Permit 0
C ITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
PERMIT #: ELR2005 -00364
I
- 13125 DEVELOPMENT H O BM r S O E R V SERVICES ELECTRICAL
DATE ISSUED: 10/20/2005
PARCEL: 1S12600-00300
SITE ADDRESS: 09359 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 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
[TAX] 8% State Surchari 10/20/200: $6.00
[ELPRMT] ELR Permit 10/20/200: $75.00
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 952-101-0100. You may obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699.
Issued By: Permittee Signature: &,'"7 A 2 z%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.
6.,Ele■;trical Permit Application FOR OFFICE USE ONLY
r
City Tigard
Ti aA,, nd
Received
• ao ` �1 " ,
- ,
13125 SW Hall Blvd. ., a ' . ' , Plan Review
Phone: 503.639.4171 �, t ' S `•: r ' 60 Ii� # Date/ Othe 'ermit:
Inspection Line 503.i.:9 Date Ready /By. N" ® See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: ' ,, 4I Supplemental Information
.;'' . 0 , 2 19PE2OF'WORK - .. PLAN REVIEW
❑ New construction y.��7 ddition/altereplacement Please check all that apply:
❑Demolition Cji1 J , ❑Service over 225 amps,conun'I ❑Hazardous location
'� j jStOrs ❑Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft.,
ICY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential
El l - and 2 family dwelling ® Commercial/industnal ❑ 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
❑Occupant load over 99 persons ['Manufactured structures or
- JOB SITE INFORMATION AND LOCATION - ❑E plan RV park
lob no.: 13356 lob site addressq Washington Square Rd
❑Health -care facility ['Other:
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.: T21 I Project name: Starbucks 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 I 4
Subdivision: Lot no.: Ea. add'I 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
® 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 I { 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
B. Fee for branch circuits
Contact name: Loni Martin without service or feeder fee,
each branch circuit 46 85 2
Address: 1010 SE 11 Ave
Each add'I branch circuit 6.65 I 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 • e
extension. Describe: / Page 2 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 (I hr min) 62.50
Phone: (503) 234 Fax: (503) 535 - 2620 Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES*
CCB Lic.: 203 Electrical Lc.: Suprv. Lic.: — �,
Suprv. Electrician signature, • - quire • . Plan review (25% of permit fee) 4 Print name: ��� / Date: 10/19/05 State surcharge (8% of permit fee) - i[' i
TOTAL PERMIT FEE �� 4 -
Authorized signature: Th is pe rmit application expires if a permit is not obtained within 180
� � days after it has been accepted as complete
Print name: �) /� l ', r' l / Date: 10/19/05 Fee methodology set by Tn- County Building Industry Service Board
/, l"1� - ** Number of inspections per permit allowed.
i \Buildmg\Pemuis\ELC.PeiimiApp doc 12/03 440- 4615r(10/02/COM/WEB
Elel`trical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
3 mF
���RESIDENTIAL� :WORKyQ1�TIY���.�:a,�..�. ��U�;vy.�,�,x,,�?�,r.�
Fee for all residential systems combined $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning
System*
❑ Vacuum Systems*
❑ Other:
'', COMMER( IALMORI ONLYc- &: E ; UM °k x
Fee for each commercial system $75.00
(SEE OAR 918 - 260 -260)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
UBuddutg \Permtts'ELC- PermoAppdoc 04/03
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2006 -00364
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/20/2005
Phone: (503) 639 -41.71 1
Inspection Requests (24 Hrs.): (503) 639 -4175. I I �
INSPECTION WORKSHEET FOR DATE: 10/25/2005 TIME: 7:10AM PAGE: 71
SITE ADDRESS: 09359 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: STARBUCKS
DESCRIPTION: Fire alarm low voltage.
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503.639 -8865
CONTRACTOR: OREGON ELECTRIC GROUP PHONE #: 503- 2349900
Inspection Request Scheduled For: Date: 10/25/2005 Pour Time:
Code # . Inspection Description Confirm # Contact # Message
135 Low voltage 019220 -01 503 - 793 -7177 N
Corrections /Comments / Instructions:
•
• •
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
k n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: GAe' Nee ( � (' Phone #: 503 718 -
"� Date. 2 ( ) ZOO
�yy
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2005 -00364
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/20/2005
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/14/2005 TIME: 7:12AM PAGE: 116
SITE ADDRESS: 09359 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SO , ARE LOT #: TYPE OF USE:
PROJECT NAME: STARBUCKS
DESCRIPTION: Fire alarm low voltage. •
OWNER: WASHINGTON SQUARE LLB PHONE #: 503- 639 -6865
CONTRACTOR: OREGON ELECTRIC GROUP PHONE #: 503 -234 -9900
Inspection Request Scheduled For: Da -: 11/14/2005 Pour Time:
Code # • . • - _ ' • . Description Confir # Contact # , Message
021089- • • 503-793-7177 N
Corrections - ,(
- P ® I t - TEC' (wiz
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ' ❑ NO ACCESS
El FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 6 Date: 1 ‘ 'tLi 5 Phone #: (503) 718- IA*