Permit CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
�A v DEVELOPMENT SERVICES PERMIT #: ELR2005 -00262
. 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 9/6/2005
PARCEL: 1S12600-00300
SITE ADDRESS: 09312 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: Low voltage for sound system.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: X 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: :
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
WASHINGTON SQUARE LLC MUZAK LLC
BY THE MACERICH COMPANY 3318 LAKEMONT BLVD
9585 SW WASHINGTON SQUARE RD FORT MILL, SC 29708
TIGARD, OR 97223
Phone: 503- 639 -8865 Phone: 503- 889 -3848
Reg #: LIC 142760
ELE 26- 1055CLE
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[ELPRMT] ELR Permit 9/6/2005 $75.00
[TAX] 8% State Surchart 9/6/2005 $6.00
Total $81.00
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not
started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires
you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010
through OAR 952 - s, -01 . You may obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699.
Issued By: z ;�,���,� ( ,� j Permittee Signature: be 74,..
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N DATE:
LICENSE NO:
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Y
Electrical Permit - ication E® FOR OFFICE USE ONLY •
LL R eceived
City of Tigard Date/B ni — _ • Permit No.: L A) }%,,, , , ,
■
13125 SW Hall Blvd., Tigard, OR 97223 0 6 G 200C J Plan Review
Phone: 503.639.4171 Fax. 503.598 � � ` %^=' I Date/B Other Perrin:
Inspection Line: 503.639.4175 . 1 ' _I_i� D ate •
ReadyBy ME El See Page 2 for
Internet: www.ci.tigard.or.us CITY OF TIGARD Notified/Method: Supplemental Information
BUIL1 P3`( l, PEt &MO$Fcl PLAN REVIEW '
❑ New construction ❑ Addition/alteration/replacement Please check all that apply
❑ Demolition ❑Other: ❑Service over 225 amps, comm'l ['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
❑ I and 2 family dwelling jilt Commercial/industrial ❑ Accessory building OSystem over 600 volts nominal units in one structure
❑ Multi ❑Master builder ❑Other: ❑Building over three stories 0 Feeders, 400 amps or more
DOccupant load over 99 persons ❑Manufactured structures or
- JOB SITE INFORMATION AND LOCATION ❑Egress/lighting plan RV park
❑Health -care facility ['Other:
Job no.: Job site address: C f,342 S L tu4 -54 4 WA// Submit 2 sets of plans with any of the above.
City/ State/ZIP: e i , q 1,,,..„,/ OTZ / 9 7 2 The above are not applicable to temporary construction service.
FEE* SCHEDULE
Suite/bldg. /apt. no.: Project name: 4.'1 L U„,, e.„. Description I Qty. I Fee. I Total I ••
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: . Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 I
Tax map /parcel no.: Limited energy, residential 75.00 2
Limited energy, non - residential 75.00 2
DESCRIPTION OF WORK Each manufactured or modular
// ,/ dwelling, service and/or feeder 90.90 2
`�O�` � -fe,..." 4 ", v /y Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
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/or .
Phone: ( ) Fax: ( ) relocation
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
❑ APPLICANT I ❑ CONTACT PERSON A. Fee for branch circuits with
service or feeder fee, each 6.65 2
Business name: branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee, 46.85 2
Address: each branch circuit
Each add'I branch circuit 6.65 2
City /State/ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) Fax::( ) Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E - mail: Signal circuit(s) or limited-
CONTRACTOR - energy panel, alteration, or
/
�/ extension. Describe: Page 2 2
Business name: "ez.A,X
Address: /yy-(q /3, 1/7‘s /4 Each additional inspection over allowable in any of the above
Per inspection 62.50
City /State/ZIP: A, ,,/,/ e ,„ 97 2 23 Investigation per hour (I hr nun) 62.50
Phone: K 3 ) G/y 74700 Fax: ( 4 ) z -q _ 9,93—‘,2_ Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES*
CCB Lic.: Electrical Lic.: Suprv. Lic.: 3,-/obL.4 Subtotal
Suprv. Electrician signature, required: - � // - Plan review (25 %'of permit fee)
State surcharge (8% of permit fee)
Print name: c r ( Date:
IN ` '� TOTAL PERMIT FEE
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete
Print name: Date: • Fee methodology set by Tri- County Building Industry Service Board
• • Number of inspections per permit allowed.
