Permit L (.
CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
ilk DEVELOPMENT SERVICES PERMIT #: ELR2005 -00400
..� II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 11/7/2005
PARCEL: 1S12600-00300
SITE ADDRESS: 09368 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: Low voltage for voice & data. Job No. 61678
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: X NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: : HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
WASHINGTON SQUARE LLC NEW TECH ELECTRIC
BY THE MACERICH COMPANY 13970 SW 72ND AVE
9585 SW WASHINGTON SQUARE RD PORTLAND, OR 97224
TIGARD, OR 97223
Phone: 503- 639 -8865 Phone: 503- 648 -1900
Reg #: LIC 41868
SUP 3849S
FEES ELE 26 -418c
Description Date Amount REQUIRED ITEMS AND REPORTS
[ELPRMT] ELR Permit 11/7/2005 $75.00
[TAX] 8% State Surchart 11/7/2005 $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 - : a days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires
you ollow rules a..' -d by the Oregon Utility Notification Center. Those rul s are set forth in OAR 952 -001 -0010
thr. OAR 952 -00 1 9 h I I. You may obtain copies of these rules or dire . ons to OUNC It 503 -'46 -6699.
Y co P
Is . ued By: I I — e Permittee Signatuke: 6 et
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.
11/07/05 HON 14:14 FAX 503 640 0571 NEW TECH ELEC [Z1001
Electrical Permit Application FOR OFFICE USE ONLY
City of Tigard
� " Irs vta
13125 SW Hall Blvd., Tigard, OR 97223 �� // Q . .9.•- .. . .9.•- .. Pomit No.: �� J•,I �-etc • 0 Phone: 503.639.4171 Fax 503.598.1960 I l Pmt Review . ip
. ' `j��it. l '�I r ' Dem/B : ..I 14
)nspoction Line: 503. 639.4175 4 _ -Li Dete Anedyr/By: El Page 2 for
Intcinet www.ci.dgard.ot.us Nodfied/Mehod L Suppleroeetal
: ...._ _ -._. ■ >.._ :.... , r:' _ ..,. :. , .. i , •fill a, U U l i r
❑ New construct ion .0 Please check all that apply.
❑ Demolition ❑['Service ova er 3 0 .
' -_ i - B
... • : :. :.... ..., � ' a i .Other- � ;..,11iti;;;; "',. : , f . . - . '. ....:.....::. " over oaslocat, tc.
Ctlmm'1 On
I lit }a f t ] ohm SQViCC amps ra ti o 1D ODO sq.
of 1- and 2- family dwellings 4 Or more new residential
❑ I- and 2- family dwelling 'Commercial/induatrial ❑ Accessory building ['System over 600 volts nominal units in one structure
❑Bm (tra
lding over cheer stories ❑Feedtrs, p ramps or more
❑ Multi - family El Master builder I=1 Other
- I I''a "� � uia� :sir :�il .
i •i ,S : . ' �� ' � ,
* � ; i � ri ` fr :r'� , ' . - _ - - �pAnt load over 99 persons ❑Manufaattred structures or
.. .. -, „i Ia m ,IL[i fi_�'
.::..- �. _-)_ :•),; / , --- _- ; - _;..-, •� : � � � I .: _ .. -. � : = • ,j Egress /lighting plan RV park
�3 ,o. � v� ['Health-care facility ['Other cher.
Job no.: $ Job site address:
Submit t sets of plans with any of the above.
City/State/ZIP: 4.42 1 29(1t e. eV. fr The above are not applicable to temporary construction service.
Sltitc/bldgiapt. no Pro ect name: t i - : . ; - - ; :(I I D 'illlf tl'3
,a i� c.:'" :(' «'.
H /e6G r \ 1 L - : • � .. ^ �'_J : -. f r,.. 3._. L: . :..C. :l:' J.....= t'CS.! : :,_ :�:.
tlesrroako Qtr. Fm Total '"
Cross street/directions to job site: • ` k-- New residential single- or multifamily dwelling unit -
Includes attached garage.
1,000 sq. ft. or leas [ 145.15 4
Subdivision: Lot no.: _ x'1500 sq. fc or portion 3340 1
Tax map /parcel no.: Limited energy, residential 75.00 2
I , ,.., , ..... ,- ,.:.. ., ... _ S 00
, - : I I� ( ('.:SI II :'( 11 it : I r It .
