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Permit CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT At, DEVELOPMENT SERVICES PERMIT #: ELR2005 -00287 A- `�'` '�J I- 13125 SW Hall Blvd., Tigard, OR 9 7223 503 - 639 -4171 DATE ISSUED: 9/16/2005 PARCEL: 1S12600-00300 SITE ADDRESS: 09312 SW WASHINGTON SQUARE RD ZONING: C -G SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG Project Description: 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: 503 639 - 8865 Phone: 503 234 - 9900 Reg #: LIC 203 SUP 4460S FEES ELE 26 -95C Description Date Amount REQUIRED ITEMS AND REPORTS [ELPRMT] ELR Permit 9/16/2005 $75.00 [TAX] 8% State Surcharl 9/16/2005 $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 -0100. You may obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699. Issued By: Permittee Signature: d'y( a1a Cecil or1,- 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. 0115 -05 12:21PM FROM — Oregon Electric Estimating 5032313587 T -027 P.004/005 F -215 JLiA\.44J5 a.w. - I. �-a 1aa� L a s s �.su�.rau I v E � - .. .. City of Tigard REG 1: ivea' Iii igfili � i W; _ 10 ; SOD. 13125 SW Hall Blvd„ Tigard, OR 97223 �, Plan Review Phone: $03.639.4171 Fa,u 503.598.1960 se 201 `*'� 1 ''�` p, � tee/8 : PerPerna: "m Inspection Line: . 503.439.4175 , ! ''___ Date Ready/By: Sec Pagc 2 for tnfo Internet www,ci.tigard.ot.us • . Notified/Method; a 4 Sapplcm rmadon 7 Z s w., 1 t;. r 11.11; tS . + r . ty • a r r�: p 1 o-ti ' !Y �, i + z r M �a'a '- `� AS '� 0 t .'•' :o= ;•:� 1 1M� g'^'..' 'S`" Y vF•''gg: �y. 1 i'' :.�•� ��,i.•7�1 1-� �' 1�!' • •;p�. I':�� ' !'� , .: x' 1�. .f�!0��:'k�,. -_ 7 .:?, =t,•,, n3+ "n._,•..: ,�.�`. - rr..,.•.w�� " •t�� -'... � .bf'i"',. ".'::7 ;Y-- �' „•, ❑ New construction ® Addi .1n/. teration/replaccmcnt Please check all that apply: CI Demolition Qther; ❑service over 225 amps, comm'l QHazardoas location ['Service over 320 amps — rating D Buildng over 10,000 sq. ft. :' ,'7'1ig3,02� .,:-71.-...:: 't'y ° ~`o ,yyib C, 1V5T0iU °.!`7. o ; t '" Z L: a err : t of I- and 2 - family dwellings 4 or more new residential 13 1- and 2 - family dwelling , ® Commercial/industrial ❑ Accessory building ['System over 600 volts nominal units in one structure ID Multi family ❑Master builder Other: ❑Buildin over three stories ['Feeders, 400 amps or more Y r u �` t y �� ,•- ['Occupant load over 99 persons ❑Manufactured structures or ? , �' i:',,. ,-A: ?101SF4RIDJN`,A�II7IIOGAIU x� "� i ,r °, ir• ❑Egtess/lightiag Plan RV park Job no.: 13236 lob sit //9� SW Washington Square Rd ❑Hcalih Carr facility El "7-� 7,:..... Submit 2 sets of plans with any of the above. City/ State/LIP: Tigard, OR 97223 The above are not applicable to temporary construction service. Suite /bldglapt no.: Project name: Bay Jewelers ry ; ;: ' i'Y "'' "` ± ='` " +1 ,: ocsalvdon I QtY• I Rea I ' 1,o , •, Cross street/directions to job site: New residential single- or multi- family dwelling unit. I Includes attached garage. _ 1,000 sq. ft or less 145.15 4 Subdivision: Lot no.: Ea. add 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 F' `j,Tf:s ?.igV2f;1 . ; ;)' ^" _ DESC)hill !IUN OF+' f 4RK ' ' �r5V37 -:`i' ;:;::`_ 4Vj s^'.T Each manufactured or modular Install low voltage wiring and cabling for Fire Alarm dwelling service and/or feeder 90.90 2 Services or feeders installation, alteration, and/or relocation • 200 amps or less 80.30 2 L4' :=; '`tr'.,`• ,ROPER? O '� "�' "� . "-7" 1�1: i . 0 i ANT- . . 201 amps to 400 amps 106.85 2 t R gF ;: i -� �ti w"; `� ; "� •. �� C.:' ' !