Permit 4,. CITY OF T I GA R D ELECTRICAL PERMIT
PERMIT #: ELC2003 -00596
DEVELOPMENT SERVICES DATE ISSUED: 9/24/03
2,111111'.. -' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 1S126C0-01107
SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD
SUBDIVISION: WASHINGTON SQUARE ZONING: C -G
BLOCK: LOT : JURISDICTION: TIG
Project Description: Repair of (1) branch circuit due to construction damage. Work is in the South parking lot near Sears.
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: 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 OREGON ELECTRIC CONST /GROUP
BY THE MACERICH COMPANY 1010 SE 11TH AVE
9585 SW WASHINGTON SQ. RD. PORTLAND, OR 97214
PORTLAND, OR 97223
Phone: Phone: 503 - 234 - 9900
Reg #: LIC 203
SUP 4460S
FEES ELE 26 -95C
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 9/24/03 $46.85
[TAX] 8% State Tax 9/24/03 $3.75 Underground Cover
Elect'l Final
Total $50.60
This Permit is issued subjed to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All
work will be • • • : ' • : ordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for mor - an 180 days. • ENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set
forth ' OAR 952 - 001 - 0010th •ugh OAR 9 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -6699 or
1 -8F 332 -2344. •
�N11t�p :4411)444,
Is ued By: 'Z47.,4 t Permit Signature: 1 _ • s' , �
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 INSTAL ATION ONLY
SIGNATURE OF SUPR. ELEC'N: ✓ -C / DATE:
LICENSE NO: 7 y 0 - 5
Call 639 -4175 by 7:00pm for an inspection the next business day
SEP - 24;03 09:OOAM FROM - Oregon Electric Estimating 5032313587 T -758 P.001/002 F -567
n I r llecrricall _ - ij_ ; _ ..E. '_ • _catlo • '
4 ,' T i OFFICE USE ONLY
City of Tigar.' Date received: a
!r / Permit no.:5 5
13125 SW Hall Blvd � (+�[ �p nn Project/appl. no.: Expire date: 1 `
s i�.;!iitt. Phone: (503) 639-4171, FA� rT(5t} 7£iBa Date issued: By: IReceiptno.:
Internet address: www.cl.tigard.or.us Case file no.: Payment type:
24-Hour Ins • • ctionS :-,:., 1 !, ,",j -4175
■ 182 fmiy dwelling or accessory - it .use) • Multl•tami
In New construction Rini o R ,1 ►y ❑ Tenant improvement
• f ' ' ors • l int 0 Other. ❑ Partial
JOS SITE INFORMATION
Job Address: ' 9,51.5 14-W 0A q . Bldg. No.: Park lot south near Sears Tax map/tax lot/account no.:
Lot; Block: Subdivision
Project Name: , Parking lot wiling repair ,Description and location of work on premises: 'repair damaged underground wiring to parking
Estimated Date of corn etion/ins on: lot lights
Will • u cap for ins • action within 24 hours? Yes O No 0 Project Contact Jeff Roberts (503) 849 - 2740 Phone
CONTRACTOR APPLICATION FEE SCHEDULE
Job No.: 80030-107 Desoi•Son Qty Fes fen.) Total Insp
Now resIUeAva crag or -
Business name: Oregon Electric Group multi- family per dwelling unit
Includes attached garage.
Address: 1010 SE 11th Ave. Service Included:
1 000 sq. R or less $ 145.15 $ - 4
City: PortlandIState: OR Zip: 97214 _ Ea Addl Soo Sr or Pefon $ 33.40 $ ,
Phone: (503) 234-9900 Fax: (503) 234 -1001 1E -mail: _ umilea enemy. l a 2 Family S 75.00 $ 2
CCB no.: 24 - - • u - ic. no.: 26-95C umneo enemy, nauld•F
K. , Apr - 5 75.00 $ 2
Citylme�. �� ... ,
.::/
Each m mutaemed borne dr
modular dwelling. Service
xexrro .. - .• .4rbwa Date; ()03 and/or feeder. 5 90.90 $ • 2
Sorvlce or Feeders •
Su .. Elect. Name • rint :Mark Kenne died License no: 44605 Installation, Alteration or
Relocation:
PROPERTY OWNER zoo amps or less S 80.30 S - 2
Name (print): 2olampa - 4003mpo $ 106.85 $ - 2
Mailing Address: 4O1ampa swamps S 160.60 $
City State: f Zip: 601empe -100opmps S 240.60 $ • 2
Phone: Fax: LE -mail - Over 1000A orvolts S 454..85 $ - 2
Owner Installation: The installation Is being made on property I own which is Reconr onh S 6 &ea $ - 1
not intended for sale, lease, rent, or exchange according to ORS 447, 455, F ryr se"ne a
479, 670, 701. Feeders •I en,
Altaratiwr or Relo Relocation!
Owner S si nature: Data: zoom arras $ 66.65 $ - 2
Marren 400ampa 5 100.30 $ - 2
Name: Urer4olampa -6003 . J 193.75 $
trcu - ew, - 2
Address: Altmann or Extension Pa
Panes A. kw
City: State: Zip:
circuits with purchase en sorvioe
or feeder fee. oach branch
Phone: Fax: Email: Cirad 5 6.68 $ - 2
B. Fee for branch drafts W /Out
Purchase of Service or Feeder.
1st Branch CM 1 $ 46.85 $ 46.85 2
❑ Service over 225 amps -coma 0 Health -care facility Each additional branch chcult 5 8.65 $ -
0 Service over 320 amps -rating of I7 Hazardous location Miscellaneous - (service or
feeder not Included)
1842 family dwellings 0 Building Over 10.000 square feet four or Each pump or inl:atlon ditto 5 55.40 $
❑ System over 600 volts nominal more residential units in one structure Each gm or Owens LIshtlro $ 0,40 $ - 2
Cl Building over three Stories 0 Feeders, 400 amps or more Signs, Circuits) or Limited Energy
Panel Alteration or Eden-Ian"
0 Occupant load over 99 persons 0 Manufactured structures or RV park - - s 75.00 S - z
0 Egress/lighting plan 0 Other - roes pten:
Submit 2 sets of plans with any of the above.
The above are not applicable to temporary construction service. EaCh Aod*lenallnspection over
the Allowable In any of the
Notice: This permit app'7-.'.Uun Above. Per Inspection
wilds Ira perm* la net Invead030en fee 50 $
-
obtained within 18o days arse h -
( has been accepted as compinnnn. Ocher
Permit Fee $46.85
Plan revi 25% $0.00 i
State Surcharge e% $3.75 tSl .
Total $50.60 9
\
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received / f ate Reque ed ,� I AM PM BUP
Location N/ .� 1 �' n Sui e MEC
�
Contact Person Ph ( ) PLM
Contractor Q C- - ? Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing ELC � - El a 55
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: MV9 c SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear C- `�lJ S I �V+\\, _ 6,
Framing �' N 1 L!
Insulation
Drywall Nailing
Firewall ?
Fire Sprinkler ``'•`
Fire Alarm
Susp'd Ceiling
Roof
Other:
Othe
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
Rough -In
UG/Slab
Low Voltage
Fire rm
•
PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE ❑ Please call for reinspection - E: I Unable to inspect – no access
Fire Supply Line
ADA
Approach/Sidewalk Date _ Inspector —
Other:
Final DO OT REMOVE this Inspection record f m the Job site.
PASS PART FAIL