Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2004 -00483
DEVELOPMENT SERVICES DATE ISSUED: 8/3/2004
Il 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09700 SW WASHINGTON SQUARE RD
SUBDIVISION: SQUARE ZONING: C -G
BLOCK: LOT : JURISDICTION: TIG
Project Description: Power & lighting to new Nordstrom 2nd level parking bridge.
Job # 879.
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: 5 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 MACE RICH COMPANY PO BOX 339
9585 SW WASHINGTON SQUARE ROAD CLACKAMAS, OR 97015
TIGARD, OR 97223
Phone: Phone: 503 - 654 - 8634
Reg #: LIC 35600
ELE 3 -117C
FEES suP 3185S
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 8/3/2004 $80.10
[TAX] 8% State Surcharge 8/3/2004 $6.41 Rough -in
Elect'I Final
Total $86.51
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)
246-6699 or 1 -800- 332 -2344.
Issued By: 2 2 ,� Permit Signature: QN
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 7:00pm for an inspection the next business day
08/02/2004 l0:06 503-653-6886 GEORGE & SONS ELECTR PAGE 01
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Electrical Permit Applieatian ,.,,‘'A
City of Tigard
13125 SW Hall Blvd., Tigard, OR 97223 - ' " i Plan tan
Inspection Line: 503,639.4175 • Date Reedy/By: Ars. r erg . PAie iiii - — - .
I ) New construction • Addition/alteration/replacement
OService over 225 arnpa, comet OI-kaardous location
0Service over 320 amps - rating J:1Buildng over 10,000 sq. ft,
1 1 - und 2-family dwelling ' Commercial/industrial ■ � ���Ku�' ' 0 Master builder [] Accessory building �� ' over 600 volts —'--
Manufactured structures Of 1
r-‘ ..-'.._ . Azwitirrtalit ,i1/7.101-lealth-care facility Odier .
City/State/ZIP: 742.-.1_, _ Submit -2. sets of plaits with any of he shove.
- - - - - . --, The above am not applicable to tem‘orary construction service
' Suite/bldg./apt no.: Project name,
! Cross Stmet/directicass to job site:
•
: Tax rnap/parcel no.: Limited energy. residential . 75.00 2
dwelling, service an_ryor feeder ,. I 90.90 ' ., 2
, ...41.....1f._ fl.. LI _ .A_I__ _ - . A f ts's -. I N°P dS 7 PL, t: - ° • 1 I - , . i . : Services or feeders Iola Hada% ahem tiOO: andia relocitlon .
, ... __. .._. ._____ .. .._.. .
, 'to Leas.* , ' ,41 4 Or , - - ; 200 amps or less — 7- '
401 amps to 600 amps 160 60 A
Address: Over I 000 amps or volts , 454.65
I 200 or less 66.85 • 1
' Owner Inatalration: This installadon is being made on property that I o is not 201 amps to 400 amps 100.30 . .1 2 •
Owner si ., • titre: Date: Bain ch circuits - new, alteration, t r extension, per panel
Business name:
•._ branch circuit
Contact name:
without service or feeder fee, ! ,
Business nante_:_a, - - .7 —1 irr._ , 1
. _ • _ _ •__ __ .. •. Each additional inspection over allowable in any of the above .
• Plan review (25% of p rrrnt fee) '
Suprv. Electrician signature, required: .. . -
das after it biz bus accepted in weepier
• Fee methodology set by Tri•Cowny %dicing Industry Service Board
. : • Number of inspections par permit allowed.
. IVO
CITY OF TIGARD 24 -Hour
BUILDING Inspection Lire: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Re ue ted AM PM ' BUP
Location q 260 ` SO- Suite MEC
Contact Person Ph ( ) S L r g'3 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner L �' =j� ' ' �I ELC 7 " ee 4Lc3
Footing -- ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: s- ) 6 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
P ASS 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
,alarm
C:F7 PART FAIL D Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE El Please call for reinspection RE: El Unable to inspect — no access
Fire Supply Line
ADA te Ext
Approach/Sidewalk Date Q - __ Inspector
Other: o
Final DO NOT REMOVE this Inspection record f m the Job .
PASS PART FAIL