Permit CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2007 - 00029
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/2/2007
PARCEL: 1S12600-00300
SITE ADDRESS: 09500 SW WASHINGTON SQUARE RD JCPEN ZONING: C - G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: Fire Alarm/ Smoke - Heat Dist. Job #15320 - 4.
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: X OUTDOOR LANDSC LITE:
OTHER: • HVAC: PROTECTIVE SIGNAL:
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
[TAX] 8% State Surcha 2/2/2007 $6.00
[ELPRMT] ELR Permit 2/2/2007 $75.00 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 or 1.800.332.2344. Cr Issued By: ' Permittee Signature: (c`p 1,
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.
Feb 02 07 09:43a Stephanie Pate 503469 p.1
I .
Eit,..tr i c a 1 Permit AppJication FOR oFFICF. USE ON
ReteivGd ey
7 - 7) '
_, Pct
13125 SW 11.■11 J3lvd . Titzirti. OR 9722 - ---..r fcq ,, r\----).-/
ph 503 639,4171 1' aN. Oateilte: Other vtima
inspection Line 503.639 4 /75 ,-, ,,,o .. 1)alc ittAptiy I 14 Sr Page 2 for
Internet vetvw,ci,ligard.or as -,` 1. " Nanfic4,411ethod. — Simptemental Information
. ,
tYPE ov -ykTirtg'..2c-' , PLAN' REVIEW
O New construction 0 Nik.ittru(kotteriaton;repiaccment Please cheek all that apply,
V, - 0Saviee twin 225 amps, conuril ID I-la:random location
1 Demorinon 0 Pillgr Once over 320 amps - rating Clioildng over 10,000 sq. ft.
C.ATKOORY OF C()NSTRIXTION ". - ' .. - • ' . ' : of l • And 2.-lamily dnellings 4 or more new resicleot Lai
pSystimi over 6e0 votts nominal units in one StrUcture
0 I - and 2-Imiiily dwelling 0 Commerchtlinidustrial 0 Accessory building
013101dint:, ova three :sturik. OPeedera, 400 amps or more
O Multi 0 Mahtcr builrirr 0 Other: Cia:cupanr load over 49 pewits 0 Manufactttred structuro or
—
J01.1 SITE 1NFORMekilON ANtt•. LOCATION . , 0 Etgrcs...Aightinc, plan ItV park
' °Other:
1:11-Icalth-care s fac ility ___
l'SI) no /5"3 20 - Holt sae address: 9.5 ..56) avi_51/ sy /6/ Submit 2 ett, of phlox with any of the above.
Ci ty/S la 1 -':!Zi P : -7 , — ?, 1 OA '72 • 3 nu: a b o v c ;a,: tiOt applicabic le temporary consrruction raxvit.e
— ----
. — ---- ''. :.' TEE* SCHEDULE .
SuiteibIde„inpl. no T
' 2 roj n
eci mue'. j ,-,.._ , ,,-;',..,,,,,,„0 71 ,
1 /
.; ni.oriplioil I Qty. I key. Tuba 1 4 •
Cress street/directions to JCub sitc I New resitlential;rngle- or multi-family 01VOling Unit.
Includes attached garege.
1,000 A; It. °I ley,
143.15 : 4
Subchotion, Lot no Lia add' I 50!) Ai 0. or pornon 33.40 I. I
Lans(C1/41 energy. residential 75 00 . 2
'lax map-iparcel nu.' — —
1 Litn4cd energy a on-residential I 75 00 ' 2
DIESCRI'r lI 0 ■I (JP WORK:. . , '. '' E,,,(3) n tat OT mudular
_.k---71162 — divellinE, service antlitu fccdcr
Soviet% or feeders installation, alteration, andior relocation
.•
I 206 amps or les7" 1 2
1 ..
. . 201 am ps to 400 amps ! 106,115 . 1
C.] PROPERTY '0%1/N1;ft . ' 1..' .. ' III 'TEN4.NT., ' '
, : 401 amp: to 600 maps 10 160 60 • . 2
Natne . ' tOt amps to I Mtn ginps 1 740 60 2
Address. ....
over 1.000 mripb vu volts 454 65 -
— Reconnect only : at, h5 2
State/LIP. . Temporary services oi: feeder( 'nstallution. iilluition,
..—..
ei-locataon
Phone: ( ) 1 1 k ) -
200 amps or less
66.85 I
-- , _
Owner Installation: TN:. inAnllation is being made on property that I own which is not 201 amps to 400 amps 100 7.0
_,.
intended fore, leasc, rent, or exchange, according to ORS 447, 44 9, 670, and 701. —
:imps to 600 amps 133 75 2
-.,
Owner signetute: , Date: Brandi circuits - new, alteration„ or ehtenslon, per panel
• . 0 APPLICANT CO r l' NCI ' PETtON . ii for branch circuit:: WThr
— ,- •-•-• . KrSiee or feeder fee, each
f),65 2
Liu!, inesx name branch cilenit
U. Vet for branch circuits
CoritaCi naille. 7e4..,./„...„1_7±;0a1"..../3 without' scrvice or feeclei fee,
a
46 85
"
' first branch circuit AdcireSs' -
: latch i I branch maw. ..
( '
- --- _.
__.
City/State/ZIP. I Miscellaneous (service Or fvedet )101 ii eluded)
— - I Pump or irro circle 53,40
a ,
Phone' (23 ) i6 7..- 7/zio Fii,... : ( ) i- _.... ..
,
Sign al lighting 53 40
-- -- —...._ .. —
E-mail: Signal e m
ircuitis) nr liited- I
_ — CO
(N5NTRAC1O1t ' .- 1 ., . criergy panel, alleta:ion, or / 1
exteniann Desclibe: Pme,
. 2 2
Business name' ADT Stvurity Services .
—
Address 2815 SW I53' Dr. . --
Each additional inspectlo u over allow Ile in an Ab
y of the ove
__
ikl 441 1 62.50 • I
City/State/ZIP: Beaverton OR 97006 Investipation per hear (I ha- ruin) I 52 — .50 _
lralumrial plant per hour
,. l 73.75
Phone: (503) 469-7100 I - Pax: (503)469-7114
— - ' 11.ECTRICAL PERMIT FEES* .
CC:13 Lic.: 59944 Electrical Lie.: 26-2U9CLE 1 Suprv, Le.. LEA3S9 subtuta; '75" 0 -="
... ..._._
Suprv. I:lee:tritium signature. required • 4. -",„•,:z.,...,,...., Plan review (25% of perunt fee)
Ntaic surcharge OM, of permit fee) 6, 4
Print name' 4 .e.,/,. e , r I Date: „2 ,7 A o
ToTAI. irrcitnsiT
_
Authoriv.ed sigittillIre•ff Q141,/ '(M permit anplleailno expires If it permit ii, utrt obtained within IV)
-, - dap, after it (a a. brill eteCtOted as complete
Pratt nciltit.l' A,./ ,e/1/ af Datc: • • t-ro taccicamintly t.cr ts 't n-C QuIll? nui;diag tibia:or! Serviee iln.,,R1 -- ' • •• Mili.b.vr ol 1 e.itaCnO111.. ;1..7 Nn7111 tirow211
I r 1.,,nnfv. O.., r.'1 .,..„,,,,,,,,.,......,,„...,.....,.
CITY OF TIGARD •
BUILDING DIVISION
A PERMIT #: ELR2007-00029
D ATE 13125 SW Hall Blvd., Tigard, OR 97223 E ISSUED: 212/2007
Phone:. (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 ' ---
INSPECTION WORKSHEET FOR DATE: 2J 1412007 TIME: 7:01AM PAGE: 21
SITE ADDRESS: 09500 SW WASHINGTON SQUARE RD JCPEN CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: . TYPE OF USE:
PROJECT NAME: JC PENNEY"
DESCRIPTION: Fire Alarm/ Smoke-Heat Dist. Job #15320-4.
OWNER: WASHINGTON SQUARE LLC, PHONE #: s,
CONTRACTOR: APT SECURITY SERVICES, INC PHONE #: 503
Inspection Request Scheduled For: Date: 2114/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message,
199 Electrical final 043384-01 503-849-5566
Corrections/Comments/Instructions:
1■01VY\...
•
•
FA PASS LII PARTIAL APPROVAL .1] CANCEL El NO ACCESS
fl FAIL pi CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector:. i\)013 Date:2-7J LI -01 Phone #: (503) 718- 2,4
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