Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2001 -00273
4 ` DEVELOPMENT SERVICES DATE ISSUED: 05/25/2001
.^"" - 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S126C0 -01107
SITE ADDRESS: 09700 SW WASHINGTON SQUARE RD
SUBDIVISION: 01a8R8■GTON SQUARE ZONING: C -G
BLOCK: LOT : JURISDICTION: TIG
Project Description: Installation of light fixture.
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 NEW TECH ELECTRIC
BY THE MACERICH COMPANY 1400 NE 48TH AVE
9585 SW WASHINGTON SQ. RD. HILLSBORO, OR 97124
PORTLAND, OR 97223
Phone: Phone: 503 - 648 -1900
Reg #: LIC 41868
SUP 2113s
ELE 26 -418c
FEES Required Inspections
Type By Date Amount Receipt Ceiling Cover
PRMT CTR 05/25/2001 $46.85 2720010000( Wall Cover
Elect'I Final
5PCT CTR 05/25/2001 $3.75 2720010000(
Total $50.60
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 -6699 or 1.800- 332 -2344. ��''p�
Permit Signature: ��� Issued By: _ j�;7iiL
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: O)1 rA p r.P-ru f" fri - k DATE:
LICENSE NO: 4 4 5 7 A S
Call 639 -4175 by 7:00pm for an inspection the next business day
05/25/01 FRI 09:46 FAX 503 648 3131 NEW TECH ELEC 44-> TIGARD (j 001
L.
't i Electrical PermitA►pplication
""1 ' 11 ° City of Tigard
ECEIVED Date received: 5
e eived: 0 ' Permit no_. •..../ , o
,�s1,� g PtojecUappl•no.: Expire date:
City of Tigard Address: 1312.5 SW Hall Blvd, Tigari Q l A 77 x 23 2 D ate issued:
Phone: (503) 639 -4171 }�Y °!� J Loo By: I Receipt no.:
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval: COMMUNITY DEVELOPMENT
' TYPE OF PERMIT
0 1 & 2 family dwelling or accessory A Comm:reial/industrial 0 Multi-family 0 Tenant improvement
0 New construction 0 Additicdaltetation/replaeemcrtt 0 Other- 0 Partial
JOB SITE INFORMATION
d
Job address: 7r S'� �. Q ,-, ' _. no.: Suite no.: Tax map/tax loUaccount no.: '
Lot: Block: Subdi i on: '-
. Project name: I Descrij don and location of work on prom's -
Estimated date of completion/inspection: -
CONTRACTOR APPLICATIO: FEE SCHEDULE
_ Job no 47 /O Fee Mot
Business name: New Tech Electric Description Qtr. (es.) Total no. Imp
Address: 1400 NE 48th Avenue New stmdeafml-stagle
dpenningunapt.Ineltdes atlaehedgaraga
City: Hillsboro StateOR UP: 97124 Saf:rochaic&
Pho5t33- 648 -1900 Fa3648 -3131 E-mail: 1000 eq. h.orIsar a
CCB no.: 41868 Elec. bus. lie. no: 26 -418C Each additionsSOO sq. ft- or portion thereof
Limited energy,rtsddendal - 2
City/mono lie. no.- Limited energy. ron etadential 2
5-26 Each manufanarad hone or modular dwelling
Signature of supervising elect:del tared) Date Service aadier 2
Sup. elet:t.name (print): Iw/GAJ - v,veris- u•:maeoo. )3 Setvroetor faders installation,
alteradoa or relocation:
PROPERTY OWNER 200 tulips or kas 2
■ 1 steps 2
Name (print): / L j77,1 0-777 armies to 300
Mailing address: 401 ampsm600 2
CA1 amps to 1000 amps . 2
City: State: 11P: Over 1000 amps or volts 2
Phone: Fax: E-mail: ltmonnoctonly 1
Owner installation: The installation is being made on property I own Temporary torte= or feeder, - -
which is not intended for salt, least, tent; or exchange according to kwaQatlm,aneratloo,orrelnoatlon:
ORS 447. 455. 479. 670. 701. 200 amps or lea: 2
201 amps to 400 amps 2
Owner's signature: Date: 401 to600Reaps 2
Brantlieircuhs -dew, alteration,
or extetmim per panel:
Post -It° Fax Note 7671 Dates' Air ■ A. Fee for branch circuits with purchase of
pages ► / • swim or feeder fee. cads branch circuit 2
� � t. r From B. Ste for branch caroms without purchase /�
/L/1 _ ./ _ =Timor Vim or lender fee, Oat branch c)nm C 76 it: der 2
Co /fit. Via w � Each additional brandtcirwit
Phone a phor yt� �� �y /+ 0 Me. (5et�beeor feeder not lneladed):
L7 V.� 7f1 l'l Each pomp or irrigation circle ._ 2
Fax # Fax u 7 y1' 2_ r1J /2/ Each sign oroutliae lighting 2
f/J 7 Signal circuit(a) or a limited energy panel,
• attention, orextension 2
O Building over three storks 0 Perch. 400 amps or mote Vesexipdox -
Q Occupant load ova 99 peoons 0 Mammamred anew= or RY art ditto
P Each additional lnspeel p attr the alloaahk is any *Inn above.
Lor�
0 Eressilighthigplan 0 Other. Perit.speaion I j I 1
Submit _sets of plans With any o (the above. - Invcsligatlon fee •
The above are not applicable to temporary coast 'action service. Other
P ermit Coo
Not all jade /Woos reap aaat cards. please call ludidiction for mere inGrvaxioo. Notice: This permit $
O vu O Maswl:srd expires if a permit is not obtained Plan review (at _ %) $ �
Credit tarn twath / l� within 180 days after it h as been State surcharge (8%) .... $ a v. '
i I"P I accepted as complete. TOTAL $ .9 6�
L
Mane of mrdbaldar at sltoorn on emit erd
Csc l
s
A 1 Trust Aot�ount U 41868 E-
dltd4u 4[�x Ames era-4m (C►AOfcOM)
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
/ BUP
Date Requested (- a s AM PM BLD .
Location 9 7 OG Su) 1€145 & -5i Suite MEC
Contact Person /YO ✓d S/Gr Ph G y8 Ma PLM
/
Contractor Y � 44.1 Thcl c_1'---/ C Ph SWR
BUILDING Tenant/Owner ELC et/v /-6o Z7.3
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
Drywall on Z / /_ 7 L x / J
Drywall Nailing � f� !�' •
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
FP PASS PART FAIL al MP 4 S G ! / f�Q.il,/7,j c Q `—
P
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
• Final
PASS PART FAIL _
CTRI
Service
Rough In
UG /Slab
Low Voltage
Fir m
ASS ART FAIL
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 f
Approach /Sidewalk D ate � � "4" �/
Other Inspector i Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.