Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2004 -00177
�,L "'. ' DEVELOPMENT SERVICES DATE ISSUED: 6/18/2004
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S12600 -00300
SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD
SUBCIVISION: toMMIQtrilt§g SQUARE ZONING: C -G
BLOCK: LOT : JURISDICTION: TIG
Project Description: Parking garage.
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: 9 W /SERVICE OR FEEDER: 38 PER INSPECTION:
201 - 400 amp: 1 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 WASHINGTON SQUARE LLC CHERRY CITY ELECTRIC
BY MACERICH COMPANY 8100 NE ST JOHNS ROAD D -104
9585 SW WASHINGTON SQUARE RD VANCOUVER, WA 98665
TIGARD, OR 97223
Phone: Phone: 360 - 571 - 4411
Reg #: ELE 37 -620C
FEES LIC 91668
SUP 3486S
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 6/18/2004 $1,157.25
[ELPLCK] ELC Pin Rev 6/18/2004 $289.31 Ceiling Cover
[TAX] 8% State Surcharge 6/18/2004 $92.58 Wall Cover
Underground Cover
Total $1,539.14 Low Voltage Inspection
Elect'l Service
Rough -in
Eleci I Flnal
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 -0699 or 1 -800- - -2344.
Issued By: ` f, / 1G /; Permit Signature: Xj �.,.
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: .3#86,
Call 639 -4175 by 7:00pm for an inspection the next business day
,
b -
Electrical Permit !1 Ig@iiii E® FOR OFFICE USE ONLY
Received
City of Tigard DateB : �/ !' Permit No �e-�i ,..,,107 1h1ne SW Hall Blvd., 1 Tigard, OR 97 J 7 2004 "''jr���
Phone: 503.639.4171 171 Fax: 503.598. 6p 0 i� . Other Pennit:
Inspection Line: 503.639.4175 CITY OF T I GAR D " 'I 1 Date Ready/By: Jeri ' / H See Page 2 for
ternet: www.ci.tigard.or.us RUL�11Vr, tilt /ISIt7l�l Notified/Method: (y Supplemental Information
TYPE OF WORK PLAN REVIEW
N New construction ❑ Addition/alteration/replacement Please check all that apply:
El Demolition ❑ Other:
Service over 225 amps, comm'l 0 Hazardous location
❑ Service over 320 amps - rating ❑ Buildng over 10,000 sq. fl.,.
CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential 4
El 1- and 2- family dwelling ® Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal ..units in one structure
El Multi- family ❑ Master builder ID Other: RI Building over three stories ❑Feeders. 400 amps or more
❑Occupant load over 99 persons ❑ Manufactured structures or
JOB SITE INFORMATION AND LOCATION ❑Egress/lighting plan RV park
Job no.: - I iT 0 i1 I Job site address: q555 S/ W bn gv4re 04 , ❑Health -care facility ❑der:
vvv Submit 2 sets of plans with any of the above.
City /State/ZIP: T9Arci 02 617223 The above are not applicable to temporary construction service. _
Suite/bldg. /apt no.: •J Project name: - Q �`4h / FEE' SCHEDULE
WAS - Si. s rfhII f ►u I " Parka j `Tq ite. Description I Qty. I Fee. 1 Total I ••
Cross street/directions to job site: M-keeyi Qiies AnCi Norrlslrow►s l'h New residential single - or multi- family dwelling unit.
L Includes attached garage.
P ayLt/3 Lo 1,000 sq. ft. or less 145.15 4
Subdivision: ,J Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential 75.00 2
Limited energy, non - residential 75.00 2
I D DESC : OF WORK Each manufactured or modular
le C'/YI C Bl I it T avk1 l'ICt �ar je. dwelling service and/or feeder 90.90
` J Services or feeders installation, alteration, and/or relocation -�
200 amps or less CI 80.30 721.70 2
RI PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps ' 106.85 10(p. $5 2 k g .
I- 401 amps to 600 amps 160.60 2
Name:- 111e, co c it ► (ompary - r �,CK geason 601 amps to 1,000 amps 240.60 2
(dress: 1/01 W' IS�I,re ,give., SlJ1fe 700 Over 1,000 amps or volts 454.65 2
/�
Reconnect only 66.85 2
..ity /State/ZlP: S'ayha Monica , CA q%l/0 I Temporary services or feeders installation, alteration, and/or
Phone: (L/25 ) 8/07 - 0808 Fax: (J/Z5 ) 8107 - 1577 relocation
200 amps or less 66.85 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
❑ APPLICANT I ❑ CONTACT PERSON A. Fee for branch circuits with
service or feeder fee, each 38 6.65 252.70 2
Business name: branch circuit
Contact name: B. Fee for branch circuits
without service or feeder fee,
46.85 2
Address: each branch circuit
Each add'l branch circuit 6.65 2
City /State/ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) Fax:: ( ) Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited -
CONTRACTOR energy panel, alteration, or
extension. Describe: 1 Page 2 15.00 2
Business name:
�.tterr\ / C1 . E Iecclric n1I .F re Alaw
rN
Address: � j I00 NE E .Jo hi l5 P - / 3t// . / L T -1011
Each additional Inspection over allowable in any of the above
/ Per inspection 62.50
City /State/ZIP: Vancoivvr [AM / /360/95 / Investigation per hour (1 hr min) 62.50
Phone: (' / ) ,57/_ LAW ( .%o ) 57/.. ' ' 7 y10 Industrial plant per hour 73.75
1 1, ce 6 V__ p
ELECTRICAL PERA S u bt o I E Z5
CCB Lic.: q Electrical Lic.: Suprv. L i c.: 3 1 g ( '
i
Suprv. Electrician signature, required: f Plan review (25% of permit fee) 2sq. 3
int name: jOyl 0 Y t ®f Date: L1 / W1014 State surcharge (8% of permit fee) 9 2. 55
TOTAL PERMIT FEE 1 539. I T
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete
Print name: Date: • Fee methodology set by Tri- County Building Industry Service Board
•" Number of inspections per permit allowed.
1 .
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: 1503) 639 -4175
INSPECTION DIVISION Business Line: '' (503) 639 -4171 MST
BUP
Received Date Requested h g AM PM BUP
Location J 3 £4 1S Q Suite MEC
Contact Person � Ph ( ) 7/6 ? PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC o21) 1 / 7 7
Footing •
Foundation ELC
Ftg Drain Access: 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
C- •
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 �'- v `� GG C 11- F% C C E
UG/Siab
Low Voltage L 1 —C- O' — a g°a P. ns �s
Fire Alarm
PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE Please call for reinspection RE: ❑ Unable to inspect – no access
Fire Supply Line
ADA
Approach/Sidewalk Date Q • Ext 4. • Inspector =���
Other:
Final DO NOT REMOVE this inspection recor rom the job site.
PASS PART FAIL