Permit •
CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
DEVELOPMENT SERVICES PERMIT #: ELR2005 - 00281
" �� -' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 9/15/2005
PARCEL: 1S12600-00300
SITE ADDRESS: 09348 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: Burglar alarm system.
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 SECURITYCO INC
BY THE MACERICH COMPANY 15495 SW SEQUOIA PKWY #100
9585 SW WASHINGTON SQUARE RD PORTLAND, OR 97224
TIGARD, OR 97223
Phone: 503- 639 -8865 Phone: 503- 968 -3300
Reg #: LIC 161567
SUP 941 LEA
FEES ELE 37- 1054CLE
Description Date Amount REQUIRED ITEMS AND REPORTS
[ELPRMT] ELR Permit 9/15/2005 $75.00
[TAX] 8% State Surcha 9/15/2005 $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: , �j' , /60 s Permittee Signature: t; p
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 -14 -2005 12:48 HSM HONEYWELL SECURITY 503 968 3398 P.02/03
%--4 Vl IIIIL ,Ca, L.PpaI%31I.1V11
R eceived i
City of Tigard — - Permit No.: ��
Dme/ra '
Q �I�IE® _.....-4.0" y�
13125 SW Hall Blvd„ Ti Plan Review
Phone: 503.639.4171 Fax; C ! ?'rdcr "ti a, OtterPcnr�it:
Inspection Line: 503.639,4I7. t 1 ' _ 1 I�„ Date Re
p� „....,!...14- _„ Dale Ready /13Y: �'i (( ` Supplemental Information
El See Page 2 for -
lntcrrtct; www.ci.tigard of.lta /( n( ��� Notificd/Me hod;
�PT_ �I;fO�'190
. PLAN REVIEW •
❑ New construction �}(♦nrotton/replacement Please check all that apply'
C ^emu ['Service over 225 am s come' i- lazardous location
❑ Demolition 'DIVISION p '
LiServiee over 320 amps - rating DBuildng over 10,000 sq. ft.,
' • , CATEGORY OF CONSTRUCTION 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
[Mudding over three stories ['Feeders, 400 amps or more
El Multi family ID Master builder E] Other:
JOB S1TE'INFORMAIION AND, LOCATION ['Occupant load over 99 persons ❑Mmtufactured structures or
. ❑Ggress/lighting pion RV park
Job no.: I Joh site address: 9348 SW Washington Sq. Rd. Space #W14 0iealth -care facility DOther.
Submit„], sets of plans with any of the above
City /State/ZIP: Tigard, OR 97223 The above are not applicable to temporary construction service.
Suite/bldg. /apt. no.: W14 Project name: Sharper Image - #332 "FEE* SCHEDULE
neeertpeton I Qtr. L Fee. I 'fatal I s '
Cross street/directions to job site: T.. _ New residential single- or multi - family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision; Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
Tax map /parcel no.: Limited energy, non- lor esidential modlar 75.00 2
DESCRIPITON',OF. WORK Each manufactured u
Install alarm system dwelling, service and/or fccdcr 9090 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2 •
• , III PROPERTY OWNER' - • I ' IS :TENANT .. 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
Name: 601 amps to 1.000 amps 240.60 2
Address: Over 1,000 amps or voila 454.65 2
City / State/Z1P: Reconnect only 66.85 2
Temporary services or feeders installation, alteration, and/or
Phone: ( ) Fax: ( ) relocation
200 amps or Icss 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 signature: Date: Branch circuits- new, alteration, or extension, per panel
. . la'APPLICANT ' . . I, . ._ ❑ CONTACT PERSON . ' 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,
46.85 2
Address: each branch circuit
Each addi branch circuit 6.65 2
City/ State/ZIP: Miscellaneous (service or feeder not included)
Phone: ( )
Pump or irrigation circle 53,40 2
---� :: ( ) Sign or outline lighting 53.40 2
E - mail: Signal circuit(s) or limited-
CONTRACTOR . energy panel, alteration, or
extension. Describe; ' Page 2 1 2
Business name: SecurityCo Inc. DBA Honeywell Security _
Address: 15495 SW Sequoia Parkway Ste. #100 Each additional inspection over allowable in any of the above
Pcr inspection 62.50
City/State /ZIP: Portland, OR 97224 Investigation per hour (1 hr t al) - 62.50 -
Phone; (503) 698 ' I Fax: (503) 698-339S Industrial plant per hour 73.75
. • ELECT1iUCAL PERMIT PEEP
CCB Liu.; 161567 Electrical Lic_: 37 -1054C - Suprv. Lie_: 941 LEA Subtotal
Suprv. Electrician signature, required: o II Plan review (25% of permit fee)
Print name: S pyt Date: 09/14/05 State surcharge (8% of permit fee) S. 01)
-
TOTAL PERMIT FEE q 1 , ED
Authorized signature: 1 p I /1r f I A �r r/1 T his pelmet application espitra if a permit is nut obtained within ISO
�.�u�v �(f �/l�' ( days after It has been accepted as complete
Print name: IALA6__Tikl I Date: 09/14/05 • Foe methodology set by 1'6-County Building Industry Service Board
•- Number of inspections per permit allowed.
i \rluildiog\Permits\LLGPermitApp doc 12/03 440-4015r(10/02/COM/WEB
CITY -OF TIGARD
BUIL_D1NG DIVISION PERMIT #: ELR2005 -00281
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/15/2005
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/3/2005 TIME: 7:06AM PAGE: 9
SITE ADDRESS: 09348 SW WA • INGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON `. UARE LOT #: TYPE OF USE:
PROJECT NAME: SHARPER IMAGE
DESCRIPTION: Burglar alarm system.
OWNER: WASHINGTON SQUARE +. C. PHONE #: 503. 639 -8865
CONTRACTOR: SECURITYCO INC PHONE #: 503-968-3300
Inspection Request Scheduled For: I : te: 11/3/2005 Pour Time:
Code # - • - scription r on _ Contact # Message
199 Electrical final 02025"I 503.871 -2678 N
Corrections /Comments /Instructions:
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED •
•
� l! 2
Inspector: ��- N 64 L Date: I L ' - 0� Phone #: (503) 718- Z-IyI