Permit 4 5105- — 12. c4 , - ,,,d -- _,J 17) ,..0,0 %)&c:c4,0,46,„ (z4,
Y OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
. 411111‘011r PERMIT #: ELR2005 -00296
DEVELOPMENT SERVICES DATE ISSUED: 10/5/2005
-.. 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1512600 -00300
SITE ADDRESS: 09396 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: Fire alarm low volt. 10/5/05, adding voice /data. Job No. 53119
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: X OUTDOOR LANDSC LITE:
OTHER: : HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER: :
TOTAL # OF SYSTEMS: 2
Owner: Contractor:
WASHINGTON SQUARE LLC OREGON ELECTRIC CONST /GROUP
BY THE MACERICH COMPANY 1010 SE 11TH AVE
9585 SW WASHINGTON SQUARE RD PORTLAND, OR 97214
TIGARD, OR 97223
Phone: 503- 639 -8860 Phone: 503- 234 -9900
Reg #: LIC 203
SUP 4460S
FEES ELE 26 -95C
Description Date Amount REQUIRED ITEMS AND REPORTS
[ELPRMT] ELR Permit 9/21/2005 $75.00
[TAX] 8% State Surchart 9/21/2005 $6.00
[ELPRMT] ELR Permit 10/5/2005' $75.00
[TAX] 8% State Surchart 10/5/2005 $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 fo rul- - .dopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010
throw OAR 9_524'0 -, 1 I You may () copies of these rules or dir • uestions to OUN . at503- 246 -6699.
Issue B y: ■ _ ' . 1 AA A___4 , _ Permittee Sign Illik. • _�,,A1 /
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 Application FOR OFFICE USE ONLY
City of Tig rd Date/B : i' �'� boo / J
13125 SW Fall B vd., Tigard, OR 97223 Plan Rev w
Phone: 503.639.4171 Fax: 503.598.1960 �� = �•I�i'� Date/B - Other Permit:
Inspection mane: 503.639.4175 ■ o, „ Date Ready /By lures' ® See Page 2 for
Intzinet: www.ci.tigard.or.us ?11105 Notified/Method: Supplemental Information
TYPE O FD i F€ R RK + pp PLAN REVIEW
11 New construction Z Addition/, laYii eAllgtiitgN Please check all that apply:
El Demolition ['Other: gILDING ®i1 ['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 dwellin
y g ®Commercial/industrial ['Accessory building ❑System over 600 volts nominal units in one structure
❑Buildin over three stories ❑Feeders, 400 amps or more
El Multi family ❑ Master builder 1=I Other:
❑Occupant load over 99 persons ['Manufactured structures or
JOB SITE INFORMATION AND LOCATION ❑Egress/lighting plan RV park
Job no.: 13289 Job site address: 9585 SW Washington Square Rd
❑Health -care facility ❑Other:
Submit 2 sets of plans with any of the above.
City /State/ZIP: Tigard, OR 97223 The above are not applicable to temporary construction service.
Suite/bldg. /apt. no.: R11 Project name: Gigi Salon & Spa FEE* SCHEDULE
Description I Qty. I Fee. I Total
Cross street/directions to job site: 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
Tax map /parcel no.: Limited energy, residential 75.00 2
Limited energy, non - residential 75.00 2
DESCRIPTION OF WORK Each manufactured or modular
Install low voltage wiring and cabling for Fire Alarm dwelling, service and/or feeder 90.90 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
0 PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 106 -85 2
401 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 /State/ZIP: Tigard, OR 97223 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
0 APPLICANT I ❑ CONTACT PERSON A. Fee for branch circuits with
service or feeder fee, each 6.65 2
Business name: Oregon Electric Group, Inc. branch circuit
B. Fee for branch circuits
Contact name: Loni Martin without service or feeder fee, 46 85 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)
Pump or irrigation circle 53 40 2
Phone: (503) 234 - 9900 Fax: : (503) 535 - 2620
Sign or outline lighting 53 40 2
E -mail: lone @oregon electric.com Signal circuit(s) or limited -
CONTRACTOR energy panel, alteration, or a
extension. Describe: ! Page 2 J 2
Business name: Oregon Electric Group, Inc.
Address: 1010 SE 11 Ave Each additional inspection over allowable in any of the above
Per inspection 62.50
City / State/ZIP: Portland, OR 97223 Investigation per hour (1 hr min) 62.50
Phone: (503) 234 - 9900 Fax: (503) 535 - 2620 Industrial plant per hour 73.75
�`7/ ELECTRICAL PERMIT FEES*
CCB Lic.: 203 Electncal Zt�
Suprv. Lie.: iS Subtotal -7s
Suprv. Electrician signature, required Plan review (25% of permit fee)
es D
Print name: GUI., SN Date: 9/15/05 State surcharge (8% of permit fee)
ei
TOTAL PERMIT FEE D O -----
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete
Print name: Date: 9/15/05 * Fee methodology set by To- County Building Industry Service Board
:• Number of inspections per permit allowed.
t\Buildmg\Permns\ELC- PermiiApp doc 12/03 440- 4615T(10/02 /CO.M/WEB
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR200S -00296
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/5/2005
Phone: (503) 639 -4171 l t i
^
Inspection Requests (24 Hrs.): (503) 639 -4175 - _ ...
INSPECTION WORKSHEET FOR DATE: 11/14/2005 TIME: 7:12AM PAGE: 120
SITE ADDRESS: 09396 SW WASHINGTON S+' UARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: GIGI SPA
DESCRIPTION: Fire alarm low volt. 10/5/05, addi • voice/data. Job No. 53119
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503 - 639 -8860
CONTRACTOR: OREGON ELECTRIC CONST/GROU' PHONE #: 503 - 2349900
Inspection Request Scheduled For: Date: 1/14/2005 Pour Time:
Code # Ins ection Description Confirm # Contact # Message
199 Electrical fine 021089-01 503- 793 -7177 N
Correc i nstructi .
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ENO■ N 1� tcpw 4- sztL Fi (L
A . PASS ❑ PARTIAL APPROVAL _ ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: t Qe w Date: � ' 1 °6 Phone #: (503) 718- ZLitiV
a.
CITY OF TIGARD r
BUILDING DIVISION PERMIT #: ELR2005.00296
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/5/2005
Phone: (503) 639 -4171 Wr °__ ,
Inspection Requests (24 Hrs.): (503) 639 -4175 ..
INSPECTION WORKSHEET FOR DATE: 10/10/201 TIME: 7:04AM PAGE: 107
SITE ADDRESS: 09396 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: GIGI SPA
. DESCRIPTION: Fire alarm low volt. 10/5/05, adding voice/data. Job No. 53119
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503-639-8860
CONTRACTOR: OREGON ELECTRIC CONST /GROUP PHONE #: 503- 234 -9900
Inspection Request Scheduled For: Date: 10/10/2005 • Pour Time:
Code # Inspection Description Confirm # Contact # Message
• 135 Low voltage 017638 -01 503969 -3283 N
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Corrections /Comments / Instructions:
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ' ❑ ADDITIONAL FEES ASSESSED
Inspector: Uv Date: VI Phone #: (503) 718 - 144-