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Permit CITX OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2002 -00482 :I DEVELOPMENT SERVICES DATE ISSUED: 11/14/02 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S135BA -00102 SITE ADDRESS: 10100 SW WASHINGTON SQUARE RD A -1 ZONING: C -G SUBDIVISION: BLOCK: LOT : 001 JURISDICTION: TIG Project Description: TI Using existing 800 amp, install 5 200 amp sub - panels and 86 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: 5 W /SERVICE OR FEEDER: 86 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 SQUARE TOO LLC WINNER ELECTRIC INC BY MACERICH COMPANY 5950 SW PROSPERITY PK ATTN: JANET FISHER, ASSET MGMT TUALATIN, OR 97062 SANTA MONICA, CA 90407 Phone: Phone: 638 - 5028 Reg #: ELE 34 -150C FEES Description Date Amount Required Inspections [ELPRMT] ELC Permit 11/14/02 $973.40 [TAX] 8% State Tax 11/14/02 $77.88 Elect'l Service Rough -in Total $1,051.28 Elect'l 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 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 - 0100. You may obtain copies of these rules or direct questions to OUNC at (503) 246-6699 or 1- 800 - 332 -2344. Wild( Issued By: /(. 32 t-f� ti , l L/L Permit Signature: OY/L 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: V ' L- L SCf c (A— DATE: LICENSE NO: a 7 5 Call 639 -4175 by 7:00pm for an inspection the next business day Fe Permit Application l Datereceived: / /'/ V -o2 Permit no.C�� _,, j. ,•, , City of Tigard Project/appl. no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Date issued: Byabl Receiptno.: Phone: (503) 639 -4171 Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: • TYPE OF PERMIT ❑ 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family ❑ Tenant improvement ❑ New construction 0 Addition/alteration/replacement ❑ Other: 0 Partial l, . JOB SITE INFORMATION Job address: %D D6 S W tOrks � S , n - O 12 - Bldg. no.: Suite no.: Tax map /tax lot/account no.: • Lot: f Block: (Subdivision: Project name: g doe,, a.j 'Description and location of work on premises: til {.-bs 2wf i ,,) Estimated date of completion/inspection: • , (, 'l,,' /. _ I Si✓t F 's gOo ftMj . SIC — =zee_ , G ; :CON'IRACI'OR APPLICATION FEE SCHEDULE Job no: Fee Max Business name: Lo •Dfiet- E(ee -',/L Description Qty. (ea) Total no.insp ` New residential - single or na family per Address: 5t) Cu St,v Pv 6 P it- t ell'-14. R1 dwelling unit . Includes attached garage. City: v 4 1 .. 4-/,', 1/4 1 I StateetL I ZIP: 9 706 Z- Service included: Phone:503 43 sou,' Fax: 435 yz 47-1E-mail: 1000 sq. ft. or less 4 �_ /S � G 1 Each additional 500 sq. ft. or portion thereof y CCB no.: /ill 9 y 'Elec. bus. lic. no: ?� Limited energy, residential 2 City /metro lic. no.: Limited energy, non- residential 2 Each manufactured home or modular dwelling Sign u of supervising electrician (required) Date ii— ii-- OM,. Service and/or feeder 2 Sup.eect. name (print): gC u. A ti License no: 28255 Services orfeeders — installation, alteration or relocation: PROPERTY OWNER 200 amps or less 0 .F2., 5 kt3(.571.54 2 Name (print): 201 amps to 400 amps 2 ' 401 amps to 600 amps 2 Mailing address: 601 amps to 1000 amps 2 City: 'State: 'ZIP: Over 1000 amps or volts 2 Phone: I Fax: 1E-mail: Reconnect only t 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 lnstallatlon ,alteratlon,orrelocatlon: 200 amps or less 2 ORS 447, 455, 479, 670, 701. 201 amps to 400 amps 2 Owner's signature: Date: 401 to 600 am s 2 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 On b' s$57i, ?0 2 City: State: ZIP: B. Fee for branch circuits without purchase of service or feeder fee, first branch circuit: 2 Phone: Fax: E-mail: Each additional branch circuit: PLAN REVIEW (Please check all that apply) Misc. (Service or feeder not included): O Service over 225 amps- commercial 0 Health -care facility Each pump or irrigation circle 2 O Service over 320 amps - rating of 1&2 0 Hazardous location Each sign or outline lighting 2 family dwellings O Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel, O System over 600 volts nominal more residential units in one structure