Permit CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
' COMMUNITY DEVELOPMENT PERMIT #: ELR2008 - 00081
I G A R ID; 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/11 /2008
PARCEL: 1 S 135BA -00102
SITE ADDRESS: 10206 SW WASHINGTON SQUARE RD C3 - 15 ZONING: C - G
SUBDIVISION: WASHINGTON SQUARE TOO LOT: 001 JURISDICTION: TIG
PROJECT: BARNES & NOBLE
Project Description: TI. Reconnecting (1) low voltage system for thermostats.
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: : X
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
WASHINGTON SQUARE LLC AMERICAN HEATING
BY THE MACERICH COMPANY 1339 SW GIDEON ST
9585 SW WASHINGTON SQUARE RD PORTLAND, OR 97202
TIGARD, OR 97223
Phone: Contact #: PRI 503- 239 -4600
FAX 503- 239 -7038
Reg #: ELE 26- 993CRE,,
FEES LIC 33135
Description Date Amount SUP 2640LEB
[ELPRMT] ELR Permit 4/11/2008 $75.00
[TAX] 12% State Surch 4/11/2008 $9.00 REQUIRED ITEMS AND REPORTS
Total $84.00
•
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.
J X
Issued By: • rmittee Signature: A4 c `'c c
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.
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Elect Permit Application iiet4,0i rt U; " F O ROF F ICEUS E ONL Y f.1 • v, :� i f,4
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City of Tigard ,, ,, Received 1. `�,'M � / / • ,.6 (
13125 SW Hall Blvd., Tigard, OR 97223 ti M Pl Review
4;2: "1013 Other Permit:
Phone: 503.639.4171 Fax: 503.598.19�. a v !
r . ie?w h ik Date/Date/13 :
Ins ection Line: 503.639.4175 ` � 1.. � •' I�•j Date Read B : kris' 21 See Page 2far
P e� ti : .r�. ' y Y
Internet: www.et ngard.or us t( 1 1 3 .. Nottfied/Method: Supplemental information
._- _ 4:7 T Est ig a s , a ,.70 y F , Z-;c F , i* -gr . . - x - ,g`r, 76 ® . s it r i g ' ,t ip' "1 4 4 , ! ,
iNk y i 0001 i 'il" 1' i. O °�a 99 r t l r ' 9 9 - _ .3. -'� r ''' ,f�,.. 1c..r�3''' '.v 4.._ '. _.
El New construction y Additio �er4t: replacement Please check all that apply:
,t-• . Service over 225 amps, comm'I CI Hazardous location
❑ Demolition ❑ Other: El Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft.,
r xY t 0S; to o N 1 ®� gas m;i n ' 5 : of 1- and 2-family dwellings 4 or more new residential
❑ 1 - and 2- family dwelling Commercial/industrial 0 Accessory building
❑System over 600 volts nominal units in one structure
❑Building over three stories ❑Feeders, 400amps or more
❑ Multi -family ❑ Master builder ❑ Other: ❑Occupant load over 99 persons Manufactured structures or
'„t i 3: 9r r g - E. an -,-, 1, 1 1 , 7,,, ,,, , RV park
� rs °J . �. ` i t a ,g .. : � ' 6 7 40 , - rN 14' 0 Egress/1ighting plan
ealth -care facility ❑Other:
Job no.: Job site address: �_: / i` a (� - _E , �t 2 sets of plans with any of the above.
City/State /ZIP: 1 0 -2. , 9 7a�3 The above are not applicable to temporary construction service
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Suite/bldg. /apt. no.: I Project name: 13A4eH s 4 av Oblo Description Qty. Fee. Total
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 4
Subdivision: I Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
Tax map /parcel no _ �. Limited energy, non - residential 75.00 2
f O J'hi - .. ° 1 ...haw,- OPrif 4(03 % fk #'+ ; Each manu or modular
dwelling, service and /or feeder 90.90 2
CA-9.A (-\ E.'Z t t . \J O Ons -c Services or feeders installation, alteration, and/or relocation
12-019- LI 64.„ 200 amps or less 80.30 2
s.7' .T WT- ,�i y�z� r " ��,Z;`• c,lr• „'xr g S f i - ( � y , , w yr . ' s ' m 201 amps to 400 amps 106.85 2
� n���� �' W- � ''"�' �'��r'�� "`""''; - 401 amps to 600 amps 160:60 2
Name: 1 ' i4 )..N t. N O . - JlG6 601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
1 O (° s • Q ('ly J A �� 0. Reconnect only 66.85 2
City/State/ZIP: `.-- A Q- 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 600 amps 133.75 2
Owner si: ature: • Date: Branch circuits - new, alteration, or extension, per panel
=r a . F� � y ' t a'c� r - tx' .. A. Fee for branch circuits with
" ---- -' �n '' 'd.�t • -w �i 9r '% r- a , n +4n 'F ®. c ' .-f `? service or feeder fee, each 6.65 2
. ,, ,... _tea ..a • may. i t^... u , • e� lose i.d
Business name: �mQ (t coil ' Gk.-CI n OJ ,;11( , branch circuit
4 B. Fee for branch circuits
Contact name: without service or feeder fee, 46.85 2
� S ` /- •,tq
each branch circuit
1 ��
Address: V E -� 0 �1 Each a dd'I branch circuit 6.65 2
City/State/ZIP: 'U y - I � d i Q a. qn a V O. Miscellaneous (service or feeder not included)
�� (� 7 Pump or irrigation circle 53.40 2
Phone: a3� (.,c o I Fax: es ' ' v u )D . _ -- 1 - J% Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited-
st .�tf wrf°v' "gyp {��lo � r ( ti n - p;i energy Panel, alteration, or
gig 'ftP:f"ys/�:i2•Ri.'. . -ec t � L.:2,aW.'£004 Yr , i,d, 0 4.4 �3 r«.. Al* 2
_ extension. Describe: Page 2
Business name: ( 1
�- fl c i • r --i R 111C .
