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Permit r '\ rei CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT i � DEVELOPMENT SERVICES PERMIT #: ELR2005 - 00327 �� Ii DATE ISSUED: 10/7/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1512600 -00300 SITE ADDRESS: 09384 SW WASHINGTON SQUARE RD ZONING: C - G SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG Project Description: Burglar Alarm. Added: Data/Tele. 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: X INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: 2 Owner: Contractor: WASHINGTON SQUARE LLC ALARM TRACKS LLC BY THE MACERICH COMPANY 4134 N VANCOUVER AVE #107A 9585 SW WASHINGTON SQUARE RD PORTLAND, OR 97201 TIGARD, OR 97223 Phone: 503- 639 -6685 Phone: 503- 490 -5138 Reg #: ELE 26- 1029CLE LIC 115473 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [ELPRMT] ELR Permit 10/7/2005 $75.00 [TAX] 8% State Surcha 10/7/2005 $6.00 [ELPRMT] ELR Permit 10/7/2005 $75.00 [TAX] 8% State Surcha 10/7/2005 $6.00 Total $162.00 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: 6N? 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. CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT 2 AeN DEVELOPMENT SERVICES PERMIT #: ELR2005 - 00327 1il DATE ISSUED: 10/7/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S12600-00300 SITE ADDRESS: 09384 SW WASHINGTON SQUARE RD ZONING: C - G SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG Project Description: Burglar Alarm. A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATAITELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: X INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: 1 Owner: Contractor: WASHINGTON SQUARE LLC ALARM TRACKS LLC BY THE MACERICH COMPANY 4134 N VANCOUVER AVE #107A 9585 SW WASHINGTON SQUARE RD PORTLAND, OR 97201 TIGARD, OR 97223 Phone: 503- 639 -6685 Phone: 503- 490 -5138 Reg #: ELE 26- 1029CLE LIC 115473 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [ELPRMT] ELR Permit 10/7/2005 $75.00 [TAX] 8% State Surcha 10/7/2005 $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 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: - _ � v p� Permittee Signature: 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 App r I ou of in I I ,1 0.1 \ City of Tigard ® � 1 2005 / 13125 SW Hell Blvd, Tigard, OR 97223 Phone: 503.639.4171 Fax: 503.598.1960 Other panic Inspection line: 503.639.4175 ' y Da te lbead/Bp at �� .. D ± .t I S Sac em ene 2 for Internet: www.eiiigard.or.us ,,���' yy�� N : Notilied/Method : Supplemental Iaronaaticn TYPL�OFORK PLAN REVIEW y J New construction ❑ Addition /alteration/replacement Please check all that apply: ❑service over 225 amps, eomm'1 OHatardou, location ❑ Demolition ❑ Other ❑ser over 320 amps - rating OBuildng over 10.000 so. ft.. CATECORY OF CONSTRUCTION 1 - and 2 dwelling of 1 -end 2 -family dwellings 4 or more new residential ly ing ® Co mmercial/industrial ❑ Accessory building Q Syatem over 600 volts nominal units in one attuopue ❑Building over three stories [Weeders, 400 amps or more ❑ Multi - family ❑ Master builder 0 Other JOB SIT]C INFORMATION AND LOCATION ❑Occupant load over 99 parsons ❑Msaufeotured ahuottaes or ❑Egtess/lighting plan RV perk Job no.: I Job site address: 93 8 �wi45ly;,f! 734 ❑Health care facilit [Other: S i Submit , j � sets of plans with any of the above. City /State/ZIP: if, r 7 bC �, gle /� 0 / g 7 Z 3 The above are not applicable to q L temporary construction service.. Suite/bldgJapt no.: '/PrWeetname: S / C Am FEE' MOOR= a• I Qb• 1 Pea i Tom � •• Cross street/directions to job site: New residential res td single- or multi-family dwelling unit, garage. 1,000 sq. ft. or less 145.15 4 Subdivision: J rot no.: Ea. WI 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: / Limited energy, residential 75.00 2 DESCRIPTION OF WORK limited energy, non - residential 75.00 2 S , Q / p Each manufactured or modular ,) /w5T CI /1 V Gl 9, Re. /� m dwelling, service and/or feeder 90.90 2 C� �Q /` A Services or feeders toatalalon, alteration, and/ar relocation 200 amps or less 80.30 2 ❑ PROPERTY OWNER 1 TENANT 201 amps to 400 amps 106.85 2 Nam e 7/ PAR 8 L C i st in ek 4. 401 amps t 1,0000emmps 160.60 .60 2 Address: ,,,2 7 / g /3 57 Fi 7 S � Over 1,000 amps or volts 454.65 2 City/State/ZIP: SA Z E in D g Reconnect only 66.85 2 J Temporary services or feeders Installation, alteration, and/or relocation Phone: (503 ) 3 99 -a. /0 fl j Fax: (cD3 ) 399 -a? f Os 2 less 66.85 I 1 Owner installation: T installation is being made on property that I own which is not 201 amps to 400 amps 2 e:, , rent, or exchange, according to ORS 447, 449, 670, and 701. 401 to 600 am Owner signature: amps 133.75 100.30 2 Date: Branch circuits — new, alteration, or extension, per panel 51 APPLICANT 1 ❑ CONTACT PERSON A Fee for branch circuits with Business name: Q d Q M /, �, n service or feeder fee, each /' L/7 7 ,9C .> J 24C . branch circuit 6.65 2 Contact name: h�k O � L) 0—, �j ©0 A/1445 H. Foe for breach circuits fv without service or feeder fee, 46.85 2 Address: W3 Y4 N C 9 L4 !/6 4 y5 9#107h} Each each chart branch circuit m ein rut 645 2 City/State/ZIP: f N k-7.- tJ 0 0 7�/ r �1 p _./ R. 9 p � 2 Woeoue (service or feeder not Included) ,, j ) c ase - // Fax : ( ) O �.x 07�� Pump p or lmgation circle 53.40 2 Phone: ( E Q /0.R.. / t •� - /P. A-C k S ign or outline lighting 53.40 2 v Co C ®/Nl a & s 7', NAT Signal circuit(s) or U limited. CONTRACTOR energy panel, alteration, or Business name: AA. /4R/)1 / ie / e,�' J L LC-- ext ensns i oa naxr ibe: page 2 z Address: L// 3 9 N , v /47-ga k. Y g f },v, *a7 Each addMortal Inspection over allowable In any of the above City/Statz/ZIP: p /� r1 /� n � Par inspection 62.50 ` 1 O /CTi� /7-NlJ D, 9 ?• / / Investigation per hour (I hr min) I 1 62.50 ( Phone: OW ) .2 88 — 7 746 I Fax: (j6D)39.2_— 076 / industrial plant per hour 73.75 CCB Lio �,s 3 3 I Electrical Lic. EA.. ELECTRICAL PERMIT FEES• •76 / o , eL� J Suprv. Lie.: oZ /SB subtot l ` J5, 00 tS uprv. Electrician signature, required: k 31 - Pl review (25% of V (2 permit fee) Print name: 14,,,a,� L, 1-. eoo INS Date: /0 7 -92005 State surcharge (s% of permit fee) �- Authorized signature: [ �1 e I 1 T b ' ( TOTAL PERMIT FEE �1�/ ' ` a'--- "`^KMI'M a1 d� V lids permit appUeaaon ends= Ira perott b not o wNAfn 180 //,4 0 c o � . 0. BQ.�70/t ' NS J Date: /b — 7 0 Q$ • Fee days after It ri- c m accepted an �p�pe ' ° NamberoFm� set by TriCoamy B,rildiag Industry Service ` Print name: .,,,, 12/03 44ar6trr(►matnooayw inspections per permit allowed. t7/I'd 096186SEOST :Ol T9L0268092 011 S) Odi•ll Well5113 : W0i'Id 20:80 £002 -L -100 CITY OF TIGARD • BUILDING DIVISION PERMIT #: ELR2005-00327 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/7/2005 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -41 5 ' I INSPECTION WORKSHEET FOR DAT :: 11/14/2005 TIME: 7:12AM PAGE: 69 SITE ADDRESS: 09384 SW WASHINGTO SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: THE SHUTTERBUG DESCRIPTION: Burglar Alarm. Added: Dat- ole. • • OWNER: - WASHINGTON SQUARE LLC, PHONE #: 503 -639 -6685 CONTRACTOR: ALARM TRACKS LLC PHONE #: 503- 490 -5138 Inspection Request Scheduled For: Date: 11/14/2005 Pour Time: Code # Inspection Description Confirm ° Contact # Message • : .• -.e 021126.01 603- 288 -7716 N 1 Q C l NAL ections /Comments /I - ructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G fa-' N 68 Date: � -1 2.1 ' or Phone #: (503) 718- /A b •