Permit _. CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2004 -00196
,�. �► DEVELOPMENT SERVICES DATE ISSUED: 5/6/2004
' J ° 13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639 -4171
PARCEL: 1S126C0-01403
SITE ADDRESS: 09300 SW WASHINGTON SQUARE RD
SUBDIVISION: ZONING: C -G
BLOCK: LOT : JURISDICTION: TIG
Project Description: Chiller replacement, (2) 601 -1000 amp services, (3) first branch circuits and (2) branch circuits.
Limited energy for HVAC controls. Job No. 944025 -1048
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: W /SERVICE OR FEEDER: 2 PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 3 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: 2 PLAN REVIEW SECTION
1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
MAY DEPT STORES COMPANY, THE CHERRY CITY ELECTRIC
ATTN: PROPERTY TAX DEPT 8100 NE ST JOHNS ROAD D -104
611 OLIVE STREET VANCOUVER, WA 98665
ST LOUIS, MO 63101
Phone: Phone: 360 - 571 -4411
Reg #: ELE 37 -620C
LIC 91668
FEES SUP 3486S
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 4/19/2004 $494.50
[ELPLCK] ELC PIn Rev 4/19/2004 $123.63 Low Voltage Inspection
[TAX] 8% State Surcharge 4/19/2004 $39.56 Elect'I Service
(additional fees not listed here) Rough -in
Elect'I Final
Total $944.38
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 = • in • _ - 952 - 001 -0010 through OAR 952 - 001 -0100 You may obtain copies of these rules or direct questions to OUNC at (503)
246-0 : •9 or 1 X00- 332 -23
•
Is ued By: ��� T>•'a ��� Permit Signature
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: "Igt5
Call 639 -4175 by 7:00pm for an inspection the next business day
CCE eERVICE SALEM 5035408147 04/20 '01 1 :00 NO.214 03/03
‘.it<y or 1iSarQ (71009
"
, , < Pr ec rica1PermitAppl icat.Of , , - j q
- Dateteaeived: /f •y Ptzmiino -: g -10/?,.
i
��T.:. Cit o Tigard projacdappLuo.: - dam:
ClryofTcgard 13125 SW Hall Blvd, Tigard. OR 97223 1J miss:lc : 4 B , % 1 Receiptno.:
Phone: (503) 6394171
Fax: (503) 598 -1960 Case • - PaYtilent type
Laird use approval: ,/ �'�'/ , 44 '•'
O L & 2 family dwelling or accessory cil CotnmtrriaUindustrial 0 Multi- family 0 Tenant improvement
❑ New construction 0 Addition/alteration/replacement 0 Other: 0 Partial
1. .. A9B I7Z L�Ql(i] Z1Q.. ,' } z ..
Job addresa " DD __01113E021117/110111B911 Bldg. no.: Suite no.: Tax mapi ix lot/account no.:
-
Loa , El. - o. •'vision: i ;g 4/ -
Project name: lillint iniE 'a •! • i �n and location of work on -- - . grAla,ri f1 r�lL� =
Estimated date of co . • lotion/ins •- • • , : AT%ai lia•� i' _
- L'ON1.RnCTOR a ITUCA17ON
Job ALL�II ' lL! ' a rd
Description Qty. (m) Tatar no- inn: Business name: te City Electric
Mw ree�mt - aatd6gars3(f !�
Addmsa: 8100 NE St Johns Road Sri to D-1C 4 . . dtreulhtgiffdr.kaiaks anaded garnet.
