Permit .g r.
C ITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
DEVELOPMENT SERVICES PERMIT #: ELR2006 - 00212
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 9/8/2006
PARCEL: 1S135BA-01802
SITE ADDRESS: 10101 SW WASHINGTON SQUARE RD ZONING: C - G
SUBDIVISION: WASHINGTON SQUARE TOO LOT: 025 JURISDICTION: TIG
Project Description: Bank of America. Access Control. Job #10825 - 32.
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: X
INSTRUMENTATION: OTHER:
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 -7110
FEES Reg #: ELE 26- 209CLE
LIC 59944
Description Date Amount
[ELPRMT] ELR Permit 9/8/2006 $75.00
[TAX] 8% State Surcha 9/8/2006 $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: �,�) S��G /C�l� 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.
Sep 07 06 02:20p Stephanie Pate 503469 p.1
k Electricai Permit Application FOR OFFICE USE ONLY
Ci of Tigard r. :;:i ved : - 6 3_v as 2_,2
13125 SW Hall Blvd„ Tigard. OR 97223 - Mau eview
Phone. 50 ?.6JV.4171 Fax: 503.598.1 VI i ECE E It
►• °r.'t< t I DaterRy. Other Permit:
Inspection Line: 503.639.4175 ,, : ' 'l -, Date Ready,lliy• 1 Id See Page 2 for
Internet www.ct.tigardorus SFP NotifiedtMethod: - V Sug,plementallaronnarloe
_ T OF WORK �Q � ' •. • . . PLAN REVTEW • .
• 0 New construction ❑ A por►lciRicrafiori.1rrplact, -meet ( Please check all that apply:
❑ Demolition ❑Other I ❑Scrvtceover 225 amps, comm'I OHamrdnus location
❑Service ova 320 amps - rating ❑13uildng ova 10,000 sq. It.,
C.AT>:C.ORY OP COnlS'i'>ftUC['JUN; =' of I- and 2- family dwellings 4 or more new rtaiduttial
❑ 1- and 2- family dwelling Ej Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in OnC structure
❑ Mula- family ❑ Master builder El Other; ❑ Building over three stories ❑Faders, 400 amps or more
❑Occupant load ova 99 persona ❑Manuricturcd struclurcc or
JOB SITE INFORMATION AND LOCATION • ❑ Egress/lighting plan 1W park
Job no.: / ' 2.g 32 Job site address: /6, /0 si S- ❑ I Iealth•c:ve l u ility ❑Other.
—_ Submit '2 acts of plans with any of the above.
Ciry /Sttttc;ZIP: fg ,e,/ OA 9'7..2,2 3 The above are not applicable to temporary construction service.
Suite/bldg. /apt no.: Project name: •'., ' RE* SCHEDULE, .. --
_ / •
- 4_� Dmeriptioa I °el- i Met Tad
Cross street/directions to job site i New residential single, or atuld- family dwelling unit.
--- Includes attached garage.
1,000 sit R. or less ......... 145,15 i 4
Subdivision: Lot no.; Ea, add'l 500 sq R. or portion 33 40 1
Limited energy, residential 75.00 2
Tax map/parcel no.: r- Limited ener'gy_non•residential 75.00 2
.DESCRIPTION. OJ' Vl'ORI{i•, : •; Each manufactured or m odular
�� �/ dwelling, savice and/or' foxier 90.90 2
i
[r` ( S:l� e _ Services or feeders installation, alteration. ..and/or relocation
200 amps or leas �...j -- 80.30 2
I) PROPERTY OWNER V 1:1 ... • • . .. 201 amps to 400 amps — IGG.85 2
401 amps to 600 amps 16(,60 2
Name 601 amps to 1.000 amps 240.00 ' ' Y- — 2
Address. Over i .000 amps or volts 454.65 2
1---- Reconnect only 66.85 2
Ci ty/Statc/ZIP: Temporary services or feeders installation, alteration, l /or
relocation
Phone: ( ) >x: ( ) 200 amps or less 66.85 1 1
Owner installation: Tltta inxtnllatiun is being made on property that I own which is not 201 amps to 400 imps 100.30 2
intended for sale, lase, rent, or e ~- c ehunge, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133. 75 j 2
Owner si}jnarure: _ Date; _•„ __ on, per panel
_Branch circuits - new, alteration, or extension,
• ' .❑ APp1,.XCANI' • I . .CONTACT'PER.SON A Fr x: for hh c with i
service or feeder fee, each 6 65 2
Busin name: brunch circuit
13. Pee for branch eiteuits
Contact namt�ji _ de wu/lo feedertec, 46.65 .?t5 7,
J, �� � � f"��� first branch circuit
Address: ,_"___ lash add'l brtu>,ch circuit _ V -��
6,65 2
City /Stator/1 P: Miscellaneous (service or feeder not Included)
Pump or irrigation circle 53.40 2
Phone; (!�3) S',2 _ /_ �r 7 6 __ L Fttx ; ( ) I Sh or outline lighting .- 5 2
E -mail; Sf � l Sivnal circuits) or limited- I
' ' ,: CON1'RAC.I:OR'' ' energy panel. alteraation.or
extension. Describe; / Page 2 " op
2
Business name: AD'I' Security Services i
I Each additional inspection over allowable in any of the above
Address: 2815 SW 153 r+ Dr. . . . . - - . —. _� - . -, ...,...-- - _ - _ 1'a in ecLion 62.511
City /State/7..1P; ileaverton OR 97006 I Invatip,iunn pa hour t i :v min) 62 50
plant per hour i 73.75
Industrial p
Phone: (503) 469 -7100 Fax; (503)469 -711.1 ELECTRIC t1. PERMIT FEES
. C.C13 Lie.: 59944 I Electrical Lie.: 26- 209CLl'. I Suprv. tae:: LI:A389 Subtotal : IS om
Suprv. Electrician signature, required: .4?/„., / LLGGa� Plus review (25% of permit fee)
Print name: /4. I Date: /4 .' ^_ -. , Beare surcharge (8 °/ of permit fee) 6. �°
� !� f TOTAL. PERMIT FEE / D G
Authorized signature[ /lam - - -- I g
• _.
'1'h person application expires Ir a permit is nut obtained within 18U
//
day. ever it hat been nerepled as complete
Print mine: /6/t/ jedPil Ur _ I Date; J • I e nntlwduluity act lry Tri. :Uunty llu:hlu,h; Irulusiry Service 1,uanl
- - � � - •• Number oriacpcetious per pe nn,t alkiw,:d.
, :'llg,n'Pewmmiu'J1.( -i' iii. .n,' I:,D2 /,, /� /L & 4tsrtlp,�:K:VM�'I•!t
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: ELR2006.00212
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/8/2006
Phone: (503) 639 -4171 A
, 1 1.
. Inspection Requests (24 Hrs.): (503) 639 -4175 _ 14'1 1. 4111.
":
INSPECTION WORKSHEET FOR DATE: 10/13/2006 TIME: 7:00AM PAGE: 57 .
SITE ADDRESS: 10101 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE TOO LOT #: 025 TYPE OF USE:
PROJECT NAME: BANK OF AMERICA
DESCRIPTION: Bank of America. Access Control. Job #10825-32.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: ADT SECURITY SERVICES, INC PHONE #: 503 - 4617100
Inspection Request Scheduled For: Date: 10/13/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
038128-01 503-572-6870 N
to Pi 1,
ections /Uomm tions:
\g R,
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ( N 6e L Date: tq1 3(0O Phone #: (503) 718 -144