Permit •
w.
CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
i DEVELOPMENT SERVICES PERMIT #: ELR2006 -00029
II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 1/18/2006
PARCEL: 1S12600-00300
SITE ADDRESS: 09393 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: LV Thermostat.
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: OUTDOOR LANDSC LITE:
OTHER: : HVAC: X PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
WASHINGTON SQUARE LLC ARROW MECHANICAL
BY THE MACERICH COMPANY 10330 SW TUALATIN RD
9585 SW WASHINGTON SQUARE RD TUALATIN, OR 97062
TIGARD, OR 97223
Phone: Contact #: PRI 503 692 - 1565
FEES Reg #: LIC 5193
ELE 34 -47CLE
Description Date Amount
[ELPRMT] ELR Permit 1/18/2006 $75.00
[TAX] 8% State Surchari 1/18/2006 $6.00 REQUIRED ITEMS AND REPORTS
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 rule set forth in OAR 952 - 001 -0010
through OAR 952 - 001 -0100. You may obtain copies of these rules or direct q Wens to OUNC at 503 - 246 -6699.
Issued By: Permittee Si �4 /t
Y� Signature: � r�i .� 9
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 ate required on the job site at the time of each inspection.
,
1 01/18/2006 10:44 FAX 5035981960 CITY OF TIGARD 0 001
.
glectrical Permit A RECZIVED r i :...‘r
City of Tigard y @ v q � -
13125 SW Hall Blvd., Tigard, OR 97223 01 .L L 0 o6 �" ed . /
" DAB ji 4 _ -,
Phone: 503.639.4171 Faxc 503.598.1 • - Omer Panic
Inspection Lim 503.639.4175 Y OF TIGARr -A. . '..!_ 1 ,� El See Page: dr
et:
Intern www-ad ttr-us BUILDING DIVISII. • ' •
�} rraillothfethat Supplemental ra .a�a
c+m ?'�rC'•::;C ,` 'Y}ti..' -"E4 i'� t�il�� `1'�•� tih".'•�. + ,
. ❑ New constructian jai Addition/alteration/replacement Please check all that apply:
Demolition ❑ Other. Oservice over 225 amps, comm'I OH rdous location
=•!; ie.... i w,.. . �. .,. °Sevice over 320 mops -rating DBO�g over 10,000
- : „�:•c;•.f ;s;1,3: -• E:01.4'QD rf � : �'!i4 ? :*',f; c: ^. of 1- and 2-4smily dwellings 4 or more new residential
❑ 1- and 2-fhmily dwelling irCommerdalfirdush lal ❑ Accessory balding • 0System ova 600 volts nominal traits in one endure
❑ Multi-family 0 Master builder 0 Other: OBoilding over three stories OFeedem, 400 amps or mare
f ^+ .:i; : :: �.. ,: :: � :::':;y. 1 DOccapamt load over 99 persona 0Mawlli oohed st>r11 or
• ` `7t)►' i t • ; : :•i" • . � •: .. . OHBc s, Ai8lmia plan Rv park
. Job no.: u I Job site address: 5+, - �f . Ad m' i`ca" -- ca" amity OOiher•
Submit 2 seta of plane with any of the above.
City/Stater/le:. . 7 ` %d o
G � �r X._ 9 722 3 The above are not applicable to temporary construed= service.
Suite/bldg./
tip� no.: Project name. c
• J • /9Qt „Leif `y/1i.�2 /3 ` / w
Cross street/directions to . :
job site: De New residential eon raw
J Aker raideatial single- or oulti- family dwelling unit.
Includes attached garage.
