Permit is
CIT OF F T I GA R D ELECTRICAL RESTRICTED ENERGY PERMIT
I '� DEVELOPMENT SERVICES PERMIT #: ELR2005 -00239
" ' II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 8/23/2005
• PARCEL: 1S12600-00300
SITE ADDRESS: 09309 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: LV for fire alarm
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: X OUTDOOR LANDSC LITE:
OTHER: : HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER: :
TOTAL # OF SYSTEMS: 1
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 - 234 - 9900
Reg #: LIC 203
SUP 4460S
FEES ELE 26 -95C
Description Date Amount REQUIRED ITEMS AND REPORTS
[ELPRMT] ELR Permit 8/23/2005 $75.00
[TAX] 8% State Surchari 8/23/2005 $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 95 -00 -0100. You may obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699.
Issued By: � Permittee Signature: (f)1 a p�4 C u4 L dl's_
1
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.
Electrical Permit Application _� I.( )1; ()I I It I. t .1: lid 1.1
City of T an \ , _ Permit
, �,�� J V Date/B
1312yI, Hall Blvd., Tigard, OR 97721.-- = Plan R ,
Phone: 503.639.4171 Fax: 503.598.1960 ( 1� ` � ir '"' �lr'.' f Date/By Other Permit: 2 S ; . / ,
Inspection Line: 503.639.4175 ;' rL 2 .J► ' 1 - , Date Ready/By: tuns: 0 P age 2 for OQ y�
Internet. www.ci ligard.or.us °- r6) Notified/Method Supplemental Information
_ —T' �•
_ . ," 'ta � i ` �..a . ` " , ,, - , . Pt:d►ty REVIEW " . � . -
❑ New construction .Qdiiltkinalteiation/teplacement Please check all that apply:
❑ Demolition ❑Other. ['Service over 225 amps, comm'I ['Hazardous location
['Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft.,
. ' , • CATEGORY' OF CONSTRUCTION - of 1- and 2- family dwellings 4 or more new residential
❑ 1- and 2- family dwelling €ommercial/industrial ❑ Accessory building ❑S over 600 volts nominal units in one structure
❑Buildin over three stories 0 Feeders, 400 amps or more
❑ Multi- family 0 Master builder 0 Other:
" . ['Occupant load over 99 persons ❑ Manufactured structures or
`1 JOB STI'E ,IPWORMATION AND' LOCATION : " ❑Egress/lighting plan RV park
Job no.: Job site address: X130 ' ,5 V11 ash ❑Healthcare facility ['Other.
�' Submit 2 sets of plans with any of the above.
City /State/ZIP: `�` A t 0 (- 11 The above are not applicable to temporary construction service.
Suite/bidgiapt no: Project name: r eest P c(, 4 � 0Y e �� ••
DesvtpBau I Qty. Fee. I Ton `
J
Cross street/directions to job site: New residential single- or multi- family dwelling unit.
Includes attached garage.
1,000 sq. ft or less 145. l5 4
Subdivision: Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
Tax map /parcel no :
Limited energy, non - residential 75.00 2
`,. .11 p 11ON:OF *OW , '' _ Each manufactured or modular
./t/' s 'i 1. / 1 ( ^ . I VI) I / _ , n , J / L v V dwelling, service rs ins feeder 90.90 2
y
,(I [ik� 'F - Q_ (,.f't•Vyl � - Services or feeders installation, alteration, and/or relocation
1 5 1 re aitif∎ ' \^"- 200 amps or less 80.30 2
201 amps to 400 amps 106.85 2
": P ROPERTY WNItit' _ .. • : ,Q •' Ept .: 401 to 600
amps amps 160.60 2
Name. W a 5 C q " 4 ,`�� 601 amps to 1,000 amps 240.60 2
q x85 _3(v...___.
� ��i�
Address: ' a 1 � � ��-. :� Over 1,000 amps or volts 454.65 2
�t..� ��
� r Reconnect only 66.85 2
City /State/ZIP: "Cl ,� ` G \ t � '� a' ---) Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) I Fax: ( ) 200 amps or less 66.85 1
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
"
':. ` s; " , . : . , =APP1(:ltAIVF, . " A. Fee for branch circuits with
;�' :C} GIIl1,.,
p � service or feeder fee, each
Business name: � 17 .- 1 (-) 1 0 VA g_L IZ � 6 branch circuit 6.65 2
B. Fee for brand circuits
Contact Warne
6 V.K.Ci V 'c'1/ -- without service or feeder fee,
each branch circuit 46.85 2
Address: to k p s\ie --.\ b- .P,, i j Each add'I branch circuit 6.65 2
City /State/ZIP: \ Q YZ L/C jo D, (Z. I -[ v ( -7 Miscellaneous (service or feeder not included)
Phone: (€) ) 3L\. _ g I Fax:: 553 ) S• .- a Co Op Pump or irrigation circle 53.40 2
Sign of outline lighting 53.40 2
E -mail: kplr\.t. 6.. DV C U n - C (.fC4 - r4,ty Signal circuit(s) or limited-
' ' ,' '` Z`OlythRA�TOR- ,; energy panel alteration or /
Business name: ()team /y 626---
extension Describe: I Page 2 � 2
Address: (Din l �� I f . 17 F'6 yl , V C Each additional hupedion over allowable in any of the above
Per inspection 62.50
City /State/ZIP: �d �'i lJ\ &)O )(; hour 12_ Investigation per ho (1 hr mm) 62.50
Phone: (67)..n.)) c:41-‘ 30 r Fax:()5S -
CCB ` Lic.: �'3 Electrical ic.: I Suprv. Lic.: n ti I .S � PER>< Subtotal
��A ,/ Subtotal /2,5 c=
Suprv. Electrician signature, required: � ✓ Plan review (25% of permit fee)
Print Warne: /cf i1 , 574 , 9
/�,(/ State surcharge (8% of permit fee) �j
ate: ate/ �0 p 65 J TOTAL PERMIT FEE '
Authorized signature: This permit application expires if a permit is not obtained d within 180
days after it has been accepted as complete
Print name Date: • Fee methodology set by Tn- County Building Industry Service Board
• CITY OF TIGARD ,
BUILDING DIVISION PERMIT #: ELR2005 -00239
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/23/2005
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 "`__„
INSPECTION WORKSHEET FOR DATE: 11/6/2005 TIME: 7:00AM PAGE: 107
SITE ADDRESS: 09309 • ASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTO SQUARE LOT #: TYPE OF USE:
PROJECT NAME: CHEESECAKE CTORY
DESCRIPTION: LV for fire alarm
OWNER: WASHINGTON SQUA' LLC, PHONE #:
CONTRACTOR: OREGON ELECTRIC CO ST /GROUP PHONE #: 503-234-9900
Inspection' Request Scheduled For: D ate: 11/0/2005 Pour Time:
Code # In • _ - ': - ! - cription Co firm # Contact # Message
199 Electrical final (1 05• -01 503- 793-7177 N
Corrections /Comments /Instructions:
AQ PkgN i\L QOD;N 1.5 fZ.c"
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: V TkW bB Date: 1 ` % Phone #: (503) 718 - t b