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Permit
1; CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT DEVELOPMENT SERVICES PERMIT #: ELR2006 - 10030 ,. — 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 3/27/2006 PARCEL: 1S12600-00300 SITE ADDRESS: 09581 SW WASHINGTON SQUARE RD B8 ZONING: C -G SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG Project Description: Data/Telecommunications. A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: 1 Owner: Contractor: WASHINGTON SQUARE LLC HECKTEC TECHNICAL LLC BY THE MACERICH COMPANY 3484 HILLSIDE CT 9585 SW WASHINGTON SQUARE RD HUBBARD, OR 97032 TIGARD, OR 97223 Phone: Contact #: FAX 503 -981 -0478 PRI 503 -572 -1827 FEES Reg #: ELE 4196LEA LIC 162394 Description Date Amount [ELPRMT] ELR Permit 4/6/2006 $75.00 [TAX] 8% State Surcha 4/6/2006 $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: P .e_. a 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 Ay '1' ;. �_ 1 1 ED FOR ... FFICE USE ONLY City of Tigard Daum — Permit No -' i0, al 13125 SW Hall Blvd., Tigard, OR 97223 c� 7 2006 Plan Review 2 , ,,r d , Phone: 503.639.4171 Fax: 503 598 196t ( s f'1 p�e/g • Other Permit Inspection Line: 503.639.4175 __n_ ' . Date Ready/By ® See Page 2 for - Internet: www.tigard- or.gov CITY OF TIGAR _ Notified/Method IMI, Supplemental Information rNP *80St°11 , - PLAN REVIEW ❑ New construction ❑ Addition/alteration/replacement Please check all that apply: ❑Service over 225 amps, comm'I ❑Hazardous location ❑ Demolition Other: ❑ 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 ❑ I - and 2 family dwelling 0 CommerciaUindustrial ❑ Accessory building ❑System over 600 volts nominal units in one structure ❑ Multi - family ❑Master builder ❑Other: ❑Building over three stories ['Feeders, 400 amps or more ❑Occupant load over 99 persons ['Manufactured structures or . ' JOB SITE INFORMATION AND LOCATION ❑Egress/lighting plan RV park Job no.: Job site address: L 5 -17 1 5)/Q f h t ❑Health care facility ❑ I Submit 2 sets of plans with any of the above. City/ State/ZIP: I ! CI : ,� c) � q 7_2_3 I The above are not applicable to temporary construction service Suite/bldg. /apt. no.: I Project name: S FEE* SCHEDULE I nV\ 54114' Description I Qty. I Fee. I Total 1 •• 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: I Lot no.: Ea. add'l 500 sq. ft. or portion . 33.40 1 Tax map /parcel no.: Limited energy, residential 75.00 2 Limited energy, non - residential 75.00 1 2 DESCRIPTION OF WORK Each manufactured or modular 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: 3C \ lC 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 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 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 Y1 \ Cci kA service or feeder fee, each Business name: , �y k. C r l c f - I , branch circuit 6.65 2 T' l � B. Fee for branch circuits Contact name: U ,.� without service or feeder fee, 46.85 2 , first branch circuit Address: 3 T r tV f �� I S� Each add'I branch circuit 6.65 2 • City/State/ZIP: �v I �'/ , `1 O,/ — [ T 76 32— Miscellaneous (service or feeder not included) ` } Pump or irrigation circle 53.40 2 Phone: (,3) 2 '7 �3 �kt d t Fax: ( ) , r ✓—/1< S /! Z Sign or outline lighting 53.40 2 E -mail: ' �� 2 C y„‘,S'I".. Cdtel" Signal circuit(s) or limited- CONTRACTOR energy panel, alteration, or r `! ` ye C��`c_o Lt._ ^ extension. Describe: Page 2 2 ._ - / Business name: Address: ?7 q QE 4rt J C t (C Each additional inspection over allowable in any of the above 1 VV ll ` L Per inspection 62.50 1 / I ✓ City /State/ZIP: „ \I Ck o Investigation per hour (I hr min) 62.50 2i 7 y I Industrial plant per hour 73.75 -,, Phone: (9 1r 1 Fax:93 )CG1 ,04 ` ( aa ELECTRICAL PERMIT FEES* CCB Lic.:/ 2 L( ( Electrical Lic. L(4 I Suprv. Lic.: Subtotal '7 ) O I 1 b Suprv. Electrician sign re, required Plan review (25% of permit fee) r l Print name: C� I Date: 2 O / State surcharge (8% of permit fee) tl ` a.) e N IO 1 1 TOTAL PERMIT FEE > / PI Authorized signature: // This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete Print name: Date: • Fee methodology set by Tn- County Building Industry Service Board • • Number of inspections per permit allowed. I\ Building \Permits\ELC- PermitAppdoe 12130/05 440.46I5T(l0/02/COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: rRRESIDENTIAL WORK ONLY: Fee for all residential systems combined .. $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* El Burglar Alarm ❑ Garage Door Opener* El Heating, Ventilation and Air Conditioning System* El Vacuum Systems* ❑ Other: COMMERCIAL WORK ONLY: — –� Fee for each commercial system $75.00 (SEE OAR 918- 260 -260) Check Type of Work Involved: El Audio and Stereo Systems El Boiler Controls ❑ Clock Systems Data Telecommunication Installation El Fire Alarm Installation ❑ HVAC El Instrumentation ❑ Intercom and Paging Systems El Landscape Irrigation Control* ❑ Medical El Nurse Calls El Outdoor Landscape Lighting* El Protective Signaling El Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 1 \Buildmg\Permns\ELC- PmnnApp doc 12/30/05 e - � CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR2006 -1(X tO- 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3127f2 {)C6 Phone: (503) 639 -4171 'ill. Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/1212006 TIME: 7:04AM PAGE: 89 SITE ADDRESS: 09581 SW WASHINGTON SQUARE RD 08 CLASS OF WORK: ' SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: SONY STYLE DESCRIPTION:, DatalTelecommunications. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: HtECKTEC TECHNICAL LLC PHONE #: 503-572-1027 Inspection Request Scheduled For: Date: 4/1212006 Pour Time: Code # Inspection Description Confirm # Contact # Message PM • w , : .rl:ion 027810.01 50 3-5711827 N IAq�fil. Corre - • •• •• - - tions: • O H Cc b f co- " c? cca SS S a e . ILO ®1 Pl E. C 2 ✓•Q S cue. elv /-e- cx.Mce �r e P C' CGQ -S No 4--e .i-n o p ,t4 4 a . , 3 I-o o 4-- r tea u 14 • 6 if e f P r1Cefr.ce l pez44 ,e /l • •• PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ;P ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 7' / i �© (� Phone #: (503) 718-