Permit CITY OF TI GARD , ELECTRICAL PERMIT
PERMIT #: ELC2001 -00484
I DEVELOPMENT SERVICES DATE ISSUED: 10/1/01
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S126C0 -01107
SITE ADDRESS: 09485 SW WASHINGTON SQUARE RD A -6A
4 SUBDIVISION: WASHINGTON SQUARE ZONING: C -G
BLOCK: LOT : JURISDICTION: TIG
Project Description: TI Installation of (3) 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: 2 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 ABC ELECTRIC CORPORATION
P.O.BOX 21545 135 NE 9TH
SEATTLE, WA 98111 PORTLAND, OR 97232
Phone: Phone: 233 -7551
Reg #: LIC 288
SUP 1241S
PLM * *SEE **
ELE 26 -2C
FEES Required Inspections
Type By Date Amount Receipt Ceiling Cover
5PCT CTR 10/1/01 $4.82 2720010000( Wall Cover
Elect'I Final
PRMT CTR 10/1/01 $60.15 2720010000(
Total $64.97
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
Permit Signature: 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: J, • DATE:
LICENSE NO: lA4/ 5
Call 639 -4175 by 7:00pm for an inspection the next business day
Sep 28 01 12:1Op ABC Electric 503 233 7552 p.2
09/$8/20 11:27 FAX 5035981960 CIT1' OF TIGARD IQ 002
i..
E lectrical Permit A p on _ ,
r a _ . Datereeery • 1'a� ?emit no: �., / -OV
r. � /,t6i - Expire date:
► l ir City of Tigard .
A. OR 97 Date issued: By: j Receipt no
Ciry ojTigard Address: 13125 SW Nall Blvd, •
Phone: (503) 639 -4171 Case file no. payment type:
Fax: (503) 598 -1960
Land use approval:
accessory U Commercial/industrial 0 Mull- family 0 Tenant improvement
0 1 & Z family dwelling or accessory
0 New construction 0 Addition /alteration/replacement C1 Other: O Partial
O .
.. ,. - ......... _........._..J BSI7C.INFUR .. .. ...
Job address: i N i o / 1(/[!IllR Bldg. no.; Suite no.• Tax map/tax lot/account no.:
Lot: Block: • Subdivision:, i ll ill,'.r
Project Ham 4 // / ) .5 Description and location of work on premises:
Estimated date o completion/inspection: 1 EU
..
TEE cC ULG'
CONTRACTOR r'►1'PLICrYT10N • _ .. Max
Job no: ( ' • - - p •scri •lion �� no. tromp
• Bus name: `j3 C.11', r / New roidrnd -maker multi per
Address: r damning tudtinclod s anaehedgarage•
City: )] jr/A AUaAS2' Service Inctuded: a
�' yam' 1000 (t -orkrs
Phone: 3 3 i 'qli .�.Pi�� 1 000 add . fs o r l 500 aq h or portion thereof _in
S. n0.: r /13
L. bus. lie. nu. - e ; Jena Ll =led encrgy, = =�
City /rretso ;, no.: / I !� ..„ 1 I s m i ied energy. non- rrsidentsal 111111111111111111 ' /A -Nze. 9 $' /: / Each manufactured borne or modular dwelling
AMP!! � � • r 1 � 1 r • D ate ( Service ender feeder
Si�liatwe o • .. _;0115, � Icran req •) � � $enit�u ortce6ers i a O nrnitarivn,
Sup elect name Oriel): . P I N ��i I - -- talterationerRlet-n: 2
.:` pit4PERTV.01 •!ER IOOompsorlwa __ z
I01 .B to 400 amps 2
Name (print): 401 amps to 600 amps Z
Meiling addle: ;s: 601 amps to 1000 amps 2
Stale: ZIP: Over 1000 amps or vole r
City:
Phone: Fax: I Prmail: Reconnect
Temporary wner installation: The installation is betng•madt on property I own services or feeders •
Tem tt
which is not intended for sale. lease rent, or exchange according to 200 amps or less 2
2
ORS 447, 455, 479, 670, 701. foe amps to 400 amps 2
Date: - 401 to 600 ampe
Owner's slgtutture: _ ....., .__...._:.._ . - . ration, • }:NGL'Nhkal
Branch circuits • new, a
,. .:_:_.. $H or exteruioo per panel:
Name. A. Fee for brunch cirtuits with purchase of 2
servtu or feeder fee, each branch circuit
Address: B Fee for brunch pret W thous purchase •
State: ZIP: r / r Z
City: of service or feeder fee, first brunch circuit: ��
Phone. F ax: E -mil' of
sic
F7im
' Miss (Service AN l(EVILID' (Please diet: k. ell.tIlat. . z
Health -care facility Each pump or ,mgation circle 2
0 S ova 22 0 ampstommcr r i 0 Each sign or outline lighting
O Service dwellings IO►mpa•ruttngor l &2 0 Buz ding o over 10,p Signal etrcuii (a)oralimitedenergypanel.
