Permit `i
I CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2007 - 00403
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/1/2007
PARCEL: 1512600 -00400
SITE ADDRESS: 09800 SW WASHINGTON SQUARE RD SEARS ZONING:
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: SEARS
Project Description: Upgrade bugler alarm system.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: 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: BURG ALARM X
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
WASHINGTON SQUARE LLC • ADT SECURITY SERVICES, INC
BY THE MACERICH COMPANY 2815 SW 153RD DR
9585 SW WASHINGTON SQUARE RD BEAVERTON, OR 97006
TIGARD, OR 97223
Phone: Contact #: PRI 503- 469 -7100
FAX 503- 469 -7114
FEES Reg #: ELE 26- 209CLE
LIC 59944
Description Date Amount SUP 389LEA
[ELPRMT] ELR Permit 11/1/2007 $75.00
[TAX] 8% State Surcha 11/1/2007 $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: Permittee Signature:
7
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.
*� 0/31/2007 15:27 FAX 5034697110 ADT SECURITY Z001 \
••i
I Electrical Permit - .I FOR OFFICE USE ONLY
City of Tigard �® Received
�' b Date/B : ' Permit N a `- _ / / •••• .0' 03
13 125 SW Hall Blvd., Tigard, OR 97223 Plan Review
50"j 598 a ' . +; \
Phone. 503 639.4171 Fax: 50
P 1001 °�ly; Date err Other Permit
Inspection line 503.639.4175 .� ' Date Ready /By: lures El See Page 2 for
Internet: www,c i.tigard Or.us CITY OF TIGAA 1 Try? , • Notifi :. ed/Method: � g ry f Supplemental Information
•
g.f � 4 l 7 . ' ' 5 � t r, 51 0 yi�.J i ijtt 7 "'T", ' ;, ..•.. *- " t F nq!T { � 7
A rr NNew construction ❑ Addition/alteration/replacement Please check all that apply.
1:1 Demolition ❑Other: ['Service over 225 amps, com'I ❑Hazardous location
;d, - c Fr = {. asrwc ,:� r ❑Servic over 320 amps - rating ❑ Buildn over 10,000 ft,
tii i1. P ft v M•_ sq
, " ,, :,+ ;,;2, , ,� $�y lo' 'iffi�th': A 4 7w;t" o ,.. 4P;1 ?�•r;;) -'44 7 d�: +,1 r and dwellings . , :T• �'•: ..;},,:,,•._.e.° • - , '� , .;. -aW- ��r3�.�;�k�- -�d:,,.•,c??�a! , _ ;�, � ,,. ",.ii , .;r.�Y,:,- of L- s 4 or more ' ' • - r. � i:idr; i � Y g now residential
❑ I- and 2- family dwelling ® Commcrcial/industtial ❑ Accessory building ['System over 600 volts nominal units in one structure
❑ Multi - family ❑ Master builder ❑ Other: ['Building over ever scones ❑Feeders, 400 amps or more
Multi-family - y A• z. f= r �, - ; m ['Occupant load over 99 persons ❑Manufacntred structures or
i, �:��- 4 G •� j�t=f � t 0 + 1 l ' ,rM1 �r�'I%hr ?�';1,:(:ie y 1'(yr �f
%aE s .sfs :r ,t� ' µ - , 1 ffiirji 1%:�.P:xls' Egress/lighting P
• e 'i�+ll 1 e'��'��3.,?rh;,,'r�tiu„ i � , ia�!'f•.i;l�� �I ❑Ian RV park
�rc� Yob s a d dr ess ❑Healthcare facility ❑Other.
lob nO.:O
� � T�� ,� 0 9 �/�� � /�SF�WG io/t) S( ,p Submit 2 sets of plans with any of the above.
City/State/ZIP: Tail. l7 ¢R v applicable temporary construction se7vlea,
ty Th e above are not a licable to t or
5uitc/bld . /apt, no.: A � 2s i 167 ,. r i°' r i -,,,, ' n ? 7" ;: c4 rn -, ? ` -. }• ; , a , ; ,tm .i t ; . • B o." Proje name: S #
r e , ,1 , �...T r :�. : . . �; ° r' ,
Deseriantq Qty. Fec. Towl
Cross street/directions 10 job sitc: New residential single -or multi - fancily dwelling unit.
Includes attached garage.
