Permit 1'1.- V
CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
DEVELOPMENT SERVICES PERMIT #: ELR2006 - 00163
° I I� 13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171 DATE ISSUED: 7/7/2006
PARCEL: 1S12600-00300
SITE ADDRESS: 09589 SW WASHINGTON SQUARE RD B9 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: Voice /data cabling 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: 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 STONER ELECTRIC
BY THE MACERICH COMPANY 1904 SE OCHOCO STREET
9585 SW WASHINGTON SQUARE RD MILWAUKIE, OR 97222
TIGARD, OR 97223
Phone: 503- 639 -8865 Contact #: FAX 503- 659 -2824
PRI 503- 462 -6500
FEES Reg #: ELE 26 -122C
LIC 44823
Description Date Amount SUP 3496S
[ELPRMT] ELR Permit 7/7/2006 $75.00
[TAX] 8% State Surcha 7/7/2006 $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: Cd c.18. /fJ i 4, Permittee Signature: 10)." on
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.
,7/2006 08:11 FAX
III/
- ‘•
Elecfrical Permit Applicatikik0) } (w ()Ilk 1 1 I oNIN 0001
City of Tigard
4 .,( 51 ,0 Alls, Received . ..,
13125 SW Hall Blvd., Tigard, OR 1 0 / 1 ; IliffillIMIEll Other Raillir
Phone; 503.639.4171 Fax; 503. lis '''''' rrks . 1
inspection Line: 503.639.4175 \\' 1
la.‘ • - 4 ca..- •j '1 Date Ready/By: Mee El Sao Page 7 For
Notifim supplemental Information
Internet www.citigard.mus blvtethech \I\
-..-", " "..,'''.;•::'' ''''': ''' , :•'-'. , :iirit•Vax ':".. 'tr.. ', 0 : ," ..,'. '. - i . : :', : '',.' ,"....-',.: ,. ....! :,,, .....,.:,. PLAN REVIEW
C] New construction Ea Addifekaitcration/replucement Phase check all Ihat apply:
['Service over 225 ampa, comml ElHazardous location
o Demolition 1:1 Other _ ID Service over 320 amps - rating °Rados over 10,000 sq. ft.,
:,*-,' • ' • ' .,_ ' ". ' ,,,`''. ' ." r.. - • C.ii.TiG0111°13/r ;CONSTRUCT/ON':„ • '.?‘. '.. . .. :' ' ,, • 2 •. '. '. of 1- and 2-family dwellings 4 or more new residential
1:1 1 - and 2-family dwelling leapommereial/induatrial ID Accessory building [ISyatan over 600 volts oordioat units in one structure
['Building over three stories ElFecaccat 400 autPo or more
O Multi-family 0 Master builder p Other: °Occupant load over 99 peraons ElMenufactured structures or
• : ' ...'"... ' .‘ • ." • ' ; '' :
JOB SM .Aril) LOCATION • '' . '''' ' • ' . ' ' : 171EPoodlighboil Pin RV park
OFlealth-care facility 1:10ther: _ —
Job no.: 575 I Job site address: 95299 $j
- - Submit 2 sets of plaaa with any of lhc above.
CitY/Stuteall": -7:-.4 JP.< The above are not applicable to tempoeary conatruction service.
_ , I h., • '
Suite/bldg./Opt. no.: I Project "me: / ,..4./ nisafp " . .
Cross SIONtidireCtiOnS to job site: New reddential single- or multi-family dwelling unit-
Includes attmbed garage.
—
1,000 sq. It- or less 145.15 4
Subdivision: Lot no.; Ea. alien 500 sq. ft. or portion 33.40 . , 1
- Limited messy, residential 75.00 2
Tax map/parccl no.: Limited energy, non-residential , 75.00 2
dwelling, service and/or feeder 90.90 2
.
Vi ( 46 - /Zir•t e r AI- COV-al-/A/Ze. Services or feeders installation, alteradon, and/or relocation
200 amps vr lees 8030 2
- -
106.85 2
'; ...? . • • :"
m `.142C1P t
likIlt riVISIER . , • • •:: ..:1 '., i. , : ;.. • .• • I n ' TEN/Orr ' . . ^ : . • . ' " ma " W414 Pi
• 401 amps to 600 mops 160.60 2
Name: 601 amps to 1,000 amps 240.60 2
45465 2
Address:
Over 1,000 anmer volts _ —
Recomacct only 66.85 2
City/State/ZIP: Temporary scnices or feeders installation, alteration, andier
relocation
Phone: ( ) I Fax: ( )
200 amps or leas 66.85 1
Owner Installation: This installation is being made on property that I own which is not 201 maps / 400 amps 100.30 .2
.._
intended for sale, lease, rent, or exchange, according in 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
• ' • - ';.' •• 1:1;: ••„ : , •;• •, •, .. I - ... • ' - .1:1 • CONTACT :PERSON.' - ... A.Fna for branch circuits with
se•ice or feeder fee, each 665 2
Business name: branch circuit
- B. Dm for branch circuits
Contact name: ' valets service or feeder fee, 46.85 2
- Ftratbranch circuit
Address: _ -
Each addl branch circuit 6.65 6 2
City/StatrJZIP: Miscellaneous (service or feeder not included)
Pomp or irrigation circle 53.40 2
53
Phone: ( ) Fr= : ( )
_ Sign or outline lighting .40 2
E -mail: Signal eircnit(s) or limited
caci DeacnIc: i Page 2 7 0 2
&win' ass name: STONER ELECTRIC lli e& i
Address: 1904 SE °CHOC° Each additional Inspection over allowable in any ado above
per inspection . 62.50
City/Slade/ZIP MILWAUKIE, OR Investigation per hour (1 bends) . 62.50
Phone: (503) 462-6500 I Rot (503) 659-4968 tadusttial plant per bow 73.75
CCB Lie.: 44823 I Electrical Lie.: 26-122C Suprv. Lie.: 3496 Subtotal . 757 00
Suprv. Electrician signature, requited; etrjuh....1 - Plea review (25% of permit fee) - 0.• - •
. Stabs surcharge (8% of permit fcc)
Print name: MICHAEL FALCONER ( Date: 7/7 At)&, -
- TOTAL PERMIT FEE gy: o ar
Authorized signature: - Tido permit application expire' i Ira permit boot Obtained within 180
- days after It bus been accepted m complete
Print name: J Date: • Fa MelhadolOgy ser by Tri-Comay Ettilding Inchemy seiviee Bond
- **Masher ofinspeenons pen:emit glowed.
iNEhafisalPetmas N. ELC-Paaliiklutos 17Ad 440-46115T(10102/COMMEB
CITY OF TIGARD -"
BUILDING DIVISION PERMIT #: ELR200G- 00163
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/7/2006
Phone: (503) 639 -4171 I�I�Ir� PL C° o f' C i L
Inspection Requests (24 Hrs.): (503) 639 -4175 ��
INSPECTION WORKSHEET FOR DATE: 8/16/2006 TIME: 7 :05AM PAGE: 59
SITE ADDRESS: 09689 SW WASHINGTON SQUARE RD 69 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: MADE IN OREGON 5 -{ -'-i
DESCRIPTION: Voice /data cabling low voltage.
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503 - 639 -8865
CONTRACTOR: STONER ELECTRIC PHONE #: 503 - 462 -6500
Inspection Request Scheduled For: Date: 8/16/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message v
135 Low voltage 035060-01 . I,. 701 -7.. I. Y
Corrections /Comments/ Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 'V - / 6 -06 Phone #: (503) 718-