finch dwellings 0 Building ovu 10,000 square feet (our or
0 System over (00 volts nominal more: residential units in one structure alteration or extensions 2
0 ci tune atone
O Feeders. 400 arnps or more •Dee crl 'eon: —
O Occupant t l loan over 99 perwns 0 Manufactured sanctums or Rv part Fads additional Wpi!ttion ever the allowable m any I (t above: I r� l
Cl Egress/lightingplan 0 Other. Per inspection
Submit acts of pirsas with any of the above. Investigation fee ----
��/} �
The above are not applicable to temporary construction acrnce Ot her --
Permit fee " $ s1[( y� �
Na o n iu tieuctioni accept ends cards, please call jun+eieaon for mom INomauoe. Nutted This permit application Plan review (at `%)
expires if a permit is not obtained State eview (8%) •••• $ 17.3::7--______
Yea O Mu fr. cad ,ti surcharge ( 44—°-'7—
( 1 I - within 1 8 0 days sties it has been TOTAL S
t c pY her. accepted as complete.
/"�} r f r rae7ll i t e s ed � G P
Narm ..s... u men en �•i S
Cotdhaldu signature
Arno u i 4.4a4615 (6000ICOM)
` -CITY OF TIGARD BUILDING INSPECTION DIVISION ;MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 ,,
BUP 4
Date Requested /0 -- �f AM PM BLD
Location l g C 1,t)/4 • S a. R D. Suite MEC
Contact Person 5"-&02. Ph' , " 7! ` ) - 6 PLM
Contractor Ph D-3 3 -75S - ) SWR
BUILDING Tenant/Owner 0 `,Y ELC 00/ 00 y 8 /
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 -- -- -1 4-5./ 2 d c—/ (G_ L. 1C7 e.
Insulation / /
Drywall Nailing ,2,_ �f »/ P7 J c14C141 . Cr A c3 /c'/) 1. 4
Firewall /
. Fire Sprinkler (.7e P.G )$'Y 0v/ / / v ` Oc) Vo / / p bz 5,, ✓' I /'
Fire Alarm ^ p
Susp'd Ceiling f iiH 77-1 fry /_. c e l"1/1,C r DMA : f I J / ; h
Roof 11
Misc: d w,.,./ce - '—C /1 /
ll2.Pa — Ssi rd + r__eA Y �--c"��YS
Final c:3//-6c /
PASS PART FAIL � (,5 f4:-.) /-%2F ( -f — C S c c6 /l E-e-L)
PLUMBING a/?/*,e'a,/ 4' ;.- (s-71w w .,� l,� 57,-( Post & Beam (� /�
Under Slab 2g ,.,, - f2 X2 - p1�.,/. -f-i ,, >7/z_7 c i C /i
P
Water Service vFu7 ff . & ; fa �' , rivo col', , � �, c� 1, /F
Sanitary Sewer
Rain Drains arpplCUa o1s'c.-.) v� Sf:,�A / [�, - � -7 �4 rc ��4 �l'�,k
F inal �' a
PASS PART FAIL /'h S)4 -- Yn
MECHANICAL
Post &Beam 74/ /' /�cP -(i / ; v.-,c 74 S�iV �'du'yi / siG/
Rough In
Gas Line a cod, / � ' s lE re ( ' / l � C-I
gip✓ ! l ,
Smoke Dampers Vi n(/! f� — �! V '� ) , s s*-
Final ,
PASS PART FAIL
ELECTRICAL
. Service . .
Rough In
UG /Slab N
Low Voltage
Fire Alarm .
®- PART FAIL
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 ( 1 Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk
Other Date0G'1 c.D'i ppcto / Inspector ci( 07*F' Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site. . .