Permit CITY OF T I G A R D ELECTRICAL PERMIT
PERMIT #: ELC2000 -00315
�1 DEVELOPMENT SERVICES DATE ISSUED: 6/8/00
c � ' II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 1S135BA-00102
SITE ADDRESS: 10230 SW WASHINGTON SQUARE RDA
SUBDIVISION: OAKBURG ZONING: C -G
BLOCK: LOT : 001 JURISDICTION: TIG
Project Description: Installation of 20 branch circuits associated with tenant improvement. Job No. 65486.
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: 19 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 TUALATIN ELECTRIC
BY MACERICH COMPANY PO BOX 655
ATTN: JANET FISHER, ASSET MGMT WILSONVILLE, OR 97070
SANTA MONICA, CA 90407
Phone: Phone: 682 -2955
Reg #: LIC 00065650
SUP 3483S
ELE 3 -26C
FEES Required Inspections
Type By Date Amount Receipt
Elect'I Service
PRMT DEB 6/8/00 $139.15 0002807 Elect'l Final
5PCT DEB 6/8/00 $11.14 0002807 �
Total $150.29
C°\ �
O
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws
All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is
suspended for more than 180 days. ATTENTION. Oregon law requires you to follow rul dopted by ' - •regon Utility Notification Center Those
rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080. You may obtai copies of these rules o • irect questions to OUNC at (503)
246 -1987.
PERMITTEE'S SIGNATURE J` ) v // _ZS UED BY: 1 1 - A r
OWNER INSTALLATION 0
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTA LATION ONLY
SIGNATURE OF SUPR./ELEC'N: —t r cam` DATE:
LICENSE NO:
Call 639 -4175 by 7:00pm for an inspection the next business day
CITY OF TIGARD Electrical Permit Application Plan eck#
13125 SW HALL BLVD. Rec' y
TIGARD OR 97223
Date Recd 9 - 6 , -7- 0
Date to P.E. -------
Phone (503) 639 -4171, x304 Date to DST
Inspection (503) 639 -4175 Print of Type Permit# ELL' dLobp -d 03 /$
Fax (503) 598 - 1960 Incomplete or illegible will not be accepted Called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development 1 ny �AthP� `' � Number of Inspections per permit allowed
Name (or name of business) .J ii n Service included: Items Cost Sum
Address I O r� C
D W 0 ∎41 ' .n 4 4 I\ as 4a. Residential - per unit
City /State /Zip �1
(Z G 1000 sq. ft. or less $ 117.75 4
f�Q� �1C 1 073 Each additional 500 sq. ft. or
J portion thereof $ 26.95 1
Commercial EA 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 -1-1.,,e1/4‘..4:,,-, 200 amps or less $ 64.25 2
Address
PC), ' i c i 201 amps to 400 amps $ 85.50 2
401 amps to 600 amps $ 128.50 2
City W %1•=t�v∎ . r State IR Zip X 1`1 O P 601 amps to 1000 amps $ 192.50 2
Phone No. t ciA,a - c,`% S Over 1000 amps or volts $ 363.75 2
Job No. 1 cF,yQ1 l Reconnect only $ 53.50 2
Elec. Cont. Lice. No. 3o76a C Exp Date 1 c. G C� 4c. Temporary Services or Feeders
6
OR State CCB Reg. No. 56s b Exp.Date y t O a 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 • /� v' 401 amps to 600 amps $ 107 00 2
,,
Over 600 amps to 1000 volts,
see "b" above.
License No. tQS Exp Date 10) (3 1 4d. Branch Circuits
Phone No 6t\a 0 55 New, alteration or extension per panel
a) The fee for branch circuits
2b. For owner installations: with purchase of service or
feeder fee.
Pnnt 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 I $ 37.50 31,. .Q
Each additional branch circuit \ $ 5.35 1 O t , b 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 $ 60.00
Minor Labels bels (10) $ 487.7e9-
Please check appropriate item and enter fee in section 5B. 4f. Each additional inspection over 211.4!9
4 or more residential units in one structure the allowable In any of the above
Service and feeder 225 amps or more Per Per hour h our ion $ 50.00
$ 50 00
System over 600 volts nominal In Plant $ 59.00
Classified area or structure containing special occupancy as
described in N E.0 Chapter 5 5. Fees:
5a. Enter total of above fees $ 1 3 . .___1.1 - . --
* Submit 2 sets of plans with application where any of the above apply. savb°!o Surcharge ( e5X total fees) $
Not required for temporary construction services. Subtotal .O ? $
5b. Enter 25% of line 5a for
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 $ \ 50 0 D
i. \fists \forms \electnc.doc
CITY OF TIGARD BUILDING INSPECTION DIVISION •
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
Y BUP
y/6 Date Requested 6- -OD /
AM f ` P M BLD
Location 02- 329 aifr '3& Suite ''- MEC
Contact Person . P Ph l� � � a -9s� / PLM
Contractor Ph SWR
BUILDING Tenant/Owner boy i Lw � h�� ELC ;1,0C) – OD 3/ 5
Retaining Wall I 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
TRIC
Service
Rough In
UG /Slab
Low Voltage
Fir arm
PASS "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 [ ] Please call for " inspecti•n RE: _ ] Unable to inspect - no access
Fire Supply Line
ADA f
Approach /Sidewalk
Other D ate % Inspector _ dir E xt
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
,�v� BUP
Date Requested (P//9/0 AM PM BLD
Location (0 Z 30 wC,S k Squaire, suite 6-o. MEC
Contact Person 1 [A,t ph( a 2 -2.)9 PLM
Contractor Ph r / SWR
BUILDING Tenant/Owner I 1 1� ((1 ELC VW - 003 I S
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 PA FAIL
EETRIC'A
Service
ough I
U a
Low Voltage
Fire Alarm
OP 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
Other D ate ,4& Inspector Ext
Final
PASS PART FAIL D • NOT (REMOVE this inspection record from the job site.
Cis s1fAJ
CITY OF TIGARD BUILDING INSPECTION DIVISION Msr
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 7 AM PM _ BLD
Location (02.-30 ktifr ` 7 Suite C /Z_ MEC
Contact Person // // Ph PLM
Contractor //j/ ` L4 4, 4 S /L vl C Ph 3D23 SWR
BUILDING Tenant/Owner Sip/ LC 4 41 — eV& Sy
Retaining Wall , y,✓ry —P IKb ELR ,3o0- DV / [az-
Footing Access:
Foundation - 425 FPS gaZmv0- -00.31
Ftg Drain
Crawl Drain Inspection Notes:
Slab VA L /J�1 /� (4--A44 � -�t' r
Post & Beam (1y / Ext Sheath /Shear / C �1 ,U•A4
Int Sheath /Shear
Framing
Insulation
Drywall Nailing / M .ci s.:
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Final
PASS PART FAIL
PLUMBING ELF Z -- 00/02,—
Post & Beam
Under Slab
Top Out
Water Service c / ??'9 - 27 (o�� f 4 0Wj , y�
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
fl FC
Service
Rough In
UG /Slab
Low Voltage
Fir�rm
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
Other Date 7/r/70 Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.