Permit CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
SITE ADDRESS: 09339 SW WASHINGTON SQUARE RD
SUBDIVISION: WASHINGTON SQUARE LOT:
Project Description: Low voltage for voice & data. Job No. 61676
A. RESIDENTIAL
AUDIO & STEREO:
BURGLAR ALARM:
GARAGE OPENER:
HVAC:
VACUUM SYSTEM:
OTHER:
B. COMMERCIAL
AUDIO & STEREO:
BOILER:
CLOCK:
DATA/TELE COMM:
FIRE ALARM:
HVAC:
INSTRUMENTATION:
INTERCOM & PAGING:
LANDSCAPE /IRRIGAT:
MEDICAL:
X NURSE CALLS:
OUTDOOR LANDSC LITE:
PROTECTIVE SIGNAL:
OTHER:
TOTAL # OF SYSTEMS:
1
Owner:
WASHINGTON SQUARE LLC
BY THE MACERICH COMPANY
9585 SW WASHINGTON SQUARE RD
TIGARD, OR 97223
Phone: 503 639 - 8865
OWNER'S SIGNATURE:
SIGNATURE OF SUPR. ELEC'N
LICENSE NO:
Permittee Sign
Contractor:
NEW TECH ELECTRIC
13970 SW 72ND AVE
PORTLAND, OR 97224
Phone: 503 648 - 1900
Reg #: LIC
SUP
ELE
OWNER INSTALLATION ONLY
CONTRACTOR INSTALLATION ONLY
ELECTRICAL RESTRICTED ENERGY PERMIT
PERMIT #:
DATE ISSUED:
PARCEL:
ZONING:
JURISDICTION:
41868
3849S
26 -418c
ELR2005 -00380
11/3/2005
1S12600-00300
C -G
TIG
REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tgard 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 in 180 •: s of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires
you t• ollow rules ado • - - •y e Oregon Utility Notification Center. Tho i set forth in OAR 952 - 001 -0010
throu! h OAR 952 -00 u may o'tain copies of these rules or
The installation is being made on property I own which is not intended for sale, lease, or rent.
DATE:
DATE:
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.
FEES
Description
Date
Amount
[ELPRMT] ELR Permit
[TAX] 8% State Surcharl
11/3/2005
11/3/2005
$75.00
$6.00
Total $81.00
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
SITE ADDRESS: 09339 SW WASHINGTON SQUARE RD
SUBDIVISION: WASHINGTON SQUARE LOT:
Project Description: Low voltage for voice & data. Job No. 61676
A. RESIDENTIAL
AUDIO & STEREO:
BURGLAR ALARM:
GARAGE OPENER:
HVAC:
VACUUM SYSTEM:
OTHER:
B. COMMERCIAL
AUDIO & STEREO:
BOILER:
CLOCK:
DATA/TELE COMM:
FIRE ALARM:
HVAC:
INSTRUMENTATION:
INTERCOM & PAGING:
LANDSCAPE /IRRIGAT:
MEDICAL:
X NURSE CALLS:
OUTDOOR LANDSC LITE:
PROTECTIVE SIGNAL:
OTHER:
TOTAL # OF SYSTEMS:
1
Owner:
WASHINGTON SQUARE LLC
BY THE MACERICH COMPANY
9585 SW WASHINGTON SQUARE RD
TIGARD, OR 97223
Phone: 503 639 - 8865
OWNER'S SIGNATURE:
SIGNATURE OF SUPR. ELEC'N
LICENSE NO:
Permittee Sign
Contractor:
NEW TECH ELECTRIC
13970 SW 72ND AVE
PORTLAND, OR 97224
Phone: 503 648 - 1900
Reg #: LIC
SUP
ELE
OWNER INSTALLATION ONLY
CONTRACTOR INSTALLATION ONLY
ELECTRICAL RESTRICTED ENERGY PERMIT
PERMIT #:
DATE ISSUED:
PARCEL:
ZONING:
JURISDICTION:
41868
3849S
26 -418c
ELR2005 -00380
11/3/2005
1S12600-00300
C -G
TIG
REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tgard 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 in 180 •: s of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires
you t• ollow rules ado • - - •y e Oregon Utility Notification Center. Tho i set forth in OAR 952 - 001 -0010
throu! h OAR 952 -00 u may o'tain copies of these rules or
The installation is being made on property I own which is not intended for sale, lease, or rent.
DATE:
DATE:
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.
10/28/05 FRI 10: EI NEW TECH ELEC 11 001
Electrical Permit Application
. roll OFFICE L1sr, ONLY
City of Tigard OCT 2 8 2005
Y g Retroieed 71� ,
13125 SW Hall Blvd., Tigard, OR 7 3 ,' OF TIGARD PlanRReview O ' ,•• %�
Phone: 503.639.4171 Fax: 50 1
u
Inspection Line: 503.639.4175 �' JIVISI ®I�9 a • " • i natere : Other " c'
Into ace www- ci.tigard-or -as `� � - Data lteady/dio RI 2 for
NctiSeA/Method /� SupplementalInfonn>atlon
L - —I.--; 7 11 f',..1 , I (7 � 4 Z _
0 New construction jdtiilion /altera[ion/rcplacemelll Please check all that apply:
' � `
�
❑Demolit 0 Other; ❑Service over 225 amps. comrn'1 ❑Hazardous lo
' (( 1 S Sl 11)� { 1 L�U i � j l , ll,i J(1 H.r , ■ ; ['Service over 320 amps — tilting ❑Buildngover 10.000 sq. ft.,
.:,., 5.. - - t 11 .... ( I of I- and 2- family dwellings 4 or more new residential
❑ 1- and 2-family dwelling Commercial/industrial 0 Accessory building ['System over 600 volts nominal units in one structure
❑ 1ViL11R'f 1Y ❑ Master builder ❑per: ❑Building over three stories ❑Feeders, 400 amps or mane
„ W L ❑Occupant load over 9 persoManufacu retl sttu
.-,.. 1111 ',` '16 d413:4 I;,1 \II IUN L,, 11111 iii;3 : 1 1Y)�Il YI j . " _ . T , 9 ns ❑ Z1IIC5 or plan RV park
Job no.: lob site address: C78 VJ�,SlI,i ❑Hralth -cure facility ❑Other:
Ci /StatrILIF: Submit 2 sets of plans with any of the above.
