Permit i41,
+ ELECTRICAL PERMIT
I.l OF TIGARD PERMIT #: ELC200300661
DATE ISSUED: 10/31/03
� "VELOPMENT SERVICES DAT
c� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S126C0
SITE ADDRESS: 09432 SW WASHINGTON SQUARE RD K - 2
SUBDIVISION: WASHINGTON SQUARE ZONING: C -
BLOCK: LOT : JURISDICTION: TIG
Project Description: Tenant improvememt, (6) branch circuits. Job No. 92463
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 OREGON ELECTRIC CONST /GROUP
BY THE MACERICH COMPANY 1010 SE 11TH AVE
9585 SW WASHINGTON SQ. RD. PORTLAND, OR 97214
PORTLAND, OR 97223
Phone: Phone: 503 - 234 - 9900
Reg #: LIC 203
SUP 4460S
FEES ELE 26 -95C
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 10/31/03 $80.10
[TAX] 8% State Surcharge 10/31/03 $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 -3 .
Iss ed B (h,,,,,,,A., Perm Si nature: Y• {/ 9 , MCP. �.I / ,e ' _ ' ' t%p /------
- 6 , -.-
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:
6 C n ONTRACT I OR RI INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: ✓�- - 0 7 ( � --- DATE:
LICENSE NO: /110o
Call 639 -4175 by 7:00pm for an inspection the next business day
•
OCT -29 -03 0) .,./ FROM- Oregon Electric Estimating 5032313587 T -223 P.001 /002 F -063
/G %(7_
I rt"cal Permit Application OFFICE USE ONLY
A City of Tigard
r 13125 SW Hall Blvd � '!! E ) EC E I D Date received: 01,41 d) Permit no- •200 - 6/
P I. no.: / Expire date:
, �
_1 Phone: (503) 639 -4171, FAX: (503) 5 1j96O2 9 2003 Date issued: By-C(e) IReCeipt no.:
Internet address: www.cl.tigard.or.us Case file no� 16. Payment type:
24 -Hour Inspection Request 503 - 639 -4175 ❑ MuIU- family ❑Tenant improvement
U 182 family dwelling or accessory 1 oeim ngt okIR D
❑ New construction 0 _CY ii&k, 8 au: t .J. , %...1". it - nt ❑ Other, ❑ Partial
JOB SITE INFORMATION
Job Address: 096' 3 SW Washington Sq Rd Bldg. No.: , Suitey 2 Tax map /tax lot/account no.:
Lot yy ' Block: Subdivision
Project Name: Picture People ,Description and location of work on premises: Picture People Tenant Improvement
Estimated Date of completion/ins •ection:
Will ou call for inspection within 24 hours? Yes • No 2 Proect Contact Mark Weinbender 503) 288.8450 Phone
CONTRACTOR APPLICATION FEE SCHEDULE
or no.
Job No.: 92463 Description Qty Fee (ea.) Total Inrp —
New resesenttaf -smglc of
multl- farniy per dwelling unit
Business name: Oregon Electric Group includes attached garage.
Service Included:
Address: 1010 SE 11th Ave. 1000 sq. it. or less $ 145.16 5 - 4
CitY.• Portland State: OR Zip: 97214 — Ea Add 500 $F or Portion S 33.40 $ - 1
Phone: (503) 234.9900 Fax: (503) 234 -1001 f E -mail: Limited Erie - ,1 & 2 Family S 75.00 $ - 2
GCB no.: 203 Elec. b -. lit. no.: 26-950 Limited Energy. MumfemAy S 75.00 $ - 2
—
City /m - • ••, .. ' a.: r - — -- Each manufactured home or
/ modular dwelling. Service
n 1 , Date: I 29/2003 and/or feeder, S 90.90 $ - 2
Service or Feeders •
Su., Elect. Name • f t :Mark Kenn goa License no: 4460S Installation, Alteration or
Relocation:
-.•P Y • b N R 200 amps or less $ 80.30 $ - T 2
Name rant : 201amps • 400ames 5 106.85 $ - 2
Mailing Address: 401ampS • So0amps $ 160.50 $ - 2
City State: IZIP ..r__ lamp„ • • 100oamps S 240.60 $ - 2 —
Phone: Fax: I E -mall Over 1000A or Volts S 454.65 $ - 2
t
Reconnec D, $ 66.85 $ - 1 _
Owner installation: The installation is being made on property I own which is
Reconnect
Temporary services or
not intended for sale, lease, rent, or exchange according to ORS 447, 455, Feeders - Installation,
479, 670, 701. Alteration or Relocation:
Owners si nature' Date: 200 am s or less, $ 66.85 $ - 2
201amps - 400amps $ 100.30 $ - 2
Name: I Over a0lamps- 600amps ._ $ 133.75 $ - 2
ranch Circuits - New,
Alteration or Exten Per
Acidness: Panci: A Fee for branch
City: State: - Ze: circuits with purchase of service
or feeder fee, each branch
Phone: Fax: E - mail: circuit S 6,65 $ - 2
B. Fee for branch circuits w /Out
Purchase of Service or feeder.
1st Branch GQ 1 S 46.85 $ 46.85 2
❑ Service over 225 amps -comrr 0 Health -care facility Each additional branch circuit 5 , $ 6.65 • -$ 33 .25
❑ Service over 320 amps -rating of ❑ Hazardous location Miscellaneous • (service or
feeder not Included)
182 family dwellings ❑ Building over 10,000 square foci four or Each .um • or irri, ation circle 5 53.40 S - 2
❑ System over 600 volts nominal more residential units In one structure Each Sign or Outline Lighting $ 53 . 4 D $ - 2
❑ Building over three stories ❑ Feeders, 400 amps or more Signal Circuit(S) Of Limited Energy
Panel Alteration or Extension'
❑ Occupant load Over 90 persons ❑ Manufactured structures or RV park s 75.00 $ - 2
❑ Egress/lighting plan ❑ Other: *Desolation:
Submit 2 sets of plans with any of the above.
The above are not applicable to temporary construction service. Each Additional Inspection over
I the Allowable in any of the
Notice: This p09f11l application Above. Per inspection
umpires if a permit Is not - - S 02.50 $
obtainer! within 160 days alter It 1""•1Ad9 °riDf ice:
has been accepted as complete. 'other
Permit Fee $80.10
Plan review 25% 50.00 4
State Surcharge 8% Ss.41 .
Total $86.51
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST
INSPECTION DIVISION Business Lire: (503) 639 -4171 •
BUP
Received Date Requested / f ' 3 AM PM BUP
Location / Z./ 3 > ? - - S 4 RD Suite /4 ' 2 — MEC
Contact Person • '1 Ph ( ) 'Y �o � l 2 Z 00 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC 3 - e D !o 6 /
Footing
Foundation ELC
Ftg Drain Access: ern ELR
Crawl Drain �,-
Slab Inspection Notes: J ,V 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
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
UG/Slab
Low Voltage
Fire Alarm
PART FAIL .0 Reinspection fee of $ required before next inspection. Pay at City Hall; 13125 SW Hall Blvd.
SITE ❑ Please call for einsp =ction RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA /
Approach/Sidewalk ' Date I 0 Inspector _ Ext
Other:
Final DO NOT REMOVE this inspection record fro the jo .site.
PASS PART FAIL