Permit `S C I TY OF TIGARD ELECTRICAL PERMIT
< PERMIT #: ELC2000 -00479
b`vIn DEVELOPMENT o 1639 -4171
SERVICES DATE ISSUED: 8/15/00
- 13125 / Hall Blvd..
PARCEL: 1 S135BA -00102
SITE ADDRESS: 10218 SW WASHINGTON SQUARE RD
SUBDIVISION: OSOe1QBURG ZONING: C -G
BLOCK: LOT : 001 JURISDICTION: TIG
Project Description: 3 signs lighting.
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: 3
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: 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
BY MACERICH COMPANY
ATTN: JANET FISHER, ASSET MGMT
SANTA MONICA, CA 90407
Phone: Phone:
Reg #:
FEES Required Inspections
Type By Date Amount Receipt Elect'l Service
PRMT BLD 8/15/00 $128.25 0004512 Elect'l Final
5PCT BLD 8/15/00 $10.26 0004512
Total $138.51
This Permit is issued subject to the regulations contained in the Tigard Munidpal Code, State of OR. Spedalty 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.
6"V ,9//Z -1 C'
PERMITTEE'S SIGNATURE , � ISSUED BY: Ze:(1
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:
LICENSE NO:
Call 639 -4175 by 7:00pm for an inspection the next business day
CITY OF TIGARD Electrical Permit Application Plan Check #
131 SO HALL BLVD. Recd By AfA L
RECEIVED
TIGARD OR 97223 Date Recd SY/ 9/1
Phone (503) 639 - 4171, x304 Date to P.E.
AUG 1 4 2000 Date to DST •
Inspection (503) 639 -4175 Print of Ty a Permit # ELc aoa0 - Q?5�7?
Fax (503) 598 - 1960 Incomplete or illegible will not beC9NWIDEVELOPMENT Called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development WaShinoston Sq{,arQ, Too Number of Inspections per permit allowed
Name (or name of business) StcLr U c., � v2... Service included: Items Cost Sum
Address tO 2.113 5 I 1 In kiSh i r tor) 4a. Residential - per unit
Tt 1000 sq. ft. or less $ 117.75 4
City /State /Zip
�ci d Each additional 500 sq. ft. or
portion thereof $ 26.75 1
Commercial Er 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). I Installation, alteration, or relocation
Electrical Contractor TiAbelAlrk Sr) iq `( /. , r43 200 amps or less $ 64.25 2
�} �.�}, - A 1 stern lOi74 laJ� 201 amps to 400 amps $ 85.50 2
Addres
City Th �crt[ Q State (D Zip q 77 }Z 401 amps to 600 amps $ 128.50 2
601 amps to 1000 amps $ 192.50 2
Phone No. Ts-cps- sI p it 3 Over 1000 amps or volts $ 363.75 2
Job No. Reconnect only $ 53.50 2
Elec. Cont. Lice. No.Tt.t? E,Ata I I r N#lExp.Date 4c. Temporary Services or Feeders
OR State CCB Reg. No. - 7095 (o Exp.Date I (3 100 Installation, alteration, or relocation
COT Business Tax or Metro No.$, 23O Ex . Date 1117 � OD 200 amps or less $ 53.50 2
201 amps to 400 amps $ 80 25 2
Signature of Supr. Elec'ry�, .4' ' Over amps tops t amps $ 100 00 2
Ov 600 amps to 1000 volts,
License No .?into 51('-x. Exp.Date J1/d7 see "b" above.
Phone No. 50?) - (053 - 113 4d. Branch Circuits
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 $ 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 /a i%
* panel, alteration or extension $ 60.00 /Al
i%
Plan Review section (if required): Minor Labels (10) $ 100.00
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
Service and feeder 225 amps or more Per Per hour hour ion $ 50.00
$ 50.00
System over 600 volts nominal In Plant $ 59.00
Classified area or structure containing special occupancy as,
descnbed in N.E C Chapter 5 5. Fees:
5a. Enter total of above fees $
* Submit 2 sets of plans with application where any of the above apply. 8% Surcharge (.08 X total fees) $
Not required for temporary construction services. Subtotal $ ; � (p
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 /SP' S
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\clectric doc
- CITY' OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
/ BUP
Date Requested / � I AM PM BLD
Location /Q 2 S 61J 1414 ) 5 f / Suite MEC
Contact Person (!/4»' Cu 64) Ph 5D 3 (5'3-1133 PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC 1 7
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes: SGN
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
//1Q/- Q Ss
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer /
Rain Drains f
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ervic
Rough In
UG /Slab
Low Voltage
Fire Alarm
ASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hail, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA ZO Approach /Sidewalk
Other Date D f
0 Inspector Q..40?1_1 - Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.