Permit rft i
ill II ' cm( OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: ELR2007 -00343
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/13/2007
PARCEL: 1512600 - 00300
SITE ADDRESS: 09524 SW WASHINGTON SQUARE RD H -8,9 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: RUEHL
Project Description: Installation of low voltage for alarm system.
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: " ALARM X
TOTAL # OF SYSTEMS: 1
Owner: Contractor: -
WASHINGTON SQUARE LLC AMERICAN VETERANS SECURITY LLC
BY THE MACERICH COMPANY • 4420 SW 110TH AVE
9585 SW WASHINGTON SQUARE RD • , BEAVERTON, OR .97005
TIGARD, OR 97223 ,
Phone: C ontact #: PRI 5 03- 808 -9010
FAX •503- 808 -9018
FEES Reg #: ELE • 34- 501CLE • - LIC 135086
Description ' Date Amount
[ELPRMT] ELR Permit - 9/13/2007 $75.00
[TAX] 8% State Surcha 9/13/2007 $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. Spec 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 , • is suspended for more than 180 days: ATTENTION: Oregon law requires you to follow rules adopted by the Oregon ,
Utility N • ' - cation Cen :. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001' -0100. You may obtain copies of these
rules • direct questions • • - 503.246.6699 or 1.800.332.2344.
Issu-d By:
l /' C3att0.441 , Permittee Signature: ....=„,...44,____
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 I . I I . (1 \ I.1
•
City of d Tigard Received Permit No.: , Q!,
1,1 g Dazes . g o7 ea 7-6t) sty
13125 SW Hall Blvd., Tigard, OR 97223 plan Review
II Phone: 503.639.4171 Fax: 503.598.1960 D : Other Permit.
- i - i ( it I, Inspection Line: 503.639.4175 Date Ready/By: BrIM ® See Page 2 for
• . Internet: www.tigard- or.gov Notified/Method. n Supplemental Information
-- TYPE OF -WORK PLAN REVIEW
®'Flew construction ❑ Addition/alteration/replacement Please check all that apply (submit 1 sets of plans w /items checked below)
Demolition 0 ❑ Service or feeder 400 amps or more ❑ Building over three stones.
❑ where the available fault current • ❑ Marinas and boatyards
.. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ 1- and 2- family dwelling QLommercial/industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. .
❑ A ddition of new motor load of ❑ " " " " " -2 " " -3
i / 100HP or more occupancy.
Job no.: /PJ,, �/. ! I Job site addressC 5 BA V�( h•
❑ Six or more residential units. ❑ Recreational vehicle parks.
City/State /ZIP. , ' Die, OU, T r a_ C17 ❑ Health -care facilities. ❑ Supply voltage for more than
1 / ❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project n'ante: ( A� I , S ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description I Qty. I Fee, I Total I •
New residential single- or multi- family dwelling unit.
' Includes attached garage. .
Subdivision: I Lot no.: 1,000 sq. ft. or less 145.15 4 .
Ea. Tax map /parcel no.: - � en� energy, residential
33.40 I
ft. or ti
e rgy, tial 75.00 2
• DESCRIPTION OF WORK - (with above sq. ft.)
Limited energy, multifamily 75.00 2
residential (with above sq. ft.)
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
❑ PR OPERTY OWNER I ❑ TENANT 201 amps to 400 amps . 106.85 2
Name:
401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
City / State/ZIP: Temporary services or feeders installation, alteration, and/or
relocation
• Phone: ( ) I Fax: ( • ) 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 599 amps 133.75 2,
Owner signature: Date: Branch circuits — new, alteration, or extension, per panel
A. Fee for branch circuits with
-- _ ❑ = APPLICANT,: .• - ❑ CONTACT PERSON - above service or feeder fee,' .
• each branch circuit 6.65 2
Business name: B. Fee for branch circuits
without service or feeder fee, 46.85 2
Contact name: first branch circuit
Address: . Each add'l branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City/State/ZIP: Each manufactured or modular 9090 2
dwelling, service and/or feeder
Phone: ( ) I Fax: : ( ) Reconnect only 66.85 2
E -mail: • Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 53.40 2
' Signal circuit(s) or limited -
Business name �R �mQ,), � a n \l. . u r(tA I energy panel, alteration, or
Address ( c , , \b P- . - extension. Describe: - 15 Page 2 � 2
City/State /ZIP: 6 p/1up�-� ne at icos Each additional al inspection over allowable in any of the above
CJ"V' Per inspection 62.50
Phone:S ) ,),. - ." Fax: S' - 1 - 9c)13 Investigation per hour (l hr min) 62.50
CCB Lic.: { ,..i.:Lo Electric, nr.r !fi�. _ ic: c.' ii AP , Lic.: '7 - 7( f \ Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, requir. I� /' � � � / Subtotal: 75
Print name ► , ate. k2-0, � Plan review (25% of permit fee):
� V 0 - State surcharge (8% of permit fee):
Authorized signature: • ' - i TOTAL PERMIT FEE: R1 _
This permit application expires if a permit is not obtained within 180
Print name: 1 • ( C()'- ¶ i 1 ( f a DaOC - t 2`0 days after it has been accepted as complete. \..) • Number of inspections allowed per permit.
I:\auilding\Pennir u:LC- PermitApp doe 05)23/06 440- 4615T( I I/OS /COM/WEB
•
CITY OF TIGARD ' �,.
BUILDING DIVISION PERMIT #: ELR2007 -00343
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/13/2007
Phone: (503) 639 -4171 :r lit
Inspection Requests (24 Hrs.): (503) 639 -4175 �+�- I �.. •
•
INSPECTION WORKSHEET FOR DATE: 11/26/2007 TIME: 7:00AM PAGE: 20
SITE ADDRESS: 09624 SW WASHINGTON SQUARE RD H -8,9 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE ' LOT #: TYPE OF USE: 1
. PROJECT NAME: RUEHL
DESCRIPTION: Installation of low voltage for alarm system.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: AMERICAN VETERANS SECURITY LLC PHONE #: 503-80B-9010
•
Inspection Request Scheduled For: Date: 11/26/2007 Pour Time:
Code # Inspection Description - ( Confirm # Contact # *
199 Electrical final 060210-01 • 6- 548 -2885 Y
Corrections /Comments /Instructions: �
��
•
1
G‘ ' , .
PASS ❑ PARTIAL APPROVAL ❑ CANCEL , • ❑ NO ACCESS
-- - FAT ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ,
Inspector: G . I L Date: 11 I Vn Phone #: (503) 718- Witp
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2007- 04343
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/13/2007
Phone: (503) 639 -4171 �i�l � • Inspection Requests (24 Hrs.): (503) 639 -4175 :_..
INSPECTION WORKSHEET FOR DATE: 11/16/2007 TIME: 7 :41Am PAGE: 70
SITE ADDRESS: 09524 SW WASHINGTON SQUARE RD H -8,9 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: RUEHL
DESCRIPTION: Installation of low voltage for alarm system.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: AMERICAN VETERANS SECURITY LLC PHONE #: 503-808-9010
. ' Inspection Request Scheduled For: Date: 11/16/2007 Pour Time: '
Code .# Inspection Description Confirm # Contact # Message
199 Electrical final 05976403 640 - 648 -2885 N
•
Corrections /Comments /Instructions:
• •
•
•
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
y k . FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL' FEES ASSESSED
Inspector: a QV (2 `.G Date: 1 I(I12 I81 Phone #: (503) 718- 2.44
CITY OF TIGARD
BUILDING DIVISION a, - PERMIT #: ELR2007 -00343
- 13125 SW Hall Blvd., Tigard, OR 97223 , DATE ISSUED: 9/13/2007
Phone: (503) 639 -4171 • •
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: ' 9/14/2007 TIME: 7:00AM PAGE: 34
•
SITE ADDRESS: 09524 SW WASHINGTON SQUARE RD H -8,9 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: RUEHL
DESCRIPTION: Installation 'of low voltage for alarm system. , ' '
•
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: AMERICAN VETERANS SECURITY LLC PHONE #: 503 -808 -9010
Inspection Request Scheduled For:, • Date: 9/14/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 055719.01 =-:, 503-808 -9010 Y
•
Corrections /Comments/ Instructions:
•
•
•
•
PASS ' ' ❑ PARTIAL APPROVAL ❑ CANCEL ❑' NO ACCESS
❑ FAIL , ❑ CALL FOR INSPECTION ❑ 'ADDITIONAL FEES ASSESSED- , ,
Inspector: CI"'""i . l'At?)1_6 - Date: C 1 09 Phone #: (503) 718 - Intik)