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Permit .i__ .. \\ i CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT S DEVELOPMENT SERVICES PERMIT #: ELR2005 - 00314 '�' I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 9/29/2005 PARCEL: 1S12600-00300 SITE ADDRESS: 09339 SW WASHINGTON SQUARE RD ZONING: C -G SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG Project Description: Audio. 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 VERSATILE CABLING, INC. BY THE MACERICH COMPANY 12606 NE 95TH ST #C -130 9585 SW WASHINGTON SQUARE RD VANCOUVER, WA 98682 TIGARD, OR 97223 Phone: 503- 639 -8865 Phone: 360 - 816 -1021 Reg #: LIC 161614 ELE 37- 1048CLE FEES Description Date Amount REQUIRED ITEMS AND REPORTS [ELPRMT] ELR Permit 9/29/2005 $75.00 [TAX] 8% State Surcha 9/29/2005 $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 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699. ,---"'" ,„.•••• -- ,..---, , .( Issued By: ---: J Permittee Signatur- ,1 of i 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. I "' '' / ' Electrical Permit Application FOR OFFICE USE ONLY City of Tigard , Received c - ' . -' , Permit No.: 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review t� Phone: 503.639.4171 Fax: 503'.598.1960 Gr : n N rth1 �� 1 I; \ Date/By: Other Permit: ' Inspection Line: 503.639.4175 '1J.„ Date ReadyBy: la See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: (r Supplemental Information ' ' "i '� y,rZ; s'1: ti. .-,+ r3. sefm ,,v ,, Ali 1F�I -4i., '' ' $ �' , f+ ,,-- .. --, i New construction ❑ Addition/alteration/replacement Please check all that apply: ['Service over 225 amps, comm'l ['Hazardous location ❑ Demolition 0 Other ❑Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft ., ^� 1 .t rim t " i � i ` . ., c o � , icy. s - ..o �.1 of 1- and 2- family dwellings 4 or more new residential ❑ 1 - and 2 family dwelling M Commercial/industrial ❑ Accessory building _ ['System over 600 volts nominal units in one structure ❑ Multi - family ❑ Master builder ❑ Other: ['Building over three stories ❑Feeders, 400 amps or more r � � ; DOccupant load over 99 persons [Manufactured structures or °`"���'��' s 4. s � 1 a I m' n t s g f �_s c ❑ i P �� � !��� `� �', E s/li ghb lap RV park Job no.: Job site address: 5 16 1, ,s 2D ❑Health -care facility ❑Other- Submit 2 sets of plans with any of the above. City/State/ZIP: T4 * a r d O a f x y 9 '7 ).p 3 The above are not applicable to temporary construction service. Suite/bldg. /apt. no.: Project name: �� n e U i de yffr30/ � Description Qty. Fee 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: Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential 75.00 2 _ Limited energy, non - residential 75.00 2 W TS a m , ",r F � : r, r � Each manufactured or modular v `J ,e `, / dwelling, service and/or feeder 90.90 2 �-[ / Services or feeders Installation, alteration, and/or relocation 200 amps or less 80.30 2 + r El ' - a ° r � o t 7 �,�- N. ' ` s 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 E y „ E:t t , � � t , � rgrt ' ° )V,:f q A. Fee for branch circuits with n b r' a dad a e , O r , s;,L,: °I `� ''PWM ` " service or feeder fee, each 6.65 2 Business name: € rs a, • H / -e (-L) //>- branch circuit � � re_r £_1 Q B. Fee for branch circuits 46.85 2 Contact name: without s ithout servrvicic feeder or feeder fee, F J ST e C- � each branc circuit Address: / Z � 0 � F � � � c S 30 Each add'1 branch circuit 6.65 2 City/State/ZIP: a n c u (/ .e a - (I- 9 glQ 43 2 Miscellaneous (service or feeder not included) Phone: (i t3 /( oz % f • Fax:: C6 C3 /40 Q 3& 2 Pump or irrigation circle 53.40 2 Sign or outline lighting 53.40 2 E -mail: Signal circuit(s) or limited - i Z M 3 W 4 i A ° � vz r T E* i t " �.,` ©�\ ,y ` A' p � T Y :' g. " - fi energy panel alteration, Or DG ` extension. Describe: / Page 2 76 2 Business name: • Err a /7 4e e ., - - G / Address: S e42.171e. Each additional inspection over allowable in any of the above Per inspection 62.50 City/ State/ZIP: Investigation per hour (1 hr min) 62.50 Phone: ( ) Fax: • ( ) Industrial plant per hour 73.75 �' / n -• . Electrical Lic.:3 //0 4I _ Suprv. Lic.:3 „262 Subtotal / a � Suprv. Electrician signature, required: C 1S 11 44,K Plan review (25% of permit fee) ' Date: q State surcharge (8% of permit fee) 0 --- • TOTAL PERMIT FEE R / .i 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. CITY OF TIGARD I • BUILDIN ' !VISION L PERMIT #: ELR2006.00314 13125 SW Hall Blv• Tigard, OR 97223 DATE ISSUED: 9/29/2005 Phone: (503) 639 -41 Inspection Requests (24 • i rs.): (503) 639 -4175 INSPECTION WORKSHEET OR DATE: 11/10/2005 TIME: 7:02AM PAGE: 89 SITE ADDRESS: 09339 SW SHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTO' SQUARE LOT #: TYPE OF USE: PROJECT NAME: JANEVILLE- DESCRIPTION: Audio. OWNER: WASHINGTON SO RE LLC, PHONE #: 503-639-8865 CONTRACTOR: VERSATILE CABLINt INC. PHONE #: 360 - 816-1021 Inspection Request Scheduled For: Date: 11/10/2005 Pour Time: ••e # Ins.- •,. D- i•tion Confirm # Contact # Message 135 jovv voltage 020916-01 503 - 449 -1013 Y • 1 ■,0\ f-► Corrections /Comments/ Instructions: • • • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION .❑ ADDITIONAL FEES ASSESSED Inspector: g Date: 11- I 0 03 Phone #: (503) 718- 2447 1 CITY OF TIGARD BUILDING DIVISION • PERMIT #: C5`5.— Qp314k, 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 Atoogt i Inspection Requests (24 Hrs.): (503) 639 -4175 ,F'I I� INSPECTION WORKSHEET FOR ' DATE: 1�� TIME: PAGE: SITE ADDRESS: C33 (AD A - S CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME:' \ t C_Lf= DESCRIPTION: OWNER: PHONE #: CONTRACTOR: ' PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message 19 LOzo \lez Corrections /Comments /Instructions: - e b ►N Z. 6 60G. Paa w Ir • • • ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL , ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718-