Permit >a.
C ITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2003 -00500
""I!I DEVELOPMENT SERVICES DATE ISSUED: 9/10/03
13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639 - 4171
PARCEL: 1S126C0-01107
SITE ADDRESS: 09530 SW WASHINGTON SQUARE RD
SUBDIVISION: VitAtHINGTON SQUARE ZONING: C -G
BLOCK: LOT : JURISDICTION: TIG
Project Description: Electrical tenant improvement
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: 3 W /SERVICE OR FEEDER: 67 PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 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 9/10/03 $761.45
[TAX] 8% State Tax 9/10/03 $60.92 Ceiling Cover
Wall Cover
Total $822.37 Low Voltage Inspection
Rough -in
Elect'I 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 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 - 332 -2344.
I Issued By: � p Permit Signature: 1 7-"/ - /5 e.¢T /O�
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: ON /9 DATE:
LICENSE NO:
Call 639 -4175 by 7:00pm for an inspection the next business day
:i.SEP - 11:30AM FROM - Oregon Electric Estimating 5032313587 T -426 P.001 /001 F -279
( Electrical Permit Application
C of Tiger Date received: Permit no.: EC ZOO-31405n
13425 SW Hall BIvddRECEIVE® Prolect/appl. no.: Expire date:
AILr, i Phone: (503) 639 -4171, FAX: (503) 598.-1960 Date issued: By: {Receipt no.:
Internet address: www. -tit: ± digr s Case file no.: Payment type:
24 Inspection " eM 50341804175
❑ 1&2 tamlly dwelling or accessory
LU CommerclaUlnduebial U Multi - family ❑ Tenant Improvement
O New construction p • •.':':.1. - „.r Don/replacement 0 Other. . ❑ Partial
JOB SITE INFORMATION
job Address: 55: - - Washington s ' ' $I ` r �i W Suite no.: • Tax ma. tax lot/account no.:
Lot • 9530 Block: Subdivision
Project Name: Apple Computer Description and location of work on premises: Now Apple computer store TUI
Estimated Date of completion/inspection:
Will • u call for ins • ection within 24 hours? .Yes . ❑ No 0 Project Contact mark Welnbender (503) 288 - 8450 Phone
CONTRACTOR APPLICATION FEE SCHEDULE
Job No.: 19593 Description City Fee (ea.) Total asp
- Stew residential- -smgla 6(
multi- family poi dwelling unit
Business name: Oregon Electric Group Includes attached garage.
Service included:
Address: 1010 SE 11th Ave. - 1000 sq. R or leas $ 145.00 $ - 4
City: Portland{ State: OR Z.: 97214 Ea Addl 500 SF or Portion 5 33.40 $ -
phone: (503) 234 -9900 Fax (503) 2341 001 E -mail: tenured Energy. 16 2 Family s 76.00 $ - 2
CCB no.: 203 Elec. bus. lic. no.: 26-95C Limited Energy, Wawa -Fan y S 75.00 $ - 2
I
City /me o tro 110. : 9 •
Each manufactured home or
modular dwelling. Seivice
• >''.J ./, I s ''iL�t '' . . 9/8/2003 ondrorreeder. S 90.90 $ - 2
Sorvieo or Feeders -
Su .. : - et- Name ) =,,AVA License no: 44605 instigation. Alteration or
Relocation:
P P• • P : i Y • N - 200 amps or less 3 $ 60.30 $ 240.90 2
Name (print): 201amps- 400amps $ 106.85 $ - 2
Mailin• Address: 4olamps- swamps $ 160.60 $ - 2 _
City State: - Zip: 601amps- 1000ampS $ 240.60 $ - 2
Phone: Fax: JE - mail Over 1000A or Volts _ $ 454.65 $ - 2
Owner Installation: The installation is being made on property I own which is Reconnect Only $ 66.85 $ - +
Te
not intended for sale, lease, rent, or exchange according to ORS 447, 455, :1 a
Servit:es feeders nsta Oation,
479, 670, 701. Alteration or Relocalon:
Owner's signature: Date: . 200 am. or teas S 66.65 $ - 2
ENGINEER 201amps- • • . i•a S 100.30 $ - 2
Name: Over 4Olwngs• ; . •,, . a $ 133.75 $ - 2
no ,rma - • ' eta.