I \Bwlding\Pennits\ELC- PermitApp doc 12/03 440- 4615T(10/02/COM/WEB
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
P RESIDENTIAL WORK-OIVL:Y: 1
Fee for all residential systems combined $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning
System*
❑ Vacuum Systems*
❑ Other:
rCO WORK ONLY:
Fee for each commercial system $75.00
(SEE OAR 918- 260 -260)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls •
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I \Building\Pennits\ELC- PermitApp doc 04/03
Inspections Required for: ELR2005 -00262
✓ Code Inspection Description PASS Date By ✓ Code I Inspection Description PASS Date By
BUP - Building Permit ELC - Electrical Permit
405 Excavation 105 Underground/slab cover
410 Fill 110 Temporary electrical service
415 Grading 115 Electrical service
205 Footing 120 Electrical rough -in
805 MFG - Structure grading/footing 125 Wall cover
210 Foundation walls 130 Ceiling cover
215 Footing drain 135 Low voltage
220 Slab 140 Sign installation
310 Crawl drain 145 A/C or heating unit circuit
225 Post/beam structural 150 Hot tub /spa/pool
230 Underfloor insulation 195 Misc. inspection:
235 Shear walls /anchors 199 Electrical final
240 Exterior sheathing
245 Firewall
250 Roof nailing ELR - Restricted Energy Permit
255 Wtr proofing basement walls X 135 Low voltage
260 Tilt -up panel 195 Misc. inspection:
265 Masonry X 199 Electrical final
270 Reinforcing steel (rebar)
275 Framing
810 MFG - Structure set -up MEC - Mechanical Permit
280 Insulation 605 Post/beam mechanical
285 Drywall nailing 610 Gas line
287 Suspended ceiling 615 Mechanical rough -in
295 Misc. inspection: 620 Hydronic piping
899 MFG - Structure final 625 Duct work
498 Grading final 630 Fire damper
299 Final inspection 635 Smoke detector shutdown
640 Exhaust hood
695 Misc. inspection:
699 Mechanical final
BUP - Fire Protection System Permit
905 Sprinkler underfloor /slab PLM - Plumbing Permit
910 Sprinkler rough -in 305 Plumbing underslab
915 Fire alarm rough -in 310 Crawl drain
920 Suppression trip test 315 Post/beam plumbing
995 Misc. inspection: 320 Plumbing rough -in
998 Alarm final 325 RP/backflow preventer
999 Sprinkler final 330 Water service
335 Rain drain
340 Storm drain
SIT - Site Work Permit 505 Sanitary sewer
405 Excavation 345 Culvert/catch basin
410 Fill 350 Septic tank
415 Grading 395 Misc. inspection:
205 Footing 399 Plumbing final
210 Foundation walls
215 Footing drain
420 Sprinkler supply lines SWR - Sewer Permit
495 Misc. inspection: 505 Sanitary sewer
498 Grading final 595 Misc. inspection:
499 Final inspection 599 Final inspection
I: \Building \IVR \InspCard- AOP.doc 06/17/2005
crrv TIGARD .,
BUILDING DIVISION PERMIT #: ELR2005 -00262
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/6/2005
Phone: (503) 639 -4171 Attu A
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 9/8/2005 TIME: 7:09AM PAGE: 72
SITE ADDRESS: 09312 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: KAY JEWELERS -� - --
DESCRIPTION: Low voltage for sound system.
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503-639 -8865
CONTRACTOR: MUZAK LLC PHONE #: 503.889.3848
Inspection Request Scheduled For: Date: 91812005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 015145.01 803 -242 -7883 Y
Corrections /Comments /Instructions: -
•
•
E:IJ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: N l Date: c " i t)" � Phone #: (503) 718- 2441 -
r
CITY OF TIGARD
'` BUILDING DIVISION PERMIT #: ELR2005- 002622
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/6/2005
Phone: (503) 639 -4171 :4
Inspection Requests (24 Hrs.): (503) 639 -4175 'I��
INSPECTION WORKSHEET FOR DATE: 11/9/2005 TIME: 7:09AM PAGE: 24
SITE ADDRESS: 09312 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: KAY JEWELERS •
DESCRIPTION: Low voltage for sound system. •
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503- 639 -8865
CONTRACTOR: MUZAK LLC PHONE #: 503 -889 -3848
•
Inspection Request Scheduled For: Date: 11/9/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
Electrical final 020839 -08 360 - 907 -0718 N
Corrections /Comments / Instructions:
\
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector:- Date: . 11/71d — Phone #: (503) 718 -