Permit •
C ITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
$1 I
11 DEVELOPMENT SERVICES PERMIT #: ELR2006 -00224
-- 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 9/18/2006
PARCEL: 1S12600-00300
SITE ADDRESS: 09500 SW WASHINGTON SQUARE RD JCPEN ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: CCTV. Job #SVC06 14335.
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:
INSTRUMENTATION: OTHER: CCTV X
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
WASHINGTON SQUARE LLC RITE WAY ELECTRIC
BY THE MACERICH COMPANY 2904 THREE LAKES RD. SE
9585 SW WASHINGTON SQUARE RD ALBANY, OR 97321
TIGARD, OR 97223
Phone: Contact #: PR[ 541- 926 -0504
FAX 541- 926 -2656
FEES Reg #: ELE 22 -77C
LIC 40077
Description Date Amount SUP 3249S
[ELPRMT] ELR Permit 9/18/2006 $75.00
[TAX] 8% State Surcha 9/18/2006 $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: _1 Permittee Signature: _ S -Q RIA?
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.
,ZeP 15. 2006 3:52PM No.4406 P. 1/1
Electrical Permit Application FOR OFh10E USE ONLY
4 1 ' , _ ]received � Electrical ./..., _
' Date/B :7 �5 ■ +' `- Permit No.;l P t !/,, ; c
City of Tigard Planning Approval Sign
S EP 1 2006 Plan Review Other
Tigard, Oregon 97223 Date/By: Permit No,: ,
Phont: 503- 639 -4171 Taxi §03598 -19 "' ; Post-Review ]arid Use
'.1
, ,� " x:, l .'1: 1 . Date/By: .. Case No.:
Internet: www,ti.tigartlfl -.31s TNT f- - V77 T Tp:_ . ,0 1 1,, ;. 1 � Contact Jurist El See Page 2 for
24 -hour Inspection Request: 503-639-4175 - Name/Method: Su , lemental Information.
'' TYPE OE•WORK :,.:\:.!",;• - 1 ..!.:(,..i.,',.:: . t'LAi VIzw (Please eliide.alithata
li
New construction Demolition ❑ Service over 225 amps. ❑ Health -care facility
Addition/alteration/replacement Other: co"°rteicial ❑ Hazardous location
'' ❑ Service over 320 amps -rating of ❑ Building over 10,000 square feet,
. :
CATEGORY ;OF•(XNSTRI TION ,. ',' .. , 1 & 2 family dwellings four or more residential units in
❑ 1 & 2 -Family dwelling R Commercial/Industrial ❑ System over 600 volts nominal one structure
❑ Building over three stories ❑ Feeders, 400 amps or more
n Accessory Building Multi- Family ❑ Occupant load over 99 persons ❑ Manufactured structures or ftV park
❑ Master Builder [Other: ❑ Egress/lighting plan 0 Other:
. 'J'OB iTE II0OR L TCiN'•aad'LOCATUON; • , Submit sets of plans with any of the above.
S � b s L �. r,t �� t ,� s $ • QcQ The above are not applicable to te mporar y constr uction service.
Job site address: , . ,
.: }',. FEE: SC D7��.'... 5,. � :..' ':::, .
Suite #: Bldg. /AAt. #: _j Number of inspections per permit allowed
Project Name: Description Qty Fee (ea.) Total
Cross street/Directions to job site: New residential -single or multi-family per
dwelling unit Includes attached garage.
