Permit ►. CITY OF TIGARD ELECTRICAL PERMIT
!� PERMIT #: ELC2004 -00070
f l l n DEVELOPMENT SERVICES DATE ISSUED: 2/12/04
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S126C0
SITE ADDRESS: 09633 SW WASHINGTON SQUARE RD
SUBDIVISION: VA8HINGTON SQUARE ZONING: C -
BLOCK: LOT : JURISDICTION: TIG
Project Description: Electrical TI, (1) 200 amp or less service & (22) branch circuits. Job No. 24 - 209
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: 1 W /SERVICE OR FEEDER: 22 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 CAPITOL ELECTRIC CO INC
BY THE MACERICH COMPANY 11401 NE MARX ST
9585 SW WASHINGTON SQ. RD. PORTLAND, OR 97220 -1041
PORTLAND, OR 97223
Phone: Phone: 255 - 9488
Reg #: LIC 048748
SUP 3132S
FEES ELE 26 -496C
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 2/12/04 $226.60
[TAX] 8% State Surcharge 2/12/04 $18.13 Elect'l Service
Rough -in
Total $244.73 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 are set
forth i AR 952=0 1 -0010 through OAR 952 - 001 -0100 You may obtain copies of these rules or direct questions to OUNC at (503) 246 -6699 or
1-88332-2344.
Lied By: Permit Signature:
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 INSTALLA ION ONLY
SIGNATURE OF SUPR. ELEC'N: 1L.�' DATE:
LICENSE NO:
Call 639 -4175 by 7:00pm for an inspection the next business day
02/12/2004 16:25 5032551966 CAPITOL ELECTRIC PAGE 01
('` i OFFICL USE ON IN
Electrical Permit Application Date received Arf, Permit no: . S,
Pro'ect/:.p]. n•.: Ex•ire date:
. . alb ., City of Tigard Date igsucd: B : Rece'•t no.:
CiTY OF TIGARD Address: 13125 SW HALL BLVD, TIGARD, OR 97223 Case file no.: Payment Ave:
Phone: (503) 639 -4171 Fax (503) 598 -1960 //y�y/
Land use approval: /U / �n 2 3 -co& 9t
- INI . (11 PERMIT
❑ 1 & 2 family downing or accessory 0 Commercial /industrial ❑ Multi- family Tenant improvement
New construction ❑ Addition /alteration /replacement ❑ Other: ❑ Partial
Job address:94.33 Sw Washington so,. rd. City: Tigard Bldg, No.: Suite no: #FC4 Tax map /tax lot/account no.:
Lot: 'Block: N/A Subdivision:
Project name: Wetzels Pretzels (Description and location of work on promises: Tenant improvement (food court)
Estimated date of c. •lesion /ins•ection:
(()NTRACTOIt A rnicAlrioN FEE still ?111
,Job no: 24 -209 Fee Max.
Business Name Capitol Electric Co., Inc. Description Qty. (ea.) Total no. insp
Address; 11401 NE Marx New residential - single or multi- family per
City• Portland State: OR ZIP: 97220 - 1041 dwelling unit. Includes attached garage.
Phone: 503 -255 -9488 (Fax: 257 -7121 1E- mail: darrallflicapdx,com Service included:
CCB no.: 48748 Bice. bus. lic.no: 26-496C 1000 s•, ft, or Iris $ 145.15 4
. h • etro lic.no.: N/A finch additional 500 sq. ft. or portion thereof $ 33 an
a I' "WM" IOW 2/9/04 Limited ene • residential $ 15.00 2
$ gt na�tttr•e of supervising electrician (required) Date Limited energy, non - residential 5 45.00 2
Sup. elect. name rint : Darrell McNeal License no., 3132 -$ Each manufactured home or modular dwelling
Service and/or feeder $ 9n.90 2
Name (print): Services or feeders - Installation.
Mailing addr alteration or relocation:
City: State: IZiP: 200 amps or less 1 $ 80.30 80.30 2
Phone Fax: if,-mail: 201 amps to 400 amps S 106 55 2
Owner installation : The installation Is being made on property I own 401 amps to 000 snips $ 160.60 2
which is not intended for sale, lease, rent, or exchange according to 601 amps to 1000 amps $ 240.60 2
ORS 447, 455, 479, 670, 701. Over 1008 amps or volts $ 454.65 2
Owner's signature :: Date: Reconnect only S 66.85 i
I: M (a N l ;F;12 Temporary services or feeders -
Name' installation. alterations, or relocation:
Address; 200 amps or less $ 66.85 2
Cit : State: ZIP: 201 am s to 400 amps 5 100.30 2
Phone: Fax: E -mail: 401. amps to 600 amps $ 133.75 2
, I'I AIN REV' ETV ( Please check all that appl3) Branch circuits - new, alteration,
❑ Service over 225 ampe.cotrrnterelal ❑ Health -cure Dcility or extension per panel:
❑ Service Over 320 Ampe- nrrrng of 1/1s2 ❑ I-Iranidmu location A. Fee for branch circuits With purchase of
family dwellings 0 Building over 10.000 square ft, four or service or feeder fee, each branch circuit 1 $ 6.65 6.65 2
❑ System over On volts nommn1 mom residentinl rmit; in one structure 13. Fcc for branch circuits without purchase
❑ Building over duet stories ❑ Feeders, 400 amps or more of service or feeder fee, first branch circuit: S 46.85 2
❑ Ocetioant load over 99 Demons ❑ Manufactures structures or RV Pant Each additional branch circuit: 21 $ 6.65 139.65
❑ Egrens/Iialrting plan ❑ Other Misc. (Service or feeder not Included):
Submit sets of plans with any of the above. Each pump or irrigation circle S 53,40 2
The above are not applicable to temporary construction service. Each sign or outline lighting $ 53 40 2
Signal circuit(s) or a limited energy panel,
alteration, or extension• $ 75.00 2
"Description:
Each additional inspcctionovcr th allowable in any of the above:
Per inspection I I $ 62.50
Investigation fcc
Other
❑ Visa ❑ MasterCard Permit fee $ 226.60
Credit enrd nnmher: / / Notice: this permit application Plan review ( ) $
Expires expires IF a permit is not obtained State Surcharge( 8% ) $ 18.13
Nome of cardholder rm shown on credit and w ithin 180 days after It has been
4 TOTAL $ 244.73
Cardholder !armature Amoun accepted as complete.
CITY OF TIGARD 24 -Hour
BUILDING Inspection Linea (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
P BUP
Received -3� c- Date Re d ` PM BUP
Location 0L p quest b33 Suite MEC
Contact Person ) 6 ' .5OW PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner 4g, «--,00n 7€
Footing
Ft
Foundation n Access: }-� 2'2- p ` ELC
9� ELR
Crawl Drain FOOD OD 1A, t
Slab Inspection Notes: SIT
Post & Beam Wei F
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation r,
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
FAIL
CA •
Service
Rough -In
UG /Slab
Low Voltage
larm
Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
ASS PART FAIL
SITE ❑ Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date 4.\, O \ Inspecto L Ext
Other:
Final O NOT REMOVE this inspection record from e job site.
PASS PART FAIL