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Permit A L CiTY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT 1i PERMIT #: ELR2005 -00373 � DEVELOPMENT SERVICES DATE ISSUED: 10/27/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S12600 -00300 SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD MGMT ZONING: C -G SUBDIVISION: (114#SEIENGTON SQUARE LOT: JURISDICTION: TIG Project Description: Landscape lighting. • 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: X OTHER: : HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: 1 Owner: Contractor: WASHINGTON SQUARE LLC GREEN ART LANDSCAPE & IRRIGATI BY THE MACERICH COMPANY BRIAN BYUNG HWA PARK 9585 SW WASHINGTON SQUARE RD 8335 NW CORNELIUS PASS RD TIGARD, OR 97223 HILLSBORO, OR 97124 Phone: Phone: 503 617 - 9990 Reg #: LIC 5968 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [ELPRMT] ELR Permit 101271200E $75.00 [TAX] 8% State Surchart 10/27/200E $6.00 Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699. Issued By: ,dzi _,_ Permittee Signature: OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N DATE: LICENSE NO: Call 503 -639 -4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. N/25/2005 14:56 5036170878 GREEN ART PAGE 01 10/25/2005 12:26 FAX 5036981980 CITY OF TIGARD X001 173 1 ctric arm t FOR, Qrru_l UST ()()NIA �l • City of Tigard ® / , , PermitN • 13125 SW Hall Blvd., Tigard, OR 07223 • Plen Review Phone: 503.639.4171 Fax: 5033 1 0 2 5 2005 `•, '• I r Datemy; Other Permit Inspection Line: 503.639.4175 , !i : ':. Date Ready/el ax: 1 6$ ,sea Page 2 for I Internet: www.eltigard.or.us N ethod: Supplemental lnformation ,, RIB FT#t :..Fig�1{ w P • .:. 171 , • • 5 �' • ' '� ID New construction Addition/alteration/repiacceme nt Please check all that apply: ❑ Demolition ❑Other ❑Service over 225 amps, comml pHazerdous location • . ❑Service over 320 amps — rating QBaiidng over 10,000 sq. ft., • • .1 CATB 00 eoreiY'� ucriQN • '' • ..' , • ' ' ;'- of 1- and 2- family dwellings 4 or more new residendal ❑ 1 - and 2 0lmity dwelling Ai Commercial/industrial ❑ Accessory building ['System over 600 volts nominal unite in one much= ❑ M111d•z'dmity ❑ Master builder ❑Other ❑Bugling over three ewes QFeedets, 400 amps or more _ ['Occupant load over 99 persons ❑Mnnufaeture sw d omros or • • '. • : : ; .IO � INFORM&IjO1,4 . • L6CATION • : . ' • , . .: ❑ES ti/lighting plan RV pant Rel. Ol�leAth -card Smithy ❑Other Job no.: I Job site address: 4 W (, �� S t Submit 1 eats of plans with any fifties above City/State/ZIP: • ' aid 6 a ' J The above are not applicable to temponny construction smvice. • Suite/bldg. /apt. no.: Ppojelct name' • •': ' •.; •.FB$" DULE. ' • _ . • . • I�J �S'.PalI . Junsi on a '• gym 1 , 7. I Rs ) Tam I M Cross street/directions to job site w 5444015k Nrci 0 # s to ! v s Q New reddeadal single or mold dwelUag unit. p �/� tAl�eta.: F •a C Includes attached garage t�.C.� y lAa, f 5 . b i a ate,, 1,000 sq. R. or less 145.15 4 Subdivision: • Lot no.: EL adds! 500 sq. ft. or ponlon 33.40 1 : Tax map/parcel no.: �'I, Limited energy. residential 75.00 2 . I) C !®� 'Y Limited energy, non - residential _ 75.00 2 • • • • ' DESCRIPrJo1 O " „ !' WO •• .';., : : ; ' • , • ' Each menutlletured or modular (r t S VptAN Li J vim, bbl fJ ^ 0 L • welling, HMCo atai/or feeder 90.90 2 .� Services or Birders installation, alteration, and/or roloeatioa T �1 w ar e; ° ” +� 1 t . t Al a 200 amps or loss 80.30 2 . i `p p4apt .it: 050.8,. • , . IL7' 201 amps to 400 naps 106.85 , 2 • 401 amps to 600 amts 160.60 2 Name: ti),,, ; • • t ,._ R . 