._) „ C . Service included:
1000N. it or lets 145.15 4
Each additional 500 sq. ft or portion thereof 33.40 1
Subdivision: it O\ _ j , � Q v I Lot fit: - Limited energy, residential 7s.oa 2 • Limited energy, non residential 75.00 2
Tax map /parcel #: Each manufactured home or modular dwelling • . :, • 'DESCRIIP'lt1Oril Or WOiIC' t ; service and/or feeder 90.90 2
� (� � Services or feeders • Installation,
9 0 i �` \(�L,12_ -- 4..A Qr alteration Or relocation:
0 T V 200 amps or less _ 80.30 2
201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
❑`.PR(i,PERIXON NL • ,;:,.:'',, 15[2,7f1.100.2..: " :,,, : °:,, ' . !i 601 amps to 1000 amps 240.60 2 •
Name: 0 AN- Over 1000 amps or volts 454.65 2
Reconnect only 66.85 ' 2
Address: Temporary services or feeders - installation,
alteration, or relocation:
City /State/Zip: 200 amps or less 66.85 1
Phone: Fax: 201 amps to 400 amps 100.30 2
Ii p1f.YCANT 401 to 600 amps 133.75 2
APPLICANT 'AC P8RS011f" :, Branch dreuita - new, alteration, or
Name: N/A- extension per panel:
Address: A. Fee for branch circuits with purchase of
service or feeder fee, each branch circuit 6.65 2
City /State /Zip: B. Fee for branch circuits without purchase of
service or feeder fee, first branch circuit 46.85 2
Phone: [Fax: Each additional branch circuit 6.65 2
E - mail: Misc.(Service or feeder not included)-
7775 • ';i ;.. ,,C'' r (fig , ' ^,;w • , .. ''� Each Lump or irrigation circle 53.40 _ 2
fob No: . Each sign or outline lighting 63.40 _ 2
V [ a 1 - 1 "- 3?, 5 Signal circuit(s) or a limited energy panel,
t ` , '� le c.. .. Description:
orcxter4Sio Page 2 2
Business Name:
R �' w�' D escr i ptin:
Address: 0 D'-l. Tl.tre,.� i- o -k.szD RdL sc. �� V Ir / c o
City /State /Zip: P 1 14.--,, 0 R Each additional p inspection over the allowable in an of the above:
p J _ Per itts�eCtion per r hour our (min. 1 hour) 1 62.50 1 III
i
Phone :(.may 1) q a...L p$ G y ax: q a � 6 SE, (5 1) lnveeapation fee:
CCB Lie. #: 4 0 7 `7 Lie. #: o �-a - � 7 Del ''
Supervising electrician
1;'leiici�l9Pei-itiiert •, °� r:.:'..'•.
Subtotal $ S, OO
signature required: Plan Review (25% of Permit Fee) $ - —
Print Name: I~me1- --,ts,•.SYw,Kn i Sir Lic. #1+: 32 I-{ q s , „ State Surcharge (8% of Permit Fee) $ in 00
TOTAL PERMIT FEE $ S l . 08,
Authorized Notice- This permit application expires if a permit is not obtained within
Signature: Date' _ I80 days after It has been accepted as complete.
*Pee methodology set by Tri- County Building Industry Service Board.
(Please print name)
i :\Dsts\Permit Fomis\ElcPermitApp.doc 01/03
CITY OF TIGARD ,.
BUILDING DIVISION PERMIT #: ELR2006-00224
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9f18/2006
Phone: (503) 639 -4171 AA,
y
Inspection Requests (24 Hrs.): (503) 639 -4175 ^'I�I
INSPECTION WORKSHEET FOR DATE: 10/13/2006 TIME: 7:00AM PAGE: 16 •
SITE ADDRESS: 09500 SW WASHINGTON SQUARE RD JCPEN CLASS OF WORK: •
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: JC PENNEY
DESCRIPTION: CCTV. Job #SVC06- 14336.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: RITE WAY ELECTRIC GS @ e PHONE #: 541-926-0504
Inspection Request Scheduled For: Date: 10/13/2006 Pour Time:
Code # ° -.= - - . - - I cription Confirm # Contact # Message
199 Electrical final 038177-01 041- 740 -7455 Y
Corrections /Comments /Instructions: ' �� , �
51 Lib - 1466-- i j' R✓11
PASS 111 PARTIAL APPROVAL ❑ CANCEL • ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 4 N VSO Date: 1 43 a6 Phone #: (503) 718 -11
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR200€ 00224
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/16/2005
Phone: (503) 639 -4171 rt5
Inspection Requests (24 Hrs.): (503) 639 -4175 . ' °'' I�
INSPECTION WORKSHEET FOR DATE: 1 0/2.2006 TIME: 7:03AM PAGE: 65
SITE ADDRESS: 09600 SW WASHINGTON SQUARE RD JCPEN CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: JC PENNEY
DESCRIPTION: CCTV. Job #SVC06- 14335.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: RITE WAY ELECTRIC PHONE #: 541 - 926.0504
Inspection Request Scheduled For: Date: /0/2/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 037458 -01 541 - 926-0504 N
Corrections /Comments/ Instructions:
•
❑ PASS ❑ PARTIAL APPROVAL \.� �`,� •` ► ❑ NO ACCESS
FAIL � � CALL FOR INSPECTION V AD a I NAL FEES ASSESSED
Inspector: &--' N 66 Date: 104-40 Phone #: (503) 718-1 q
r'.