Permit R "' R
C ITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2008 - 00041
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/25/2008
PARCEL: 1512600 -00300
SITE ADDRESS: 09712 SW WASHINGTON SQUARE RD F03 ZONING: C -
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: AEROSOLES
Project Description: Installation of audio /stereo and data telecommunications.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: X 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: 2
Owner: Contractor:
WASHINGTON SQUARE LLC LIBERTY COMMUNICATIONS
BY THE MACERICH COMPANY 2191 NE LIBERTY AVE.
9585 SW WASHINGTON SQUARE RD GRESHAM, OR 97030
TIGARD, OR 97223
Phone: Contact #: PRI 503- 674 -4922
FAX 503- 674 -4932
Reg #: ELE 26- 1035CLE
FEES LIC 101807
Description Date Amount SUP 3990LEA
[ELPRMT] ELR Permit 2/25/2008 $150.00
[TAX] 12% State Surch 2/25/2008 $18.00 REQUIRED ITEMS AND REPORTS
Total $168.00
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 ou to follow rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 9 -101 1100. You may obtain copies of these
rules or direct questions to OUNC at 503.246 6699 or 1.800.332.2344.
Issued By: � 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.
Electrical Permit it Applicatio i:.• EC EIVE 'I FOR OFFICE USE ONLY
City of Tigard Received a (91 �/ Permit No. CL,RaaaO — t9 9 '/
a 13125 SW Hall Blvd., Tigard, OR 97223 FEB 2 5 2008 Plan Review
C Phone 503 639.4171 Fax. 503.598.1960 Date/By. Other Perm /, z 7 D6 603
A G A R f) Ins Line 503 639 4175 CITY p O F T I G A R D Date Ready/By _Tuns El See Page 2 for
Internet' www.tigard-or gov BUILDING DIVISIO Notified/Method. Supplemental Information
TYPE OF WORK PLAN REVIEW
❑ New construction ddition /alteration/replacement Please check all that apply (submit 2 sets of plans whtems 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
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ 1 - and 2- family dwelling )*ommercial /industrial ❑ Accessory building amps for all other installations buildings.
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system larger separately derived system
❑ Addition of new motor load of ❑ "A ", "E ", "l -2 ", "l -3 ",
Job no.: Job site address: 91/j // • /Y/t Six or more e more. occupancy
9 0 or more residential units.
0 Recreational vehicle parks.
City/State /ZIP: i /) K. 9 7 1 ❑ Health -care facilities 0 Supply voltage for more than
r l , O I:=1 Hazardous locations. 600 volts nominal.
n �' ! - o J
Suite/bldg. /apt. no.: Project name: ._.r/r U ,),/3��.... ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description I Qty. I Fee. I Tom 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'I 500 sq. ft. or portion 33 40 1
Tax map /parcel no.: Limited energy, residential
DESCRIPTION OF WORK ' (with above sq. R) 75.00 2
t / Limited energy, multi- family 75.00 2
4,0 / I i ' ' .41..diti residential (with above sq R )
/ 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
Name: 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: ( ) 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
Branch circuits — new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
❑ APPLICANT I ❑ CONTACT PERSON above service or feeder fee, 6 65 2
each branch circuit
Business name: B Fee for branch circuits
Contact name: without service or feeder fee,
first branch circuit 46.85 2
Address: Each add'I branch circuit 6 65 2
Miscellaneous (service or feeder not included)
City/State /ZIP: Each manufactured or modular
dwelling, service and/or feeder 90 90 2
Phone: ( ) I Fax: : ( ) Reconnect only 66 85 2
E -mail: Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 53 40 2
A Signal circuit(s) or limited -
Business name: 1 i ` � L I IT, {'fix L, n l II 4, 1.... � � 8 energy panel, alteration, or
Address: r _2 . 1 t/ / /1 1 - % � ,,,,...y . �J extension. Describe. Page 2 2
Ai
City/State /ZIP: ( y O q 7v g b Each additional inspection over allowable in any of the above
Per inspection 62 50
Phone: O3 )6,7t/—(../9.,,,,, — Fax: ( 2 ) 107 — Li 4 3 Z Investigation per hour (I hr mm) 62.50
CCB Lic.: /9/ yj 7 Electrical Lic.ab 03 I Suprv. Lic.: z qqQ lndustnal plant per hour 73 75
!l ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: Subtotal. /.SP , at Plan review (25% of permit fee)
/ 1
Print name: I J /� , Date: „I_ — a.s—t
�Y State surcharge (12% of permit fee) 4p, p-7i)
Authorized signature: 0 1 TOTAL PERMIT FEE. // J), o 7)
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
• Number of inspections allowed per permit.
