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Permit A CITY OF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT : ELC2004-00602 DATE ISSUED: 9/21/2004 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S12600 -00300 SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD SUBDIVISION: kE 616 SQUARE ZONING. C -G O4�ilA BLOCK: LOT : JURISDICTION: TIG Project Description: Provide power & raceway for security camera system, (12) branch circuits & low voltage for security system. Job # 71449. 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: 1 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: 11 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 E C COMPANY BY MACERICH COMPANY PO BOX 10286 9585 SW WASHINGTON SQUARE RD PORTLAND, OR 97296 TIGARD, OR 97223 Phone: Phone: 503 - 552 - 5503 Reg #: ELE 26 -45C LIC 49737 FEES SUP 4040S Description Date Amount Required Inspections [ELPRMT] ELC Permit 9/21/2004 $195.00 [TAX] 8% State Surcharge 9/21/2004 $15.60 Low Voltage Inspection Rough -in Total $210.60 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. Issued By: � £ Permit Signature: 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 09/19/2004 23:58 5032205347 - 1 0 � - .2, Od 3 _ -- aa 7 a PAGE 02 Elec 'ical Peraiit` City ©f Tigard OR 97 ECEI V // 9 2 1 - 0 4 -/ �'v ,` PatmtNa; 13125 9W Hall Blvd., 'Tigard, E . , l •C•° dUY��6p Phone: :503.6394171 Fax: 503.598.1960 Plan Review AsaJByl Other Permit Inspecdbn Line: 503.639.4175 -.-all. 4'1' Date ReedyIar Adz ed ww l for Intern EP 20 NltafiedlMethc '�' � sentimental Information t •., y i «rr , , .,, J r{ I i ID New construction .7: - ?f 's,!/ ! 11IM M;! 1 ,5' .s. it Please check all apply: 4 ❑Service over 225 amps, comma! ❑Hazardous location ❑ l)efriolthon ❑Other ij yf r + .. r" ❑ ce over 320 amps - rating ❑Buildng over 10.000 se. ft„ Servl ' -• •„ ' of 1- and 2-family dwellings 4 or more new residential ❑ I - and 2- family dwelling . ommercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure ❑ Mufatttuly ❑ Master builder 0 Other ❑Btlildiag over dupe stories ['Feeders, 400 amps or more {c .afir r r Y QOccupant load over 99 person ❑Mmlufactured structures or ►, �A. • r.4,. ,_';' 1 + r <�r �, t ❑ Egress/lightingplan RV park '.: �, . . . . . . -. . •....' ...,iii.. li . .4 n.. •,. -- Job no. � y Job site address: t �.1PS� W ill go) ❑Health -care facility ['Other: Q% Rok Submit 2 seta of plans with any of the above. City/State/ZIP: 7 \0 a o f . ,_ o as The above are not applicable to temporary construction service Suite/bldg./apt. no.: Project name: A 1 + i-: } l� i . ..:',.;/„`c r r '1 1 iil''I{11 Wqi�. S • _ cc_,,-„. R Lt. l3 .c..au. ,C ,� • � Qps Pee Taal •• Cross slreet/directions'to job site: New residential single. or multi - family dwelling milt. Includes attached garage. 1,000 sq. ft. or less ` 145.15 4 Subdivision: _ 1 Lot no.: Ea. add'I 500 sq. ft. or portion f 33.40 1 Limiocd energy, residential 75.00 2 Tax map/parcel no.: /1 a� �i ( I 13 , i ! r 1 ' F'. / _ � Limited energy, non- residential 75.00 ,; v... .l..Y�'.r. i. , ,1c rl'.:,,,, C: .- 1 \'•rte 1� ,fir, r.f t' . ) mac ' f�fi. , 2 • ': f , , < a ti . .. ..; -�, � . Each rrmTlufactured or modular C u ti `� a dwelling, service and//or feeder 90.90 2 C ewe, 0. V C Kee tn. �v. Se t:.. -∎ Services or feeder's Installation, alteration, and/or relocation 200 amps or less 80.30 2 ;` {' `,i� ' l l _ V. 201 sto400a } : , . . 