1,,.m (tee , Cc, , 601 amps to 1,000 turps 240.60 2 • Address': 21 awta. V . A - C.: Over 1.000 amps ar sons 454.65 2 `� Reconnect only , 66.83 2 CiCity/State/ZIP: /� _ ( 'f- � q U 40/ Temporary services or feeders Installation, alteration, and/or Phone: ( ) Fax: ( ) relocation Owner Installation: This installation is 20 amps to or less 00.30 t being made on property that I own which is not 201 amps to 400 amps 100.30 2 • intended for sale, lease, raft, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 ernes _ 133.75 2 Owner signature: Date: Branch cirettits —new, altera or extension, per panel • . . • • . AP 'ZICANT'' -..... :. '. I :.'• • .: A. Fee Stir branch clrcatta with Business name: ---1 service or feeder fee each /�� . �_7�M � yt l�.trnd - �.� Q �. �tvt�ir�,'0h branch circuit ,, 6.65 2 ` J" B. Fee for branch circuits Contact name: �,oy ,'lee without service or feeder fee, ' Miscellaaeoes (service 1 4 t e� 0 Co i 4t tech branch circuit c Address: r 46.85 2 8 } 97 � y � Each add '1 branch circuit 6.65 2 City/State/MPH 4 Z (,is i o 1,p k 14/ or feeder not Included) - Phone: (gD ?) 6 l 7 , 44 ° 1 Fax: : (9) 6) 7 r 0 71 Pump or tn°b'ation circle 53.40 2 • t- Sign or outline lighting 53.40 2 E-mail: '' • L Go Ir_ _ _ 'v't A ~ •ti""'ai . PA Signal citcuh(s) or limited- , . • . • .... COitiTR4OTOR •: -•::.. . . - • . i : energy panel, alteration, or il� extension. Describe: Page 2 2 Business name: �jr�,, � (.. S If_ a^ • Address: 4P ,tt cJ Co Yt44 i Res RA. Each additional onal Inspection over all in ray of the above G /State/ZIP: °A b Pain 62.50 e 5}-► t VV D I � q7 1 ]. I nvest i gat i on per haw ti to tabs) 62.50 t Pbtomx ((D)) All— / q ) I '4 ° I Fax: (sv 3) it-7— 0 978 Industrial r •'_ phmt per hour 73.75 , COB tic.: .� b g I Electrical Lie : I Suprv. Lic.: .:: ' . ' rELB(.'17�CJ►L PShlelu btotal s 1 .: , : >. Suprv. Isle ctriciari signature, required: Plan review (25% of permit fee) $' • gn . State surcharge 6 6. Print name: Date: �'v �=0� �'8 (96 ofpemlit &e) r ��� ToTAL PER IIT FEE )$ I Authorized signaturi m * permit application expires ire permit b notebtainedwlthin 180 daye alter u bas bees accepted as complete. Print nem Date: ( 0.-- gs -0S' - • sec methodology set by Td-0oupty Sodom Wintry Smoke Board IAH.itetaelthnnlnl®Pwou+lc�pp me t7/a1 •■ Numb of � per permit allowed d40.46157(1ole2ll:OM/wEa • 1 CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR2005.00373 M 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/27/2005 Phone: (503) 639 -4171 lt Inspection Requests (24 Hrs.): (503) 639 -4175 _ °_ INSPECTION WORKSHEET F•R DATE: 11/10/2005 TIME: 7:02AM PAGE: 86 SITE ADDRESS: 09585 SW W HINGTON SQUARE RD MGMT CLASS OF WORK: SUBDIVISION: WASHINGTON •QUARE LOT #: TYPE OF USE: PROJECT NAME: WASHINGTON St. UARE EXPANSION DESCRIPTION: Landscape irrigation OWNER: WASHINGTON SQUAR. LLC, PHONE #: CONTRACTOR: GREEN ART LANDSCAP & IRRIGATI PHONE #: 503 - 617 -9990 Inspection Request Scheduled For: ∎ate: 11/10/2005 Pour Time: Code # Inspection Description Con ' m # Contact # Message 1 - • ■ ' • - • 020925- ■ 1 503 -617 -9990 N \�'Z'1. tr--; 97i -5-63 -831$ Corrections /Comments /In '• s: PASS [11 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL • ' ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ff''� Inspector: � '). Date: P/161 / 6 8 Phone #: (503) 718 - i y