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Permit
.,,, 1i N u CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT I :. COMMUNITY DEVELOPMENT PERMIT #: ELR2007 - 00418 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/9/2007 PARCEL: 1S12600-00300 SITE ADDRESS: 09620 SW WASHINGTON SQUARE RD G06 ZONING: C -G SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG PROJECT: MARKS HALLMARK Project Description: Low voltage for (2) systems: audio /stereo and security. A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: X 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: X INSTRUMENTATION: OTHER: : TOTAL # OF SYSTEMS: 2 Owner: Contractor: WASHINGTON SQUARE LLC FRAHLER ELECTRIC CO BY THE MACERICH COMPANY 11860 SWGREENBURG RD 9585 SW WASHINGTON SQUARE RD TIGARD, OR 97223 TIGARD, OR 97223 Phone: Contact #: FAX 503 639 - 4673 PRI 503- 639 -4627 FEES Reg #: ELE 34 -I3C LIC 37410 Description Date Amount SUP 5110S [ELPRMT] ELR Permit 11/9/2007 $150.00 [TAX] 8% State Surcharl 11/9/2007 $12.00 REQUIRED ITEMS AND REPORTS Total $162.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Speaalty 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 503 246.669 . 0.3322 3 Issued ' y Permittee Signatur I cJ�f 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: NTRACTOR 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. MP • . - `Electrical Permit A t Ili t,:k. i C 1 FOR OFFICE USE OiNLl' City of Ti gar , - - ' salved d Date/By. 11 9 17 , f jL Permit No.: 2 / , ,� 7 �. r ! / 7 13125 SW Hall Blvd., Tigard, OR 972 L OOT U 9 Plan Review III Phone: 503.639.4171 Fax 503.598. a DateBy.. Other Permit. T I G A R D Inspection Line: 503.639.417 ,iTT 1 . Date Ready/By: r El See Page 2 for Internet www.tigard- or.gov Ur IUA R � Notified/Method. Supplemental Information f :O - ' . , j ' ' 'i : - PiAN ARE VIEW ❑ New construction 1:1 Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below). ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. . •CATEGORY "OF CONSTRUCTION , • , , exceeds 10,000 amps at 150 volts or ❑ Floating buildings. Commercial/industrial ❑ Accessory building amps to o r all other a exceeds 14,000 ❑ eo dings. t -„se aei, t�� ❑ 1- and 2- family dwelling El Commercial/industrial amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Off ❑ Fire pump. ❑ Installation of 75 KVA or JOB .SITE INFORMA • AND 'LOCATION; ❑ Emergency system larger separately derived system. ❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ", Job no .: Fi 5 7 1g J s address: ` • ' SW WASHINGTON S RE 10 OAP SQUARE 1 ❑ six or more res idential or more idential uni occupancy. units. ❑ Recreational vehicle parks. City /State/ZIP: TIGARD . OR 97223 ❑ Health -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: MARK'S HALLMARK ❑ Service or feeder 600 amps or more. Cross street/directions to job site: Desatpiion I Qty. I Fee. I Total I • New residential single- or multi- family dwelling unit. _ Includes attached garage. — Subdivision: , Lot no.: 1,000 sq. ft. or less 145.15 4 Ea. add'l 500 sq. ft. or portion 33.40 I Tax map /parcel no.: Limited energy, residential 75.00 2 . • .DESCRIPTION _ OF',WORK, ' ,. -: _ ; o -- : ?; (with above sq. ft) MUSIC AND SECURITY WIRING resi i (w ith above a ft.) 75.00 2 Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 - PROPERTY = OWNER _, '❑ ‘:TENANT- - ; „ - -" - ., 201 amps to 400 amps 106.85 2 Name: M rl ` 921c. l l 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: ( ) 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 Branch circuits — new, alteration, or extension, per panel Owner signature: Date: 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 Contact name: without service or feeder fee 46.85 2 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 90.90 2 dwelling, service and/or feeder Phone: ( ) Fax: : ( ) Reconnect only 66.85 2 E Pump or irrigation circle 53.40 2 - - r. - .. . CONTRACTOR , , Sign or outline lighting 53.40 2 Signal circuit(s) or limited - Business name: FRAHLER ELECIRIC COMPANY energy panel, alteration, or Address: 11860 SW GREENBURG ROAD extension Describe: 2 Page 2 150.0)2 City /State/ZIP: TIGARD, OR 97223 Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: ( 503 ) 639 -4627 Fax ( 503 ) 639 -4673 Investigation per how (1 hr mm) 62.50 CCB Lic.: 37410 Electrical Lic.: 34 -13C Suprv. Lic.: 5110S Industrial plant per hour 73.75 / ' ELECTRICAL PERMIT FEES reguired'� / Suprv. Electrician signature, Subtotal: 150.00 Print name: D am: Plan review (25% of permit fee): ADAM ETHERINGTON 11/7/07 State surcharge (8% of permit fee): 19 - on Authorized signature: TOTAL PERMIT FEE: 1 69 00 This permit application expires If a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. L•1Bmldcrg1PumibAELC -P i iApp4m 052 ln 3 /06 440- 4615T(11/05/COM/W Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: Fee for all residential systems combined $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: COMMEERCIALVOR (ONLYi- Fee for each commercial $75.00 system (SEE OAR 918 - 260 -260) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems • ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* © Protective Signaling ❑ Other Total number of commercial systems: 7 *No licenses are required. Licenses are required for all other installations 1:1 liddmePvmits\ELC- PamitApp.doe 0323/06 CITY OF TIGARD BUILDING DIVISION PERMIT #: DATE ISSUED: Evil...IR:20(0)07;00418 13125 SW Hall Blvd., Tigard, OR 97223 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 3/13/2008 TIME: 7:02AM PAGE: 41 SITE ADDRESS: 09620 SW WASHINGTON SQUARE RD 006 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: , PROJECT NAME: MARK'S HALLMARK DESCRIPTION: Low voltage for (2) systems: audio/stereo and security. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: FRANLER ELECTRIC CO PHONE #: 503 Inspection Request Scheduled For: Date: 3/13/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Declaim! final 066632-01 503-639-4621 • Corrections /Comments / Instructions: 411; 'PASS n PARTIAL APPROVAL CANCEL 0 NO ACCESS • FAIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: a° • !tiS L. Date: 3' ) Phone #: (503) 718- .if141)