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Permit .-A CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2000 -00299 `41 DEVELOPMENT SERVICES DATE ISSUED: 6/6/00 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S126C0-01107 SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD SUBDIVISION: MONOPOLE TOWER ZONING: C -G BLOCK: LOT : JURISDICTION: TIG Proiect Description: Installation of one branch circuit for flag pole located near SW Scholls Ferry Rd. 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: 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 FRAHLER ELECTRIC CO BY THE MACERICH COMPANY 11860 SW GREENBURG RD ATTN: JANET FISHER, ASSET MGNT TIGARD, OR 97223 SANTA MONICA, CA 90407 Phone: Phone: 639 -4627 Reg #: LIC 00037410 SUP 1816S ELE 34 -13C FEES Required Inspections Type By Date Amount Receipt Elect'I Service PRMT DEB 6/6/00 $37.50 0002752 Elect'l Final 5PCT DEB 6/6/00 $3.00 0002752 Total $40.50 ORIGINAL 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 ado ted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080. You may obtain s of these • -s or direct questions to OUNC at (503) 246 -1987. PERMITTEE'S SIGNATURE G� JSS D BY: t 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 INST LLATION ONLY SIGNATURE OF SUPR. ELEC'N: LQ,U r 'D- -- DATE: LICENSE NO: c ✓ g 5 Call 639 -4175 by 7:00pm for an inspection the next business day CITY OF TIGARD Electrical Permit Application Plan Ch 13125 SW HALL BLVD. Rec'd TIGARD OR 97223 (� Date Rec'd (A' 'CO Phone (503) 639 -4171, x304 p Date to P.E. ExtPa°99 Date to DST Inspection (503) 639 -4175 Print of Type Permit # ge('dryf) -CO Fax (503) 598 -1960 Incomplete or illegible will not be accepted Called /j 1. Job Address: n P- 4. Complete Fee Schedule Below: N umber of Inspections per permit allowed Name of Development WASHINGTON SQUARE Name (or name of business) Service included: Items Cost Sum 4' Address 9585 SW WASHINGTON SQUARE ROAD 4a. Residential - per unit City /State /Zip TIGARD, OR 97223 1000 sq. ft. or less $ 117.75 4 Each additional 500 sq. ft. or portion thereof $ 26.25 1 Commercial ® 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 FRAHLER ELECTRIC COMPANY 200 amps or less $ 64.25 2 Address 11860 SW GREENBURG ROAD 201 amps to 400 amps $ 85.50 2 City TIGARD State OR Zip 97223 401 amps to 600 amps $ 128.50 2 ry A p 601 amps to 1000 amps $ 192.50 2 Phone No. (503) 639 -4627 Over 1000 amps or volts $ 363.75 2 Job No. 60087 Reconnect only $ 53.50 2 Elec. Cont. Lice. No. 34 -13C Exp.Date 10 /01 /00 4c. Temporary Services or Feeders OR State CCB Reg. No. 37410 Exp.Date 07/02/01 Installation, alteration, or relocation COT Business Tax or Metro No. 1987 Exp.Date 12/01/00 200 amps or less $ 53.50 2 201 amps to 400 amps $ 80.25 2 �- �[ 0 401 amps to 600 amps $ 107.00 2 Signature of Supr. Elec'n �--, Over 600 amps to 1000 volts, License No. 2334S Exp.Date 10 /01 /01 see "b" above. Phone No. (503) 639 -4627 4d. Branch Circuits New, alteration or extension per panel a) The fee for branch circuits 2b. For owner installations: with purchase of service or feeder fee. Print 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 1 $ 37.50 $37.50 Each additional branch circuit $ 5.35 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 panel, alteration or extension $ 60.00 3. Plan Review section (if required): * Minor Labels (10) $ 107.00 Please check appropriate item and enter fee in section 5B. 4f. Each additional inspection over 4 or more residential units in one structure the allowable in any of the above Service and feeder 225 amps or more Per inspection $ 50.00 Per hour $ 50.00 System over 600 volts nominal In Plant $ 59.00 Classified area or structure containing special occupancy as described in N.E.C. Chapter 5 5. Fees: 5a. Enter total of above fees $ 37.50 * Submit 2 sets of plans with application where any of the above apply. ®% Surcharge (.OSX total fees) $ 3 00 Not required for temporary construction services. Subtotal $ 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 $ 4n' fl is \dsts \forms \e lectric.doc .CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 q �. BUP Date Requested / f J AM PM BLD Location 9$'95 wlish � Dr Suite MEC Contact Person &3 Ph 9 q/G z- 7 PLM Contractor P4-4_ r ` ciL Ph SWR BUILDING Tenant/Owner ELC a` o v-v J. Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: / Slab v 147 P 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 PAS FAIL LECTRI Service Rough In UG /Slab Low Voltage Fire Alarm Se' 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 [ ] Please call for rei pection RE: ] Unable to inspect - no access Fire Supply Line ADA Approach /Sidewalk Other Date 9//' Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. L CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested , AM PM BLD Location 9-rg.5 1 4 ' tJrt✓tP ,Suite MEC Contact Person Ph PLM Contractor Ph SWR BUILDING Tenant/Owner ELC 2tdtrJ 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 O/Z• y Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling vC ��C)-, '-Ly de-6405 Roof Misc: Final PASS PART FAIL Z ' ArD PLUMBING. TrErl- 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 FAIL ELECTRICAL Rough In UG /Slab Low Voltage Fire Alarm Final PASS ART FAIL SITE 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 D ' Other / 'V Inspector Ext • 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 V/S /00 AM PM BLD Location qcg S ()0 K- -- iitk r Suite MEC Contact Person - T i Ph CP 3q PLM Contractor Ph SWR � n BUILDING Tenant/Owner ELC 2A)00-002R7 7 Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear 'etete) Int Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler L/" . 8 7 /'tNW) 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 TR L Service Rough In 1:1G7Srlp Low Voltage Fire Alarm Fig 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 reinspect n RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk / Other Date 07..1 Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.