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Permit • CITY F TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT i DEVELOPMENT SERVICES PERMIT #: ELR2005 - 00419 '�'�' , - I — 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 11/18/2005 PARCEL: 1512600 -00300 SITE ADDRESS: 09321 SW WASHINGTON SQUARE RD ZONING: C -G SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG Project Description: Voice /Data. 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 LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: 1 Owner: Contractor: WASHINGTON SQUARE LLC STEELHEAD TECHNOLOGIES INC BY THE MACERICH COMPANY 1520 NW 6TH CT 9585 SW WASHINGTON SQUARE RD GRESHAM, OR 97030 TIGARD, OR 97223 Phone: 503- 639 -8865 Phone: 503- 492 -2119 • Reg #: LIC 159346 ELE 26- 1205CLE FEES Description Date Amount REQUIRED ITEMS AND REPORTS [ELPRMT] ELR Permit 11/18/200: $75.00 [TAX] 8% State Surcha 11/18/200E. $6.00 Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain copies of these • rules or direct questions to OUNC at 503 - 246 -6699. Issued By: Permittee Signature: c .e, c.) OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: . LICENSE NO: Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. FROM :STEELHEAD- TECHNOLOGIES FAX NO. :5034926265 Nov. 17 2005 11:35AM P2 u ,1Zri:VVD 14:ea CAA •JUJJOVSP ` - - -- - - -• - — L EleCtri eJrmit A E 1 ,l c e roR ()HA(' . USE a,l'1' City of Tigard 14"1"3 --.' 17 : , 1312S S W Hall Blvd.. Tigard, OR 97223 ; N I L ) \, / '� I 11aa 4 Cw o Permit none: 593.439.4171 Fare 505.598.1960 , . I i DatdBr _ • 1 . .. : en Line: 503.679.4175 --� 1.L .(1 _. Oeie r- d ' i _ la see r.4o3ar In,. - wvnv,citif$td•or.9s CITY OF TI . - r saoei deldetbod: l il swlcamalforo err • New cousm»saon : • Add itiw/slteration/rep>acement ^ Neese chalk all that »1y: QSrvice over 225 ampi, e®m 1 ClHazzolons location 1:1 Demolition ❑ a OServiceova320 amps -»g QBuildngova ;0.0009 -fl-, ' C`A QF Goeis' itUCTIOO of i- and 2 ->@�1y dwe,irrp 4 a more new Sal Commercial/industrial b Accessory building ❑Sy r ;vsr 600 volts nominal mks in one SWIM= IM 1 -aril �YarnilY dwelling 013undiag aver three stories OF 400 amps Of Mors 0 Multi- ffmily ❑ Master builder ❑ Other Ot>rwpowt bell over 99 persons o� structures or ; _ ;len ' -SITE 11111:460:17.0)! A7;0:.1,GCA.D Ore ,,, , ' QL'ger-wiliailingplan 3`vpasfr Macniile4Src facility CI Wien Job no.; 1 Job site address: �• err/Ai r 4)44 114 goads 2 sets orphan with any oft the show& Itie stove are not applic ble to temporary m:uaacdat service. �r Suite/bldgJapt no.: Project name: C 1 miailiam 1 ee l re!.. 'I tow J - Cro S Street/directions to job site _ — tolieltS oi SciM r New misleads] ila or maid famit ddwelling utilt, 4 Tododea etreenedgarara 1,000 se. ft- crime 145.15 1 4 Lot n0.: N. adod'1300 sl• it or potties 1 33.40 1 Subdivision: _ Lietit:dee:rayr,re residential 1 75.00 2 Tax map/parcel no-: ' Limited eaetry, mia1 - 75.00 2 .. • >DEt Trios -Q .'wom • " , • . finch meau&oas^od or alodalar rl 64 r _ dWelliex, service sadks feeder 90.90 _ _ s // . 