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Permit CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2005 -00603 aii� DEVELOPMENT SERVICES DATE ISSUED: 8/18/2005 '�' II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S12600-00300 SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD MGMT ZONING: C -G. SUBDIVISION: CifkaArNGTON SQUARE LOT : JURISDICTION: TIG Project Description: HVAC controls. 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: 2 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: 1 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 ENVIRONMENTAL CONTROL CORP. . BY MACE RICH COMPANY 7606 SW BRIDGEPORT ROAD 9585 SW WASHINGTON SQUARE RD PORTLAND, OR 97224 TIGARD, OR 97223 Phone: Phone: 620 -4228 FEES Reg #: LIC 64673 ELE 3 -434C Description Date Amount SUP 4425S [ELPRMT] ELC Permit 8/18/2005 $203.50 [TAX] 8% State Surcharge 8/18/2005 $16.28 REQUIRED ITEMS AND REPORTS Total $219.78 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 -0100. You may obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699 or 1- 800 - 332 -2344. Issued By: _ �„ r_ Permittee 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: DATE: LICENSE NO: Call 503 -639 -4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. ,12/02/2003 12:29 FAX 5035981980 CITY OF TIGARD a 002 Electrical Per ,Aplca�xion FOR OF'FIC'E: USE ONLY Reeet r ply A !!1; \ID U- , � `v1 ' i{ J Da • : , 06 / I Permit No .. - _ __.4i -- 00 - ,' Is City of Tigard l ;, : 1 S , P Datc/By: Planning • pp • Permit No.. 13125 SW Hall Blvd. "' 0 14 4 Plan Review Other Tigard, Oregon 97223 Date/Bv: Permit No.: . Phone: 503 - 639 -4171 F&t!130313918(39 p Post- Review Land Use ` h I " Date/By. Case No Internet: www.ci.tigard.c'�LDING DIVISION e 24-hour Inspection Request: 503 - 639 -4175 =' -1 — N M I' Conmct 1 See Page 2 for Name/ethod: .�� I'✓ fr SupplemenW Intot•matton. , .. , :,:i.4. 7 .:; -. ..... • ; ;,: •:5,f 4 :_ , Si.•... 1 7.0 4 ;: i .TYPR_OrVir.ORICA?.F.,,: - .:if.i.:::...-:: ...?';;YJ ; -..,.:,/ : �,pI:�`�'�w"' • Ea ehecl�ati�.ftiara , , 3�'' ; , r'. t�.0 : yy:. ew construction 0 Demolition ❑ Service over 225 amps- ❑ Health -care facilit [] Addition/alteration/replacement ['Other: commercial ❑ Hazardous location Service ova 320 amps-rating of ❑ Building over 10,000 square feet, `"V•'"': i :1 '•• :;: r+CAiEGORYOF :CO S RUCETON' i•? ?x... ::t t': , :.•('I; I & 2 family dwellings four or more residential units in ❑ I & 2 - Family dwelling g Commercial/Industrial ❑ System over 600 volts nominal one srruclurc . ❑ Accessory Building ❑Multi - Family ❑ Building over three stories ❑ Feeders, 400 amps or more ❑ Occupant load over 99 persons ❑ Manufactured structures or RV park ❑ Master Builder ❑ Other: ❑ Egress/lighting plan ❑ Other Z -F7'' 30B- SITE•INF.ORIKATIONIiarill 0 ' t Submit sets of plans with any above. • :' ,. ..k of the abo e. Job site address: q,5 05 54.) �/aS� d The above are not a • • • • livable to tem . • r construedon service. Suite #: Ap . #: I -,. , _. • . 5 2E,�S C>E1 P� LI m , _... .. : „_ r Y. $ld�¢./ t Number of Ins ectiaus • er ermit allowed Project Name: 4J tr 5 Ar , w f• b SC , 4 .r 4/— Deseri . lion Qty Fee (ea..) Tout I. Cr. treet/Directions to job site: New resideotialrsmgk or multi- leerily per 1, dwelling mak Includes attached garage- , 0/ Semite included: 1 V'o Co t" 4 -SS C ,�' /-t 1000 SCI. R or less 145.15 Each additional S00 so. R or portion thereof 33 40 Subdivision: I Lot #: Limited enemy. residential 75.00 Limited energy, non residential '75.00 Tax map/parcel #: Each manufactured home or modular dwelling :'i'' •... ` " :i::'.. - IIESCRIP'ITOI 'OIF WORK:: • `' . •r' •: � /� G �a71 in? �S r, :,' ° ry service and/or feeder 90.90 Services or Oman - IestaUation. alteration or relocation: 200 amps or less I 80.30 201 amps to 400 amps 106.35 401 amps to 600 amps 160.60 L CPPROP;ERTY,OWNER . :.1 - 1ZEPTATM5'.. .; :!,' f1r'..b 601 am" m 1000 •. 