Permit � ( ,o o5 7v cal. Da cy-- ?it .21 /
C ITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
I� DEVELOPMENT SERVICES PERMIT #: ELR2005 -00389
+L .,� I- ' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 6 39 -4171 DATE ISSUED: 11/3/2005
PARCEL: 1S12600-00300
SITE ADDRESS: 09306 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: Low voltage: HVAC, data, protective signal.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK MEDICAL:
HVAC: DATA/TELE COMM(X) NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LIT .
OTHER: : HVAC 010 PROTECTIVE SIGN L: X
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 3
Owner: Contractor:
WASHINGTON SQUARE LLC T & T ELECTRIC
BY THE MACERICH COMPANY 4120 SE INTERNATIONAL WAY
9585 SW WASHINGTON SQUARE RD SUITE A -105
TIGARD, OR 97223 MILWAUKIE, OR 97222
Phone: Phone: 503 - 652 - 7610
Reg #: LIC 150973
ELE 26 -1105C
FEES SUP 2184S
Description Date Amount REQUIRED ITEMS AND REPORTS
[ELPRMT] ELR Permit 11/3/2005 $75.00
[TAX] 8% State Surchart 11/3/2005 $6.00
[ELPRMT] ELR Permit 11/10/200E $150.00
[TAX] 8% State Surchart 11/10/200E $12.00
Total $243.00
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 opies of these rules or direct questions to OUNC at 503 - 246 -6699.
Issued By: 1Q0_, 1q /i ( MT / 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.
CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
4 ! - DEVELOPMENT SERVICES PERMIT #: ELR2005 -00389
'�J 13125 SW Hall Blvd., T O R 9 7 223 503 - 639 -4171 DATE ISSUED: 11/3/2005
PARCEL: 1S12600-00300
SITE ADDRESS: 09306 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: Fire alarm low voltage.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: : HVAC: X PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
WASHINGTON SQUARE LLC T & T ELECTRIC
BY THE MACERICH COMPANY 4120 SE INTERNATIONAL WAY
9585 SW WASHINGTON SQUARE RD SUITE A -105
TIGARD, OR 97223 MILWAUKIE, OR 97222
Phone: Phone: 503 652 - 7610
Reg #: L1C 150973
ELE 26 -1105C
FEES SUP 2184S
Description Date Amount REQUIRED ITEMS AND REPORTS
[ELPRMT] ELR Permit 11/3/2005 $75.00
[TAX] 8% State Surcharl 11/3/2005 $6.00
Total $81.00
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 -0 1 -0100. You may obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699.
Issued By: Permittee Signature: 0-n_ cila7`LL •
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.
W/04/2014 13 37 FAX 002/002
It
Electrica Permit Appli ni? IVE 1:01( orrlrh 11 }1: OiNL
Received
City of Tigard Date/By: i 'H19 66 Pern itNo: 5../.'�A..crA -003. lit
r' 13125 SW Hall Blvd„ Tigard, OR 97223 NOV
Phone: 503,639,4171 Fax, 503.598.1960 20.' sY5 Plan Review
Other
, I DeuJBy:
CITY OFTI (,
Inspection Line. 503.639 4175 : - - e- i I-, Date Ree dy/By: luq►'� . See Page 2 for -
Internet: www.Ci.tigard -onus Notified/Method: � Supplemental information
.
❑ New construction ►'.l Addition /alteration/replacement Please check all that apply:
El Demolition ❑ Other!
ll .
['Service over amps, comm azar ous location
over :i�ir�i _ E,.,�., :! -. ,en' : ; ; -;, -.. .' •... • ❑ 5fervice and 2 fami dwelli gs ❑ 4 or m new den
❑ I- and 2- family dwelling 02 Commercial/industrial ❑ Accessory building ['System over 600 volts nominal units in one structure
❑ Multi -family ❑Master builder 0 Other: ❑euliding over three stories ['Feeders, 400 amps or more
�. ;.fir �'rt,.4,fti � ❑Occupant load over 99 persons ❑Manufactured structures or
C ya tit,. - :;j; ,,.., , :b `.0 ''.' li'" ;:r' +ir. Tax
r .,. RV
)r cesAi ht - n plan ark P
' ;7 8T It g P
Job no.: q D 5 ., Job site address: AI ,4 0 i I “ - • ❑Health -care facility ❑Other:
111:11 -` �l Submit Z sets of plans with any of the above.
The above are not applicable to temporary construction service.
Suite/bldg. /apt. no.: Project name:
Deecnptlen Qtr. Pee. Toni a•
Cross street/directions to job site: New residential single or multi - family dwelling unit.