0 �� - ® _ a'� es or feeders IusmU admt arloa, are . soldier relocation 200 reaps or lest &0.30 1 2 201 amp; m 400 amps _ 106.55 2 ©: t!ROpERTV 011+l�g' ; I Q r T IT: .. 40 160. - . �s � 600 nom 2 Nemec 601 arms 10 1x00 Am - neaps - - 24040 2 Address; Ovcr 1.000 aims Or volts 4 3 4 . 2 Itecoonect only 66.63 I 2 City/State/ZIP: T re services or tlh�crs installation, altandou. sndior I Phone: ( ) Fax ( ) 200 amps of less 6625 1 Owner iosrrfstlon: This tnst211a1ion is being made on propel#Y that 1 own which is not 201 amps to 400 mope 100.30 _ 2 intended for sale, lease, rcpt, or exchange, according to ORS 447, 449, 670, and 701. 401 turps to 600 amps 133.75 ' .. 2 1 Owner signature Date: Brands eitsaite - mow. altratioa, or extension, per &anal A. Fceforbmicilcimiits wfth I I 171 . ;►PPLICi�1Vi' , . , Cv El fAC>Y• ]E' tSOI? :' vice or Leerier fee, each 1 i !Minch circuit 665 1 2 I mmAriVim Bus ions flame: - �. 4. 4 D , t e) 8. Fee for brooch circuits Contact name; /i ' ' j each bt 50t e a l ntu ir 4125 1 2 Address: 1U each add'1 branch ei coif ; 6.65 r 2 - , C1 /Statter "I t� o Streeltaleesa (service Or feeder oat iaeladed) ry ' s hoop or iaipg cleats 53.40 I 2 e t Fttotte: (gt7s) 1 `� L! Fax:: (Sv ' 1 x0 Zip Sigaocourdes tiiglidnu 5340 2 E.-mail: I (4 L e w � r S. cr...1 S1 aleacuil{4) I coil c>< ,.- energy Describe: Page 2 I I 2 Business u ne: " ._ • ' - e _ . . •_, - , , • $seas adQitlosat lnspe:don ever allowable teeny oftbe above .Address: +d A '— _ Per inspection 1 6250 City /State/21P: — • ,- gI. LU Clt ' 0 PweeOgotloa per hour p rands) I 62.50 Phone: •.,, 4 ) r Z. ` I I. d i Fs= (CO3, q - t p c" . induct:MI plane per! ow 1 t 73,75 • CC3 Lic.: I Electrical Lk. ' .5 LE Suprv, Lis: _ Subtotal f di Suprv. lillcatrici 4 • signature, Ircf - ( 896 - / - p ' rev w of nano* fee) 1:1::::771 /1/' I' . /Si .9� Date: 242101111 t 'e °ifre""r fee) ;//42 (� ` / ®� y r TOTAL PERMIT FEE 61 � Authoi7E9d si : , ;,, e: iblspamlr ap�llranea mires Ifs ptatmat 0 mot .naetea mmui sae days alter 1t has bras azzepeed as comptwa - ?riot name: Date: • FaemetbedeIeW sixty T Ccwn' 114ieg rodurnyseeviaaHomd -- 1 .�.,.. A..� v�ber erriapewoes per per :Matt d uilaia{ ate fteniamp.ma 12+03 4.4o .so CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR2005-00419 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/18/2005 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639 -4175 `'_L. • INSPECTION WORKSHEET FOR DATE: 11/22/2005 TIME: 7:02AM PAGE: 92 SITE ADDRESS: 09321 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WAS U�. TON SQUARE LOT #: TYPE OF USE: PROJECT NAME: B DESCRIPTION: Voice /Data. OWNER: WASHINGTO SQUARE LLC, PHONE #: 503-63%8865 8865 CONTRACTOR: STEELHEAD T' HNOLOGIES INC PHONE #: 503-492 -2119 • Inspection Request Scheduled For: Date: 11/22/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 Low voltage . 022205 -01 503.260 -6897 N Corrections /Comments /Instructions: • a PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: &7 • cs® Date: ` 1 j Phone #: (503) 718- 1 -Vt6. •