Permit 5 9-2 7 ' 744A fa r /1-4. • j
t ITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2007 - 00144
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/16/2007
PARCEL: 1512600 -00300
SITE ADDRESS: 09685 SW WASHINGTON SQUARE RD C7 ZONING: C - G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: LUCKY BRAND JEANS
Project Description: Limited energy for an audio system.
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:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
WASHINGTON SQUARE LLC CUSTOM CABLING SOLUTIONS
BY THE MACERICH COMPANY 9300 NE 12TH WAY
9585 SW WASHINGTON SQUARE RD VANCOUVER, OR 98664
TIGARD, OR 97223
Phone: Contact #: PRI 360 - 828 -8169
FAX 360 - 828 -8491
FEES Reg #: ELE CLE62
LIC 172264
Description Date Amount SUP 3262LEA
[ELPRMT] ELR Permit 5/16/2007 $75.00
[TAX] 8% State Surcharf 5/16/2007 $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. 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 or 1.800.332.2344.
Issued By: Ck) •
Permittee Signature: plc
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.
FRG. Custom_ Cabling Solutions FAX NO. : 360 828 8491 May. 16 2007 08:12AM P2 /2
i_ .. U l l� T �'. 1 FOR 0141( :E 1151: {�N1.1
Electrical Permit A t ltil r le � 11 ji '!'�
Received Permit NO =-, 2L�' — 00 104
City of " Tigard !1.3,,,,F,,, _ G�
111111 U 13125 Jw hall 131V(1 • 1 igartl, (1 a�} 23y 7 Plan ILl-viel,, O., Pc1 0m11
l 'hotie 50i 63'),4 71 l'ax: 50i:fil�t8 1 L00 Date/BY Jura BI Sec Page 2 fur
lnap(:cttoct Lin(.: 503.63 ).4175 11ate Ready /
TICzAI;I) i (l� y Notified /Method. SrtpplrmentalInformation_
Internet. wow ugar'd -Ord 9 U) 11V W � j y� �tr�
:, N p 7�y A \H� S^ 4;, 1 }` , ,.� �r.` I ,
0 ?`= •lu'M`- P.�'N•, ,_h.•- '' ! ^ ,ti °A _ - ? 1 . ,:.. " - .'e ., 1`.4 — :: .. •
ley, . .f, - , 3 ' ,. " = ,aN n l� ,r, 1 1!' >> ,,... ��rq �^��. ET:. e = ' rn. checked bcl„w)
.., .,,t , r <' ;a, � ,ld ;:�,s`t �,�': a � -.t '^. ot'� T "� check all that apply (submit Z sets of plans w lee
Please ch pr Y �
® New curlslr'uction ❑ Addition /alteration /replacement
❑ Demolition El Other' ❑ Service or ttetler 400 amp`; or more ❑ Building over three gtnrics,
4 where the available fault current ❑ Marinas and boatyards.
,iw .,,, _ , - - exceeds to,DOU amps at 15O mitt. nr ❑ Floating building.. +nrr ,_ �,;,iHa_ =:7,.. �' '{� 7�ry , t , r('�'f , 451' `• r. {.: :. , ; - t '
.. " ili � if' '1k� iZ, ,,,.., , t'FTi '51.3' ' ^QT R {T��` -L'f 4 -� M_.,iil:i'•'P �„•r,. r•, CJmmcm∎al- usc .gn ,, lil(Un 1 I
,iu_1 � ��: ,`i.�'WW �� x.�y,��5 �v�:,,vt'u�; q�} i,ar.:ur , nr� �'� ,� „i, 1 1Ri ": , ',•,� r .,•- - less SO ground, or exceeds 14.t�(1 ❑
❑ I - and 2- family dwelling ® Cornmercial/industrial ❑ Accessory building amps for all other installations buildings
❑ Multi- family ❑Master builder ❑Other: ❑ Fi pi flop ❑ installation i,,175 KVA or
p Emergency system. e. derived s
larger �eparatcly den ys tent
s alcI
- fit
..,,,,z; +?! r ;, .< err , . n,..
,ma _ ,. Clt` - ° i��itbdt .._ ,7„ f; w: �. .' ' - ''F:., ❑ Addit o
f new motor load of
j�
1001-1P or more. occu
Job no.. Job site address: 9S 8S SW washingtoo Sqare Road C - ! 1:1 Six or more residential U„it . ❑ Rericational vehicle parks.
[] Health -care facilities. ❑ Supply voltage for more than
City /S[atc / / - Portland, OR 97223 ❑ Hazardous locations. 500 volts nominal.
Suite/bldg./apt, no : f Project name: Lucky Jeans ❑ Service or feeder 600 amps or more p . . I
elI ; -N4 .1,1 .
