Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2004 -00100
� r DEVELOPMENT SERVICES DATE ISSUED: 3/2/04
J l 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD
SUBDIVISION: WaINIAUfttgg SQUARE ZONING. C -G
BLOCK: LOT : JURISDICTION: TIG
Project Description: (3) temporary services of 200 amp or less & (1) temporary service of 201 -400 amps for construction
trailers & some construction service. Job No. 18506 -102
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: 3 PUMP /IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: 1 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: 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 OREGON ELECTRIC CONST /GROUP
BY MACERICH COMPANY 1010 SE 11TH AVE
ATTN: JANET FISHER, ASSET MGMT PORTLAND, OR 97214
SANTA MONICA, CA 90407
Phone: Phone: 503 - 234 - 9900
Reg #: LIC 203
SUP 4460S
FEES ELE 26 -95C
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 3/2/04 $300.85
[TAX] 8% State Surcharge 3/2/04 $24.07 Elect'I Service
Elect'I Final
Total $324.92
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 OA 2- 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 -80 2 -2344. _
Iss d By: ' i LA; y L ; Permit Signature: _AN . tom
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: 7 4 / 0 5
Call 639 -4175 by 7:00pm for an inspection the next business day
MAR -01 -04 11 :09AM FROM - Oregon Electric Estimating 5032313587 T -361 P.001 /002 F -268
[Electrical Permit Application
O,- IC V, • 1
4 City of Tigard 1 Date received: 34A Permit no.: c. 8r)
13125 SW Hall Blvgn C IV / 15e0D Date issued: no.: '' B e data: Receipt no,: .
1 J,r..'I I' ;% Phone: (503) 639-417% per} gg�
24-Hour Inspection address: ww.c g q s A Case a ?n0 - ayme type:
24 -Hour ns action l� i t 7 0 175 ur
U 1&2 family dwelling or accessory W Comm I 3 � ustrial U Multi- family ❑ Tenant improvement
• 0 New construction _ •,.. —. : - •,L-, . n/replacement ID Other ❑ Partial
JOB SITE INFORMATION
Job Address: 9585 sw Washington IiitilbJitc) 1 ..t:: 1 b• 3 ':" Suite no,: Tax map /tax lot/account no.:
Lot Block: Subdivision _
Project Name: Washington Square Description and location of work on premises: Temporary Service
Estimated Data of completioNinspection:
Will ou call for ins • - ction within 24 hours? Yes El No ❑ Project Contact Scott Welnbender Phon
CONTRACTOR APPLICATION FEE SI,HEOULE
no.
Job No : 18506 -102 Description Qty Fee teal Tobil Ingo
Now resxtontial single or -
multi- family per dwelling unit
Business name: Oregon Eteetrie Group Includes attached garage.
Service Included:
Address: 1010 SE 11th Ave. 1000 sq. it. or leas $ 145,15 $ - 4
City: PortlandiState: OR Zip: 97214 Ea Add! 500 SF or Portion 5 23,40 $ - t
Phone: 503) 234 -9900 Fax: (505)234-toot 1E-mail: Limned Energy, 18 2 Family 5 75,00 $ • 2
CCB no.: 203 Elec. bus. lic. no.: 26-95C Linked energy, iWuR-Famlly $ 76.00 $ - 2
City /metro Ile No.: - 75 Each manufactured home or
� modular dwelling. Service
s... �.. T _ : .:i /i;L.,.:: -1 3/1/2004 androrfeeder. 5 9o.90 $ - 2
Service or Feeders •
Su• lea. Nam =1 r MIt' '- License no:4460S Installation, Allocation or
Relocation:
PROPERTY OWNER 200a •sonless $ eo.so $ -
Name (print): 201amps- 400ampa $ 106.85 $ - 2
Mailing Address: 401amps- 600ampe $ 160.60 $ - 2
City State: /Zip: 601amps - 1000amps 5 240.50 $ - 2
Phone: Fax: 1E-mail Over 1000A or Volts , 5 454.85 $ - 2
Owner Installation: The installation is being made on property town which is Recannect $ 66.86 $
not Intended for safe, lease, rent, or exchange according to ORS 447, 455 F emporery SONa Or
Feeders - Irretelinstien,
479, 670, 701. Altoradon or Relocation:
Owner's signature: Date: . 200 amps or ion , 3 5 Seed $200.55 2
ENGINEER 2olamps- 400empa 1 5 100.30 r $100.30 , 2
Name: Over 4olampa- 600ampa $ 133 , $ - 2
Branch Circuits - New,
Address: Alteration or Extension Per
Panel: A. Foo for branch
Cl : State: Zi •: circuits with purchase of service
or feeder roo, oath Drench .
Phone: Fax: E -mail: circuit 8.88 $ • 2
B. Fee for branch circuits W/Out
Pwdtase of Service or Feeder.
PLAN REVIEW let BranchCkt $ 46,85 $ - 2
❑ Service over 225 amps -comrr ❑ Health-care facility Each additional branch circuit S 8.66 $ -
O Service over 320 amps •rating of ❑ Hazardous location Miscellaneous • (service or
feeder not Included)
182 family dwellings 0 Building over 10,000 square feet four or Each • • orl ,- donclyde 5 53.40 $ - 2
O System over 600 volts nominal more residential units in one structure Each Sign or outrme Lighting $ 53.40 $ - 2
O Building over three stories 0 Feeders, 400 amps or mono signal circuit(*) or Limited Energy
Panel Alteration or Extension -
O Occupant load ever 98 per - cons 0 Manufactured structures or RV park $ 75.00, $ - 2
❑ Egress/Ilghting plan ❑ Other.
'Description:
Submit 2 sets of plans with any of the above.
The above are not applicable to temporary construction service. Each Additional Inspection over
the Allowable In any of the
Nacho: Thls permit applcauon Above Per inspection
axprras rf a permit la not S 82 50 $ - .
obrornad within !a0 daya ales 11 Inveet$getlon fee:
has been weepiest as Complete, j Othor
Permit Fee $300.85
Plan review 25% . $0.00 s,
State Surcharge 8% $24.07 t9
Total $324.92
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received - 3 3 . 2 ff Date Requested ' o t AM PM BUP
Location 5-8 5- 2224 -S 5 uite MEC
Contact Person Ph ( 503 ) F4/ I - 2 - 5-2 -(0 PLM
Contractor f • ��-F�- ! Ph ( ) SWR 4�
BUILDING Tenant/Owner ..f 1.4 . - 1` --_ - - 0.c 12
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
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
RT FAIL
LECTRIC L
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
F El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
ASS9 PART FAIL
SITE 11 Please call for reinspection RE: - ❑ Unable to inspect — no access
Fire Supply Line ' , •
ADA _
Approach/Sidewalk Date. ? _ U Inspect Ext
Other:
Final DO NOT REMOVE this Inspection record fr . m the ' ' site.
PASS PART FAIL