ty UAt- - � �C Tr 1 The above are not applicable to temporary consaucbon service
St11tP/bldg�np[- no.: Project name: lT)1 ■�1! Vr i�`�1 L.� I IL i i n, tiii i , .,. f t' I ' r :1.12,;. l7 i,,
tleseetlltlan Qtr. Fee. Turd
Cross streeddirecdons to job site: New residential single- or multifamily dwelling unit -
Includes attached garage.
1,000 sq. R 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
u)y i q l J I; 7 i[72 ? �( a � l Lbr7jted Ever , Don- residendal 75.no 2
i Each manufactured or modular .
0 Ce- !y c , . 1 70.4... dwelling, service and/or feeder 90.90 2
Services or feeders installation, alteration, and/or relocation
- . _. 200 amps or less
, . -- -1 .,. i " Zs 1 s r. a i7 Jll F ll u l{ 41rJ1�, n ` -
I 201 amps to 400 am
8U 30
I E , - d_ 160.65
Name: 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: OL -- + , e Over 1,000 amps or volts 454.65 2
City/State/ZIP: G (a��� -T� Reconnect only 66.85
Temporary eervlcrs or feeders installation. alteration, and/or
Phone: ( ) 20 . 509 F ax: ( ) relocation
or Owner installation: This installation is being made on property that I own which is not 20 amps to 40 s 66 85 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, arid 701. 201 amps to 400 amps )00.35 2
401 amps to 600 amps 133.7 2
signature:
Owner si
OgnaaE: Branch circuits — new, O,.t• gna 11 .. . - Date: alteration, ,« " '�C! e,i ltk7.i ttii 71 ti 11, t I i i ti. ' I; j[ ,� I � '1. 3 I(�+,� 06,;;;, i i 7 JJ � iG�' y � A. for , n, or uler►sioa, per panel t ` ; ..c- 1 .i7.... . S, ,. A Fee branch circuits
service or feeder fee, each
Business name: branch circuit 6.65 2
Contact name: B. Pee for branch circuits
without service or feeder fee,
Address: each branch circuit 46•85 2
Each add'] branch circuit _ 6.65 _ 2
City /S[ate/Zip: Miscellaneous (service or feeder not Included)
Phone: ( ) Fax: : ( ) Pump or irrigation circle i 53.40 2
E -mail: Sign or outline lighting I 53.40 2
gg 11 g Signal circuit(s) or limited -
„c - _,i! . _LiiF1� 1J i 7, -.: C .r c=.a1� : 7 T',:E �.Ri. 1.`1: r1; J ` (,7 {�� '-; 7 i '. Ti r 1 l i . .T.3Y,ii energy panel, alteration, or
Business name: New Tech Electric cX Paget 2
Address: 13970 SW 72nd Ave Each additional inspection over allowable in any of the above
City/state zip: Portland, OR Per inspection 62.50
investigation per hour (1 to min) 62.50
I
Phone: (5 0 3 El 648-1900 Fax: 5 0 3 )648-3131 Industrial plant per h 73.75
418 6 8 �� u1 5!�'inT - i ,ii,:i 1- , y our p: , r t, ;-:.gy t i17� � � t 17 f :- h i %'
CCB Lie.: ectncal Lic.: 26-418 ' Suprv. Lic.; �"1 i ' S ,zti.I _ i
Subtotal 0-.•
Suprv. Electrician signature, required: • lar/I Plan review (25% of permit fee)
Print name: r I „ • , Date: I v I li 7
State surcharge (8% of permit fee) le
• / u' TOTAL PER IT FEE t, ' .
Authorized signature:
�ti This permit epptintio expires If a permit 13 not obtained within 186
days alter It has beet accepted ae complete
Print name: Date:
Fee methodology eat by Tri Couilusty Service Bo:,rd
•• Number of i rapx v ons per permi anty llowed Bu ding lnd
1',euilduC\Per \5LC- Yernnupp,doe 12103 44046 M/WEH
•
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2005 -00390
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/3/2005
Phone: (503) 639 -4171 i l l
Inspection Requests (24 Hrs.): (503) 639 -4175 __..
INSPECTION WORKSHEET FOR DATE: 11/14/2005 TIME: 7:12AM PAGE: 91
SITE'ADDRESS: 09339 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: JANEVILLE_
DESCRIPTION: Low voltage for voice & data. Job No. 61676
OWNER: WASHINGTON SQUA` E LLC, PHONE #: 503 - 639 -9865
CONTRACTOR: NEW TECH ELECTRIC PHONE #: 503 - 648 -1900
Inspection Request Scheduled For: Date: 11/14/2005 Pour Time:
Code # Inspection Description •••nfirm # Contact # Message
1 02 ' 05-01 503 - 969-1711 N
orrections /Comments /Instr ions:
•
•
•
•
*PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Act N O 8 Date: 11, • 1 05 Phone #: (503) 718- 24