Permit .k. CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2004 -00812
M176 DEVELOPMENT SERVICES DATE ISSUED: 12/22/2004
r � J I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD
SUBDIVISION: OANAIIA �R SQUARE ZONING: C -G
BLOCK: LOT : JURISDICTION: TIG
Project Description: Temp. service.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: 4 PUMP /IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: 1 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: 10 PER INSPECTION:
201 - 400 amp: 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:
WASHINGTON SQUARE LLC OREGON ELECTRIC CONST /GROUP
BY THE MACERICH COMPANY 1010 SE 11TH AVE
9585 SW WASHINGTON SQUARE RD PORTLAND, OR 97214
TIGARD, OR 97223
Phone: Phone: 503 - 535 - 2652
Reg #: LIC 203
SUP 4460S
FEES ELE 26 -95C
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 12/22/200 $434.20
[TAX] 8% State Surcharge 12/22/200 $34.74 Rough -in
Elect'l Final
Total $468.94
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 rf 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: � , Permit Signature: S D A
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 639 -4175 by 7:00pm for an inspection the next business day
12 -21 -04 10:54AM FROM - Oregon Electric Estimating 5032313587 T -274 P.001 /002 F -299
- (Electrical Per ", 5 i v; 0 ` OFFICE USE ONLY
City of Tigard Date ceived; 2 2// Permit no. C,�olGb ' i ?/�
19125 SW HA Blvd I rt1�1r+_ Proiect/afipl. no,: el C.-Expire date:
� 11;_:i I''I Phone: (503) 639 - 4171. FAX (505) 99�i960� 1 9 L004 Date issued: By: (Receipt no.:
Internet addrusa www.cLdgard.or.us Case file no.: Payment type:
24 -Hour Inspection Re . 'L. : • IFFGARD Tenant improvement
El N won B I " 1,00.1.rill,, ft! .. , h , ON EI Other: la Partial
JC B SIT( CJroI= r,l'I'I� crJ
Job Address: 9585 SW wash. Sq. rd. BII!. No.: _ Suite no.: Tax map/tax lot/account no.:
Lot: Block Subdivision
Project Nernst Washington sq. mail expan, Description and location of work on premises: Tempoaay Service
Estimated Date of completion/inspection:
Will • u can for .> • action within 24 hours? Yes 0 No El - . - Contact John Ends ~ .. , r -S ,_2, Phone
olJTR,c.TO,, ..pPL1:,4 ilk 't! FC:. oC -GDL'LE
Job No.: 18548 -101 Oescdptlon Qtt Fee tea.) Total .era
New rosraanUalwnglo er
inc ud unit
Business name: Oregon Electric Group Les attached ag
Service Included:
Address: 1010 SE 11th Ave. 1000 so. ft. or leas $ 145.15 , 1 - 4
City. Portland !Slabs: OR Zip: 87214 Ea Addl50OSFcoPoation S 9840 $ - r
Phone: (5031234 -9900 Fax (503) 234-1001 I E-m85: tamed Enapy,1 a x Fmmv $ 75.00 $ - a
CCB no.: 203 Elea bus. Sc. o.: 28-950 utmted Energy. Muto-Feanly E 75.00 S - 2
� • / etro rrc. No.: 1995
O � , ����� � _ Each �u+�daeng of
0 �,�� modular dwelling. Swok avko -
p Date: 12112004 and/or feeder. S 90.90 S, ,r
el.. SH'A'H 7841 S Service or Feeders -
Su - Elect Name license no:441306. I1SWbCon.Aiteratton or
k Relocation, -
Q 200 Or tega S 80.30 $ z
4 Name (print): Washington sq. mall expert .- 1i etc.eA. ■ C-.N, 201arr -400anps S 108.85 $ - 2
v MaamgAddress: Q5$5 5LJ I et., s JZ4 4015a11111 =amps S 180.60 $ - 2
CitY T►cczA.(,( stale O Pins: 9"1 3 60,ampc•+ is. , $ 2 40.60 $ ...
2
Phone: 503 - 6398885 Fax 1E-mall _ Over 1000AorVolts $ 45485 $ - 2
Owner Installation: The installation Is being made on property I own width is not T te ary 9w ic� or f 6685 S -
intended for sale, lease, rent, or exchange according to ORS 447, 455, 479, Feeders, tftstaliaeon.
570, 701. *don or Relocation:
Ownafs ' nature: Dale: 200 a or lees 4 S 66.66 S 267.40 2
201anr{r 40tbrrm. I 5 10050 $ 100.30 2
Name: Over401a •600amrc S _ - 133.75 S - 2
Address: Sranch Circuits -New,
Alteration or Extension Per
Cdr. fie: Zip: - Panel: A. Fee for branch
&ediits win purchase of service
Phone: FaX E -mail: orfoodor each branch dirndl 10 8 6.55 $ 68.50 2
B. Foe for branch tlrnale WlOut
P wdaeo of Sore oo er Fonder.
1st Drench Gin o S 46.85 S 2
O Service over 225 amps -commr 0 Health-care fee:My Each additional breath circuit S 6.65 $ -
t Semite over 320 amps.rating of 0 Hazardous location Miscellaneous - (service or
feeder not included)
1852 famly dwell O Raiding over 10.000 squats feet tour or Each wimp or lrrlgadon dada $ 5140 S - 2
O System over 600 volts nominal More residential units in one " tutltre Ewa Mee crowns uparing .. E 53A0 , $ - 2
O Bolding over three siades 0 Feeders, 400 amps or more Signal CIrcuige0 or umtod Enemy
Panel Altorotlon or Extonolon
O Occupant bad over 99 persons 0 Manufactured structures or RV park $ 79.00 - S - - 2
O Egress/righting plan O Other. .
Submit 2 sets of plans wnn any of Meehan.
—
The above are not applicable to temporary clan service. Each Additional inspection over
the Allowable In any of the Above.
Nodes: Tldapermit anpfleatIon Per 5^ e "
azso 1 1
cadres ff a tonne Is not
obtained widh: days a!ter& Invesulisuon +ex
A.s bearueoaytosas Camplora. lou,ar
Permit Fee'
Plan review 25% so.= Lj
state surcharge 8% $34.74 J`9
Total $488.84
CITY OF TIGARD 24 -Hour ,,
BUILDING Inspection Line: (503) 639 -4175 Ne4,sale
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
�-/ BUP
Received / 3 i Date Requested - < M ! PM BUP
•
Location A ✓ - 401. - _ r . I ite , ,� MEC
Contact Perso
ry
..+� h ( 4 `f'`1 LM
Contractor L' _! . Ph ( ) SWR a
BUILDING Tenant/Owner ELC p2� ��O D l a
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Note : SIT
Post & Beam e..i //4" 1
Shear Anchors
Ext Sheath/She
Int Sheath/Shedr
Framing
Insulation
•
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL •
PLUMBING
)
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
P SS A RT FAIL
CTRICAt
ervice
-
UG/Slab
Low Voltage •
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
* PART F L -
SITE Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA �� \ _ O5�
Approach/Sidewalk Dat Inspector
Other:
Final DO NOT REMOVE this Inspection record from t e Job si .
PASS PART FAIL