Permit ELECTRICAL PERMIT
• PERMIT #: ELC2000 -00379
— 13125 � J I�� DEVE PMENT ACES 639 -4171 DATE ISSUED: 8/11/00
x PARCEL: 1S135BA-00102
SITE ADDRESS: 10218 SW WASHINGTON SQUARE RD
•
SUBDIVISION: OAIQBURG ZONING: C -G
BLOCK: LOT : 001 JURISDICTION: TIG
Project Description: Electrical work associated with conversion of Pizza Hut to Starbucks Coffee.
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: 2 W /SERVICE OR FEEDER: 59 PER INSPECTION:
201 - 400 amp: 1 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 SQUARE TOO LLC ST JOHNS ELECTRIC INC
BY MACERICH COMPANY 4415 NE MINNEHAHA
ATTN: JANET FISHER, ASSET MGMT VANCOUVER, WA 98661
SANTA MONICA, CA 90407
Phone: Phone: 360 - 693 -5100
Reg #: LIC 000431
SUP 3024S
ELE 37 -350C
FEES Required Inspections
Type By Date Amount Receipt Ceiling Cover
PRMT DEB 7/7/00 $559.71 0003546 Wall Cover
PLCK DEB 7/7/00 $147.42 0003546 Underground Cover
5PCT DEB 7/7/00 $47.18 0003546 Elect'I Service
Elect'I Final
(additional fees not listed here)
Total $784.25
This Permit is issued subject to the regulations contained in the Tigard Munidpal Code, State of OR. Spedalty 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 ordirect questions to OUNC at (503)
246 -1987.
PERMITT E'S SIGNATURE ` 6 ISSUED BY: 1-e
OWNER INSTALLATION ONLY
The tallation 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: DATE:
LICENSE NO:
Call 639 -4175 by 7:00pm for an inspection the next business day
CITY OF TIGARD Electrical Permit ApRgefficit Plan Chec
7a9
13125 SW HALL BLVD. • Rec'd By
TIGARD OR 97223 7 , Date Rec'd "2 7 -
Phone (503) 639 -4171, x304 JV �. 0 Date to P.E. � - o
Inspection (503) 639 -4175 Print or Type pEVE Permit # a�a- � � CI° .37 j „mu
Fax (503) 684 -7297 Incomplete or illegible wiflt a accepted Called
1. Job Address: (� 4. Complete Fee Schedule Below:
Name of Development (A )n\.s1� i nc f o c) v q TOO Number of Inspections per permit allowed
Name (or name of business) STA Lr..r.1 S o Co-f rep , Service included: Items Cost Sum
I
Address /Da /, 6W 1.dask;ncj'tnn , Spar.. 6 4a. Residential - per unit
0 1000 sq. ft. or less $110.00 4
City /State/Zip I I o' o N' r✓ Each additional 500 sq. ft. or
Commercial Residential ❑ portion thereof $25.00 1
Limited Energy $25.00
Each Manuf'd Home or Modular
Dwelling Service or Feeder $68.00 2
2a. Contractor installation only: 66.,W !� • � (
(Attach copy of all current licenses) 4b. Services or Feeders
Electrical Contractor Si' T hnS Orr; M i`G 'nC 200 amps or less gbe:o8 2 8.50 2
> Installation, alteration, or relocation
Address 4415 N6 01 r nvl in a ha. .L
201 amps to 400 amps / �•
City Vr Inc; ni, v .A) State I ,9& Zip 5) Pl. 4 / 401 amps to 600 amps $120.00 53 �• ;9 :
Phone No. .3h!) -- 49 3- Si 00 601 amps to 1000 amps $180.00 2
Job No. Over 1000 amps or volts $340.00 2
Reconnect only $50.00 2
Elec. Cont. Lice. No. 3 7-350C. Exp.Date /0-/-00
OR State CCB Reg. No. y 3 13 5 Exp.Date 3 7 - /)F7 4c. Temporary Services or Feeders
COT Business Tax or Metro No. E =.; =te /-/-b/ Installation, alteration, or relocation
200 amps or less $50.00 2
Signature of Supr. Elec'n „ ��% 201 amps to 400 am $75.00 2
401 amps to 600 amps $100.00 2
Over 600 amps to 1000 volts,
License No. -3 0.2 `1 Exp.') -te /D -i- O/ see "b" above.
