Permit r ir•
C ITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
PERMIT #: ELR2005 -00353
I; DEVELOPMENT SERVICES DATE ISSUED: 10/18/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639.4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09374 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: Audio /stereo.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: X INTERCOM & PAGING:
BURGLAR ALARM: 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 MUZAK LLC
BY THE MACERICH COMPANY 3318 LAKEMONT BLVD
9585 SW WASHINGTON SQUARE RD FORT MILL, SC 29708
TIGARD, OR 97223
Phone: 503- 639 -8865 Phone: 503- 889 -3848
Reg #: LIC 142760
ELE 26- 1055CLE
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[ELPRMT] ELR Permit 10/18/200`. $75.00
[TAX] 8% State Surcharl 10/18/200: $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: r Permittee Signature: UL, Q, L ,„ /)
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.
• Electrical Permit Appnca on FOR OFFICE USE ONLY
City of Tigard OCT 18 2005 DateB /�A D 6!' Permit No. al y , —0433'3
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.19.60— Y OFTIGARD 4 1" � Ij B Date : Other Permit:
Inspection Line: 503.639.4175 CM ■ eT 1 Date Ready/By luris ® See Page 2 for
Internet. www.ci.tigard.or.us BUILDING DIVISIO ''" - " Notified/Method Supplemental Information
TYPE OF WORK PLAN REVIEW
® New construction ❑ Addition/alteration/replacement Please check all that apply:
El Demolition ❑ Other: ❑Service over 225 amps, comm'l ['Hazardous location
['Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft.,
CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential
❑ 1- and 2- family dwelling ® CommerciaUindustrial ❑ Accessory building ['System over 600 volts nominal units in one structure
['Building over three stories ['Feeders, 400 amps or more
❑ Multi- family 0 Master builder 0 Other:
JOB SITE INFORMATION AND LOCATION ['Occupant load over 99 persons ['Manufactured
park
structures or
['Egress/lighting plan P
Job no.: Job site address:1933 SW Washington SQ Road ❑Health -care facility ['Other:
Submit 2 sets of plans with any of the above.
City /State /ZIP: 97223 e73 The above are not applicable to temporary construction service.
Suite/bldg. /apt. no.: Project name: Papyrus FEE* SCHEDULE
Description • I Qty. I Fee. I Total
Cross street/directions to job site: Washington Square New residential single- or multi - family dwelling unit.
Includes attached garage.
1,000 sq ft or less 145.15 4
Subdivision: Lot no.: Ea. add'l 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
Sound System dwelling, service and/or feeder 90.90 2
Services or feeders installation, alteration, and/or relocatio
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: 601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City/State /ZIP: Temporary services or feeders installation, alteration, and /or
Phone: ( ) 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 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: branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee,
Address:
each branch circuit 46.81 2
Each add'I branch circuit 6.65 2
City/State /ZIP: Miscellaneous (service or feeder not included)
Phone: Pump or irrigation circle 53.40 2
( ) Fax. ( ) Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited -
CONTRACTOR energy panel, alteration, or
extension. Describe: sound Page 2 2
Business name: Muzak LLC system
Address: 12449 NE Marx Bldg 10 Each additional inspection over allowable in any of the above
Per inspection 62.50
City/State /ZIP: Portland, Or 97230 Investigation per hour (I hr mm) 62 50
Phone: (503) 889 -3848 Fax: (503) 889 -3883 Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES*
CCB Lie.: 142760 Electrical Lie.: 26- 1055CLE Suprv. Lie.: 2016LEB Subtotal 7.s -.-
Suprv. Electrician signature, required: / ,/�D, f� /�_ Plan review (25% of permit fee)
W fX GtA NrS State surcharge (8% of permit fee) i,
Print name: t &) y 11 ` 0 ` 9..f\ lJ fj Date: 10/17/05 ( —
` J � -j TOTAL PERMIT FEE is
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as comnlele
Print name: Date: • Fee methodology set by Tri -County Building Industry Service Board
•• Number of inspections per permit allowed
i \Building\Permns\ELC- PermitApp doe 12/03 440 -4615T(10 /02/COM/WEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR200S -00353 1
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/18/2005
Phone: (503) 639 -4171 �9'9ii�l�
Inspection Requests (24 Hrs.): (503) 639 -4175 °:_..
INSPECTION WORKSHEET FOR DATE: 11/9/2006 TIME: 7:09AM PAGE: 28
SITE ADDRESS: 09374 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: PAPYRUS
DESCRIPTION: Audio/stereo.
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503 -639 -8865
CONTRACTOR: MUZAK LLC PHONE #: 503-889-3848
Inspection Request Scheduled For: Date: 11/9/2005 Pour Time:
Co # Inspection Description Confirm # Contact # Message
199 Electrical final 020839-03 360 - 907 -0718 N
Corrections /Comments /Instructions:
H /vii
V PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 9 Date: )9/ 4 Phone #: (503) 718 -