Permit C ITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
A k DEVELOPMENT SERVICES PERMIT #: ELR2005 -00402
°I I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 11/9/2005
PARCEL: 1S12600-00300
SITE ADDRESS: 09364 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: Phone: 503 234 - 9900
Reg #: LIC 203
SUP 4460S
FEES ELE 26 - 95C
Description Date Amount REQUIRED ITEMS AND REPORTS
[ELPRMT] ELR Permit 11/8/2005 $75.00
[TAX] 8% State Surchart 11/8/2005 $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: Permittee Signature: Ai m,/,,
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 11 11:10AM FROM - Oregon Electric Estimating 5032313587 T -415 P.002/005 F - 634
.City rr of Tigard Received
13125 SW Hall Blvd., Tigard, OR 97223 � �o ��� By: 11 //0/06 Alb Femur No. X05 ..- 00 1 / - .
Phone 503.639.4171 Fax: 503598.19 ECE� c a iiVi /� Date/By:
"�"�
/i1,, a Older Pert:
Inspection Line: 503.639.4175 ' __ Date Ready/By: nub _ el See Page x ror
lntemet vrww.ci.tigard.or.us keel \1 7.11 Notified/method: � ,�{ ' -'t Supplemental tarormaUon
?a�A, 1 �!`
i5 _ q: ° 1..:_` :"71)i1 9r 6.M:' .O 1 . k.�i.J. 1 r .4? 7, l t .ci.4, �Pi r 1i!1 '�4 4�i.f. ,. -..'
❑ New construction ® Addition /a_Itef jin/A it :r. �,; Please check all that apply:
❑ Demolition 0 Other 1 t t , DNi 0 ❑Service over 225 amps, comm'l ['Hazardous location
. � w
}, 1 ntt ' - R . ['Service over 320 amps - rating ❑ Buildng over 10,000 sq. R.,
..3 c L' s i ;':iii ,i'l = ' , , ;) of 1- and /family dwellings - : O w � � i i — • ; ;; I :'. � - - ^' r x •' � ++•• ngs 4ormom new residcrltial
❑ 1- and 2- family dwelling ® Commercial/industrial ❑ Accessory building ['System over 600 volis nominal units in one structure
Multi -famil ['Building over three stories ❑Feeders, 400 amps or more
y ❑ Master builder ❑ Othe
❑ r:
R ; x;15;= : i3 :i;t, ['Occupant load over 99 persons ['Manufactured structures or
: r ' o j site address - ) W 'O ❑Egress/lightio plan RV park
lob no.i. Job - Washington Square Rd ❑Health - care facility ❑Other.
Submit 2 Sets of plans with any of the above.
City/State/ZIP: Tigard, OR 97223 904 The above are not applicable to temporary construction service.
Suite/bldg✓apr. no.: RI Project name: Occihali Da Sole -' : "= i'l''•l V'
neSeristWa I Qry. I Fee. ` Total f °
Cross street/directions to job site: New residential single- or multi- family dwelling unit.
Includes attached garage.
1,000 sq. fr. or less 145.15 4
Subdivision: I LOt no.: Fa. add'] 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: limite energy, residential 75.0 2
Limited energy, non - residential 75.0 2
M } ' �_ , r i,. . e li$GRilp hlONt`O O )
'' ,r . ':• �- E.1 '" 1 ��`�'�a�Y� 4 Each manufactured or modular
Install low voltage wiring and cabling for Fire Alarm dwelling, service and/or feeder 90.90 2
Fi
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
~` ,_ p + hG p .1; �11• 201 amps to 400 amps 106.85 2
k' �._ja ±�'L %`�'��� 9. .r '�71 %�i`� -RS .� .,�^�,'4;'•.�!`r, ?F "S: 'r1 4Ul
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/Stare/LIP: Tigard, OR 97223 Temporary services or feeders iu,Qtailation, alteration, and/or
Phone: ( ) I Fax: ( ) relocation
200 amps or less 66.85 l
Owner installation: This installation iS being made on property that I own which is not 201 amps to 400 amps I 100.30 1 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. a01 amps to 600 amps 133.75 2
Owner signature: Date:
Branch circuits -new, alterntiort, or extension, per panel
41 A`PPJvfejOi d- �� »I O '"Oj,.pg igplq - A Fee for branch circuits with
,. _ .. revr•- xra:nl� "',1:��•❑....._ .._. . _ service or feeder fee, cacti
Business name: Oregon Electric Group, Inc. branch circuit 6.65 2
Contact name: Lori Martin H. Fce for branch circuits
without service or feeder fee, 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 I Fax: : (503) 535 Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E-mail: Ioni @oregon - electric.com Signal circuit(s) or limited -
. Q 1 O ° energy e alteration, or ,., 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 i 62.50
City/State/ZIP: Portland, OR 97223 lnvrsrlgation per hour R be Elfin) 62.50
Phone: (503) 234 -9900 I Fax: (503) 535 -2620 Industrial plant per hour 73.75
: 'c M ` EI:IECTRICAD- HERMIT',; F1r.ES* ';;;*, s; -0?c
CCB Lie.: 203 I Electrical Lie.: I Suprv. Lie.: Z8 /S Subtotal 5"
Suprv. Electrician signature, required: Plan review (25% of permit fee)
Print name: 044__ I Date: 1118!05 surcharge (896 prmi fee)
`, �/ TO'CAI, PEIZMTP F EE �� a�
Authorized signature.
/,/,r/D This permit app State llntion expires if a pe r mit e Is no obtained wi thin 180
�� days after It has been accepted as complete
Print name: I Date: 11B/05 • Fcc mcutoda s by Tri -C ty Industry Service Board
�' Num or Ins per pe rm oun i t allowed. lding Industry
i.\RmMiaaYermes ELC-rermeAr,,Va 12/03 440- 615T(IO/D2,CObt/WIla
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2005-00402
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/9/2005
Phone: (503) 639 -4171 1 Z � 1
Inspection Requests (24 Hrs.): (503) 639 -4175 _,. I I ..
INSPECTION WORKSHEET FOR DATE: 11/10/2005 TIME: 7:02AM PAGE: 84
SITE ADDRESS: 0..64 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WA . NGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: OCCHI • I DA SOLE
DESCRIPTION: Fire Alarm •w voltage.
OWNER: WASHINGTO QUARE LLC, PHONE #:
CONTRACTOR: OREGON ELEC 9C GROUP PHONE #: 503 - 2349900
Inspection Request Scheduled For: Date: 11/10/2005 Pour Time:
Code Inspection Description Confirm # Contact # Message
35 Low voltage 020927 -01 503-793-7177 N
9
F;(vNL
tions /Comments /Instruct s:
Igi PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G 1'■k, N 66 L Date: it el Phone #: (503) 718- IALth