1 cram ,
. - ..• � .t, " t
... _ . .,. � I . . � Each rtL7nufaCtW
- - . � - - - "t ed or modular
dwelling, service and/or feeder 90.90 2
s Services or feeders installation, alteration. and/or relocation
200 amps or less 80.30 2
.',:r .� >� yf ,,. . .t,..u: , ::. - : - .w: - ' ,.1 i ... r '- 201
. ...._. I.-.._ . . . _ . . .,;.. ., _ , . ",,f.M,:_ i � ? - - :l , " ' v- l . , , : . . . ,,,. ;, - :i amps to 400 amps 1 06.
lu 2
Name: 401 aka to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: 0) y. , r Over 1,000 amps or volts 454.65 2
Cit y /Sta te/ZIP: LE}�1� L.D'iZ� Reconnect only 66.85 2
N C-- Temporary services or feeders installation, alteration, and/or
Phone: ( ) S4 41272 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 a to 400 amps
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. ' 100.30 2
401 amps to 600 amps 133.75 2
Owner signahue:
.';, ., - - _ .'. - -- :i�._ - - F :. u. - - • :r�, alteration, or extension, , pc pa
net
_ _ ate Braacb circuits new, altt7a 'on r
��lk, { �- � 'I•l � �_vynr `,i ' ! �, �� L1Ai�uZ;jlLiir ,u.�erd�rltll�,_y :I • A. Fee for branch circuits with
li,• _ ,., . . '-'t ,. -t zti ._r�_... — .— .... .v�I ,� -' i .i:._i . - L.. .— .r - . r. 4 ._ :,.I
service or feeder fee, each
Business name: teaser circuit 6.65 2
Contact name: B. Fee for branch crrcu
without service or feeder fee,
Address: each branch circuit 46,85 2
Each add'I branch circuit 6,65 2
City/State/ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) Fax :: ( ) Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
Email
Signal circuit(s) or &aired•
'
,—T i -A! m � r' .T 0 t 7ii I.(�'t 1
'rl J ' F ' T ,�'.:^
_. L. Kl�d. �f�'� :.h�l_>_I:..'3..���_�._ .— fri).�, >1,._ ��.t�. a , a .l{} �.� -'ter r 71�.:._.l ,.. T .�c.{ energy panel alterthon or
Business name: extension. Describe: Page 2 2
New Tech Electric
Address: 13970 SW 72nd Ave Each additional inspection over allowable in any of the above
Po rtland, OR v Perinspection 62.50
Investi per hour (I hi- min) 62.50
Phone: ( 0 3 648-1900 Fax: 5 0 3 )648-3131 Industrial plant per hour 73.75
CCB Lic.. Electrical Lic.: 2 6 r •'': "�;S; Ty''i II,I r.. . r —.. r jg,711.
. 4 �. 8 6 8 i � : ,� �� � . � .; L (i;t � tl 'T��i PI'S_ 9111,�1T; �. r,�. � r c e
35 45 a:. :� .�. S u b ot al 'u, ?: i'
A ' iS' '
- 41 Q. Suprv. L ic.: t Subtotal
Suprv. Electrician Signature, required: ` l p Plan review (25% of permir fee)
Pont name: P1411- 1- AtJhon1 Dale: sire surcharge (896 of permit. fee) (�
D 2 • TOTAL PERMIT FEE
Authorized signature: Thlfl t+oit application !x DD expires If a permit is not obtained within 150
Print name Sys after It has been aecep led as complete
Date: • Fee methodology set by 7ri- County Building industry Service Board
•• Nu mber of ins per permi allowed
iV ]uitdmewern¢tat�i,Gn
Peolupp.am 12/03 fit/ -T- e � 410- AfiirrcioGuccmiw�B F sei
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2006 -00400
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/7/2006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 '!.L
INSPECTION WORKSHEET FOR DATE: 11/14/2005 TIME: 7:12AM PAGE: 94
SITE ADDRESS: 0936. SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASH GTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: JANIE & ACK
DESCRIPTION: Low volts• for voice & data. Job No. 61678
OWNER: WASHINGTO SQUARE LLC, PHONE #: 503- 639 -8865
CONTRACTOR: NEW TECH EL:, TRI PHONE #: 503 - 648-1900
Inspection Request Scheduled For: Date: 11/14/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
l
021104-01 503-969-1711 N
Corrections /Comrents!•Instructions:
jq PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1 V E8 Date: 14 • � (� • OS Phone #: (503) 718- 2 0