Permit („„
A '0 - C ITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
PERMIT #: ELR2005 -00191
L 1I1" DEVELOPMENT H BMENg Tigard, -639 -4171 DATE ISSUED: 7/14/2005
PARCEL: 1S12600-00300
SITE ADDRESS: 09309 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: Install limited energy for burglar 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: OUTDOOR LANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER: BURG ALARM X
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
WASHINGTON SQUARE LLC HONEYWELL INC
BY THE MACERICH COMPANY 15495 SW SEQUOIA PKWY #100
9585 SW WASHINGTON SQUARE RD PORTLAND, OR 97224
TIGARD, OR 97223
Phone: 503- 639 -8865 Phone: 503- 968 -3300
Reg #: SUP 941 LEA
LIC 150191
FEES ELE 26- 207CLE APP. SAYS CI
Description Date Amount REQUIRED ITEMS AND REPORTS
[ELPRMT] ELR Permit 7/14/2005 $75.00
[TAX] 8% State Surcharl 7/14/2005 $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 • ow ru - adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010
thr. gh OAR 952 -0 You may obtain copies of these rules or dire • • -stions to • UNC at 50 -.246-6699.
Is ed By: Permittee Sig • ure: I /rlU jl ---��
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. ELE 04111 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.
I *JUL -14 -2005 09 16 HSM HONEYWELL SECURITY 503 968 3398 P.02/02
Electrical Peii it pilcattton ,
--
City of Tigard � o:u Rec : 7 /'I Q� Permit No.: E49 191
l
13125 SW Hall Blvd., Tigard, OR 97223 A 0 ,1E: plan Rev
/l (,` " '' / ,(:�.
Phone: 503.639.4171 Fax 503.598.1960 +.: :- ,_,, �� +i � o-udB . Other Permit:
Inspection Line: 503 639.4175 , , - , . _ -A14; " I„ Date ReadyItiy: �7uris, M Sec Page 2 for
• -- ` - Noti tied/Method: / , P , Su Information
lntenieC www.ci.tigard.o�us • • 1 ;, , .,) \ ,.,
� 1
r . r +� ... ' PLAN REVIEW .
:; TYPE OF, ;WMIIC ; :
[71.•ew construction U Addition /alteration/replacement Please check all that apply:
['Service over 225 amps, cnmm'l ❑Haiardoua location
❑ Demolition ❑ Other: ['Service over 320 amps - rating ❑Buiidng over 10,000 sq ft.,
: o
' r U • rc new residential
: -- . � • • :.. , CATEGORY•, ); ;,CON3TRUC'TION � � - •• f 1• and 2 family dwellings 4 o mo
0 1- and 2- family dwelli Co mmercial /industrial ❑ Accessory building ['System over 600 volts nominal units in one structure
❑Building over three stories ❑ Feeders. 400 amps or more
❑ Multi - family ❑ Master builder ❑ Other: ❑Occupant load over 99 persons ❑Manufactured structures or
'•.. •- ' "... ". JOB -SITE INFpRMA'1w'ION'AN1D I,O(.:A'1719N+; ❑Egress/lightingPlan
RV park
n� ❑Health -care facility ❑Other:
Job no.: Job site address; �0� 05 � (,1 91140-4c w G 1^ Submit 2 sets of plans with any of the above
City /State/ZIP: 1 /J� (�k ` t OL an 1/1/8 e U The above arc not applicable to temporary construction service
Y t�
Suite /bldg. /apt. no.: J Project name: C t•� tw1 -'� 1�a- LrL�'� ,' ' :1..:• • ' FEE': SCI DULE •- : •' -� •
nwrlpeoa 1 Qty. I Fee. I Total
Cross street/directions to job site: New residential single- or multi - family dwelling unit
includes attached garage.
