Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2003 -00558
I �n DEVELOPMENT SERVICES DATE ISSUED: 9/8/03
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 - 4171 PARCEL: 1 S126C0 01107
SITE ADDRESS: 09700 SW WASHINGTON SQUARE RD
SUBDIVISION: OiIRiltPaIGTON SQUARE ZONING: C -G
BLOCK: LOT : JURISDICTION: TIG
Project Description: Alteration of (2) branch circuits in the Savvy & Hosiery Departments. At service desk ask for Jason
Mckinney to show work location.
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: 1 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 GEORGE + SONS ELECTRIC CORP
BY THE MACERICH COMPANY PO BOX 339
9585 SW WASHINGTON SQ. RD. CLACKAMAS, OR 97015
PORTLAND, OR 97223
Phone: Phone: 503 - 654 - 8634
Reg #: LIC 35600
ELE 3 - 1I7C
FEES SUP 3185S
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 9/8/03 $53.50
[TAX] 8% State Tax 9/8/03 $4 Rough -in
Elect'l Final
Total $57.78
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 at - -.: 1010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -6699 or
1 -800 -. 2 -2344.
Iss -d By: ) ' I Permit Signature: ,d(2_0 f
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: JO a_ ' � 7 -^ — DATE:
LICENSE NO:
Call 639 -4175 by 7:00pm for an inspection the next business day
09/05/2003 09:31 503- 653 -6886 GEORGE & SONS ELECTR PAGE 01 ,
. Electrical Permit Ap i .,; on i I � � 1 i •, I I, I,
tee
Data eltre&' e 3 ,.
' . City of Tigard S - "
Peeinet/appl. no.: Emits date
City ° in fan t Addrces: 13125 SW Hall Blvd, 7 d, Q . lt Z �� Dew issued, err �teceipt no.:
Phone: (503) 639 -4171 S U
Fax: (503) 598 -1960 Case See so.: _ t!eprm it tYV•'
Land use approval: cart Or DN S D N
0 1 & 2 family dwelling or accessory CommereiaUmdustrial 0 Multi- family 0 Tenn t improvement
O New eootanction 0 Addition/alteration/replacement O Other: 0 Penis
Job addresal: 00 5,w ill . 54. D, Bldg. no -: suite no.: Taut tuspftiat lot/aocount no.:
Litt: 'Black; }subdieiNeo: Ai oRD .7X/1 1 o _
Project name: Description and location of wort on premises: Ask FD ' TASON M G /C/NA/E
Espmsteddste ofoo nple • ,. - ties: SE1 . /i1 /, Ar 6re2t
( ()\ I It ■1 1 I►It \I'1't I( \ I It►\ III st 111 I►t I 1
Job ISM Poe alga
` Burliness name: So/(!S ELFG . New.eelaMla pm "�
Address: /O- BOX 33
may: u Ac }J1 stag [ZIP: 77v /3 n .atnisaith
Phone: 63q S6 - g (f l Patti c3 ®B61 E -mail: loco q. e- w Mss , 4
Fads CCB no.: d0 1Elec. bus. lic. no: 3 - /17e .dreamy roe rethfr li es potties maser _ 2 olig
City /metro lac. no.: 0000 2 0 88 _ L; , a,;dentisi
2
`_ 7 - f' ^3 Eel a--'d home or modeler Mealleg
time Smite sake Roder , 2
sup, dial. arms tprek L•irmff,fii/ goer a "$ .IS U: chine -1 am•
I'I( It I1 (►\, \I 1; 200� 2
Name • ): i '2 1,J/f11 :r•D •a0u '£ 4_ 1-C "i,a,pea4 amps 2
Mailing address: 601 amps to 1000 amps _ 2
City: I State: I ZIP Ova 1000 amps ce vie . . 2
Phone: pas: I E - mail: Remota tab I
Owner installation: ation: The installation is being made on property 1 own T yeordasiriii em
niim
which is not intended for sale, least, rent, Or exchange according to lmuaafl.aaMltaalas.gradr'
200 amps
ORS 447, 455, 479, 670, 701. or tin - -
201 2
201 nem le 400 maps 2
Date: 401 to 600 ,., • 2
I N1.1\1 I It limo dre dbs- saw,ellwat kin.
ar naaaalaa per path
A. t=ee toe larch ekedls with punkin of
Address: savior tit Hadar fee, saes, tam omit 2
City: I State: I ZIP: - I2. Fee far lama eYevit wiahsd pvreeme toad of art: ai.8S
of service or feeder 2
Phone Fax: E -mail: fee, fist I 96J
@anti additional breach cleat 1 ( r or 6. its
I'I \\ 11 1II 1% lI'Ir :nit- L1i..1, .ill Ih.ii .ippl%) ha6c.(9aMteor twofer mot ded)e
O *Mee over 225 enmedc mmeni.l 0 WS -cue !Wilily Each pimp et Mripstiae ride 2
Q gavial over 320 arapsseirp at 1.0.2 0 Narasdo,s Iamb° Etch iiisa or ardire Ithfili 2
• Gandy d"'tlie. 0 Boling over 10.000 aqua fret tb r or Signal cbMit(a) at a i10i103 eaapr Paid.
D Systm over 600 .alt gamier mere landmais1 min in one eremite taaaite, or =amine 2
0 Buildifa over Aire swim 0 Fasdo.. 400 mpg et more •beseripim: - - -
0 Oea�t bed over 99 perms 0 Mwerfectw ae
savars or RV part Fish addLiasd tg
laeelaa over die allowable In NV of en above:
0 pram 0 Other: Per inspection r i i i
&d m& _ arta Opium with any of rite shore. mresaimea p
71st Agee me cwt wile to temerity eaaaatwfaa wise, Other
test�a jwiliictiees semi army COY. ONO call jir:d:Ctm fit mew Notice: Ibis meth appliodap Permit fee $ 4'3-0
,'fo
f3Vm O , , ., d =plies if a permit is not obtained Plan review (at _ %) S
ctirmt a ®l, . - 994005.414 : : —1--1— vritlrin 180 days aRrn it has tent State sardlairge (8% •••••S . Y 2 8
ti'- a .' Z 5•Aos Axe i^a accepted as complete. TOTAL S - '7. 78
rum*, or , ! . .. ,.. re arms Cant $5 7. 78
al Amami
440-1615 (600"0061)
7pii-A/7 r
•
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line;: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Qom/ Date Requested 1 S AM PM BUP
Location 97tW aJ A ' !,
I • • Suite MEC
Contact Pers. d` , Ph ( ) PLM
- ��
�! ,�� �_.� - =
Contractor Ph O o� SWR f�
BUILDING Tenant/Owner C r.Q.6 'I,Nv` S ELC � - U0 S5
Footing
Foundation r ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
F
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation Ll ,�
Drywall Nailing " \ N
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
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
larm
ART 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 /5 �O Inspe o Ext
Other:
Final DO NOT REMOVE this Inspection record f om the Jo site.
PASS PART FAIL