1`.) :Y i • .. . „ . C 1 F amp aims 106.85 2 r_ 401 to 600 ' amps 160.60 2 Name: 601 amps to 1,000 amps 240.60 1 Address: Over 1,000 amps or volts 454.65 r City/State/ZIP; Reconnect only 66.85 2 Temporary services or feeders Installation, alteration, and/or Phone: ( ) Fax: ( ) relocation - Owner me being property that 1 own which is not 201 amps to 400 amps melon: This installation is bein made on ro 200 amps or less 66.85 2 1 00.30 2 intended f sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2 Owner s , aturc Date , I ,,,-� , � It t , � ,� Branch circuits- new, alteration, or extension, per panel �r '''' ' * t�'l �` 11 .,., ,, ' 1 l i � } '� " ( I , i } c ' i , A. cc or branch circuits NCA n� 11 ,f ,,,. 1 �A 7 . .. .ti G '- ,� 1 `'' , . , ` , .a. r .. :. - . i 11 t ,_ , g 2F, i S1 f , 1 1 J pia ; i • -,, i service or feeder fee, to each ech . 6.65 III I Buslnes.vstame: branch circuit Contact >latTie: B. Fee for branch circuits without service or feeder fee. Address: each branch circuit % 46.85 5 2 Each add'l branch circuit 'fj ` 6.65 N \s 2 City /State/ZIP: Mlsedlancoua (service or feeder not included) Phone; ( ) I Fax :: ( Pump or irrigation circle 53.40 2 Sign or outline lighting 53.40 2 E - mail: ff Signal circuit(s)�or limited- ltli. ti @�li,(i if ..,` I i r 1 • K ,n ', ` 1 r , t � ; I � .r ' 5 l , , 3 . ., ., extension. DesCnbe or energy panel, 8 Business name: E C Cp,1� Page 2 2 e � t, ecvY� t�� '� '�S.rro Address: P p Q bx , o a 4, w•�l � 3 Each additional ins edon over allowable i n any of the above ` Per inspection 62.50 City /State/ZIP: NN,..), ( R • CP11 Q4 Investigation per hour (I hr min) 62.50 Phone: lndustnal plant per hour 7335 (Sol a s 0 .. 5' 3-11 I Fax: (St>3) Q I N S.. `,3 V \ Z '7-' 1.I C.- tai ,..;.. t:�� )' y�1 �!`�nL +f yo\'11'7 I Electrical Lic.: ( Suprv. Lic. L "` ' � CCB I o7G• I �� Subtotal 1p . 00 Suprv. Electrician signature, required: Plan review (25% of permit fee) Print name: Ilk al , Date: 41: „...41:2;) s' , State surcharge (8% of permit fee) \ S G) TOTAL PERMIT FEE 01 Q Authorized signatureof g. This permit application expires If a permit L out obtained wwitthi � �1 O AV Ii l I days ARer it has been accepted AI complete Print name: Date: • Fee methodology set by Tri- County Bailing lnduytty Service fluent •• Number of oopectionr per permit allowed. X10 ee1ST(ItY02/COM/WSS I ••. suilding Pemutappdoe t2/03 CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST INSPECTION DIVISION Business Line: (503) 639 -4171 ` 1� BUP Received / Dat Requested PM BUP Location 4 7 s W ti/'' Z-Suite MEC r Contact Person �� � Ph ( )b� b 7 PLM Contractor , Ph ( ) SWR BUILDING Tenant/Owner ELC c"5 Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT rz Post & Beam c < �' t /��~ J�� Shear Anchors ��� f2�i'(.f-u a�-� &1444 ,D Ext Sheath/Shear Int Sheath/Shear Pl/r/itd 6 d L� �-� �./ j 71 / Framing 7 7J Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -tn Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Anal PASS PART FAIL . MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL EIECTRICCL Service Rough -In UGI ob ow ow Volta. = L 1 .. L �c�G � - e, o `73 i a 1V/ R# -rm �Fin< Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. •p8S) PART FAIL SITE ❑ Please call for reinspection RE: 0 Unable to inspect - no access Fire Supply Line ADA Date Ins actor C/��� Ext Approach/Sidewalk p Other: Final DO NOT REMOVE this Inspection moor from t Job site. PASS PART FAIL