) $ Credit card number: / / within 180 days after it has been State surcharge (8 %) .... $ 22,1 Expires accepted as complete. TOTAL $ l D t .11 Name of cardholder as shown on credit card $ Cardholder signature Amount 440 -4615 (6A0/COM) l • Electrical Permit Fees: Limited Energy Fees: c Complete Fee Schedule Below: TYPE OF WORK INVOLVED - RESIDENTIAL ONLY p Restricted Energy Fee $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total 4 Check Type of Work Involved: Residential - per unit 1000 sq. ft. or less $145.15 4 ❑ Audio and Stereo Systems Each additional 500 sq. ft. or portion thereof $33.40 1 ❑ Burglar Alarm Limited Energy $75.00 Each Manufd Home or Modular ❑ Garage Door Opener' Dwelling Service or Feeder $90.90 2 Services or Feeders ❑ 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 ❑ Vacuum Systems 401 amps to 600 amps $160.60 2 601 amps to 1000 amps $240.60 2 ❑ 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. ❑ Audio and Stereo Systems Branch Circuits New, alteration or extension per panel ❑ Boiler Controls a) The fee for branch circuits with purchase of service or ❑ Clock Systems feeder fee. Each branch circuit $6.65 2 ❑ Data Telecommunication Installation b) The fee for branch circuits without purchase of service ❑ or feeder fee. Fire Alarm Installation First branch circuit $46.85 • Each additional branch circuit Z $6.65 EIE. ❑ HVAC Miscellaneous ❑ Instrumentation (Service or feeder not included) Each pump or irrigation circle $53.40 Each sign or outline lighting $53.40 ❑ Intercom and Paging Systems Signal circuit(s) or a limited energy panel, alteration or extension $75.00 ❑ Landscape Irrigation Control Minor Labels (10) $125.00 Each additional inspection over ❑ Medical the allowable in any of the above Per inspection $62.50 ❑ Nurse Calls Per hour $62.50 In Plant $73.75 ❑ Outdoor Landscape Lighting* Fees: ❑ Protective Signaling Enter total of above fees $ El Other 8% State Surcharge $ 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 $ Enter total of above fees $ ❑ Trust Account # 8% State Surcharge $ Total Balance Due $ i :\dsts\fomu\elc- fees.doc 10/09/00 • CITY OF TIGARD BUILDING INSPECTION DIVISION MST - 24 -dour Inspection Line: 639 -4175 Business Line: 639 -4171 1� BUP Date Requested / l Z — o / AM PM BLD Location — Suite MEC Contact Person L Ph PLM Contractor c ('n y T /� J ri C Ph q34 b SWR BUILDING Tenant/Owner EL .(? ¢ 1 - Oa 7. - 7 -- Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath/Shear 7 cS !Dr e Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling . Roof Misc: Final PASS PART FAIL d 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 FAIL LECTRICAL Rough In UG /Slab Low Voltage - _-rm • S 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 reinspection RE: [ ] Unable to inspect - no access ADA Appro Other ch/Sidewalk D ^ (J / Inspector Ext Other p Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.