Permit IN 11
6 6 , 0 6 6 - t 2 ' l cc- C q_ - fRcdvreSS Co rree., ors
a CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: ELR2009 - 00046
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/11/2009
PARCEL: 1512600 -00300
SITE ADDRESS: 09348 SW WASHINGTON SQUARE RD W14 ZONING: MUC
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: GAP KIDS
Project Description: Install low voltage for burglar alarm.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: X 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 ADT SECURITY SERVICES, INC
BY THE MACERICH COMPANY 2815 SW 153RD DR
9585 SW WASHINGTON SQUARE RD BEAVERTON, OR 97006
TIGARD, OR 97223
Phone: Contact #: PRI 503- 469 -7212
FAX 503- 469 -7114
FEES Reg #: ELE 26- 209CLE
LIC 59944
Description Date Amount SUP 389LEA
[ELPRMT] ELR Permit 2/11/2009 $75.00
[TAX] 12% State Surch 2/11/2009 $9.00 REQUIRED ITEMS AND REPORTS
Total $84.00
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 or 1.800.332.2344.
Issued By: Permittee Signature:
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.
N
CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2009 - 00046
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/11/2009
PARCEL: 1512600 -00300
SITE ADDRESS: 09677 SW WASHINGTON SQUARE RD CO5 A ZONING: MUC
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: GAP KIDS
Project Description: Install low voltage for burglar alarm.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: X 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 ADT SECURITY SERVICES, INC
BY THE MACERICH COMPANY 2815 SW 153RD DR
9585 SW WASHINGTON SQUARE RD BEAVERTON, OR 97006
TIGARD, OR 97223
Phone: Contact #: PR1 503- 469 -7212
FAX 503- 469 -7114
FEES Reg #: ELE 26- 209CLE
LIC 59944
Description Date Amount SUP 389LEA
[ELPRMT] ELR Permit 2/11/2009 $75.00
[TAX] 12% State Surch 2/11/2009 $9.00 REQUIRED ITEMS AND REPORTS
Total $84.00
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 or 1.800.332.2344.
Issued By: Permittee Signature: 4c-A � 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.
. ! t■ 1
Feb 11 00 0943a Stephanie Pate 503 -469 p 1
F'lec r cal Permit Application FOR OFFICE USE ONLY, ...;
R��F j,„,,,,;,,,,‘,.„, c„. . .
- City of Tigard 0 _ pant No ; � 70C1� , � �^
" 1312y $W Kai ►ilva, Tt prd, OR 97223 PIJI1 ail _ .l__._ '�1- - - - - P l
} ; i''J=`'t`v
Phone 503.639 a 171 t.ir 503 598 -196 FEB 1 1 I)aic:t3- Itr other peer.. peer.. at,on nc: 503039.4175 1,}
Line: .n1y(lty, Mu — J�~� — ® Nor Palm 2 fur
1'I G1>.p_O. Ensp r'retLMcth,d I SupplementullntOrmatiun
Intt•[rlel wwK li�itrd- or.,:ov CITY OF TIGARD Noh T ----- -. --
1Y .DIUISJ01u _ _ __ PLAN REVIEW
�[fLDJJ�IC�• -..._ ___ _._J _ . _ _ .._. _ � ._._..____ — _
� 1 YPE °I'" ❑ New construction Addition/alteration/replacement , I'Ic. check all thee apply tsubnnl 2 uL• 141i.111... rfat:m +c hcckeJ below:
0 Serrano or lec,kr4011 mrrp, nr nano: C] Hackling Vttr rt.rec •,tone,,
❑ Demolition ❑ Other: .... - - _.,. whore the avadabk hull currant ❑ Mann al aM boariards
CATEGORY EGORY V {' CO srl4VC-1'10N :ztt4247w 1 U,t11)tl,nnp3 NI 15t volt, or Q How lug building.
-• . -`- ks5 to aroard, or extents 14.(I(10 O eumrrtcrctal -SW :,rnrollorii
❑ 1- and 2- tamily dwelling ® Contmcrctahlndustrial ❑ Accessory building inrlpc for all uthe.r,nstallauons. butld,•tgs
❑ Muhi- 13mlly ❑ Mager builder ❑ Other. ❑I 'r' pump. 1 In .L1II t nol'75 KVA to
i
JOB Sfl'F; INFORMATION AND LOCATION ❑Enxrlcrc)' 1n r4 or s.mamidy clenvcd syNiern
❑Addnion moterloadol' ❑"A" "L" '1 2" ''I - 1"
Ob Ito.: / o - I ite addr
J ob site 9 77 Sal („ -I „ $' WOK,' in mGr� VI'
- - - r- - - - - -` V 1 w OT more n::,denhal 1.111[13. ID Rttin•,rrrinl,l winch' garkc,
CitvIStutc /Z IP, 7-r---- ' �, / -- �� - -- - Q lkalrh.t.rn ere ,huc. ❑:iupply Nolcay't f:( nwrrttn)
Su f -- _ - -- • -- J7 �. , %,. _ _ ❑ H.v-anlour Iot , t , arn r. r. vehs .Wrnmal
ne( bldg;, /.apt no Pr
– – — o ec mitre er ❑ ServI
, / Pte- J —_ o. Or {('silos (00 and nr rn(rn:
� FF:F:tiC11EDtILI• „M
Cro lld
strtxtrcction5 to job S1te; _ IJCrcnpamt — , � t � T L t n -. " t w'icr*l I •
New rc<idcnlial tirtxIC nr nlul[i- family tlwelli, +C 11t(t.