Includes attached garage:
1,000 sq. R. or less 145.15 4
Subdivision: Lot no.: Ea add'l 500 sq. ft, or portion 33.40 1
Tax map/parcel no.: Limited energy, residential 75 00 2
s• - „,,., -,. -- _ • _, Limited energy, non-residential 75.00 2
t, t, , cntial 7
- :. ` 4i .Ir' `. .,. .... . 6S` a,U f 1.1” '' '' '', 1 "I l _ '
1�. 1• ' , 1 ��.n1; - �_;, .- I - Each manufactured or modular
dwelling. service and /or feeder 90.90 2
Services or feeders Installation, alteration, and/or reloeadon
a 200 amps or less 80.30 2
t;r7 `3 '� . _ - = 201 amps to 400 amps _ 106.85 2 •
. ?:, aw,f:,,, - : -
401 amps to 600 amps 160.60 2
1=Ir .1( re. g a . 601 amps to 1,000 amps 240,60 2
Address: Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City /State /ZIP: Temporary services or feeders Installation, alteration, and/or
Phone: 60 ) Fax: ( ) relocation
200 amps or less 66.85 I
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2
Owner signature: Date: Branch circuits new, alteration, or extension, per panel • : y :- ., ; "ti :• ' . - 1 t - _ _ _ 7'. 3_., - :: - •' A. for branch circuits with
j ` _ . , ' : ' • ' service or feeder fee, each
Business name: - branch circuit 6.65 2
B. Fee for branch circuits
Contact name: without service or feeder fee, 06.85 2
Address:
each branch circuit
Each add', branch circuit 6.65 2
City /State/ZIP: Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone: ( ) Fax :: ( ) Sign or outline lighting 53.40 1 2
E -mail: Signal circult(s) or limited-
/ - energy panel. alteration. or
extension. Describe: Page 2 2
Business name: T & T Electrical, LLC
Address: 4120 SE International Way, Suite A105 Each additional Inspection over allowable In any of the above
Per inspection 62.50
City / State/ZIP: Mllwaukle, OR. 97222 Investigation per hour (I 11r min) 62.50
Phone: (503) 652 -7610 Fax: (503) 652.7612 Industrial plant • cr hour 73.75
-..,. r -'r : :, c'•.v __r.• 1 it a �'t 415 'f.- 1 I
CCB Lie.. 161187 Electrical -c.: g.4 Q5e � Suprv. Lit.: 4731S Subtotal 76 —
Suprv, Electrician signature, required: , . 7 7 % Plan review (25% of permit fee) _
/ .:.. 4i,
' D- M AgK. LI Nb VFtLL Date: State surcharge (8% of permit fee)
Print name: / � , � , � P/
TOTAL PERMIT FEE O/
Authorized signature:
at This permit application expires If a permit is not obtained within 180
days after It his been accepted ar complete
Print name: - e V SMIffsfjEIMIIIM Date: i I 9 r r . Pee methodology set by Tri -County Building Indwtry Service Board
•' Number of inspections per permii allowed,
ilBuilduglPernurel5l .C.PenniiApp 12/03 410 -46I ST(10/Ot/COM/W5B
■
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2005 -00389
13125 SW Hall Blvd., Tigar., OR 97223 DATE ISSUED: 11/3/2005
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): .03) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/22/2005 TIME: 7:02AM PAGE: 99
SITE ADDRESS: 09306 SW WASHI • GTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SO ° "E LOT #: TYPE OF USE:
PROJECT NAME: b7CSSAB JEWL.LERS
DESCRIPTION: Low voltage: HVAC, d. •a, protective signal.
OWNER: WASHINGTON SQUARE C, PHONE #:
CONTRACTOR: T & T ELECTRIC PHONE #: 503-652-7610
Inspection Request Scheduled For: late: 11/22/2005 Pour Time:
Code # - scription C. firm # Contact # Message
199 Electrical final 022' 51 -01 503- 936 -1359 N
Corrections/Comments/Instructions:
cOPtsiA_ElEr r LAI; , 'tJA
Cat, f iz4,
C \IA 10 (
j'S PASS a PARTIAL APP CANCEL ❑ NO ACCESS
►1 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Gs• N66 66 Date: 1
Phone #: (503) 718- MILL__
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2005 -00389
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/3/2005
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 I �..
INSPECTION WORKSHEET FOR DATE: 11/18/2005 TIME: 7:17AM PAGE: 68
SITE ADDRESS: 09306 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: •
PROJECT NAME: KASSAB JEWELERS
DESCRIPTION: Low voltage: HVAC, data, protective signal. -
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: T & T ELECTRIC PHONE #: 503 -652 -7610
•
Inspection Request Scheduled For: Date: 11/18/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 021849 -01 603-652-7610 N
Corrections /Comments /Instructions:
c N p i IV 11 (% LLAM o11 4-t .
•
•
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
► ii FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: � ° Date: 1%1 I 4 1A0,45 -' Phone #: (503) 718- 2 A4b
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2005 -00389
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/3/2005
Phone: (503) 639 -4171 u0'
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/10/2005 TIME: 7 :02AM • PAGE: 74
SITE ADDRESS: 09306 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: KASSAB JEWELERS
DESCRIPTION: Fire alarm low voltage.
OWNER: WASHINGTO SDTARE LLC, PHONE #:
CONTRACTOR: T & T ELECTRIC PHONE #: 503 -652 -7610
Inspection Request Scheduled For: Date: 11/10/2005 Pour Time:
Co. - • • _ - ' i Description Confirm # Contact # Message
135 Low voltage 020943 -01 503 -652 -7610 N
Corrections /Comments /Instructio s: 11 11 e P( 0 R -
110
PASS ►�
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: --- 1 6 11Z , 1\4) 66 Date: LI 6 Phone #: (503) 718 - 2.yq 6