240.60 2 Over I00 amp o r vo Name: Reconnect only Address: Temporary services or feeder's - installation, City /State/Zip: alteration, or relocation: 200 amps or less Phone: Fax 201 amps to 400 amps . ;0 PUCA�Y'Zc: .. A . ® 7CONPACT VERSOPP',. r,: °0► to 600 • Branch circuits - new, alteration, or Name: extension per panel: • Address: A. Fee for branch circuits with purchase of service or feeder fee, each branch circuit 6.65 2 City /State /Zip: B. Fee for branch circuits without purchase of Ph one: I Fax: — service or feeder fee, fast b mmmeh circuit �` . - Each additional branch circuit /.. 4 5 E -mail: Misc.(Service or feeder not included): �.P.., :t'•ji t1 :. '•'" ^4 ..:.CD T , .t k:. ..i :� ,./.r,-•. E3eblipor in'jRationcircle •, 1'�1ItAI3'f(3�... .T ..a ;...- . X; .. Job NO: 5�/ q X /L • Each or outline li - • 53.40 — © Signal eircuit(s) or a limited Business Name: rail/ / rcr, -. c....-/. / e . ,,, t<ro / Page 2 /.So -e ' Address: /SFr6 o se.) tyrce g `S .('w04 t d City /State /Zip. pc, ,••f / o.. d or 1 o .•. q -ie 3. S - y 6G4 „ Each additional las . ecdon over the allowable in an afthe above: Phone: 5,.,3 /7- q to Fax: 3 q y /o Ze3 ■ ®�. CCB Lic. #: 4ee 7 3 (K fo Lic. #: 3 - '13 e/- L other: t; N��Mi Supervising electrici ^ , ]•1— o ! %EhiCtiii�l`prim`t :Feeit2 ;: >� � a :: ' - C' / c , Subtotal $ - ,203 • Sc?' signature required: Plan Review (25% of Permit Fee) S Print Name:/djap•�..+ rn emu r Lic. #: 4/ 5 S State S .: a 8% of Permit Fee) S /6 • 1 $ /o- / - d 7 TOTAL PERMIT FEE S / • . . Authorized Notice: This permit application empires if a permit is not obtained within Signature: Date: 180 days after It has been accepted as complete. ')ice methodology set by Tri -County Building industry Service Board. (Please print name) i:1DStsTermlt Forms\ElcPermnApp.doe 01/03 CITY OF TIGARD BUILDING DIVISION K PERMIT #: ELC2005-00603 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/18/2005 Phone: (503) 639 -4171 Il Inspection Requests (24 Hrs.): (503) 639 -4175 .4 11111' " INSPECTION WORKSHEET FOR DATE: 11/8/2005 TIME: 7:00AM PAGE: 110 SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD MGMT CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: WASHINGTON SQUARE EXPANSION DESCRIPTION: HVAC controls. OWNER: PPR WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: ENVIRONMENTAL CONTROL CORP. PHONE #: 620 -4228 Inspection Request Scheduled For: Date: 11/8/2005 Pour Time: Code # Inspection Description Confir Contact # Message 199 Electrical fin. 020544 -01 503 - 544 -9825 N Correction • • - I c ions: th Kg ROL, FZoonP\ v S'i`c\ 6'•Of tA■*) & c 3 PDN it . A ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL K C ' L FOR INS' ECTION ❑ ADDITIONAL FEES ASSESSED Inspector: �' Date: q 17(5 Phone #: (503) 718/214 CITY OF TIGARD BUILDING DIVISION ,, PERMIT #: ELC2005 -00603 « 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/18/2005 Phone: (503) 639 -4171 Il I� Inspection Requests (24 Hrs.): (503) 639 -4175 Ai- "__.. INSPECTION WORKSHEET FOR DATE: 10/28/2005 TIME: 7:18AM PAGE: 1 SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD MGMT CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: WASHINGTON SQUARE EXPANSION DESCRIPTION: HVAC controls. OWNER: PPR WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: ENVIRONMENTAL CONTROL CORP. PHONE #: 620 -4228 Inspection Request Scheduled For: Date: 10/28/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 019729 -01 503614 -9825 Y Corrections /Comments /Instructions: 5ictSA D MIN a Pczo1;%of J 6 ALL coNtsZ k J475 A q" (6ox s P e l'.1 611i; okeli-k pn_. cio T-kittlk-o'W_ PASS 111 PARTIAL APPROVAL ❑CANCEL ❑ NO ACCESS ,,ki FAIL VCALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 1 6/ D Phone #: (503) 718- 1--)/14,