alteration, or extension' 2 O Building over three stories 0 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: O Egress/lighting plan 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 $ e .4 rm O Visa O MasterCard expires if a permit is not obtained Plan review (at _ %) $ Credit card number: / / within 180 days after it has been State surcharge (8 %) .... $ "71.88 Expires accepted as complete. TOTAL $ • /85"7, OR Name of cardholder as shown on credit card Cardholder signature Amount a P' 440-4615 (6/00/COM) ELECTRICAL PERMIT FEES: LIMITED ENERGY PER MAT FEES: - - -r • 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 NI, 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 d e rv ices or Feeders ❑ Heating, Ventilation and Air Conditioning System* n stallation, alteration, or relocation 200 amps or less 6" $80.30 go/ ! so 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. J Each branch circuit O pp� t $6.65 571. 4 16 2 ❑ Data Telecommunication Installation b) The fee for branch circuits without purchase of service ❑ Fire Alarm Installation or feeder fee. First branch circuit $46.85 Each additional branch circuit $6.65 ❑ 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: g ❑ Protective Signaling Enter total of above fees $ g r �] 3, ( 10 n Other 8% State Surcharge $ 11 al) 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 $ I '051 1 V Enter total of above fees $ ❑ Trust Account # 8% State Surcharge $ • Total Balance Due $ All New Commercial Buildings require 2 sets of plans. i:\dsts\forms\elc- fees.doc 08/30/01' • CITY OF'TIGARD 24 -Hour BUILDING Inspection Line:. (503) 639 -4175 MST INSPECTION DIVISION Business Line: (503) $39 -4171 • BUP Received Date Requested / AM PM BUP Location /0 /' 6 L/2* -- SQ • p D Suite � / MEC Contact Person Ph ( 4 ` 0 3 n PLM Contractor ___C3 it) t er L 7& *f c Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC C30 4 15a Foundation 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 o , -- 144 : 2 11/ u UG/Slab 11) Low Voltage Fire Alarm ;its El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL S El Please call for reinspection RE: El Unable to inspect — no access Fire Supply Line ADA ��J Approach/Sidewalk Date l —/ e' '`�J Inspector _ ' Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour • • ; BUILDING Inspection the (503) 639 -4175 ,INSPECTION DIVISION Business (503) 639 -4171 MST _ BUP Received Date Requested /1 / 3 AM PM BUP Location / U/ 0 d SW' wa s Ai- Suite MEC Contact Person J GC/( Ph ( ) G3 ?5 zY PLM Contractor SWR BUILDING Tenant/Owner abfh � f ?L,,,, f ELC 7.G 0 S fz Footing Foundation ELC Ftg Drain Access: ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear \ftv/ Framinmin " Insulation Drywall Nailing Fire wall U L — _ Fire Sprinkler L J 9 I � 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 Service Rough-In Low Voltage Fire Alarm Final ❑ 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 lak_j_ /2a Inspector . Ext Other: V Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour , BUILDING Inspection Line: (50.3) 639 -4175 • INSPECTION DIVISION Business ,Line!`503) 639 -4171 MST - BUP Received Date Requested I AM PM BUP Location /1)/06 /1" 6 - Q 1> Suite MEC Contact Person Ph ( ) i73 ' -0 3g PLM Contractor CO in Ph ( ) SWR c1 BUILDING Tenant/Owner ELC 7 er-z Footing Foundation Access: ELC 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 4 Susp'd Ceiling - — Roof Other: 1 (� —�� , 11 Z, 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 UG75Tab L Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. 