Permit CITY OF I ELECTRICAL PERMIT
PERMIT #: ELC2000 -00565
4 viliV1 4 - DEVELOPMENT SERVICES DATE ISSUED: 9/25/00
13125 SW Hall Blvd., Tinard, OR 97223 (503) 639 -4171
PARCEL: 1 S126C0 -01107
SITE ADDRESS: 09522 SW WASHINGTON SQUARE RD H -7
SUBDIVISION: WASHINGTON SQUARE ZONING: C -G
BLOCK: LOT : JURISDICTION: TIG
Project Description: Installation of (5) branch circuits w/o feeder or service
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: 4 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 FRAHLER ELECTRIC CO
BY THE MACERICH COMPANY 11860 SW GREENBURG RD
ATTN: JANET FISHER, ASSET MGNT TIGARD, OR 97223
SANTA MONICA, CA 90407
Phone: Phone: 639 -4627
Reg #: LIC 00037410
SUP 1816S
ELE 34 -13C
FEES Required Inspections
Type By Date Amount Receipt Elect'I Final
5PCT CTR 9/25/00 $5.88 2720000000(
PRMT CTR 9/25/00 $73.45 2720000000(
Total $79.33
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 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -1987.
PERMITTEE'S SIGNATURE ISSUED BY: - ' ��',/Q
/ `7
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:OOpm for an inspection the next business day
•
CITY OF TIGARD Plan Check #
1325 SIN HALL BLVD. Electrical Permit Application
Rec'd By
RECEI E Date Rec'd
TIGARD OR 97223 / - Date to P.E.
Phone (503) 639 -4171, x304 Date to DST
Inspection (503) 639 -4175 Print of Type SEP e 7 f, �O Permit# 2,00 - 005fai
Fax (503) 598 -1960 Incomplete or illegible will not t! i. ' iEVELO M fj Called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development WASHINGTON SQUARE Number of Inspections per permit allowed
Name (or name of business) BANANA REPUBLIC Service included: Items Cost Sum 4 '
Address 9522 WASHINGTON SQUARE ROAD 4a. Residential - per unit
16
City /State /Zip TIGARD, OR 97223 1000 sq. ft. or less $ 4
Each additional 500 sq. ft. or
portion thereof $ 26.25 1
Commercial ® 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). Installation, alteration, or relocation
Electrical Contractor FRAHLER ELECTRIC COMPANY 200 amps or less $ 64.25 2
Address 11860 SW GREENBURG ROAD 201 amps to 400 amps $ 85.50 2
City TIGARD State OR Zip 97223 401 amps to 600 amps $ 128.50 2
tY p 601 amps to 1000 amps $ 192.50 2
Phone No. (503) 639 -4627 Over 1000 amps or volts $ 363.75 2
Job No. 60260 Reconnect only $ 53.50 2
Elec. Cont. Lice. No. 34 -13C Exp.Date 10/01/01 4c. Temporary Services or Feeders
OR State CCB Reg. No. 37410 Exp.Date 7/2/01 Installation, alteration, or relocation
COT Business Tax or Metro No. 1987 Exp.Date 12/1/01 200 amps or less $ 53.50 2
201 amps to 400 amps $ 80.25 2
Signature of Supr. Elec'n /4" /1/� 1��" 401 amps to 600 amps $ 107.00 2
Over 600 amps to 1000 volts,
License No. 1816S Exp.Date 10/01/01 see "b " above.
Phone No. (503) 639 -4627 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 (TOR 6 APPLICATION Each
ef fee a nc h $ 5.35 2
Address b ) The fee for branch circuits
without purchase of service q (P. 19 5
City State - a: Lif , or feeder fee.
Phone No. l First branch circuit 1 $ B!790 37.50
Each additional branch circuit 4 $ 5.3&
The installation is being made on property I own which is not 4e. Miscellaneous t (P 5 2 - 4? . b°
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
if required):*
panel, alteration or extension $ 60.00
3. Plan Review section
Minor Labels (10) $ 48-7-9@
Please check appropriate item and enter fee in section 5B. 4f. Each additional inspection over /4" 00
4 or more residential units in one structure the allowable in any of the above
Service and feeder 225 amps or more Per inspection $ 50.00
Per hour $ 50.00
System over 600 volts nominal In Plant $ 59.00
Classified area or structure containing special occupancy as ,-
described in N.E.C. Chapter 5 5. Fees: 7 . yS
5a. Enter total of above fees $ 58.90- occ
* Submit 2 sets of plans with application where any of the above apply. < ,,//i), Surcharge (.95-tX total fees) $ -4d1: 6
Not required for temporary construction services. 66r Subtotal .09- $
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 33
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account # 7 9•
AT ANY TIME AFTER WORK IS COMMENCED. Total balance Due $ ---
is \dsts \forms \electric.doc f�t . /S . 7 R
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 • Business Line: 639.4171
BUP
Date Requested /l) - AM PM BLD
Location L Z- .3 C✓ GtJGA , Suite MEC
Contact Person Ph (D: 9 — 7 Z 7 PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC 2e 2.0ved no 3�
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab • SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains -
Final
PASS PART FAIL
MECHANICAL
Post & Beam r <
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
(ELECT
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
e '� l FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA •
Approach /Sidewalk Date /.. -Qo I Ext
Other ,
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site