city: Vancouver V j State: WA 172P: 98665 Sat- :eo •
Phone: - 1 Fax 0 - . - ft ar lea* 4
c bch additional onal 500 sg- it or portion thane' _
OCB no.: 1668 J Flee 37 -62202
bits. lie. ea: United energy. ersidcvdat
�,, metro,lic. no • _ Limited 1. z
2
`4i,\ 1 _ I'ga i Bach tnemafoaured helot or modular dwelrnt
Sign t• o sup%Tvising oteeaician (required) Dm Se:•ictor/Vetfeeder _ _ 2
Sap. elect mom (prig): Jc Orton Lit=site rim y486 5 Se mov orfeadces- Irs1211s6aa,
sltcratioaarcttf
Y3tcil'1lt l ia�1>F !i .. < 200 3+ttps ea less 2
?Janie (print): ! 201 amps to 400 amps Z
401 amps to 600 amps f 2
l shin address 601 = g m NCO amps ; l 2
S' - Z TP: Over 1000 amps or :elm � I 2
Phone: j Fax: 1 Email_ �- R®uacctottly _ 1
Owner installation: The installation is being made on property I trim Textilguriir7 aerOfaa or Feeders •
Which. is not intended for sale, Iea,c, rent_ or mange aebording ro Iisallolo ,at m,orreloadotr:
ORS 447, 455. 479, 670, 701. zoo nor or less - 2
201 amps to 400 amps 2
Owner's signature: � Datt;: 401 to 600 amps 2
�VI�_'' t i': 1 •.: Brack darosits - nearoffteratiara,
or mebmika per pack
Name: , - A. for branch cbeeits with purchase of
Address: set rim or feeder fa_, each Moloch creso I 2 a.
Qtr I State: - 1 ZiF: B. Fe for blanch eireieo ez
Phone: Fax: E ' ofaaviexorfesd -f e. first bratud2 csrenit: / 'I0' ° 2
_ Each additional beane3ta r
31-111%1 - nr- %itv.4FJcau. specie'..4111 11yi1,-i]rId!, . A4' at(Servieror feeder not idtrleei):
0 Servian owes 225 arapocaranial 0 Haahfr•eatefsdlity : Eath pomp or irrigation circle 2
O Savi= over320 amps -owing of 1&Z 0 Htmodausloeaticn , Each signor outline lighting 2
Many dui efalogs 0 Building ova I0.QXlagamo Signal. eaazids)or ■ 1lneised mew p®ol, ;n I '�,D.r 2
0 Sysaeowar6W woks more strmmre alteration, mansion' Ci
t] Building a-certhrec sto6e: Q Feeelas. 400 autps or acne *IIa- cydc>r
0 Occupant Ioad aver 99 pmrors 0 Mmturxnued save:nares or RN' park Each additkimat respeetron aver tltcallewahle rn any of the alas=
0 Egmmilighting plan 0 Me-. Perim-peak= 1 i i I
Sabath _ _ sett of plans with arty of the aim. fnaerritationfee (,, ��j�
The alcove are not applicable to try eoatsc•ectian tertic e. other s - . ,1' a`� I �v
Roc an ittriSaisliais iccept oecDt e=tts, plasse eel )edMlOioo (co more i.ea<maros Nod= Timis permit spplieasion Permit fee s • . 71.06
o vtsa 0 Masns•Cord expires if a pamk is not obtained Pllar =view" (at _ %) / 7 7, 5-?%
ae�r card tont= / / • within 160 days after itJ ba:at State surcharge (8%) -. -. , so , e/
109' accepted asarmplete. TOTAL J ?ye/, 38
Marto oi =retootae d &awn oa aura end
S 4 •
grans agues= nm». saa4615 Oa:KM°
4
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received r 3 e2e) Date Requested (° — ° ` AM BUP
U.) �` -
Location ` S Q • Suite MEC
Contact Person /� Ph ( ) 9 S 7/ O 7 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC 0360 - t}D i 9 (°
Footing
Foundation ELC
Access:
Ftg Drain
ELR
Crawl Drain
Slab Inspection Notes: SIT c)741_4 Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall Q.�Q� ,,� / j F, ,�
Fire Sprinkler lv � °b � - '
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
n g
Rouh -I 'j�
R -I 0 ,'n�'� r n
Low Voltage
Fire Alarm
Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SI PART FAIL 0 Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line .�
ADA
Approach/Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL