Permit r,
CIT OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
1 1
DEVELOPMENT SERVICES PERMIT #: ELR2005 -00359
'�� I DATE ISSUED: 10/20/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1512600 -00300
SITE ADDRESS: 09367 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: Burglar Alarm.
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 ADT SECURITY SERVICES, INC
BY THE MACERICH COMPANY 2815 SW 153RD DR
9585 SW WASHINGTON SQUARE RD BEAVERTON, OR 97006
TIGARD, OR 97223
Phone: 503 - 639 -8865 Phone: 503- 469 -7244
Reg #: LIC 59944
ELE 26- 209CLE
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[ELPRMT] ELR Permit 10/20/200E $75.00
[TAX] 8% State Surcha 10/20/200E $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 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC at 503 - 246 -6699.
Issued By: __ L CJ_ 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.
10/19/2005 15:25 FAX 5034697110 „ADT SECURITY IJ003
A �1 tl E
'F , . EIPCtt ical PerIlmit Ap plica FOR OPFICC, USE ONLY
•
City of Tigard ^ 1 Z Duca / l Permit D - ad
13125 SW Hall Blvd., Tigard, OR 97223 OC,� _,V2(
Plan Review
Phone: 503.639.4171 Fax. 503.598.1960 :.411 \ DaWB : Other Permit.
Inspection Line: 503.639.4175 F r I i Date
Internet: www.ci.tigard.or.us 0' ' � mod. See Page Z for
' N G l Supplemental Information
'' I r � l } r , fr i : I' r , i.I i � .,i f , A • >1 i11f 4'' (`i ll 4.11.,v,:-,,,,. -`- {I� I �� - -,4 6Eib �T.I re , I f di v. i rf.ctr i71• ti, J!;'•b •
k ,...0 -. : :' i .r_...�,R.i� . "....J u., fl T) . _!�.,, it i . S i IP� y -• • ,
,,ti _.� �. r ah i 1 I r �' . � � r W ,,��� �r�t 4 , tt J� d I J 1 • .
.i. �i._ _ -u . ?,i!.,� ! . ._`G!alSl: t. r;�1_Y.:t(2NZ:IL'Y•':F�: ..d >, r1. ik�: .Fi�iu.a'.�r.�::+ ° !�,�'� : i
G ew construction ❑ Addition/alteration/replacement Please check all that apply:
❑Service over 225 amps, comm'l ❑Hazardous location
❑ Demolition ❑ Other:
❑Service over amps - ran
�+x .. : 1 _ • ..: n k . ;:le / L ; It i " !] 1 inn ��r 1
a J>,) , �.j , o ` Il j r r 1 , � s1i14. ` � , 4 1 P 1 7 r , P 320 r�k 5 ,xr rating ❑ Buildng over 10,000 sq. ft.,
- - , .. _., r :E6'' ,. , 1i . r. i inr,.._ (_rli?Y �:'- .',:Tir ' of 1- and 2- family dwellings 4 or more new residential
❑ 1 - and 2 family dwelling ./ La'Cotnmercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑Building over three stories ❑Feeders, 400 amps or more
❑ Multi family ❑Master builder ❑Other:
Ca r u 1 :! i ` , 1 itGj ! 1 S r 7F• 1 i L J J t i 1 11 ^ i , /. i i '.� 1;
❑Occupant load over 99 persons ❑Manufactured structures or
:Z t.. ". t'._S !:.!'. .md1:. 4- I i � � l - .i � � I D II k JI C J y � f Ti � � i I . r"I iP � Ki r .� i ' � ❑ Br 6h gp lan
RV park
.
�HT c 4. , rk e. .�., y 1..._ ... i,_,.u._ . ti �"[t._ , ii E ess/li tm P
Job no.: oz. s, .1V Job site address: ll3 J & f> (JIJI1
o ❑Healthcare facility ❑0��
City/ State/ZIP: °S. , ; 1 (� ! Submit 1. sets of plans with any of the above.
` 1, 1 y � r� ' r L at . The above are not applicable to temporary construction service.
Su' d /fl ° ( I I I i.>':• •`I `'F•' •„
L g. pt. no.: `�� Project name: i i1 1 Ao ( _ >. �?_ 1 _ , .,!ti. 1.u.: i r , ._ - ,- ..
