Permit CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
DEVELOPMENT SERVICES PERMIT #: E 10/25/2005
-00372
,.I I-' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -41 DATE ISSUED: 10/25/20
PARCEL: 1S12600-00300
SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD MGMT ZONING: C -G
SUBDIVISION: 1291gWSBEEIGTON SQUARE LOT: JURISDICTION: TIG
Project Description: CCTV low voltage cabling.
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: CCTV. X
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
WASHINGTON SQUARE LLC E C COMPANY
BY THE MACERICH COMPANY PO BOX 10286
9585 SW WASHINGTON SQUARE RD PORTLAND, OR 97296
TIGARD, OR 97223
Phone: Phone: 503 - 220 - 5377
Reg #: ELE 26 -45C
LIC 49737
FEES SUP 4040S
Description Date Amount REQUIRED ITEMS AND REPORTS
[ELPRMT] ELR Permit 10/25/200E $75.00
[TAX] 8% State Surchart 10/25/200E $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 95 01- 100. You may obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699.
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.
10/24/2005 0 � C �+ . ; ' .l. PAGE 01
„ -- Electrical Permit A pplication ruts (WI r O
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City of Tigard \OC 4 1Uo
nsiefor " "ed /0/9,6/55 gay Petmitxa: .. -aioa7 1—
13125 SW Hall Blvd.. TigardOR 97223 . pi Review/
Phone: 903.639.4171 I ,
: 4J 96111CUAKU• Date/By . OtherFetmir
Inspection
el
l Line C l : �ING DIVISION -• �' l l Dace Rtatdy /B ' • , See Page 2 for
N otiBed/Met o A Supplemental lnformatioo
i .
0 New construction • • ddition/alteration/replacament , Please check all that apply:
❑Service over 225 amps, cotmn'l ❑Hazardous location
[] Demolition Id Other: ❑Service over 320 amps - rating QBuildng over 10,000 sq. ft.,
of 1 -and 2- family dwellings d or more new residential
,,.:.�:.r..r %, �..: ;,:.,. ,. ... ' ..... ..... .. .:. .. '.:. .. ...,... .. .. .. units in one structure
❑ 1- and 2- family dwelling (Commcrcial/ittdostrial ❑ Accessory building ❑System over 600 vole nominal
❑ Multi Muter builder 0 Other: °Building over three stories ❑ Feeders, 404 amps or more
f :,, r '. ;`. ❑B igh load 6 99 persons ❑ p park
fet structures or
RV
°H facility ❑
Other:
Job no: : "\\ ■• v lob site address:0 S a S s tJ la A . \,., g Submit 2 sets of plans with any of the above,
City/Statel2IP: -1- e , �� The above are not applicable to temporary construcuoo service.
CC
Suite/bldg. /apt no.. Project name: s
`+.► q s‘,_ w0 Sc,,,.a. L pucrlpma ..
Cross street/directions`to job site: New residential single- or multi- family dwelling unit.
Includes attached garage-
1.000 sq. ft. or less 145,15 it
Subdivision: [ Lot no.: Ea- add'I 500 sq. R. or portion 33.40 1
Limited energy, residential 75.00 2
Tax map✓parcel no
:i }' i Limited energy, non - residential 75.00 2
i' , ,'t 4 { 1, , a / : , Each manufactured or modular
dwelling, service and/or feeder 90.90 2
.- a Sit \ Caro ` \ ` , N \ - ,.,- CC\ V S"1 s 1r-- Service; or feeders installation, alteration, and/or relocation
200 amps or less 60.30 2
1 I { amps amps 106.85 2
. . ' � - 401 arr>ps amps 100. 2
Name: P• t ` 1 (� 601 amps to 1,000 amps 240.60 2
Address: %S Sk„ J GJ l.s \ t� •}-t„ So O f1 Over 1,000 amps or volts 4sa.6s z
"S
S Reconnect only _ _ 66,85 2
Clry /Sfataq/Z1P: S oft �, ] I', Temporary services or feeders installation, alteration. and/or
relocation
Phone: ( ) 1 Fax: ( ) 200 amps or less 66.85 l
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 arms to 600 amps 133.75 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
e t i'„ a 1 A. Fee for branch circuits with - -
` ✓... , , ,..... , - . .... � ..,,.., .. service or feeder fee, each 6.65 2
Business name: branch circuit
• B. Fee for branch circuits
•
Contact name; without service or feeder fee,
a 1 each branch circuit 46.85 2
Address: t')' Each edd9 branch circuit 6.65 2
City/State/ZIP: Miscellaneous (service or feeder riot included)
Pump or irrigation circle 53.40 2
Phone:
( ) J Fes. ( ) Sign or outline lighting 53.40 2
E - mail: Signal circuit(s) or limited-
extension. Describe: ` Page 2 .1S_ CV I 2
Business name: V_ c_ C e lel C. -4r V C7 Cat .(-- . _
Address: (J G ` Each addldonel Inspection over allowable in any of the above
�> l0 Per inspection 62.50
City/State/ZIP; 1 Ot l>s , , / 1 Investigation per hour (1 hr min) 62,50 Industrial plant per hour 73
Phone: (S� ) 4.0. 17 Fax; (Sa3 ) S 3 1 Z 75
S� ��JJ r j' �s. r I { I'i� i r' a t �i a ' ur i .
CCB Lie.: y p s--) I Electrical Lie.: 07 c i S c l Suprv. Lic.: - Subtotal e' CAD
Suprv. Electrician signature, required: / 2 q,Sds Plan review (25% of permit fee)
Print Hanle: State surcharge (8% of permit fee) C . OD
�/' e ^ Date: / rY Sir, /�, C 4' G TOTAL PERMIT FEE %) 60
Authorized signature: Trio t split/catkin cation ires if a permit i
portal pU expires P i Get obtained within 160
days atier it hat been accepted ae complete
Print name: Date: • Fee methodology set by rn- County Building Industry Service Board
•" Number of inspections per permit allowed
i• ■Buildinatiroim I2A! 4046 IST(10/02/COM/W68
CITY OF TIGARD
BUILDING DIVISION PERMIT #: l 82006 f?:' 372
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/2E12006
Phone: (503) 639 -4171 .,, 11 lit
Inspection Requests (24 Hrs.): (503) 639 -4175 __
INSPECTION WORKSHEET FOR DATE: 1117/2006 TIME: 7:05 tyi PAGE: 39
SITE ADDRESS: 09q16 SW WASHll `71 SQUARE RD MGMT CLASS OF WORK:
SUBDIVISION: wASI SOU .'E LOT #: TYPE OF USE:
PROJECT NAME: (WASHINGTON SQUA EXPANSION
DESCRIPTION: CCTV low voltage cablinc .
OWNER: WASHINGTON SQUARE LLtwa PHONE #:
CONTRACTOR: E C COMPANY \\ PHONE #: 503-.220-5377
N.
Inspection Request Scheduled For: Date: 1/i 112005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 EIect.ricat fin.,. 0?5 -01 503-522 -99(3 Y
Corrections /Com - - • ion � ---
CP1a..1 '. F' b 2.sc 1 VAZ
5o.) 32ilr- qts -4)
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.
II
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ AIL ❑ C LL FOR I SPECTION ❑ ADDITIONAL FEES ASSESSED
yLea Inspector: ' Date: Phone #: (503) 7187- '1
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2005 -00372
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/25/2005
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 ._•riL.
INSPECTION WORKSHEET FOR DATE: 11/8/200; TIME: 7:00AM PAGE: 86
SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD MGMT CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: WASHINGTON SQUARE.EXPANSION
DESCRIPTION: CCTV low voltage cabling.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: E C COMPANY PHONE #: 503 -220 -5377
Inspection Request Scheduled For: Date: 11/8/2005 Pour Time:
Code # Inspection Description :0\ irm # Contact # Message
135 Low voltage 58 8.01 503- 678 -9180 N
Corrections /Comments/ Instructions:
PKt 9�5 �[� I - 0Y° ep c�aV4��
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ ALL FOR INSPECTIO ❑ ADDITIONAL FEES ASSESSED
Inspector: / / Date: h Phone #: (503) 718 -24