` �� � � � aid,. t � Each additional inspection over allowable in any of the above
Address: 1 r Per inspection 62.50
City/State/ZIP: ` ( f 0 q-) -30 Investigation per hour (1 hr min) 62.50
�q. O 0 I ) 2 t- i O o Industrial plant per hour 73.75
Phone: ( ) Fax: O s , riat, , ,(� r >
CCB Lic.: 33 35 Electrical Lic.: 96gC3 (4j S up . Lic.: a.(oy 0 L' Subtotal .7c -
Suprv. Electrician signature, required: _ ` �� l . Plan review (25% of permit fee)
� State surcharge (8% of permit fee) q , .-`-
,
Print name: 1 54e4 , A yo _ .. Date:
�� TOTAL PERMIT FEE_
Authorized signature: A „ ` / / ,� ; ` i This permit application expires if a permit Is not obtained within 180
days after It has been accepted as complete
Print name: e m a 3 G.) i o n Date: • Fee methodology set by Tri- County Building industry Service Board
•• Number of inspections per permit allowed.
f:\Building\Pe its\ELC- PertnitApp.doc 12/03 440- 4615T(10 /O2JCOM/WEB •
CIT ■ OF TIGARD
BUILDING DIVISION PERMIT #: EL.R2008.000t31
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/11/200)
Phone: (503) 639 -4171 f� •
Inspection Requests (24 Hrs.): (503) 639 -4175 �' �;f�'i
INSPECTION WORKSHEET FOR DATE: 5/1/2008 TIME: 7:00Atvf PAGE: 73
SITE ADDRESS: 10205 SW W °r ! • RD 03 CLASS OF WORK:
SUBDIVISION: i .'a GTON SQUARE Too LO 1 1 TYPE OF USE:
PROJECT NAM : BARNES €c NOBLE
DESCRIPTIO . TI. Reconnecting (1) low voltage system for thermostats.
OWNER: WASHINGTON SO PHONE #:
CONTRACTOR: AMERICAN HEATING PHONE #: 503.239 -4600
Inspection Request Scheduled For: Date: 5/112008 Pour Time:
Code # Inspection Desc on ( Confirm • Contact # Message
Electrical final 069160 -02 503.572 -6339 N
Corre '. s Comments /Instructions:
PASS 1 1 PARTIAL APPROVAL 1 1 CANCEL n NO ACCESS
n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1 v Qs SIG Date: 61 2.�L
j�1
Phone #: (503) 718- �
.
CITY ������N��6�����
��wo m ��n� mm���m���p , /
BUILDING DIVISION PERMIT #: BJR2008-O0O81
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4111120OQ
Phone: (503) 639-4171
Inspection Requests (24 Hmj:(5U3)830'417S ^ 4*°lIJI.
INSPECTION WORKSHEET FOR DATE: 5f1/2008 TIME: 7:00AM PAGE: 74
SITE ADDRESS: 10206 SW WASHINGTON SQUARE RD C3-15 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE TOO LOT #: 001 TYPE OF USE:
PROJECT NAME: BARNES ft, NOBLE
DESCRIPTION: 11. Reconnecting [1) low voltage system for thermostats,
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: AMERICAN HEATING PHONE #: 503-235'4600
Inspection Request Scheduled For: Date: 5t1/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
--
135 Low voltage 069168-01 503- 672-G339 N
Corrections/C/Instructions:
PASS PARTIAL APPROVAL Ei CANCEL 1 | NO ACCESS
FAIL fl CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
e'''1 �(r�� ` ° ~~- - � IA ����� Inspector: 0`WL���� Oa�a�/� o Phone #: (503) 718- ^uzA~���