P\Bwiding\Permits\ELC- PermiApp doe 05/23/06 440- 4615T(I 1/05 /COM/WEB
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
PRE SID ENT IAL ONLY: '
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:
F_.COMMERCIAL•. ONLY: —,
Fee for each commercial $75.00
system
(SEE OAR 918- 309 -0000) •
Check ype 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: g" . .
*No licenses are required. Licenses are required
for all other installations
I \Building\Permits\ELC- PvrnitApp doc 03/23/06
CITY OF TIGARD • '
BUILDING DIVISION PERMIT #: ELR2008 -00041
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/25/2000
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 3/7/20013 TIME: 7:00AM PAGE: 57
SITE ADDRESS: 09712 SW WASHINGTON SQUARE RD F03 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: AEROS01.ES
DESCRIPTION: Installation of audio /stereo and data telecommunications.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: LIBERTY COMMUNICATIONS PHONE #: 503
Inspection Request Scheduled For: Date: 3/7/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 E_IortiicaI final 066241 -01 201 - 759.6557 Y
Corrections /Comments /Instructions:
N
u
SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1 4 Date: 3- - oP Phone #: (503) 718-
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: {;l_R 10(18 0001 1
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 212512008
Phone: (503) 639 -4171 Vi
Inspection Requests (24 Hrs.): (503) 639 -4175 R'� L.
INSPECTION WORKSHEET FOR DATE: 2129/2008 TIME: 7:03AM PAGE: 12
SITE ADDRESS: 09712 SW WASHINGTON SQUARE RD F03 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: AEROSOLES
DESCRIPTION: Installation of audio /stereo and data telecommunications.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: LIBERTY COMMUNICATIONS PHONE #: S03
Inspection Request Scheduled For: Date: 2/2912008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
136 Low voltage 052316 -01 503-67441922 N
Corrections /Comments/ Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ZT N Y8 L - Date: 2- • di Phone #: (503) 718 - -0 1'0
CITY OF TIGARD .
BUILDING DIVISION -
• PERMIT #: ELR2O0 0001 I
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/26i2008 Phone: (503) 639 -4171 /4 ' 7 % 1
Inspection Requests (24 Hrs.): (503) 639 -4175 ' ..
INSPECTION WORKSHEET FOR DATE: 2/26/2008 TIME: 7:00AIVI PAGE: 50
SITE ADDRESS: 09712 SW WASHINGTON SQUARE RD F03 CLASS OF WORK: 1
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: AEROSOLES
DESCRIPTION: Iris allation of audio/stereo and data telecommunications.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: LIBERTY COMMUNICATIONS PHONE #: 503.6741 - 41922
Inspection Request Scheduled For: Date: 2/26/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 065639 -01 503 -6741 -4922 N
Corrections /Comments/ Instructions:
d ‘e N\n\iE P►LL, 'lips GMT ■cil1 . - Iks G� 76
(1
ti c_ ? I opL.6 4 ;
-- o N of C J'E L ci4-3 0
1
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL pl CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G - N b c6 Date: 2-2-6 ' CA Phone #: (503) 718- 2-446