Alteration or Extension Per
Address: Panel: A. Fee for branch
City: State: ZIp: croups with purchase of service
or reader foo, cacti branch
Phone: Fax: E - mail: circun 67 5 6.55 $ 445.55 2
B. Fee for branch drab Mel
Purchase of Sorvico or Feeder. •
• ■ : A Lit Srrneh Ckt S 46.85 $ - 2
0 Service over 225 amps -comrr ❑ Health -care facility Each additional brands dreuit S 0.05 $ -
❑ Service over 320 amps - rating of ❑ Hazardous location Miscellaneous • (service or
feeder not included)
162 family dwellings 0 Building over 10,000 square feet four or Each pump or Irrigation Orel!!! $ 53.40 $ - 2
O System over 600 volts nominal more residential units in one structure Each sign or puulne Limning S 53.40 $ - 2
❑ Building over three stories ❑ Feeders, 400 amps or more Signal Clrwlt(s) or umttod Energy
Panel Alteration or Extension
❑ Occupant load ovcr99 persolts 0 Manufactured structures or RV park 1 $ 75.00 $ 75.00 z
0 Egress/lighting plan ❑ Other. Description,
Submit 2 sets of plans with any of the above.
The above are not applicaDie to temporary construction service. Each Additions / Inspection over
Not MI Arminian! aware credit a please cal ple cal )un:. nor more ems. rho Allowable In any of the
0 N co, T is pannh applcatlon Above. Per Inspection
® VISA MASTERCARD 5 62.50 $ -
expires if a permit Is not
Car • obtained wmtan sae doya .ibie II Invastlpation ico:
t / - W Ite =area Ins neon accepted as complete. hither
Permit Fee
as - c• - / $761.45
'' i .
A. Alig ! IA • ;22.3> Plan review 25% $0.00 i
Signature of cardholder Amount
Surcharge 8% $60.92 cf�
Total $822.37
■
CITY OF TIGARD 24 -Hour -
BUILDING Inppeot!n Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received ` Date • quested 1 AM PM BUP -
Location - 5�nl vv t1 \NNi 6-1 Suite MEC
Contact Person 0 ��- (. (9 Ph a? ) " 900 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner o 1 a) ELC � od 5 0 0
Footing
ELC
Foundation
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath /Shear -
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall E
Fire Sprinkler C -
Fire Alarm
Susp'd Ceiling
Roof o
Other: r
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole V
Storm Drain
Shower Pan
-
Other: -
Final -
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL •
("ELECTRICAL
ervice
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PART FAIL
SITE - Please call for reinspection RE: ❑ Unable to inspect — no access •
Fire Supply Line
ADA
Approach/Sidewalk Date Q Inspector Ext
Other: -
Final V DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD • 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
B UP
Received Date Requested `/ —/;-- AM PM BUP
Location cp__4 3 a 5Q - Suite MEC
Contact Person Ph ( ) $q -s 9 ' PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner
• ! —d SOd
Footing f
Foundation ELC
Access: 4 � //
Ftg Drain ta p 3 - O F`
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing 0165M
Firewall
Fire Sprinkler Cam' ! ' / f G • k 14-1 ` N �i� r
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post& Beam ,i
Rough -In •
Gas Line
Smoke Dampers
Final •
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab '
Low Voltage
Fire Alarm
4 0431 ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
0114P- PART FAIL
Please call for reinspection RE: 0 Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date �� OAL ; c2 Inspector / c ` e1 " Est
Other: v
'Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL