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Permit F CITY T I G A R D ELECTRICAL PERMIT PERMIT #: EL DEVELOPMENT SERVICES DATE ISSUED: 06/1 2000-00321 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S126C0-01107 SITE ADDRESS: 09416 SW WASHINGTON SQUARE RD K -8 SUBDIVISION: ZONING: C -G BLOCK: LOT : JURISDICTION: TIG Project Description: Install rye branch 30 branch circuits 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: 29 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 'ELECTRICAL DIMENSIONS INC BY THE MACERICH COMPANY PO BOX 12146 ATTN: JANET FISHER, ASSET 3961 SW WILLAMS AVE SANTA MONICA, CA 97047 PORTLAND, OR 97212 Phone: Phone: 282 -7255 Reg #: LIC 00044008 SUP 2964S ELE 26 -432C FEES Required Inspections Type By Date Amount Receipt Elect! Service PRMT SS 06/12/200 $192.65 0002881 Elect'l Final 5PCT SS 06/12/200 $15.41 0002881 • Total $208.06 ORIGINAL 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. 2 h J t1. PERMITTEE'S SIGNATURE �y,A ISSUED BY / 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: pit/ W e DATE: 4 Z--00 LICENSE NO: Z-9( 1 -5 Call 639 -4175 by 7:00pm for an inspection the next business day • CITY OF TIGARD Plan Check # Electrical Permit Application l , 13* 25 "SW HALL BLVD. RECEIVED Rec'd By _ , TIGARD OR 97223 Date Rec'd W v ( ) J UN 0 9 2000 Date to P.E. Phone 503 639 -4171, x304 Date to DST Inspection (503) 639 -4175 Print of Tx x Fax (503) 598 -1960 Incomplete or illegible vJf e Permit # 6LC z -0032! n o D e DEVELOPMENT • Called `' /n 3 3:30 1. Job Address: 4. Complete Fee Schedule Below: Name of Development I, 4 (P o Number of Inspections per permit allowed Name (or name of business) I}FTLjTHOCft (ITS Service included: Items Cost Sum Address �] S L1. 1� ) h 651-1 s O ( 1 5) 4a. Residential - per unit City /State /Zip - OR -2-3 1000 sq. ft. or less $ 117.75 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). - tom, Installation, alteration, or relocation Electrical Contractor 1 .. . ; prV 5 200 amps or less $ 64.25 2 Address 39'6 I A), it I-2 .9T» I :;-.41/c___.= 201 amps to 400 amps $ 85.50 2 401 amps to 600 amps $ 128.50 2 City pc) f 7 State 0% Zip el-72-2.--F- 601 amps to 1000 amps $ 192.50 2 Phone No. 2- - -12.5 % ?J{$ Over 1000 amps or volts $ 363.75 2 Job No. 2_' Reconnect only $ 53.50 2 Elec. Cont. Lice. No. - 32. C Exp.Date 16 o I 66 . 4c. Temporary Services or Feeders OR State CCB Reg. No. Exp.Date I Mfg Installation, alteration, or relocation COT Business Tax or Metro No. I 7 U Exp.Date 7/1/60 200 amps or less $ 53.50 2 201 amps to 400 amps $ 80.25 2 7 401 amps to 600 amps $ 107.00 2 Signature of Supr. Elec'n i i-/L i /!I_ �. �� Over 600 amps to 1000 volts, see "b" above. License No. 2-- G,4 S Exp.Date Io /bt raD Phone No. 4d. Branch Circuits $Z� �z - • 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 Each branch circuit $ 5.35 2 Address b) The fee for branch circuits without purchase of service City State Zip or feeder fee. Phone No. First branch circuit I $ 37.50 39. Each additional branch circuit 2(' $ 5.35 /.."--; (_- The installation is being made on property I own which is not 4e. Miscellaneous 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 3. Plan Review section (if required):* panel, alteration or extension $ 60.00 Minor Labels bels (10) $ 141,140 Please check appropriate item and enter fee in section 5B. 4f. Each additional inspection over i410•oo 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: 5a. Enter total of above fees $ 1 6S * Submit 2 sets of plans with application where any of the above apply. sr is Rs Surcharge (445 X total fees) $ /5741 Not required for temporary construction services. Subtotal ' $ 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 WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account # AT ANY TIME AFTER WORK IS COMMENCED. Total balance Due $ 2.015 06 i:\dsts\forms\electric.doc CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business. Line: 639 -4171 6 BUP Date Requested 3' �� AM PM ` BLD Location 4L///, Suite '�� MEC Contact Person Ph PLM Contractor Ph SWR BUILDING Tenant/Owner al---))1-4/W-5. ELC cPO 04 / Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain � Inspection Notes: . : a Slab c j SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall / Fire Sprinkler _ - -!AIME ■ 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 Rough In Gas Line Smoke Dampers Final PASS PART FAIL G Service , � UG /Slab Low Voltage Fire Alarm wallo - 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 Approach /Sidewalk Date !� Other 1 4 Inspector Ext Final PASS PART FAIL DO NOT MOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 " Business Line: 639 -4171 • 1 BUP Date Requested (° /V /� .Q / AM 1C PM . BLD Location q / WCtSk- S4 fikev . Suite MEC � Contact Person ►� ) LLlA Ph 2-82- PLM Contractor Ph k' Z119 SWR BUILDING Tenant/Owner Acelefav25 ELC / WM 'o032f 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 p /' Drywall Nailing ec • . �' 0111 d� Perst. /"E 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 Rough In Gas Line Smoke Dampers Final PAS P T FAIL ( LECTRICAL Service UG /Slab Low Voltage Fire Alarm Fina • ASS' PART 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 e Approach /Sidewalk Date n Inspector Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 • . Business Line: 639 71 BUP 11 at - - equeste • r /S 0 0 AM PM BLD S Location SO, _ _ � �s _ Suite MEC Contact Person , "" Ph 23 PLM y Contractor Ph X 2 SWR �e BUILDING Tenant/Owner ELC 0D.3Z1 Retaining Wall ELR Footing Access: Foundation i / � "! FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Fire wall d c z € t1—' 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 Rough In Gas Line Smoke Dampers Final FAIL ECTRICAL Service -ou• n UG ab Low Voltage Fire Alarm Fi .- a PART 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 /' Approach /Sidewalk r Other D / (� Inspector I ector Ext ' Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 f BUP Date Requested • ( Ph 1/ 70 I/ AM PM 4 BLD Location //'' //,iC% � Suite MEC Contact Person O / L. J Y� Ph US-- 2 SS PLM � Contractor n ^. ___ n� Ph X 2y� SWR BUILDING Tenant/Owner j` ___ ELC f1)0,0-a) 3 a I 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 A Firewall A .� WM% ; �'` ``� D 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 Rough In Gas Line Smoke Dampers Final PASS T FAIL CTRICA Service oug n isia • Low Voltage Fire Alarm - Final PASS PART 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 Other oach /Sidewalk Date /5oa Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.