1.000 sq. R. or less 145.15 4
Subdivision: . I Lot no.: Ea. add'! 500 sq. B. or portion 33.40 1
Tax map/parcel A0.: • Limited energy, residential • 75.00 2
Limited energy, nondential 75-00 2
• , 7 . ` .. t e C . '::V.: -; .:'.. : :::: . ...L. Each u�ufacmrad or modular
/ 6T4/ I�S s �Sd% #'4051.07/ . S ragas, service rs ins feeder 90.90 2
Services or feeders insatlaefoa, attention, and/or relocation
200 amps or less 8030 2 •
Qom. 201 v34" am pg 106.85 2
;•.:;,: .` ®.•�<: iii': {,; :.:.;:. � -; :� - • _.. amps
40 t amps to 600 amps 160.60 2
Name: /9/.e/tr 'aY/J/d r 1Ci % /e .-"S /) 41 601 amps to 1,000 amps 240.60 2
Address: .9 S e'S ( 4 S ese "lc? ova 1.000 amps or volts 454.65 2
Reconnect only 66.85 2
City/Statc /Z1P: . 1/ /q,� V„ O''.(- . '"7 223 Temporary services or readers Installation, alteration, and/or
Phone: ( .. . ) I 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: q : � Date: Breach cirsib -new, alteration, or extension ' noel
• .. .' =2' �i •i � ` . . `'.. } " , : a f; JP'>01SON.t *, A Fa for branch oiraib with
Business. riarne: . /01,4 e� /Le 6 :�'��tiic�¢G fD0 ` 665 2
Contact name: B. Fee fbr branch circuits
//A gC 4/, 1 c 6.1,4 Y withovi service or feeds foe,
first branch circuit 46.85 2
Address: /r,3 a e ea ,i)` 1 ( W ® d' Pe'"" err Each add'I branch circuit 6.65 [ . 2
City/State/Z1P: • • )-1,4- L.517 -m,c e _ p 7 e.e, 2 - Miscellaneous (service or feeder not lacladed)
Phone: ( ) ( ,7-gyp 5— I Fax:: (. ) � S sip or I urine lighting Circle 53.40 2
Sign or outline �tlng 53.40 Z
F''mail: : . . Signal euait(s) a limited- u
•ti:. ,.+ah • = i�$'i�: :' r,. s�Cs `y;4' � ^''•:i .1 mar/ altoetior40r 7S
Businessnamhc: /20,4t6, C �ffL .. e - 114ie ? "Cu
'extension. Describe: Fagez 2
AM's: - . , 2 `/ / '/i/i r �i .4 /e Beeh additional inspection over allowable 1a any *fee shore
.. G Per inspection 62.50
/3�s?T y //,e ./ T, 7 ' 2-2 �v Investigation per hoer (t hrtmq) 62.50 •
Phom(fiti) 6/ 9/� lO 4 7Up . - I par:(d'/.) G/ C// d..... lndasbfalpliantperhour . 73.75 ...........;• •_:utti
CCB Li,..: h 9 ) Electrical Lit.: 3•.'1- 0/7 cu. S . . Lic.: 2.,sec/ j ik! subtotal ' S
SUM- E1rCtrielaa gignauire, required: ` Plan review 6553 of permit fee) --- •
Print name: a Date: V b State =charge PM of permit fee) ll
• Authorized signature: _ TOTALPEIZNIITFEE , �
This permit applintlsa spines Ira permit ism ehtsaed within 180
Print name: 11> Fm dews see The ow a gamy Se
mCbodotogy b y -Cr eety erg Industry Service Board
• •• Number diatpectioos pis permit aa Med.
itApp.doe MAXI 440•461ST11C OWWEa
CITY OF TIGARD
BUILDING DIVISION PERMIT #: EL.R2006.00029
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/1812006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/27/2006 TIME: 7:04AM PAGE: 03
SITE ADDRESS: 09393 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: ABERCROMBIE KIDS
DESCRIPTION: LV Thermostat.
->
OWNER: WASHINGTON SQUARE LLC. PHONE #:
CONTRACTOR: ARROW MECHANICAL PHONE #: 503 - 692 - 1565
Inspection Request Scheduled For: Date: 4/27/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical fina 0213821 -01 • 692.1565 Y
Corrections /Comments /Instructions.
Air.
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: L i(ZJ 1nE) Phone #: (503) 718 - Z"t 4 