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Permit CITY OF TI G A R D ELECTRICAL PERMIT PER ELC2000 -00093 *-ar DEVELOPMENT SERVICES DATE IS �'': 3/6/00 I I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 P L: 1S126C0 -01107 SITE ADDRESS: 09712 SW WASHINGTON SQUARE•RD F -3 SUBDIVISION: 'ING: C -G BLOCK: LOT : JURITION: TIG Project Description: Add twenty -five (25) branch circuits for 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: 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: 24 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 ELECTRICAL DIMENSIONS INC BY THE MACERICH COMPANY PO BOX 12146 ATTN: JANET FISHER, ASSET MGNT 3961 SW WILLAMS AVE • SANTA MONICA, CA 90407 PORTLAND, OR 97212 Phone: Phone: 282 -7255 Reg #: LIC 00044008 SUP 2964S ELE 26 -432C FEES Required Inspections Type By Date Amount Receipt Elect'I Service 5PCT DEB 3/6/00 $13.27 0000456 Elect'I Final PRMT DEB 3/6/00 $165.90 0000456 Total $179.17 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 j:J/Atat tel -c# ISSUEDBY: .� 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: .tee- DATE: LICENSE NO: 4 Call 639 -4175 by 7:00pm for an inspection the next business day CITY TIGARD Electrical Permit ApplicIVED Plan Che 13125 SW HALL BLVD. Rec'd By j4 -44/0 4.4 TIGARD OR 97223 MAR 2000 Date Recd -3 -60 Date to P.E. Phone (503) 639 -4171, x304 Inspection (503) 639 -4175 COMMUNITY DEVELOVIVii Date to DST Print of Type Permit # Fes° Aon, - , Fax (503) 598 - 1960 Incomplete or illegible will not be accepted Called 1. Job Address: , f 4. Complete Fee Schedule Below: Name of Development Wk41 (GNSa 1Msk i k Number of Inspections per permit allowed Name (or name of business) Astjei A tketivS Co1QcT Service included: Items Cost Sum Address \&) A56' I (Q a 5� 1 l 1 t - SQAr' F-3 4a. Residential - per unit City/State /Zip � 1 1000 sq. ft. or less $ 117.75 4 q.t., Each additional 500 sq. ft. or 71 portion thereof $ 2625 1 Commercial ! wr l 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 • ntra • c-/eG/ L I (.q1.:D I vn p usignis 200 amps or less $ 64.25 2 • Addr s 10 r . c I pZ / 201 amps to 400 amps $ 85.50 2 City 2I N : State f Zjp 'V 12 401 amps to 600 amps $ 128.50 2 601 amps to 1000 amps $ 192.50 2 Phone No. Z - 2 - 72 57.5 Over 1000 amps or volts $ 363.75 2 Job No. 2 6 Reconnect only $ 53.50 2 Elec. Cont. Lice. No. z, b €132.C. Exp.Date • . / CZ 4c. Temporary Services or Feeders OR State CCB Reg. No. 4*We Exp.Date / - LS? U Installation, alteration, or relocation COT Business Tax or Metro No. i1f'7 q Exp.Date / 66 200 amps or less $ 53.50 2 201 amps to 400 amps $ 80.25 2 Signature of Supr. Elec'n .�/ .4,�� 401 amps to 600 amps $ 107.00 2 /� Over 600 amps to 1000 volts, see "b" above. License No. 24'6 - S Exp.Date :07../e-50 4d. Branch Circuits Phone No. _ ' t 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 b) The fee for branch circuits Address without purchase of service City State Zip or feeder fee. Phone No. First branch circuit i $ 37.50 3 '7.6'0 Each additional branch circuit 2 $ 5.35 The installation is being made on property I own which is not 4e. Miscellaneous / 174Z6 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 $ 60.00 Minor Labels bels (10) $ i64A8 Please check appropriate item and enter fee in section 5B. 4f. Each additional inspection over Mr? o0 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 /6D 5; described in N E.0 Chapter 5 5. Fees: 1 5a. Enter total of above fees $ . D'APP i * Submit 2 sets of plans with application where any of the above apply. 1)o N. Surcharge (9d)ttotal fees) $ `���■� Not required for temporary construction services. Subtotal �� $ 5b. Enter 25% of line 5a for 1.5 .2 j - NOTICE Plan Review if required (Sec 3) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account # AT ANY TIME AFTER WORK IS COMMENCED Total balance Due $" i \dsts\forms\electric.doc I 7q,l 7 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 - Business Line: 639 -4171 BUP Date Requested It / 3/00 AM PM BLD nn Location vl "112- (.06611\ q ( (4 j k -c, Suite MEC Contact Person g (i,(/L -J Ph 2-q2- 2-SS PLM - Contractor / 47-7 6- J/ 1 c.,;..1s Ph k Z i c SWR BUILDING Tenant/Owner ELC Z - c 9 a 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 Insulation Drywall Nailing Firewall - Fire Sprinkler Fire Alarm Susp'd Ceiling' 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 PASS PART FAIL Service Rough In UG /Slab Low Voltage Fire Alarm �1: PART FAIL 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 [ ] Please call f r ;inspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk D Other » 11 P Inspector Ext Final PASS PART FAIL DO OT REMOVE this inspection record from the job site.