Phone No. 3/71) 6 9 3- 5/100
4d. Branch Circuits
New, alteration or extension per panel
2b. For owner installations: a) The fee for branch circuits with
purchase of service or
5' 3 •
Print Owners Name feeder fee. 3 ! S. G g 2
Address Each branch circuit 59
b) The fee for branch circuits
City State Zip without purchase of
Phone No. service or feeder fee.
First branch circuit $35.00 2
The installation is being made on property I own which is not Each additional branch circuit $5.00 2
intended for sale, lease or rent. 4e. Miscellaneous
(Service or feeder not included)
Owner's Signature Each pump or irrigation circle $40.00 2
Each sign or outline lighting - $40 p /� o v 2
3. Plan Review section (if required):* Signal circuit(s) or a limited energy co
panel, alteration or extension / 7- •' - '-' 2
Minor Labels (10) $100.00
Please check appropriate item and enter fee in section 5B.
4 or more residential units in one structure 4f. Each additional inspection over
x Service and feeder 225 amps or more the allowable In any of the above
System over 600 volts nominal Per inspection $35.00
Classified area or structure containing special occupancy Per hour $55.00
as described in N.E.C. Chapter 5 In Plant $55.00 C t�
* Submit 2 sets of plans with application where any of the above apply. 5. Fees: 5 `�
Not required for temporary construction services. 5a. Enter total of above fees $ . % 5 , ) , r4
S% Surcharge (.05 X total fees) $
NOTICE Subtotal $ itta5EL L i,
5b. Enter 25% of line 5a for 141,47-T NT
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required (Sec.3) $
NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK Subtotal $
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY
TIME AFTER WORK IS COMMENCED. ❑ Trust Account #
Total balance Due $ 7 0t-L.
I \DSTSlELC96 APP Rev 9196
- CITY-OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST
/�
BUP
Date Requested /Z4 AM PM BLD
Location /dug t L ca) (V - , a. Suite MEC
Contact Person 37 Jc9L�,,✓1► . Ph PLM
Contractor ,...4, Ph SWR
BUILDING Tenant/Owner d ap Ih --4903 - 71
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
ELE TRICALp
gh In a , set
UG /Slab lid
Low Voltage
Fire Alarm
F'
P S ART 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 for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk
Other Date AO Inspector Ext
Final
PASS PART FAIL D • NOT REMOVE this inspection record from the job site.
-CITY - OF - TIGARD BUILDING INSPECTION DIVISION MST •
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested /0 - AM PM BLD
Location /0 7 5 i✓ GriG i∎ 51 /' Suite MEC
Contact Person (5/4 r � u c /C) Ph Z35 l S Z— PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC 02iu/— c o 3 7
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 // Q .S"
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
�LECTRICy�
Service v
Rough In
UG /Slab
Low Voltage
Fire Alarm
SS ART 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 for reinspection RE: [ ] Unable to inspect - no access
ADA
Other oach /Sidewalk /4 i Inspector Ext
Date
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested AP /1 AM PM BLD
Location /02/f S w wt 9ti 5 -y s�r 13k64 Suite 6 - MEC
Contact Person C Ph ..237 PLM
Contractor / Ph SW;
BUILDING Tenant/Owner (Ai! l' / el( ft m {� % /ern �` f �� ' co 7 9
�
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
Inlati
D on Nailing /Q _ 1/o 5- S D all [ [ L� q
Firewall v
Fire Sprinkler
Fire Alarm
Susp'd CeilinglI C421/ — q SS
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer '
Rain Drains
Final '
PASS PART FAIL I
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
ough , y ( !/
ab
Low Voltage
Fire Alarm \ •
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 for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk F---/ Other Date 1-- ,04 Inspector 2/4 � Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.