Permit CITY OF TIGARD • ELECTRICAL PERMIT
PERMIT #: ELC2004 -00358
DEVELOPMENT SERVICES DATE ISSUED: 6/16/2004
13125 SW Hall Blvd.. Tiaard. OR 97223 (503) 639 - 4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09426 SW WASHINGTON SQUARE RD K -4 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE
BLOCK: LOT : JURISDICTION: TIG
Project Description: 26 branch circuits, and 2 low voltage: Audio and stereo, data telecommunication install.
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/ FOR: 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: 25 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 DRYER ELECTRIC INC
BY THE MACERICH COMPANY PO BOX 86369
9585 SW WASHINGTON SQ. RD. PORTLAND, OR 97286
PORTLAND, OR 97223
Phone: Phone: 503 - 771 - 5667
Reg #: ELE 26 -1142C
LIC 153466
FEES SUP 2876S
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 6/16/2004 $363.10
[TAX] 8% State Surcharge 6/16/2004 $29.04 Low Voltage Inspection
Rough -in
Total $392.14 Elect'l Final
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 a re 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- . 44.
Issued By: Ake, 1, _ Permit Signatur -
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
•
06/15/2004 14:45 FAI 5035081960 CITY OF TIGARD ID 001
�! , t . -.',":'!e' 1 t r
' Ejecfr i e at Perm A Iication �,._ : FOR OV 1 O' L1G' 4
City of Tigard Received /
Da7JB i MAIM 3 , ► . -`4 -# - i1
13125 SW Hall Blvd., Tigard, OR -. /223 Pisa Revi I �u, r Pe m
Phone: 503.639.4171 Fax: 503.538.1960 "* , I�i\ DateB :
Inspection Line: 503.539.4175 ,:. "lil.r Date ReadyBy: • � E See Pnge 2 for
Internet wWW.Cf tiga d.Cr.u6 Notified/Method: 1 I Supplement tl lnlormation
]��� „ p.. ail. t - r - y ....
_
�'.I: "tr "� l 'Yir. t 7 • i ..,. 1',,., .: {Iyn, , , , !5 o i- i lr : 7.4 l t 14�I io r 1 �iF , ° S L'sn 'Q�
A M„Y � . R K3`..�yr� � K '!!' T. .. - } '�'� � t y �r�•r a. rr.`. .,l.ii r; " :a�`'�"be 1. � :: -.. -:
❑ New constucticn
Aauition/alteradon/replacement Please check all tae: a;+l+
❑Service over 225 amps, corrtn'1 ❑i•lamirdous location
❑ Demolition ❑ Other: ❑Service over 320 amps - slim,;; ❑Buildng over 10,000 sq. ft„
: ° * ,iai.`H", ° ' ' At° e':it r'fs :ti 'IF g,i; of 1 - and 2- family dwelhrgs 4 or more new residential
❑System over 600 volts nominal units in oar structure
❑ 1- and 2-family dwelling n Conur;rciallindustrial El Accessory building ❑Building over three stories ❑Feeder, 400 amps or more
❑ Multi - family 0 ..f.aster builder ❑ Other ❑Occupant load over 9 'e-sons OMEntfacr -:red sn- actvres Cr
i . .� a. = .-. t ,1 ,e ffit,, ri ;. R y
I' i-i 'C 1 q: "R -1 2 o ' '; n a .!? d 4` �t 0r 111 l r ifs '2 �. :' ❑Egressllighting plan rar
2(0 I g 1 Job site a3 ess 5y.! _ ` ❑Health -care facia =y ❑Ot:'er:
Job no.: l } J ( rJ/ /�7/yl Submit 2 sets of plans with arty of the above. •
City/State/ZIP: '� 0 K C -j 223 ` �" ' The above are not applicab :e to temporary cons_ et :on service.
Suite /bldg. /apt.' n o.: -9 ?e T)11•��� ject n ' neunptta _ I qtr, rte. I Total . T •-
Cross stre.et/di:ectioa' to 'ob site: New residential sir.gle- cr multi-family dwelling unit.