Desalpden Qey. Pee Tend
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'l 500 sq. ft. or portion 33.40 1
Tax map/parcel no.: Limited energy, residential 75.00 2
;' - 7 p , /parcel
,. i ; 7 r y � :j T ;1' ..` 10 )p, .(9 J 1 F. . 7,K >4 J_ffzillycFl. Limited energy non- residential 75 , 2
- , s._>; . ..,•I_,- ,.,�,. ,�._lw,_ri,,,, _l -_l: ._._.W. ,_.r._.If Each manufactured or modular
Q, 1 � t J 9 � l ^ f dwelling, service and /or feeder 90.90 2 1A 8tri /f (# Services or feeders installation, alteration, and/or relocation
200 snips or less 80.30 2
l:.. •1'- ■C _ �eit 4 4 r I �I 7 f T r 2
,.1 ... i.h + Llita ,« 1 s r ak Fib ..r:,, a l ;fn l 1i, ; 5�.? }Its , - .. 1rtaFr i,', ;� il'i,. -, 4 201 amps to 400 amps 106.85 2
c -. Ic_i,_ ._�._,._ 4. j �. _.) _c., t,. +� � , 401 amps to 600 amps 160.60 2
Name: 601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City/State/ZIP: Temporary services or feeders installation, alteration, and/or
Phone: ( ) I F ax: ( ) relocation
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
' i ' 0p , I , i - r I . , 5 1,7it'u• I7 n
: . L,. '` ��i ; Il11,14 ' i at I 4 . , I fl .,:rl l ; J - i.' A. Fee for branch circuits with
-,.�i^'� .i::e 1 .t.._�.4fe
l,o.'. :,- il.N ',l,_ i '�t ) .? l uk^ . 1_.`........_.ell . hrl
` °"' '" service or feeder fee, each
Business name: branch circuit 6 65 2
ce , (1 B. Fee for branch circuits
Contact name: 1� without service or feeder er fee,
Address:
each branch circuit 46.85 2
Each add'l branch circuit 6.65 2
City/State/ZIP: Miscellaneous (service or feeder not Included)
Phone: - Pump or inigation circle 53.40 . 2
( ) FflX. ( ) Sign or outline lighting 53.40 2
E-mail: Signal circuit(s) or limited -
1i3 4' 1. ORF :1 ;.r,;• . ;: #.':1 r � � 1 . , � ii,:i n5.4•4; { 4,_�5 -b14� , I (Nils ,h'" 14i ;1;'. � ,, `S energy Panel. alteration. or
t . .. L a.,.;:a t: ,LL. > extension. Describe: / Page 2 1 2
Business name: ADT SECURITY SERViCES, INC.
Address: 2(115 SW Each additional inspection over allowable in any of the above
- SFAVFRTnN, OR 117ring Per inspection 62.50
City /State/ZIP: (503) 469 Investigation per hour (1 hr nun) 62.50
Phone: ( ) Fax: ( ) Industrial plant per hour 73.75
iiii SC,3D.i`lW t: :,' S i. ".r: 5'.I .+,.,'i�cr lkelg 4i tr>''
CCB Lic.: jC144 I Electrical Lic.: -1 CLE ,uprv. Lic.: g 1.p4 Subtotal
Suprv. Electrician signature, required: /,f A Plan review (25% of permit fee)
Print nine: 14th e_ i. S Date: ‘h'IR i r) - State surcharge (8% of peit fee) to- to
F-1 , lJ D i J permit
TOTAL PERMIT FEE g i .00
Authorized signature: This permit application expires if a permit Is not obtained within 180
days after It has been accepted as complete
Print name: Date: • Fee methodology set by Tri- County Building Industry Service Board
�� •• Number of inspections per permit allowed.
ldmglPermig1I.C- PemutApp.doc 12/03 44 04613T(10/02/COM/WBB
CITY OF TIGARD
BUILDING DIVISION ' PERMIT #: ELR2005 -00359
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/20/2005
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 IL
INSPECTION WORKSHEET FOR DATE: 11/10/2005 TIME: 7:02AM PAGE: 79
SITE ADDRESS: 09367 SW WASHING • N SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SOUAR LOT #: TYPE OF USE:
PROJECT NAME: W ILLIAMS- SONOMA
DESCRIPTION: Burglar Alarm.
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503 - 639-8865
CONTRACTOR: ADT SECURITY SERVICES, IN PHONE #: 503-469 -7244
Inspection Request Scheduled For: Date. 11/10/2005 Pour Time:
# scription Confirm Contact # Message
135 Low voltage 020936-0 503 -469 -7212 N
I WI F1 NFL_
Corrections /Comments /I ctions:
•
&PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 0 ' /i �/ Date: 16/06 Phone #: (503) 718- MO
CITY OF TIGARD
BUILDING DIVISION ' PERMIT #: ELR2005.00359
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/20/2005
Phone: (503) 639-4171 ,1
Inspection Requests (24 Hrs.): (503) 639 -4175 �'!'i F IL
INSPECTION WORKSHEET FOR DATE: 11/1/2005 TIME: 7:06AM PAGE: 107
SITE ADDRESS: 09367 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: WILLIAMS-SONOMA
DESCRIPTION: Burglar Alarm.
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503-639.8865
CONTRACTOR: ADT SECURITY SERVICES, INC PHONE #: 503-469-7244
Inspection Request Scheduled For: Date: 11/1/2005 Pour Time:
Code # I - - • ' escription Confirm # Contact # Message
135 Low voltage 019897 -01 503-469-7212 N
Correcti: - •mments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: C'c N(Y L'1� Date: - I - 00 Phone #: (503) 718 1-1A`