1.000 sq. ft. or less 145.15 4
Subdivision: _ n f Lot no.: _ ES, add'! 500 sq. ft. or portion 33.40 1
1 .— Limited energy, residential 75.00 2
Tax map /parcel no.: 1.united energy, non - residential 75.00 2
. D - ;•;: _ J . ' _- Each manufactured or modular
ii C e , 1 n f • t p dwellin service and/or feeder 90.90 2
�J� r t2) cu lA N m r'S b J tali ' Services ur feeders instsuation, alteration, and/or relocation
! 200 amps or less 80.30 2
[ `' r' Ti'.NAN:I
- , ` PROPERTY OWNER iw'' "t'` ❑ 201 amps to 400 amps 106.85 2
2
. i . 401 amps to 600 amps 160.60
Name: 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/o
Phone: ( ) Fax: ( )
r
relocation
_ 200 amps o l ess 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
- . p; APPLICAPIT >A' ' "': ,.`� ' -. . • ❑SCONTACr 1'ER,SON� A. Fee for branch circuits with
I, . service or feeder fee, each
G.65 2
Business name: branch circuit
B. Fcc for branch circuits
Contact name: wrihaut service or feeder fee,
46.85 2
each branch circuit
Address: _Each add'I hruu:h circuit 6.65 2
City /State /Z1P: Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone: ( ) J Fax: ( ) — Sign or outline lighting 53.40 2
E -mail; Signal circuit(s) or limited- •
. -' ,CONTRACTOR,.:' ';' . ' energy panel, alteration, or `
extension. Describe: Low Page 2 2
Business name; SecurityCo. DBA Honeywell Security Monitoring voltage Alarm
Address: 15495 SW Sequoia Parkway #100 — Each additional inspection over allowable In any of the above
Per inspection 62.50
City /State /ZIP: Portland, OR 97224 Investigation per hour (1 hr min) 62.50
Phone: (503) 968 -3300 Fax: (503) 968-3398 Industrial plant per hour 73.75
' ..I LE.CTRICAL PERMIT. FEES! • ''
CCB Lie.: 161567 Electrical Lie.: 37 -I05 'LE Suprv. Lie.: 94 ILEA Subtotal I O0
Suprv. Elrx:trician signature, required: plan review (25% of permit fee) ..
�� C I r L n State surcharge (8% of permit fcc) 00
Print name: St tV e•• I O Yv J"V Date: I - 1 � f
TOTAL PERMIT FEE 71 . 01)
Authorized signature; a ur u�i 3/ / —1,.. permit expires if a permit 1st not obtained within 180
vtv-c D days after it has been accepted as complete
Print name: L i - � Tr �/I I1 Date: Date: . I �T - Fee methodology set by Tn- County Building Industry Service Solid
t�- " Number of inspections per permit allowed
il\ Auildin5Per roitslrst.C- r'trmIiApp.dec 12/03 410 461.+'7(10/02/C.OM/Wm
TOTAL P.02
CII F TIGARD
BUILDING DIVISION PERMIT #: ELR2005 -00191
13125 SW Hall Blvd., Tigard, ORd97223 DATE ISSUED: 7/14/2005
Phone: (503) 639 -4171 i11
' Inspection Requests (24 Hrs.): (503) 639-4175 ' _ ..
INSPECTION WORKSHEET FOR DATE: 11/3/2005 TIME: 7:06AM PAGE: 6
SITE ADDRESS: 09309 SW WASHINGTON 7 :`QUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: CHEESECAKE FACTORY
DESCRIPTION: install limited energy for burglar a =rm.
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503-639-8865
CONTRACTOR: HONEYWELL INC PHONE #: 503- 968 -3300
Inspection Request Scheduled For: Date: 1 /2005 Pour Time:
Code # Inspection Description C. Contact # Message
199 Electrical fin 020261 -01 503 - 793 -2473 • N
Corrections /Comments ns ruc ions:
•
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL • ❑ NO ACCESS '
❑ FAIL ❑ ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 1,
Inspector: „di" iii, _ !r Date: t a 8L5 Phone #: (503) 718- 2-441
•
CITY OF TIGARD
.. _. ..,
\
BUILDING DIVISION PERMIT #: ELR2005-00191
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/14/2005
Phone: (503) 639 -4171 '
Inspection Requests (24 Hrs.): (503) 639 -4175 , ' f � �,
INSPECTION WORKSHEET FOR DATE: 9/15/2005 TIME: 7 :03AM PAGE: 76
SITE ADDRESS: 09309 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: • ,
PROJECT NAME: CHEESECAKE FACTORY
DESCRIPTION: Install limited energy for burglar alarm.
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503-639-13865
CONTRACTOR: HONEYWELL INC PHONE #: 503968 -3300
Inspection Request Scheduled For: Date: 9/1&2005 Pour Time:
Co # Inspection Description Confirm # Contact # Message
135 Low voltage 015757 -01 503-793-2473 Y
Corrections /Comments /Instructions: .
i )- \ 3 corv, \..4.\" NIV OKA L- i RV
•
A PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 4 4.6 ,d/( `, — Date: 7-1‘ 5 Phone #: (503) 718 -
.