10 :' ;A'lig' j:� M'n�'!:ir:' !:'4 - , - „_ s ■ Cross street/directions to job Site: mall Description I Qtr Fee. j 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
Pit. add'I 500 sq ft. or portion 33.40 I
Tax map/parcel no,' residential
Limited energy, 75.00 2
p� t ` "'" � ,,
; 9� t , r • ;- r .. , „a.,,, a ' c IV *,Q' AbSL' ' _.ki F'1 • � . :'Y; _ , r- I,• i (with above IL )
�; *- , � n'tn �C�v�y}��1;17 I?�' 4 �...,. • �s�= =•��t�, set-
;: 4, rne• lmr' rv tx IS�I' � ��'fHx�ttiq ,n. . .i'... ��'.. L ? y + f, .a..,.. : 1 h 6 ' : •.. ^
Limited energy, multi 75.00 2
Audio system _ residential (with above :.t. It -) ,
Services or feeders installation. alteration, nntllor relocation
200 amps or less 80.30 2
' - •4 ? - 1` 4 c a t +, x =•: +I' 'Ne= , 201 amps to 400 amps 106.85 2
=:i `H � �:; ~ ;�„Q� r; ��i!!t _ ^�i:,::� �:�',.'' t:: Q, t!' �,•, . ncp p:
'! -w41^i �trn vti, t rx� '•. - ��rc -., Eli; mgr: �t.. d l,�nw• „>,.•�I:r,;
:''Name: 401 amps 10 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
City /StatcJZIP: 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
nature;
1; A. rte fur branch circuits with
a ,,,4411:.'., ; c .4 , . .:fir °°i`y::R� ;., ,, . O 4.Pi :$ gS A *...,,; above service or feeder fee, 2
;.r,,.,,. r in,;,, w!. �C�: ar "1a';1r , r -.a.i . 6.65
each branch circuit
Business name; Custom Cabling Solutions R. Fcc for branch circuits
Contact name. Teresa wir)rout service or feeder fee. 46.85 2
first branch circuit
Address: 9300 NE 12 Way Each add'l branch circuit 6,65 2
Miscellaneous (service or feeder not included)
City /State/ZiP: Vancouver, Wa 98664 Each manufactured or modular 90 90 2
Phone; (360) 828 -8169 i Fax: (360) 828 -8491 dwelling, service and/or feeder
( - ) Reconnect only 66.85 2
E - mail; Pump or irrigation circle 53.40 2
::.# "a.:: i :q 7't. 'rr. I.' 24 ";r4 '1;"-f il`;::I;G.;,Ir,.,Str,,C•, 9,°RA t ! eraF.^r it , A- 4K:i<5, ;' ;v' , yrl;l't'Et2 "u. ,v Sign or outline lighting 53.40 2
Signal circmt(s) or limited"
Business name: Signal
• energy panel, alteration, or
Address: extension. Describe: 1 P age 2 75 ' 2
City /State /Z1P• ab�kfe Each additional inspection over allowable in any ol•the above
Phone: ( ) l Fax: ( ) Per inspection 62 50
investigation per hour (I hr min) 62.50
CCB Lie.: 174639 I Electrical Lie.: f Suprv- • 32"62L EA Industrial plant per hour }n ♦ �( 73 75
Suprv. Electrician signature, required:/ / Subtotal: 75
('4/,:,v/<. Print name: � rf , Date: /G� Plan review (25% of permit fcc):
l State surcharge (8% of permit fee): ti,
Authorized signature: S j �A L... �- TOTAL PERMIT FEE: 81.00
Print name. y /- a�F This permit application exilic-ex If a permit h. not obtained within Ian
a t f D J � � �� days after It has been accepted at complete.
r • Number ut inspections allowed per permit
I. mUutldingV •emtiumF.l.['- Pa,htlApp due 05 440-461 (11 /DVCOM/wCII
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2007 -00144
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/1612007
Phone: (503) 639 -4171 emu'
Inspection Requests (24 Hrs.): (503) 639 -4175 ..' ___ �il�'
INSPECTION WORKSHEET FOR DATE: 6/19/2007 TIME: 7:01AM PAGE: 62
SITE ADDRESS: 09685 SW WASHINGTON SQUARE RD C7 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: LUCKY BRAND JEANS
DESCRIPTION: Limited energy for an audio system.
OWNER: WASH TON QUARE LLC, PHONE #:
CONTRACTOR: TOM CABLING SOLUTION _ - - -- . PHONE #: 360-B2B-8169
Inspection Request Scheduled For: Date: 6/19/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
13 5 Low voltage (..cP n CC ( 050466 -01 360 -828 -8169 N
Corrections /Comments/ Instructions:
ASS _ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
III FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 6 / -( 0 Date: /1- Phone #: (503) 718-
CITY OF TIGARD . -. i
•
- BUILDING DIVISION A PERMIT #: ELR2007-00144
13125. SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/16/2007
Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 Vit'
INSPECTION WORKSHEET FOR DATE: 5/23/2007 TIME: 7:00AM PAGE: 73
SITE ADDRESS: 09685 SW WASHINGTON SQUARE RD C7 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: LUCKY BRAND JEANS
DESCRIPTION: Limited energy for an audio system.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: CUSTOM CABLING SOLUTIONS PHONE #: 364628 -8169
Inspection Request Scheduled For: Date: 5/23/2007 - Pour Time:
Code # Inspection Description Cfirm# Contact # Message
135 Low voltage 360- 518 -3402 Y
Corrections/Comments/Instructions:
•
' PAS ❑ PARTIAL APPROVAL ❑ CANCEL El NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G N VeJ Date: 6 � 109 Phone #: (503) 718- j1