Permit •
CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
A DEVELOPMENT SERVICES PERMIT #: E-00002
A!' I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 1/4/2006 4/2006
PARCEL: 1S12600-00300
SITE ADDRESS: 09354 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: Fire 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 Contact #: FAX 503 -535 -2763
PRI 503- 234 -9900
FEES Reg #: LIC 203
SUP 4460S
Description Date Amount ELE 26 - 95C
[ELPRMT] ELR Permit 1/4/2006 $75.00
[TAX] 8% State Surchar€ 1/4/2006 $6.00 REQUIRED ITEMS AND REPORTS
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 - 001 -0100. You ma obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699.
Issued By: % Permittee Signature: e, cAe
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.
L
Elect; ical Permit Ai t a i FOR OFFICE USE ONLY
City of Tigard natter I b & 4,1„,„ 4,1„,„ n e. /0 MfiUP—.
13125 SW Hall Blvd., Tigard, OR 97223 i ` 0 /; i,'3 Plan Revi w
Phone: 503.639.4171 Fax: 503.598.1960 'oaa'' '! Other Pernut-
�� S " � I Date/B r
Inspection Line: 503.639.4175 �� r E T1 �J Q = !� ^'I �-� Date Read FY Notified/Method: J ® See Page 2 for
Internet: www.ciligard.or.us A fied/Method: Supplemental Information
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. . -, 11: ;.T - ,r: .`rI !.��,- r. -:t Wg,"- i -�; ,�» :t a-.
'". J�Y}i `- '~ v � r ,. 1.-!r� : i' � Pf:. VIE ..f �µ �}. •f
❑ New construction ® Addition/alteration/replacement Please check all that apply:
❑Service over 225 amps, comm'I ❑Hazardous location
❑ Demolition 0 Other: ❑Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft.,
4,i ,i1,; ` ,..I _' ; 1:0 (jATEGORY. OF ; CONSTRUCTION:We4ilt;`:'f.; ,` rk of t- and 2- family dwellings 4 or more new residential
❑ 1- and 2- family dwelling ® Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
El Multi - family ❑Master builder El Other: ❑Building over three stories ❑Feeders, 400 amps or more
i,- :a � ❑Occupant load over 99 persons ❑Manufactured structures or t. • - ; T Z i , -,;fix JOB'SITE INFORMATION AND = LOCATION';, =':'S." ` ❑Egress/lighting plan RV park
Job no.: r 9 Job site address: 9585 SW Washington Square Rd ❑Health -care facility ❑Other.
Submit 2 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.: W15 Project name: The Walking Company FEE' SCHEDULE
Description I Qty. I Fee. I rota) I ..
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 14
Subdivision: I Lot no.: Ea. add' 1 500 sq. ft. or portion 33 40 l
Tax map/parcel no.: Limited energy, residential 75.00 2
Limited energy, non - residential 75.00 2
DESCRIPTION_OF .WORK . . _ - - . Each manufactured or modular
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 or less 80.30 2
® PROPERTY- - OWNEIV'' • 201 amps to 400 amps 106 85 2
f' :, ❑'TENANT -
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 9'7223 Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) 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 signature: Date: Branch circuits - new, alteration, or extension, per panel
-. - - ' ® APPLICANT- -`: ": • - _ ' I :` _-•-❑ CONTACT PERSON -. A. Fee for branch circuits with
service or feeder fee, each 6.65 2
Business name: Oregon Electric Group, Inc. branch circuit
B. Fee for branch circuits
Contact name: Loni Martin without service or feeder fee,
each branch circuit. 46.85 2
Address: 1010 SE 11' Ave •
Each add' I branch circuit 6 65 2
City /State/ZIP: Portland, OR 97214 Miscellaneous (service or feeder not included) _
Pump or imgation circle 53.40 2
Phone: (503) 234 -9900 Fax: : (503) 535 -2620 -
Sign or outline lighting 53.40 2
E -mail: loni @oregon electric.com Signal circuit(s) or limited-
CONTRACTOR energy panel, alteration, or z�
extension Describe. / Page 2 - ('� 2
Business name: Oregon Electric Group, Inc.
Address: 1010 SE 11 Ave Each additional inspection over allowable in any of the above
Per inspection 62.50
City /State/Z1P: Portland, OR 97223 Investigation per hour (1 hr min) 62.50
Phone: (503) 234-9900 Fax: (503) 535 -2620 Industrial plant per hour 73.75
"..ELECTRICAL PERMIT FEES' ' ° -
CCB Lic.: 203 I Electrical Lic.: Suprv. Lic.: Subtotal -7 S - -
�y/�/r� /(///
Suprv. Electrician signature, required: ,7W14ili��� --- Plan review (25% of permit fee) _...-----
,( � ' � 1 State surcharge (8% of permit fee) (;
o•
Print name: l fl/ C IJL% n L j‘:.'. �kc�—Date: 1/3/05
�' This permit application PERMIT FEE }� 1
Auth signature: ,1 //f ,� . � :, j/4 � l4 n expires it a permit is not obtained within 180
[�6 days after it has been accepted as complete
Print name: r&c. ; . 1 C A L „. 1 k/r, r ,, Date: 1/3/05 • Fee methodology set by Tri- County Building Industry Service Board
h.J "'V •+ Number of inspections per permit allowed.
t UtuildmePermos \ELC- PemntApp.doc 12/03 44O 4615T(I0)02ICOM/WEB
CITY OF TIGARD % .,
•
BUILDING DIVISION ■. _ PERMIT #: ELR200&GOCO2
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/4/2006
Phone: (503) 639 -4171 :biat
Inspection Requests (24 Hrs.): (503) 639 -4175 -Mr "'!J
INSPECTION WORKSHEET FOR DATE: 1/6/2006 TIME: 7:00AM PAGE: 29.
SITE ADDRESS: 01354 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: THE WALKING COMPANY
DESCRIPTION: Fire) alarm low voltage.
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503-639-8865
CONTRACTOR: OREGON ELECTRIC GROUP PHONE #: 53234 -99CI0
Inspection Request Scheduled For: Date: 1/612006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 I .ow voltage 024506 -01 603 -797 Y
Corrections /Comments /Instructions:
p
c—k) v t(L ()611111N Os\r l° - °e,t�
1
¶K6w feAscsnAl S LES s
•
yt PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL II CALL FOR INSP. CTION ❑ ADDITIONAL FEES ASSESSED
Inspector: /■ Date: f Phone #: (503) 718 - 24 •
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR200S.00002
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/4/7(005
Phone: '(503) 639 -4171 �r
Inspection Requests (24 Hrs.): (503) 639 -4175 "'I �
INSPECTION WORKSH T FOR DATE: 1/77/2006 TIME: 7 :00AM PAGE: 77
•
SITE ADDRESS: 09354 SWWA'.INGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: . WASHINGTON Sit - ARE LOT #: TYPE OF USE:
PROJECT NAME: , THE WALKING COMI- ' DIY
DESCRIPTION: Fire alarm low voltage.
OWNER: WASHINGTON SQUARE LLC PHONE #: f ;03- 633 -00E a
CONTRACTOR: OREGON ELECTRIC GROUP PHONE #: 503.234-9900
Inspection Request Scheduled For: Date: 1/ 2086 Pour Time:
• Code # Inspection Description Confirm # Contact # Message
199 Electrical final 025862 -02 +3-7807.177 N
Corrections/Comments/lnstru s: _
J
EL 2505 Ooq 10
VIc
•
•
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1 V W Date: 112.91 6.4. Phone #: (503) 718- vi �'V