1»ciud s altachO garage.
Subdivision' I Lot nn.• 1,000 sq. 11. or lcs% - , 145 ,5 I 4
Ca?, nn tplparccl an.: -- En, Add 500 sq. tL Or porlrnn 33,40 I
1 I
__________ - —. . .. . .... .. ...— Lirnttcxl energy, lecidc+uial
75 00
D 'SCRIPTION OF WORK . (,with dl,vr. 1,.) _. .
r Lim ned ertcxgy, multi-family 75 00 2
LI/L.J •, - - t4•tiiI(Cttliel ( nbnte :xi :y 11 (1
- - -- -- _ „... -' -. Services or feeders installatioo,'Iteration, and/or relocation
20(1 amps or lest 30.30
2
0 PROPERTY OWNER I ❑ 1'E NANT - - - - - 201 amps to 400 amps r , 106 85 ; 2
Name. 401 amp"; 10 GOO amps 160.69 l 2
Address: - - - ) I ' ! mp. - " - 240 60 2
Over 1,000 amps or volts i 454 1,5 )
(-1'y/stow/ZIP: 'Temporary services or focdcrs lrulalltttlon, niteration,,rnd /u r
—_ retnemion
Thuile' ( )
F.D.' ( ) -- - +pll ,unp5 or le - - ' oh, S 5 1 ___ __ Owner installation: this installation tc being made on property that 1 own whit h I, not ?U ulr,ps to 400 amps _ _ - -- )0 i 30 -- -
meet—Idea for sale. lease, rent, or exchange, according to ORS 447, 449, 070, and 701. n o amps to 599 amps 133.75 1 7
tirnnch circuits- new, Ahtr:+lion, or t9%embn. per panel
Owner signature ___ -. _ _- " - -__- - . . - Date - A Fce for brand) circuits. with
t A PPl,I(',1MC — - f ' p NPAGT PERSON abt Of CUtscier t C, 0.65 2
C J tachbrrtnchcircuit _ ___
Hu nncs 'ilium' ti Ilc for branch circuits
-- witJrnar service or feeder for,
Contact name' 46 8) 2
CLC flrat blanch t.ircu.t
Address' - - Each add'/ branch cu 6.o5
I Miscellonouus (service nr (ceder knot included)
, C uy: St:ite(Z_I : !•ae.h manufactured or rrnttitil•v --
_ - 90 7
dwcllinc, service and/or feeder
: Phone, 6673 ) 5/6 — 7a. / i Fax: ( ) fttxo,me'et only 04.'35 -
1 tn( l, Pump or uri circle 53 4U 2
-- ---- _ -.- -- - -, _ ._ CONTRACTOR — - - - Sign or outllnc Itnhtin1, '- -- 53.40 ?
Business name: AUT SECURITY Signal circuit(s) or limited
_ cner2y panel. alteration. or
Address. 2315 SW 153 DR - _ - - -_ -_ - - -- cxtchlu(. Dorcrtbe: t Pane 2 75 `
CIly %Slate /LIP: BEAVERTON OR 97006 Each additional inspection over allowable in any of Ilse above
—
Per raspcctum -'- ' - t,2 50
Phone' (503) 469 -7112 fax: 1503) 469 -7114
, . _. _./--.--..,.... . - --- - --- tnvGV[i(!;d Nrn l,q hour (1 hr mm) r/ 1t)
CC
Tic , 50944 1 Electrical I.,c : 20 20901 Supry Lie, LE A389 trxlustrr Taint per Now
1 J.75
I. -' - -- - •'-- - ----.. ---- .,..._. - -- - -- ELECTRICAL PF.Rh{t fE {i5
Suprv. F:lcctr,clan signature, re Subtotal 75 uU
tlxi ci
Iutrldntc• KEN KRAUS Date.: /}� S1 Plan rcvlcw ZS.nDI nht),
�/ ✓ dle sur b,n (42% tt pt1'r • (t0
■ Audtullit:d ,i};ndtutt'^ d� 'L•tLtil11 I "L•.l' 84 -
I rh,+ prank+ apptlrntinn rtplrrr i(p perm ,s rant ehlninpI w, thin I ¶
L hoed Winne: Date rturr, ratter al bw. hero areepred nr t•ornptcrr.
• Number el inspections allowed per pem,t
I HoJ4 , 10.%•.,n,1,1.t'- PO , . ,, r.yy, 1511 0'r'I uL .1 >5- 1 I)l(II I)5.(11M;tv1'll
eZ C i --,