� 401 amps to 600 amps 160.60 2 Name: Washington Square LLC 601 amps to 1.000 amps 240.60 2 Address: 9585 SW Washington Square Rd Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City/State/ZIP: Tigard, OR 97223 Temporary services or feeders installation, alteration, and/or - Phone: ( ) Fax: ( ) relocation r 200 amps or less I 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 Vu: " ` � , : a �. x N;; 1 i Ile A. Fee for branch circuits with �`, ''�3``�ytisb° l 'i NO . 'd service or feeder fee, each Business name: Oregon Electric Group, Inc. branch circuit 6.65 2 B. Fee for branch circuits Contact name: Loni Martin w/ horn service or feeder fee, 46.85 Address: 1010 SE 11 Ave each branch circuit Each add'I branch circuit 1 6.65 ,_ 2 City/State/ZIP: Portland, OR 97214 Micee `ineous ( service or feeder not included) Pump or irrigation circle 53.40 2 Phone: (503) 234-9900 I Fax: : (503) 535 -2620 Sign or outline lighting 53.40 2 E -mail: loni@oregon- electric.eom Signal circuit(s) or limited - {.::.* • �,, :' o`_ r., ., _ +• ena el alteration. o r � +:.•. r ��r'Y. r':v.r..,l•��w,- t ,L "r_ "�2� cON'1YtAC110 'T+'�'- :.�:ti._ ;:t�". , F�•' ;r,'r�' 6 pan all F:�+ ".r" 1 .., *� • _ r extension. Describe: , Page 2 7 j 2 Business name: Oregon Electric Group, Inc. / Address: 1010 SE 11 Ave Each additional inspection over allowable in any of the above -- Per inspection 62.50 City/Statc/21P: Portland, OR 97223 rnvesrigation per hour (r 1w min) 62.50 Phone: (503) 234 - 9900 i Fax: (503) 535 -2620 Industrial plant per hour 7 73..755 l'.- - • t rh. k: • • ."'ELECTRIt:A'i;: PERM T.' L S *- ,. - ' ; . :'''' ' CCB lie.: 203 Electrical Lie.: 1 Suprv. Lie.: 44o0OS Subtotal '7s Suprv. Electrician signature, required: Plan review (25% of permit fee) f fi t//(/ Y State surcharge (8% of pet m;t fee) AA J Print name: / 15/ 0 5 TOTAL rEumr r >: uE V � Authorized signature: This permit apprimtioo expires ifs permit is not obtained within 180 days after it has been accepted as complete Print name: Date: 9/15/05 • Fee methodology sot by Tri•County Building industry Service Board . - •" Number of inspcccions per permit allowed. is\ nuildsg%Permcr2LC•PeradxApp.doc 17A3 440- 4615T(IO'03/C•OM/WED CITY TIGARD , . . BUILDING DIVISION PERMIT #: ELR2005 00287 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/16/2006 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 '_ "I_— INSPECTION WORKSHEET FOR DATE: 9/22/2005 TIME: 7 :12AM PAGE: 82 SITE ADDRESS: 09312 SW WA SHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME:, LERS DESCRIPTI y • Tv - e ARE LLC, PHONE # 503- 639 -8865 CONTRACTOR OREGON ELECTRIC CONST /GROUP PHONE #: 503-234-9900 Inspection Request Scheduled For: Date: 9/22/2005 Pour Time: Code # - - - tion Description ' Confirm it Contact # Message 135 Low voltage 016305 -01 503-793-7177 N Corrections /Comm- n tr ons: • .PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL FOR INSPE TION ❑ ADDITIONAL FEES ASSESSED Inspector: / Date: Phone #: (503) 718 - CITY OF TIGARD , - BUILDING DIVISION PERMIT #: ELR2005 -00287 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/16/2005 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 elf �I INSPECTION WORKSHEET FOR DATE: 10/10/2005 TIME: 7:04AM .PAGE: 112 SITE ADDRESS: 09312 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: KAY JEWELERS DESCRIPTION: • Fire alarm. • OWNER: WASHINGTON SQUARE LLC, PHONE #: 503 - 639-8865 CONTRACTOR: OREGON ELECTRIC CONST /GROUP PHONE # ` . 503-234 -9900 Inspection Request Scheduled For: Date: 10/10/2005 • Pour Time: Code # Inspection Description Confirm # Contact # Message 135 .e 017827 -01 503- 793^7177 N t Corrections /Com - -• • tructions: • • • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 1 v Date: 1414, Phone #: (503) 718- Z�y