Permit •
r.,
CITY OF TIGARD
ELECTRICAL RESTRICTED ENERGY PERMIT
DEVELOPMENT SERVICES
- PERMIT #: ELR2005 -00302
. � I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 9/27/2005
PARCEL: 1S12600-00300
SITE ADDRESS: 09330 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: Fire alarm low voltage.
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 9/23/2005 $75.00
[TAX] 8% State Surchar€ 9/23/2005 $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 952- e1 -0100. You may obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699.
Issued By: Permittee Signature: /,-t d f�� 4G
� ( l `L
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.
Elect .'ermit' t •1, DIED FOROFIICE USE ONLY
City ward � DateBea "2/23/C25
4.1 Permit No L.' i —Dj3o 1
13125 SW Hall Blvd., Tigard, OR 97 2 g Plan Revie
Phone: 503.639.4171 Fax: 503.5 i9�6 ' I t , Date/}3y: Other Perrrut
Inspection Line: 503 639.4175 � i i yy�� Y OF TIGARD e'_ I I Date Ready /By �'s . ® See Page 2 for
®W
Internet: www.ci.tigard.or.us WILDING DIVISION, Notified/Method Supplemental Information
TYPE OF WORK PLAN REVIEW
❑ New construction ® Addition/alteration/replacement Please check all that apply
❑ Demolition 11 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
❑ 1 and 2 family dwelling ® Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑Building over three stories OFeeders, 400 amps or more
❑ Multi - family 0 Master builder 0 Other:
DOccupant load over 99 persons ❑Manufactured structures or
JOB SITE INFORMATION AND LOCATION 0 Egress/lighting plan RV park
❑Health - care facility ❑Other:
Job no.: 13111 Job site address: 9330SW Washington Square Rd
Submit 2 sets of plans with any of the above.
City/State/ZIP: Tigard, OR 97223 The above are not applicable to temporary construction service.
Suite/bldg. /apt. no.: Wil Project name: Soma FEE* SCHEDULE
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'l 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
DESCRIPTION OF WORK 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
IS PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 106.85 2
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
relocation
Phone: ( ) 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
® APPLICANT I ❑ CONTACT PERSON A Fee for branch circuits with
service or feeder fee, each 6.65 2
Business name: Oregon Electric Group, Inc. branch circuit
Contact name: Lori Martin B. without for service circuits
s
without service or feeder fee, 46.85 2
Address: 1010 SE 11 Ave each branch circuit
Each add'I branch circuit 6.65 2
City / State/ZIP: Portland, OR 97214 Miscellaneous (service or feeder not included)
Phone: (503) 234 -9900 Fax: : (503) 535 -2620 Pump or irrigation circle 53.40 2
Sign or outline lighting 53 40 2
E -mail: loni @oregon- electric.com Signal circuit(s) or limited -
CONTRACTOR energy panel, alteration, or
extension. Describe: I Page 2 7 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/State/ZIP: Portland, OR 97223 Investigation per hour (1 hr min) 62.50
Phone: (503) 234 - 9900 Fax: (503) 535 - 2620 Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES*
CCB Lic.: 203 Electrical Lic.: uprv. Lic.: Subtotal -
Suprv. Electrician signature, required: „ Plan review (25% of permit fee)
Print name: �/i , , Date: 05 State surcharge (8% of permit fee) —
�'�/ TOTAL PERMIT FEE Y 1 - °
Authorized signature: , / This permit application expires if a permit is not obtained within 180
days alter it has been accepted as complete
Print name: /j/#0 Date: 9/22/05 * Fee methodology set by Tri- County Building Industry Service Board
** Number of inspections per permit allowed
I \BuildtngTemutsELC- PernutApp doc 12/03 440- 4615T(10/02 /COM/wEB
atlior
.
CIT • IGARD '
BUILDING DIVISION PERMIT #:
ELR2005-00302
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9l27P2005
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 9129/2005 TIME: 7 :08AM PAGE: 101
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION: 09330 SW WASHINGTON SQUARE RD LOT #: TYPE OF USE:
PROJECT NAME: WASHINGTON SQUARE
DESCRIPTION: SOMA
Fire alarm low voltage.
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503.639-8865 •
CONTRACTOR: PHONE #
OREGON ELECTRIC CONST /GROUP 503 -234 -9900
Inspection Request Scheduled For: Date: 912912005 Pour Time:
Code # , Inspection Description • Confirm # Contact # Message
135 Low voltage 016948 -02 503 - 793-7177 N
Corrections /Comments /Instructions:
•
•
•
•
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: c� � �� L Date: 1 Phone #: ' (503) 718 -0
C
CITY OF TIGARD
• BUILDING DIVISION PERMIT #: ELR200± x00302
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/27/2005
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/2/2005 TIME: 7:04AM PAGE: 61
SITE ADDRESS: 09330 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: SOMA•
DESCRIPTION: Fire alarm love voltage.
OWNER: WASHINGTON SQUARE LLC, PHONE #: 603- 639.8865
CONTRACTOR: OREGON ELECTRIC CONST /GROUP PHONE #: 503 -234 -9900
Inspection Request Scheduled For: Date: 11/2/2005 Pour Time:
Code # N~'-" • — :`_ ription Confirm # Contact # Message
199 Electrical final 020098-04 603. 793.7177 N
Corrections /Com - - • . • ions:
w V.J00 0.-bc6 (3)
-"kr - 'e N t•Z) 4 1aS" (Z-L)A5
•
)\ /t) N
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 6 7 -4 \a- 31 -)6- 1 `+ L Date: 1 k � Phone #: (503) 718 -