Loading...
Permit C OF TIGAR® ELECTRICAL RESTRICTED ENERGY PERMIT • DEVELOPMENT SERVICES PERMIT #: ELR2005 -00426 ' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 11/28/2005 PARCEL: 1S12600-00300 SITE ADDRESS: 09302 SW WASHINGTON SQUARE RD ZONING: C -G SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG Project Description: Fie alarm low voltage. 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: X OUTDOOR LANDSC LITE: OTHER: : HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: 1 Owner: Contractor: WASHINGTON SQUARE LLC OREGON ELECTRIC GROUP BY THE MACERICH COMPANY 1010 SE 11TH AVE 9585 SW WASHINGTON SQUARE RD PORTLAND, OR 97214 TIGARD, OR 97223 Phone: 503 639 - 8865 Phone: 503 - 234 - 9900 Reg #: LIC 203 SUP 4460S FEES ELE 26 -95C Description Date Amount REQUIRED ITEMS AND REPORTS [ELPRMT] ELR Permit 11/28/200E $75.00 [TAX] 8% State Surcharl 11/28/200E $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 -0 1 -0100. You may obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699. 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. 11 - 23 - 05 12:32PM FROM - Oregon Electric Estimating 5032313587 T -539 P.004/008 F -783 ' City of Tigard �� ®n �� Received Date/8 : g a 13125 SW Hall Blvd., Tigard, Olt ?: Plan Review Phone: 503 639.4171 Fax: 503.5' 8. ' :Pr x _ 1 ' 4 '- ,i.: l ! Date Other Permit: Inspection Line. 503 e iln. c 1 � Dare Reedy/By. 1 H See Page 2 for Internet; www.ci.tigurd.or.us (3\ 23 20 5 - Notified/Method: / ( a Supplenteatal information ^t n'.•ts : : i � cjn,4� n v I. ' , I% .' St ,+ a r4r� �: 1' :', ' • �,�j 1 P 1 ' 401, 1^+� �(.��y.�E �'�,•, �� +�4 � „.:� i x 41 - . 41111,'!! ' t t,7. ` , 4 r �. u yy `. ' 7q; �'"!� � r"�.'•- 'S+rRS }�, , t; °,.. .. ❑ New construction 0 A . • ' : p tgrtiill . e Please check all that apply: El Demolition ❑ [her ['Service over 225 amps, comm'l ©Hazardous location r r ['Service over 320 amps - rating ❑nnildng over 10,000 sq. ft., r t ? A "> fl 'WM. E , . 'AV er, of 1- and 2- family dwellings 4 or more new residential ❑ I- and 2- family dwelling ® Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure ['Building over three stories ['Feeders, 400 amps or more ❑ Mind- family ❑ Master builder ❑ Other if�,�0$�S �� ON�' O � � Ol� �^, -' ['Occupant load over 99 persons ['Manufactured park structures or ' r ., rr.� iligCgi al ' � a Y .1t'M .' ❑Egressilighting plan P lob no.: lob site address:VS&S SW Washington Square Rd ['Health-care facility ❑Other. Submit 2 sets of plans with any of the above. City/ State/ZIP: Tigard, OR 97223 C 1302. The above are not applicable to temporary construction service. Suite /bldgJapt. no.: VS Project name: Fragranza riiic e:r'• d; r } ; { c, .. FEE! •-S DIILEiti'. ;;1;:F;. ",Si:i; igl : - il? tkseripaion 14rr. I Fee. I Total Cross street/directions to job site: New residential single- or multi- family dwelling unit. Includes attached garage. 1,000 sq. ft_ or Tess 145.15 4 Subdivision: I Lot no.: Ea. add'1500 sq. ft. or portion 33.40 1 limited enemy, residential 75.00 2 Tax map/parcel no.: limited energy, non - residential 75.00 2 "`x',/ " li) -`1" ; ? ;'y FScffgLI: TON O OR%;:, ,�''- ;7 7 "v�' ' Each manufactured or modular rrG � _, %t ,s TE '}��, a r;- . r:� Install low voltage wiring and cabling for Fire Alarm _ dwelling, service and/or feeder 90.90 2 Services or feeders installation, alteration, and/or relocation 200 amps of less 80.30 L2 t + r' u 1 • rr , t 201 amps to 400 am :'p,. ._Y :I$r1PROPERT '0S X 1` i ;. e, 4,•v ;$, a N�rrp} h ,T. P Ps 106.85 2 401 amps to 600 amps - 160.60 2 Name: Washington Square LLC 601 amps to 1,000 amps 240.60 2 Address: 9585 SW Washington Square Rd Over 1 ,000 amps or volts 454.65 2 -- Reconnect only 66 - 85 2 City/State/ZIP: Tigard, OR 97223 Temporary services or feeders installation, alteration, and/or relocation Phone: ( ) Fax: ( ) 200 amps or less 66_85 I 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 40] amps to 600 amps 133.75 2 Owner signature: - Dare: Branch circuits - new, alteration, or extension, per panel �w: j -, : ,;a o f' • la t*i'^.o;- *: b p$:-... A. Fee for branch circuits wine • �C,r ,: �Pro :`l�•:.r� �,.w�i.