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Permit CITY OF T I G A R D ELECTRICAL PERMIT PERMIT #: ELC1999 -00616 ^ .� I4;, DEVELOPMENT H Hall r SERVICES o ERV 2 639 -4171 CES DATE ISSUED: 10/18/1999 PARCEL: 1S126C0-01107 SITE ADDRESS: 09685.SW WASHINGTON SQUARE RD C -7 SUBDIVISION: ZONING: C -G BLOCK: • LOT : JURISDICTION: TIG Proiect Description: Add sixteen (16) branch circuits and a signal circuit/limited energy for a 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: 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: 15 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: WASHINGTON SQUARE INC OREGON ELECTRIC CONST /GROUP PO BOX 21545 1010 SE 11TH AVE SEATTLE, WA 98111 PORTLAND, OR 97214 Phone: Phone: 234 -9900 Reg #: LIC 203 SUP 1302S ELE 26 -95C FEES Required Inspections Type By Date Amount Receipt Elect'l Service PRMT GEO 10/18/199E $177.75 99- 319159 Elect'l Final 5PCT GEO 10/18/199. $14.22 99- 319159 Total $191.97 OR1GIN,AL 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 OUNC at (503) 246 -1987. PERMITTEE'S SIGNATURE / • ISSUED BY: /.alt ✓�/ 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: 60—.1.1 DATE: / " /S' LICENSE NO: pZg eft Call 639 -4175 by 7:00pm for an inspection the next business day CITY OF TIGARD Electrical Permit Application Plan Check # 13125 SW HALL BLVD. RECEIVED Rec'd By 'WARD OR 97223 Date Rec'd Phone (503) 639 -4171, x304 OCT 1 1999 Date to P.E. Date to DST Inspection (503) 639 -4175 Print of Type Permit # 0 PW9 - �G /G Fax (503) 598 -1960 COMMUNITY DEVELOPMENT Incomplete or illegible will not be accepted Called 1. Job Address: 4. Complete Fee Schedule Below: Name of Development Washington Square Mall Number of Inspections per permit allowed Name (or name of business) The Walking Co. Service included: Items Cost Sum 4 ' Address 9585 Washington Square RD 4a. Residential - per unit City /State /Zip Tigard, OR 97223 loon sq. ft. or less. $ 117.75 4 Each•additional 500 sq. ft. or portion thereof $ 26.25 1 Commercial © S uite C 7 Residential ❑ Limited Energy $ 60.00 Each Manufd Home or Modular 2a. Contractor installation only: Dwelling Service or Feeder $ 72.75 2 (Prior to permit issuance, applicants must provide contractor license 4b. Services or Feeders information for COT data base). Installation, alteration, or relocation Electrical Contractor Oregon Electric Group 200 amps or less $ 64.25 2 Address 1 01 0 SP. 11th A V P 201 amps to 400 amps $ 85.50 2 City Portland State OR Zip 97214 401 amps to 600 amps $ 128.50 2 601 amps to 1000 amps $ 192.50 2 Phone No. 23 4 - 9900 Over 1000 amps or volts $ 363.75 2 Job No. 827 4 7 Reconnect only $ 53.50 2 Elec. Cont. Lice. No. 2 6 - 9 5C Exp.Date 4c. Temporary Services or Feeders OR State CCB Reg. No. 203 Exp.Date Installation, alteration, or relocation COT Business Tax or Metro No Exp.Date 200 amps or less $ 53.50 2 �; 201 amps to 400 amps $ 80.25 2 Signature of Supr. Elec'n ,.../ 1 . 401 amps to 600 amps $ 107.00 2 Over 600 amps to 1000 volts, • - see "b" above. • License No. • 2 8 41 S . Exp.Date Phone No. 2 3 4 - 990 0 4d. Branch circuits • New, alteration or extension per panel - a) The fee for branch circuits . 2b. For owner installations: with purchase of service or feeder fee. Print Owner's Name Each branch circuit $ 5.35 2 Address • b) The fee for branch circuits without purchase of service City State Zip or feeder fee. Phone No. First branch circuit 1 $ 37.50 3 7.5 0 Each additional branch circuit - $ 5.35 8 0. 2 5 The installation is being made on property I own which is not 4e. Miscellaneous intended for sale, lease or rent. (Service or feeder not included) Each pump or irrigation circle $ 42.75 Owner's Signature Each sign or outline lighting $ 42.75 Signal circuit(s) or a limited energy 3. Plan Review section (if required):* panel, alteration or extension 1 $ 60.00 60 . 0 0 Minor Labels bels (10) $ 107.00 Please check appropriate item and enter fee in section 5B. 4f. Each additional inspection over 4 or more residential units in one structure the allowable In any of the above Service and feeder 225 amps or more Per inspection $ 50.00 Per hour $ 50.00 System over 600 volts nominal In Plant $ 59.00 Classified area or structure containing special occupancy as described in N.E.C. Chapter 5 5. Fees: 177.75 5a. Enter total of above fees $ * Submit 2 sets of plans with application where any of the above apply. 8 $ % Surcharge (.05 X total fees) $ 14.22 Not required for temporary construction services. Subtotal .. - $1 91 q 7 -- - -- . 5b. Enter 25% of line 5a for NOTICE - Plan Review if required (Sec. 3) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHO ED Subtotal $ IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAY ❑ Trust Account # AT ANY TIME AFTER WORK IS COMMENCED. Total balance Due $1 91 - 47 i \dsts \forms \electric.doc CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 .7& 55 BUP Date Requested /6(Y? (94 AM PM BLD Location "c .K•C 21.) wa Suite MEC Contact Person aLa 5 0 4 - 6 / 4 _P / 10 14 UC Ph gq9 aq -3fe. PLM Contractor Ph SWR BUILDING Tenant/Owner ELC t!94 (~ 606/Co Retaining Wall ELR Footing Access: Foundation Y at I_ „ Q FPS Ftg Drain � G� SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Fire wall Fire Sprinkler Cam 1 / J ✓c c ClY c / 6-. Pi .S Fire Alarm Susp'd Ceiling J D, y0 v�' Roof �/ Misc: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final IL ELECTRICAL ervice Ro • n UG /Slab Low Voltage iy Fire Alarm PASS ART FAIL Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ • required before next inspection. Pay at City Hall, 13125 SW Hall Blvd i Catch Basin [ ] Please call for reinspection RE: ] Unable to inspect - no access Fire Supply Line ADA Approach /Sidewalk Date / �— [ Inspector C /.f i)f � � Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. •