1,000 sq. ft or less 4
_ 145.15
Subdivision. Lot no.: Ea. add'I500sq ft. or portion 33.40 1
- Tax map /parcel no,:
Limited energy, residential 75.00 2
t A hunted energy, non - residential _ 75.00 2
,.,.._ th%" � r ��i of a9�� " e�'c1t y '�• �iidi .,I �G .',i ie $ Each modular
-�r n r _ ," ..>`r ] 7i manufactured or mo
u p��P/ -t� dwelling. service and/or feeder 90.90 2
� 1 L(0C 4 1J 5 y5T em - Services or feeders 1n5rallation, alteration, and/or relocation
200 amps or less 80.30 2
n w r ,,. nv ..Aim• T. , . rt ,,.,,.� ,rw.•-,.
:l ��' � 't.; a a gi` n G . y . NItS �` Op ti r �. �ieoj;'.^�ti 1' I:,;,y 'd. !. ' `r 201 amps l0 400 amps 106.85 2
�i
lihbriiie.sit:Wi,tt7GrXilk ' L,s lig 1.4- .'r�,t :n, . n - ..1i . i 4+ 9%' 7 .1• k
401 amps to 600 amps 160.60 2
Verne:
601 amps to 1,000 amps 240.60 2
t4dreas: Over 1,000 amps or volts i 454.65 2
Reconnect only 66.85 2
illy /Slatc'/ZIP. Temporary services or feeders installation, alteration, and/or
phone relocation
( ) Fax' ( ) 200 amps or less _ 66.85 1
?weer installation; This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2
mended for sale, lease, runt, or exchange, according to ORS 447, 449, 670, and 701 401 amps to 600 amps 133.75 2
Dwner signature: Date: Branch circuits - new, alteration, or extension, per panel
-- ,- r � ^ill
i y ," d .. IP. , 1 1,e�'' O, r EITI F R P :4'21 + �� t: 1 ti � ` . • A Fee for branch circuits 1401 _Ci. ; r, i Jlci' m u { 41..i:._iln .V.....- A!''' ' s .3' service or feeder fee, each
3usiness name: branch circuit 6.65 2
- 8 Fee for branch circuits
:Ontact name: without service or feeder fee,
3ddres5: fast branch circuit 46.85 2
Each add'I branch circuit 6.65 2
:ity /State/ZIP' Miscellaneous (service or feeder not included)
'hone: ( ) F es:: ( ) Pump or irrigation circle 53.40 2
5 3.40 _ 2 -
• 3 -mail: Signal circuits) or limited-
Wt `!' t" '1 fl , , ' ,� N rf cQ fii r : r' . , anel, alteration, or
' _� „� . ��H! z,,::,'��.,�;��y,.,n,.tl rd, es,:'ei, ��; ,,9 `° ' � . r�1'�l ez energy P p
extension, Describe: / Page 2 2
3usiness name: ADT Security Services
tddress: 2815 SW 153` Dr. C• (--C
� 7 r /�
Each additional inspection over allowable in any of the above
Per inspection 62.50
:ity/State/ZIP: Beaverton OR 97006 3 7 7 3 "l6 - - 7 _ , Investigation per hour (I hr min) 62.50
'hone: (503) 469 -7100 Fax: (503) 469 -71I4 Industrial plant per hour 73.75
- :CB Lic.: 59944 ..Ft R o's' '' !:� e ' n :ld .+bit'''1,f_W -t3ir 41IN'rI ft
Electrical Lie.: 26- 209CLE Suprv. Lic.: LEA389 °-°'
Subtotal
iuprv. Electrician signature, required: 4, ,/ Plan review (25% of permit fee)
'riot name: ye 4 6 I Date; `t / / 6 7
State surcharge (8% ofperinit fee) (,, pO
J TOTAL PERMIT FEE g/ O d
\uthorized signaturc -- _ i �� This permit application expires Ira permit Is not ahulued within ISO
// days after It has been accepted as complete
' n
ot name: �c .' le,A t/,1' Date: / Q /,f/ 7 • Fee methodology set by Tn -County Building Industry Service Board
- - " Number o f inspection per permit allowed.
l° 1hI �/pvs 7 - .
N(;V'CnnitStEt,C�r'O'n11LApp doe 14103 99 0-461Sr (lluovtbnt/wtsa
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2007••00403
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 111
Phone: (503) 639 -4171 Iddai
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 1/7/2008 TIME: 7:00AM PAGE: 17
SITE ADDRESS: 09800 SW WASHINGTON SQUARE RD SEARS CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: SEARS
DESCRIPTION: Upgrade buglar alarm system.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: AD•r SECURITY SERVICES, INC PHONE #: 503 -469 -7100
Inspection Request Scheduled For: Date: 1/7/2000 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 062690-01 503- 572 -6870 N
I E iNAL— `)
Corrections/Comments/Instructions:
CI
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ---‘' Nt• lL Date: I 1 ' q Phone #: (503) 718- IAA,