�� v.e,�i.s•:,a �❑ x" �Ul! F�A'CJt�EIt�S "" service or feeder fee, each 6.65 2 Business name: Oregon Electric Group, Inc branch circuit B. Fee for branch circuits Contact name: Lori Martin without service or feeder fee, 46.85 2 Address: 1010 SE 11 Ave each branch circuit Each add' I branch circuit 6.65 2 City /State/ZIP: Portland, OR 97214 Miscellaneous (service or feeder not included) Phone: (503) 234 -9900 I Fax: : (503) 535-2620 Pump irrigation circle 53.40 2 E -mail: loni@oregon-electric.com Sign l circuit(s) or i 53.40 2 � ti Signal citouit(s) or limited- °rY .Z.'''`sV el.4:444 F 'g Vili.C ; e44fo-• ilze !€ V,rga'r. +; ;iii", energy panel, alteraaoe• or 1 extension. Describe: / Page 2 75 2 Business name: Oregon Electric Croup, Inc. Address: 1010 SE 11 Ave Each additional inspection over allowable in any of the above Per inspection 62.50 City/ State/ZIP: Portland, OR 97223 Investigation per hour (I he min) 62.50 Phone: (503) 234-9900 Fax: (503) 535 - 2620 industrial plant per hour 73.75 Nn•.= s't,:?!•'.!R4k.`:''E1. cTRLCAUPERM1!tff ,>EESr:. ;" CCB Lie.: 203 Electrical Lie.: Suprv. Lic.: Subtotal 1$ - Suprv. Electrician signature, required: '0. Plan review (25% of permit fcc) Print name: Date: I State surcharge (896 of permit fee) 6 `! TOTAL PERMIT FEE $1 / Authorized signature: /f_/L!/ This permit appltntionetpires if a permit is not obtained within 150 days atter it has been accepted as complete Print name: : 11/23/05 • Fee melhodnlogy set by Tri- County Building Indusery Service Snarl •- Number of inspections per permit allowed. .:'yuldir PormiuhlLC•PerauNpp.doc 12/03 440.4615T(10A7/COmneas r . 11 -23 -05 12 :32PM FROM - Oregon Electric Estimating 5032313587 T -539 P.005/008 F -783 �!:14 &I. i11 I lel LULL pf./1111.4i6RVil , UM . ibaa Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: 'TM' v,01Wip Fee for all residential systems combined........ $75.00 Check Type of Work involved: ❑ Audio and Stereo Systems* n Burglar Alarm n Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: Fee for each commercial system ....................... $75.00 (SEE OAR 918- 260 -260) Check Type of Work involved: n Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ® Fire Alarm Installation n HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* n Protective Signaling ❑ Other • Total number of commercial systems: *No licenses are required_ Licenses are required for all other installations IADaitJ 0Pmm�tpLC- PVm4App doc O4/03 CITY -OF TIGARD BUILDING DIVISION PERMIT #: ELR2005 -00426 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/28/2005 Phone: (503) 639- 4171pi'� �* Inspection Requests (24 Hrs.): (503) 639 -4175 F'I .. INSPECTION WORKSHEET FOR DATE: 11/29/2005 TIME: 7:05AM PAGE: 65 SITE ADDRESS: 09302 SW WASH \ GTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQ ° RE LOT #: TYPE OF USE: PROJECT NAME: FRAGRANZA DESCRIPTION: Fire alarm low voltage. OWNER: WASHINGTON SQUARE LL PHONE #: 503639 -8865 CONTRACTOR: OREGON ELECTRIC GROU PHONE #: 503234-9900 Inspection Request Scheduled For: • D. e: 11/29/2005 Pour Time: Code # Inspection Description Conti # Contact # Message 199 Electrical final 022551 11 503-793.7177 N Corrections /Comments /Instructions: • P GAN ���`3 A Rov Ll • *PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: C3 N (6 Date: \I 'Zi' Cl- Phone #: (503) 718- 2 A6 • • CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR2005.00426 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/2812005 Phone: (503) 639 -4171 !� Inspection Requests (24 Hrs.): (503) 639 -4175 ��' "I � .. INSPECTION WORKSHEET FOR DATE: 11/29/2005 TIME: 7:05AM PAGE: 38 SITE ADDRESS: 09302 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: FRAGRANZA DESCRIPTION: Fire alarm low voltage. OWNER: WASHINGTON SQUARE LLC, PHONE #: 503 - 639 -8865 CONTRACTOR: OREGON ELECTRIC GROUP PHONE #: 503-234 -9300 Inspection Request Scheduled For: Date: 11/29/2005 Pour Time: ' Code # Inspection Description Confirm # ° Contact # Message 136 Low voltage 022573-01 503 -490 -0976 N • Corrections /Comments/ Instructions: • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION , ❑ ADDITIONAL FEES ASSESSED Inspector: • N Date: yt( 21( ( CY ° Phone #: (503) 718 1)40 •