- - .-- __-.r- _ -- Includes attached gara„ e. _
1,000 sq. ft, or less I ' 145.15 I 1 4
Subdivision: ( Lot no.: Ea. add'I 500 sq. ft. or per:'.ca , 33.40 1 I
_ _ Limited energy, residential ' I 75.00 I • 2 '
Tax map/parcel no. Limited energy, non- :esidcaaai 75.00 I j 9)=- 2
.y.. m w ` i I e
�(r♦, � a ��'^ F'. ,•.. . " -. 116 . fpi !.`•ti n t ds I-ft'' iL-1 i, .r :o'!i�d. Each nufacrired or modular I
h�J ATit
dwellin , service and % cr f ee d ;* 1 90.90 � 2
V51 2/ It�SI L L1 f)')(111€., a 1J Co tyt,tiT Z Services or feeders iastal'at!on, alteration, acd/cr relocation
-
Pr;f/JO ICE '1t'- i A 54s1 5 Wtree 2.51bal.. v/ i fLa 1Piisot, D IPS Q. 200 amps or less r ( 50.30 1 1 2
- ^- --'-t• t . r 201 amps to 400 amps I 106.85
.. ' .. ' h � , c °:i,,,u '' k 1 ,m;' i - , : ei ' - • 401 amps to 600 sr*LS�� I I 160.60 2
Name: 4.i / - „ / It A Vl l _ it 0 bOt amp
Q �i> ' s ca LOGO arms � z40 60 I 2
Address: p; Over 1,000 amps or wolto . 1 a5�A54..55 2
t � r• ♦ Reconnect only I 66.85 I 1
City /StatelZIP: ' 1 r e 0 - 7 • Temporary services or i-: ?d'•rs Irsraii .tiJC, alteration, ardlor
LLLJJJ... ����lW---- (� / relocation
( ) (" " ) -_ J � I Fax: ( ) zoo aaros cr less I 66.85 I 1
Owner instillation: Tots mst'.-.'.l =:1 is bong made on property that I own which is not 201 amps to 400 air I I 103).30 ` 12 -
intended for solo, lea , rem, or x i angc, according o ORS 4 47,44 9, 670. and 701. 1 I 133,75 1 1
g 4014 s to 600 �rn s
Owner 5 p3t,1- „
r Dare: Brandy circuits - new, a!i:eratlon, or extension, per panel.
an
3 = ti- A ail -•• qV Jt 7ct . • fir A. Fee for brae :h cir-'-it with I
� _ < .,, v ws�. _ , :�,- ” , +.. :a�.�. K r, . service or feeder `^ -
Business name; I 6.65 2
branch airc�,it -V
B. Fee for branch eircui s ' I
Con name: T without service. cr ;red W fee,
_ each branch circ.it I
Address: Each add'1 branch c :r.l 1 5.65 2
City /State/ZIP: _ i4iscellaneous (seat' m or fcede.r rest inducted.;
Pump or t- rigaticn : i rule ■ 52. I 2
Phone: ( ) I Fax: ( Si ) gn or out!ire iigh tig 53, 11"!Ji 2
E-mail; • Signal ctscuic(s) or limit: v.- ' , ( 51
:
- . .'TALJbl' to �"'.K `
' 7 fills. 67∎., ,r`;j*t4yr: at: -: h Ly L- : energy panel 2;C
., , ': ^i : on,r.
i \= c' '' . ... : :2a- i.._�s .. , 5_:... . _: _'�i�i� ~, 11u�n- �'��.
extension. Desr.rtb4; � Page ! I 2
Business r i am :: D. •.- . T � I
A3d:
4012 NE CULLY BLVD Each additional inspection over allowable in any of the above
Per inSpeCdt)r. I I 62 . 50
City/State/ZIP: P ORTLAND, OR 97213 ' _ invescigado a per hour (1 'u ado) 't I 62.50 I
Industrial plant per Y:ctr l•._ I 73.75
Phone :{503-' 287 -6164 _ Fax: ( 503 ) 282 -1Q60 ' '�'
1
CCBLie.: 153466 j F ec- YcelL:c. :2 6- 1142C Su p rv.:ic.. 28765 Suctoal jqe:CO:D
Suprv. Electician sign.tpure. : :e ufr :d: •� ?1s: r_.';--v (25 %of permit fee)
Stale ttrc1:rrbe (t% of pcmit fee) __________________
P;int name' REED GIBSON I Date:
TC.T. - PERYL1T FEE 1.1.14e3r3
Authorized signature: This permit acpiicadcn • :pima if a rfit is not cbrained witain 130
______ days srt'- : ::Los been comspled ]A complete
Print name: Date: • Pee mew ielsg-j :et by Tri -Co'. n y Build:az irdussy Service Board
- •' Ntmober of inspCrers t e r 7.crmn :;hewed S,Uj s . fa
c13u dir,0,: ftitm;_C•P.mvt??.doe 1JC3 440 -4615T(10102 /C0MVWP9 . 0
Z99`'./ii
CITY OF TIGARD 24 -Hour
BUILDING Inspection LIneaN(503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested 7 —8'
AM /F PM BUP
Location 7 La`e W/-, SO L Suite K 4 7 MEC
Contact Person Ph ( ) ‘ PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner /i _. ELC X00
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation 57-11-4,P f TP M t 6 /A( si�Z E$
Drywall Nailing
Firewall
Fire Sprinkler C- 4 20 - teT6it.- 61t. CA15 /te
Fire Alarm
Susp'd Ceiling
Roof
Other: p P 11 n e AI �
Final 6-d"D�
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
Fire Alarm
i Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
ASS PART FAIL
SI TE Please call for reinspection RE: 111 Unable to inspect - no access
Fire Supply Line D PP LG �(/�
Approach/Sidewalk 14- oach/Sidewalk Date ✓ .� D Ins I 11 O (EA
PP ' " l.
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL