Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2003 -00614
;�i DEVELOPMENT SERVICES DATE ISSUED: 10/6/03
13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639 -4171 PARCEL: 1S135BA-00102
SITE ADDRESS: 10104 SW WASHINGTON SQUARE RD
SUBDIVISION: 0NRI@BURG ZONING: C -G
BLOCK: LOT : 001 JURISDICTION: TIG
Project Description: Tenant improvement with (6) 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: 5 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 SQUARE TOO LLC ABC ELECTRIC CORPORATION
BY MACERICH COMPANY 135 NE 9TH
ATTN: JANET FISHER, ASSET MGMT PORTLAND, OR 97232
SANTA MONICA, CA 90407
Phone: Phone: 233 - 7551
Reg #: LIC 288
SUP 1241S
FEES ELE 26 -2C
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 10/6/03 $80.10
[TAX] 8% State Tax 10/6/03 $6.41 Rough -
Elect'I Final
Total $86.51
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 O. r ' - -:: • 1010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at (503) 246-6699 or
1 -800- • -2344.
Iss led By: !AO ,
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 INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: i r �- DATE:
LICENSE NO: 4 S
Call 639 -4175 by 7:00pm for an inspection the next business day
J 1
- : • - - - • - • • . . . . . .. ...... ... ..
..
Electrical Permit Application , /o >>� y Penall.no f� :��
Date received:
,V.1:::111. _ City of Tigard prOlut/appl. ho.. Expire due:..
Blvd. OR 97223 pare Issued; Byr,�j� Receipt no - - --
(iry oJTigard Phone: (503) 639 Address: 13125 SW Hail 1 � � 6 2E03 ~ Payment type.
Comae file no.:
Fax • (503) 5911-1960
Land use approval' CI .T..I(Alin
a _ e - .
TYPE. OF PERMIT
i 0 1 & 2 family dwelling or accessory
1 1..0 ,.ommefcia11industr Tenan
ial 0 0 t improvement
Cl New conewction 0 Addition/alteration/replacement 0 Other __ _.._ 0 enan
JOB SITE INFORMATION
• lob address; /010y attt Al. ,1 i ,.• a _• . a , 1 Bldg no.: Suite no.• Tax map/tax lot/account no : __
Block: S . •ivision. _
p:::: . ----
Pr C c t name: • • �•,a. Desert -lion and location of work on •remises: ' •s .0 ....i1),. , i Is' CC
Project .. >♦�a�
Fsomated date of completiodinspcctson: I I l SCHEDULE APPLICATION [EL
Job no: _ - Deacri.tirm Qy. al ' Total n a tw I
1 Business manta / 01 ' -- NaMrtsaidmtlal• orn wltl- haJ(y
r I I. to n. Incleda attached ttome. 1 i
Addfeca I�� dwelling s Servioetrlelude�
Ciry, r1._ �! IOOO.q, tt or less +
I Pnonc. r a Batt 1 Bach additional l 800 W k or •onion utcrWl �� EIZIEMBle ` /3 7 1/$ Lamncdenar ns+rdvual — - -t—
CI .l • lie no.: �� Bach
1 mNUfactutodhonrao ,
1
i r� S lead
'_ Tei � � •uireAl - -- �_ p0I r Sanity; or eiders-i .11alion, T I
eerie no _ l /�� i
�•'r )' 1,/L alienation of
1'ItC ISER 200 ewe orlmt i •-- f ---
201 . n o 000 amP• -- — . -�
Name • tint): a . r � � 401 amps to 600 a — •- • I Mailing address. • 5 .. .• ■ is 601 am•s to 1.., amps - — � °i
reify• • II -. • Stat4Oa_ Over 1000 amps avolts _ • -- --
1---- 'l -mail: • ee onnecionl
! Phone: F�`
Owner installation: The inatallati0n is being made on property Tempor+q'aa^seorfeeden • y l Own bufaUatiea,ataaadpv,errclealfo+: � •
! wlyeh It not intended for sale, leases rent. or exchange according t0 l��p• -
ORS 447, 055, 479, 670, 701 • 201 Loma to 000 amt's - - - - + —
i Date; eel to 600 amp■ IMII
Owner's al�rtatur�: ..fT .. reach eircwU • Mot, a terlllon, � —
►:NGL' Sr aiteniion per well I
Name, A. Foe for branch circuits with purchase of /
- ----- -' aenju o lew6ef (K e.eh 0tanen etreutl 7 J
Address: :. Flo for Mitt CI,CUiq without urehaac 4i g ISIIIIIIIIIMIIIIO Ci ry . of servtcs or feeder fee, lint hooch circuit I ' �:::s
P hone • E mail: P esch aoditlonalbntrw.h eimou 6a7� %' ,S. .
'
FLAN IIEVIE%V(I'lease clu:cli, ull slut ap111)) vua(I.x•atfeeder■elIncluded): i • IIIII I I
�� _� �. — .
! Serves over 273 amp► < er
•
ommrid 0 HCalth•we laei'acuity • 6acn ti . or ouutrx li hung boat pump or ,rr,a Wen ett'Clr
I J SON ;Ix ev pings mpt•nttna of 1 A 2
0 Hsaaroov► lot won .. �..
• i:uoq areumst ❑ B „iding 0 10,000 tyuare teal leer or d1a► e o r t eatero,on 'uted u1ar8Y panel,
i I I _._._-4
•
0 Swam ov 600 rota nominal MOM lesidentlal iNU In ere tW GWR -
1 0 balding overlain. stoner 0 Roden 400 amps ofntore IDeaari -Len: - — arn —. _.e ••
0 Oa:upmu lead or 90 partWnt 0 Manufactured aeuctures Of RV part Each eddiAattal latspection ever the allowable in any of the sbore: _
' J fgrs,t/tistmn /plan 0 Ot/,er �,,. �.r—. w
For I —T-77 T
Submit ems oilstone with any of the above. In.•satlaaeen Ica - ..._ — .
Outer , IJ1
L am. The above aao sot applleable to teDIDOrary construction eerviee •� s i !1 /V
Permit fee -�J �/
M p,r. td 0 MasterCard Kan nett unk. Oars ca la,n ad la mo W0n»oo Notice it a perm gamma is WO obtained Mari review (at ., %) $ ---�•� a7 0
1 0 visa 0 M expires if a not obtained State surchar (8%) ... $ �,r�
L t within 180 days after it has bean ���'• n , a sh
Crow rare lumber wn ra r 6ay've1 accepted as complete, TOTAL T -- �(
N Wig d. • ' _ , •ly ?Ai k.", card
r ' $ �6 1t IbOt7ti'ilAt.
•
i.._ —� -. dhaldar , ta1.
A/Wm' ,
30 - d W!i 8T =60 2003 -90 -100
CITY OF TIGARD 24- Hour t , .
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received 1j /t2 << qj 19 6afe Requested 1 04 AM PM BUP
Location in/ Del Was k , sit U - lot Suite MEC
Contact Person Ph ( - ) 233- 7.575 PLM
Contractor /4- () C- EIP C• • Ph ( ) SWR
BUILDING Tenant/Owner GLc-( ✓V) a. 1x 420_3 £oI
Footing
ELC
Foundation
Access:
Ftg Drain / ELR
Crawl Drain ( �.
Slab Inspection Notes: SIT
Post & Beam
ni> 41 1 ......------ Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing e )/If r 6YI 5/ ‘21/
Insulation
Drywall Nailing 3, /3, 3A4a
Firewall (�
Fire Sprinkler /
Fire Alarm
--.7., - -� �_-r _ (�LJ t2
Susp'd Ceiling - - r:7_
Roof - --
Other: � : -- = -- v i
Final 1 LIPII --. .w■+ _ _
.7!/rC�Y�i� �l
PASS PART FAIL
PLUMBING - _ _____ II% ___∎ =_ =_ - _-
Post & Beam _ _ , `_'" _ _
Under Slab i� ..- - - - -!` � i
Rough -In
-
Water Service �_— - ����►!'�— ��r�r� ��
Sanitary Sewer I A
Rain Drains - s_
Catch Basin / Manhole
Storm Drain
.. • .. . F �1� ■ /
Shower Pan dry -- OAP I. Other: ► - r �� �/
Final !ja/Zi / A/5 40%04$
PASS PART FAIL i C aoo 3 QO Q
MECHANICAL 4�d�
Post & Beam
Rough -In
Gas Line T C . — Q O /
Smoke Dampers G
Final
PASS PART FAIL P 0 / Q
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. f '
` PART FAIL
0 Please call for reinspection RE: D Unable to inspect - no accF•ss
Fire Supply Line
ADA 2
Approach/Sidewalk Date O V. / Q3
f Inspector - . Ext
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL