Permit CITY OF TIGARD
ELECTRICAL RESTRICTED ENERGY PERMIT
DEVELOPMENT SERVICES PERMIT #: ELR2006 - 00193
" '�J 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 8/18/2006
PARCEL: 1S12600-00300
SITE ADDRESS: 09432 SW WASHINGTON SQUARE RD K -2 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: Replace burglar alarm control.
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: PROTECTIVE SIGNAL: X
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
WASHINGTON SQUARE LLC ADT SECURITY SERVICES, INC
BY THE MACERICH COMPANY 2815 SW 153RD DR
9585 SW WASHINGTON SQUARE RD BEAVERTON, OR 97006
TIGARD, OR 97223
Phone: Contact #: PRI 503 - 469 -7100
FAX 503- 469 -7110
FEES Reg #: ELE 26- 209CLE
LIC 59944
•
Description Date Amount
[ELPRMT] ELR Permit 8/18/2006 $75.00
[TAX] 8% State Surcha 8/18/2006 $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 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: 3 p .Q .,
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.
Aug 1V6 09:09a Stephanie Pate 503469 p.1
aEIec!rical Permit Application FOR OFFICE USE ONLY ` `
City of Tigard RECEIV RgnaccclI ;y: lJ n
civcd� _ 1 1 _ `1 P N .... �'� /
13125 SW Hall Blvd.. Tigard. OR 97223 Pan Review
Phone: 503.639.41 71 Fax; 503.598.1 AUG 1 8 '' : ; t:0 i (' Durof ly: Other Permit
lnspection Line: 503..539.4175 ^ � ! , Date Ready/By: 1dis /. 6i Sec Page 2 for
Internet: vvw��.c.i.tigard.nr.ut CITY OF TIGARD Notificd.Mcthad ' ) 1 r I supplemental Information
. TypE ah1 DIVISION • � .. I'LAN VIF9V •
❑ Ncw construction Atldition /altcrationireplacement Please check all cute( apply;
[] Demolition ❑S cry iccovc:r amps, comm 'I ❑Ha:tardous location
❑ Other: ❑Service over 320 amps - rating ❑Buildng over 10,000 sq. 1k.,
• . .•CATEGORY OF CO1YST,RUCTION. . '- .' t - of I- and 2- family dwellings 4 or more new residential
El t- and 2- family dwelling, ® Commercial/industrial ❑ AeCessory building ' E]Systcm over 600 volts nominal units in one structure.
El Multi-family 1:1 Mastcr buildet ❑ Othor °Building OVLS threestories ❑Feeders. 400 amps or more
—• ❑Ot super( loa over 991 >ersons ❑Matnut Manufactured structures or
. JOB .srt INFO'RN,IATloy AND LOCA'T'ION ; . . , • . ❑E.grtas/lightutg plan RV park
o ., D 2 Job site address: _�
Job n ❑Health -can; facility ❑ Other:
9� � 2 sets of plane with any of the above.
City /State /ZIP / C��1 , ; 9'.2 .2_ The above are not applicable to temporary cunstruct service.
Suite/bldg. /apt. no.: Project name: pj �� - FEE• SCItpIJC�I
• I Descrtpl;dn Qty, . Fc� Tulal "
Cross BuCct/directions to joh site; New residential single- or muttl- family dwelling unit.
---- - Includes attached garage.