4;:p PART FAIL Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA n Ext Approach/Sidewalk Date �bAC � a1 Inspector Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIG_ARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST INSPECTION DIVISION-, Business Line: (503) 639 - 4171 BUP Received Date Requested 1 3 AM PM BUP Location I b 10 0 w • 56 - �, � Suite MEC Contact Person Ph ( ) $ 1 `" V 6 13 7_ PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC �O Z' Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear p �� Framing �p � 1 � (�c Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm r � O ' L Susp'd Ceiling �, Roof Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab f Rough -In Water Service Sanitary Sewer I = 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 O PAS - ART FAIL 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SIT 0 Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA / Approach/Sidewalk Date Inspe 21/ � . Ext Other: Final O NOT REMOVE this inspection recur from t job site. PASS PART FAIL • CITY OF TIGARD 24 -Hour , BUILDING Inspection Lined (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received Date Requested 7 AM PM BUP Location I d Mc) t✓cJ 1 " SQ • / C Y Suite MEC Contact Person Ph ( ) 87 f- ( ?3 7 PLM Contractor Ph ( SWR BUILDING Tenant/Owner ` 1 1A-- el-cy\--) ELC a — e �8 Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear - --- Ent Sheath/Shear '' �� Framing ' 6 K�5 Q" ©1-k - l . 4 4 � in 0 Insulation 4-4 -- r S �� 1 1 L1V\ ( TP ( � qvc-ief Dr ywall Nailing Firewall ( I ,S _ e 5 v n\ , Fire Sprinkler �� �1) C �'b ® I� Fire Alarm L) l\j �s' '—'03 p 1l )� V \ % e `b ' r i. i (� J 9 z sv6 ) G Susp'd Ceiling Roof L) �' "" f — �� �� f ' I� S 1 �cl C t F / , ,� E� f 'C Cl "j � Other: �Y[ , t Final 1A � . P ►�. _I► `h p P at Iv . Da 19 C - . I .. PASS PART FAIL - PLUMBING - Pi9 � 1 bi KNI I)6, C I 'rl,1 l,/G, Post & Beam Under Slab Rough -In Water Service Sanitary Sewer . \( 11) I v '� A opt �� A Rain Drains Catch Basin / Manhole Storm Drain Shower Pan - - 11411 =te �_ ___ Other: �� Final t Iii jl�� 0 1 • NSW _ PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line i• C i ik 1 D — i X) , C ikc f. n C V l �� iA Q I J ■ Smoke Dampers Final ] f � i t To 5A4 It ntt PASS PART FAIL ` /� t ELECTRICAL Vq I V \ Ilt-ff\Q 8 O � ,�J. i h l't i ) 69 11 1 Service Rough -In V k L UG/Slab Low Voltage Fire Alarm D Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE 11 Please call for reinspection RE: 0 Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date 03 Insp or y Ext Other: Final DO NOT REMOVE this inspection record from, job site. PASS PART FAIL CITY OF TIGARD . 24 -Hour : L„ • BUILDING Inspection Line: (503) 639 -4175 MST INSPECTION DIVISION Business Liner - (5103) 639 -4171 BUP Received Date Requested 1 2- l AM PM BUP Location f o / DC) LL) /` - S ©- RA Suite MEC Contact Person ' 4/.c/► Ph ( ) V g 37 PLM Contractor - Ph ( ) SWR e BUILDING Tenant/Owner &d 8 B-64,, . ELC 2 - 0 Footing , ELC Foundation, Access: Ftg Drain ELR Crawl Drain ' , r , - Slab , Inspection Notes: SIT Post & Beam Shear Anchors , Ext Sheath/Shear Int Sheath/Shear Framing h Insulation Drywall Nailing Firewall b Fire Sprinkler Fre Alarj. ; 7 -.. - / c 4 ) - oof �� 7 Other: Final s , PASS PAR FAIL PLUMBING 7 n9d i' l - Post & Beam Under Slab • Rough -In Water Service e Sanitary Sewer o Rain Drains Ca Dra in /Manhole in ri-/ C /� i' %lire, 4 ti Storm Dra Shower Pan • o Other: Final U PASS PART FAIL MECHANICAL v. Post & Beam r Rough -In Gas Line Smoke Smoke Dampers r • -- 1` a C- ...1— Final A A 16-Zg4 f 4 4. 2 a7 - 2 )ZO=Y- PASS PART FAIL ELECTRICAL V4-- �'�y tQ Service Rough -In C 0 UG/Slab i a O 77Y� C R • Low Voltage 1 .-- , — /it / O r_ lc_; 1 /'t r Fire Alarm Final 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL S E ❑ Please call for reinspection RE: 0 Unable to inspect - no access Fire Supply Line ADA f Approach/Sidewalk Date L i . �`ar °22.1 A3 Inspector fr p/ °'fr 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 /' RD PM BUP Location / l D C) i' -v - S Q - R-✓ Suite MEC Contact Person _ Ph ( ) 01 ' I C 3 7 PLM Contractor _ . Ph ( ) SWR BUILDING Tenant/Owner RP ELC 064 Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation ■ , Drywall Nailing H • - v Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling I / Roof Other: low 6 / �r' ; / if �.. Final P4-31711C" PASS PART FAIL -�✓` L�YYI 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 Low olt Low Voltage - Fire Alarm Final D 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 /T Approach/Sidewalk Date FCC � �a Inspector ` -7/ ice, Ext Other: �J c � Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL