The URL can be used to link to this page

Permit '1j - -e.\pc\ -\'�� CIT OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT 4.40k DEVELOPMENT SERVICES PERMIT #: ELR2005 - 00350 A. .4 I� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/14/2005 PARCEL: 1512600 -00300 SITE ADDRESS: 09546 SW WASHINGTON SQUARE RD H - 16 ZONING: C - G SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG Project Description: Fire Alarm low voltage. 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 OREGON ELECTRIC GROUP BY THE MACERICH COMPANY 1010 SE 11TH AVE 9585 SW WASHINGTON SQUARE RD PORTLAND, OR 97214 TIGARD, OR 97223 Phone: 503- 639 -8865 Phone: 503- 234 -9900 Reg #: LIC 203 SUP 4460S FEES ELE 26 -95C Description Date Amount REQUIRED ITEMS AND REPORTS [ELPRMT] ELR Permit 10/14/200E $75.00 [TAX] 8% State Surcha 10/14/200: $6.00 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: j 1' Permittee Signature: 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. . El Permit Application • FOR OFFICE USE ONLY City of Tigard � CE`VE® Dae/B ( 0 0 ' • PerrititN /5},/ p05 — 00S57) 13125 SW Hall Blvd., Tigard, OR 97 2 Plan Review Phone: 503.639.4171 Fax: 503.598.1960d 41 � Date/By. Other Permit (C Inspection Line: 503.639.4175 � 14 2005 _ . �, a_' Date Ready/By: tors. 0 See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information R QP1 P lease check all that apply: El New construction ®A 6b 6aCt eplacement ppl REVIEW ❑ Demolition ❑ Other: ['Service m Service over 225 amps, com'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- family dwelling ® Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure ❑ Multi - family ❑Master builder ❑Other: ❑Buildin over three stories [Weeders, 400 amps or more DOccupant load over 99 persons OManufactured structures or JOB SITE INFORMATION AND LOCATION - - , ❑E plan RV park Job no.: 13352 Job site address. Washington Square Rd ['Health-care facility [Other: Submit 2 sets of plans with any of the above City /State/ZIP: Tigard, OR 97223 9, The above are not applicable to temporary construction service. Suite/bldg. /apt. no.: 1116 Project name: Bergman Luggage - FEE* SCHEDULE Description I Qty. I Fee. I Total I •• 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'I 500 sq. ft. or portion 33.40 1 Limited energy, residential 75.00 2 Tax map /parcel no.: 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 ® 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 relocation Phone: ( ) Fax: ( ) 200 amps or less 66.85 I 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 – , ® 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'l branch circuit 6 65 2 City /State/ZIP: Portland, OR 97214 Miscellaneous (service or feeder not included) Phone: (503) 234 - 9900 Fax: : (503) 535 - 2620 Pump or irrigation circle 53 40 2 Sign or outline lighting 53.40 2 E - mail: loni @oregon - electric.com Signal circuit(s) or limited CONTRACTOR energy panel, alteration, or r extension. Descnbe: I Page 2 `-]�� 2 Business name: Oregon Electric Group, Inc. l/ 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 (I hr min) 62 50 Phone: (503) 234 -9900 Fax: (503) 535 -2620 lndustnal plant per hour 73.75 ELECTRICAL PERMIT FEES" CCB Lie.: 203 Electrical Lic,; Suprv. Lic.: i '{`�5 Subtotal i i 5 — Suprv. Electrician signature, required: di " "v Plan review (25% of permit fee) / • ^ State surcharge (8% of permit fee) / c Print name: E A �L . -' /41 ' e: 10/13/05 le TOTAL PERMIT FEE Sq ''11-- Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete Print name: I Date: 10/13/05 • Fee methodology set by Tri- County Building Industry Service Board •• Number of inspections per permit allowed. i \Building\Permns\ELC- Pemai App doe 12/03 440- 4615T(10/02ACOMfWEB CITY OF TIGARD • BUILDING DIVISION PERMIT #: ELR2005"00350 13125 SW Hall Blvd., Tigard, OR. 97223 DATE ISSUED: 10/14/2005 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 ^_— INSPECTION WORKSHEET FOR DATE: 11/1/2005 TIME: 7:06AM PAGE: 90 SITE ADDRESS: 09546 SW WASHINGTON SQUARE RD H -16 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: BERGMAN TRAVEL SHOP • DESCRIPTION: Fire Alarm low voltage. . OWNER: WASHINGTON SQUARE LLC, PHONE #: 503-639-8865 CONTRACTOR: OREGON ELECTRIC GROUP PHONE #: 503- 234 -9900 Inspection Request Scheduled For: Date: 11/1/2005 Pour Time: Code # is.ection Description Confirm # Contact # Message 135 Low voltage 019949-01 503 - 793 -7177 N Corrections /Comments /Instructions: • • • • • 1:11 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G 1\1 68 LZ Date: I - • Phone #: (503) 718- /A 4O CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR2005 -00350 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/14/2006 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 11/14/2005 TIME: 7:12AM PAGE: 1113 • - I SITE ADDRESS: 09546 SW WASHINGTON SQUARE RD H -16 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: BERGMAN TRAVELSHOP DESCRIPTION: Fire Alarm low voltage. OWNER: WASHINGTON SQUARE LL PHONE #: 503 - 639 - 8865 CONTRACTOR: OREGON ELECTRIC GROW PHONE #: 503 - 2349900 Inspection Request Scheduled For: late: 11/14/2005 Pour Time: - Inspect* - cription C. firm # Contact # Message 199 Electrical fi al 0211,9-03 503. 793-7177 N Corrections /Comments /Instructions: F ; tJ41-, • P 3.1 ` 61 Np 'v im" • PASS f l PARTIAL APPROVAL ❑ CANCEL • ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: v N CE, Date: \ -I 4 ' c15' Phone #: (503) 718 -2.4t