— - 1,000 sq. ft. or less 145,15 4
Subdivision: Lot no,: La. add'I 500 sq, 1t. orportion 33.40 1
Limited energy. residential 75.00 2
Tax map/parcel no.; Limited enemy, non•residtattial 75.0() 2
DCSCR(P I'LQN bR' W'Qiut: Rath manufacturod ur modular '
Ai ��/ j � / dwollinsrn tcc and/or feeder 90.0 2
, -- /t< / , Services or feeders installation. alteration, anchor relocation
///���� 200 :imps or less - 80,30 I
J l._
[] PROPERTY OVYNI<R ]"I 201 amps to 400 amps - -� ;00.85
- .- _401 amps to 600 amps 160.60 1 2
Name: 601 amps to 1,000 amps, T — 240.60 2
Address: Over 1,000 amps or volt -1 454.65 2-
-- ° ^- Reconnect only 66.145 2
City /State/ZIP: Temporary services or feeders installation, alteration, and/or
Phone: ( ) ' Fax: ( ) — relocation _
-
200 amps or less 66.15 I
Owner installation: This installation is being made on property that I own which is not 201 amps to 4(X) amps �� 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 4111 amps to 600 amps - 133.75 2
Owner signature: - Date: Branch circuits - new, alterat or c.rtunsion, per panel
. 0 _Al'I't,K ,+ANT • _. ,. I c ;; NTACT N:r2SON I A. hoc for branch circuits with � � "..
service or reader fee, etch 6.65 2
Business name: branch circuit --
B, Fee 10r branch cin:uits
Contact name: c{ ‘ wi!hvtrr service or feeder fee,
—•4 lint branch circuit 46.35 2
Address: . .
Cacti add'I branch circuit I 6.65 2
City/Stater Miscellaneous (service or feeder not included) -
Phone: (5?) }) 49_ 7//a' Fax: ; ( ) Pump or irrigation circle �- 53.40
Sigh or outline lighting
I 53.40
E Signal circuit(s) or limited ~"
' "' CONTRACTOR • ' - ° cnergy panel, alteration, or QO
"' c ttm,aion. Describe; f Page 2 15 2
Business name: ADT Security Services
Address 2815 S SW 153 Ur. "
Each additional inspection over allowable in any of the above
--- - , Per inspection 62.50
City /Scuts /ZIP: Beaverton OR 97006 f Investigation per hour (1 h r mini 62.50
Industrial hint 2 hour 73.75
Phone; (503) 469 -7100 Fax: (503) 469 -711x1 .___�
--- - ELECTRICAL PI,RVtrr F}:FS.
CCl3 Lie.: 59944 Electrical Lie.: 26- 209C :LE Suprv. Lie.: LEA389 Subtutat o `
- X Suprv'. Electrician x ignature. requi cd: j�� /�/f � � " .--
/--7, (25i6 of permit fee) )
i � ,^ State surcharge (8% orpca-mit fee) 6. et
Print name: r/ r LS Date: r w.. r
TOTAL PERNI1T FEE g,/, D c
Authorized signature : s/
�� ,./C;t.4/44/ 'Ptah permit appliwt' tcplres Ira permit La [IUL ObtafnelJ Within ISO
/ daps niter it ls i been ammo as coraptete
Print name. �(� id / ' p4 Date: j • )'cr uxtlwda ;u>;y a•et by Tn- County Building lnthutty Seivatt hoard
"" .• Number of irrvpcct iota Fur p meowed.
i.+nuilduip.4ermi[aV..t.C: t','..niIA7lRlkc I :A),t 44( 161ST ;c'S'o2.'cOM.'wliIi
ed.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR200G-00193
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/18/2006 •
Phone: (503) 639 -4171 bz�jll+�
Inspection Requests (24 Hrs.): (503) 639 -4175 :
INSPECTION WORKSHEET FOR DATE: 8/23/2006 TIME: 7:03AM PAGE: 50
SITE ADDRESS: 09.432 SW WASHINGTON SQUARE RD K - 2 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE, LOT #: TYPE OF USE:
PROJECT NAME: SPRINT
DESCRIPTION: Replace burglar alarm control.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: ADT SECURITY SERVICES, INC PHONE #: 503. 463 -7100
Inspecti.. _ • - cheduled For: Date: 8/23/2006 Pour Time:
Code # Inspection Desc . ion Confirm # Contact # Message
135 Low voltage 035420 -01 503 -849 8706 N
Corre '•ns /Comme - - . - s:
4'ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: �
NS 60 t D ate: v * Z'3 -D1p Phone #: (503) 718- 2-44