Permit CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
PERMIT #: ELR2006 -00096
DEVELOPMENT SERVICES DATE ISSUED: 4/26/2006
---' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09393 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: ABERCROMBIE KIDS - low voltage for anti theft pedestals at front doors.
Job # 430606 98612.
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 BROADWAY ELECTRIC - COCHRAN INC
BY THE MACERICH COMPANY 626 SE MAIN
9585 SW WASHINGTON SQUARE RD PORTLAND, OR 97214
TIGARD, OR 97223
Phone: Contact #: FAX 503- 238 -2098
PRI 503- 234 -6564
FEES Reg #: ELE 37 -546C
LIC 72942
Description Date Amount SUP 3447S
[ELPRMT] ELR Permit 4/26/2006 $75.00
[TAX] 8% State Surcha 4/26/2006 $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 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC at 503 - 246 -6699.
Issued By: �I x f� �- Permittee Signature: _ slut, . ;z . 1\C 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.
•
Electrical Permit Appli k1; V FOR OFFICE USE ONLY
'' � I ,
City Tigard g .ui 6t .7 C Z Permit No �L�� as 096
13125 SW W Hall Blvd., Tigard, OR 97223 / 1 �� `, 2 C �I' Plan Review
Phone. 503.639 4171 Fax 503.598.1960 ' Received
U 1n 2 h' u , 't er Ocher Permit
Date/By I'�
Inspection Line. 503.639.4175 --! I 1 \ Date Date/ ReadyBy. Ions � EI See Page 2 for
Internet: www.ci tgard.or us Notified/Method f {
I V Supplemental Information
, •,y wa,' "" ., 7, •ila ,: i... RING PLAN REVIEW
R ew construction ❑ Addition/alteration/replacement Please check all that apply
❑ Demolltton El Other: ['Service over 225 amps, co'l ❑Hazardous location
❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft ,
4ry 41 D, 5 ` � �N O t t . @1F ? STAi 4 urn tE, : ;A; 1- � _V { . .y' ,- " of l- and 2 - family dwellings 4 or more new residential
❑ I - and 2- family dwelling C 'ommerctal /industrial ❑ Accessory building ['System over 600 volts nominal units in one structure
❑ Multi ❑Master builder ❑Other
OBuilding over three stories ['Feeders, 400 amps or more
['Occupant load over 99 persons ['Manufactured sti ucrures of
, c A 7 MF., f41 e ii O \ti�or�.11,C,e ,t Yinite):f-., ` ;'. 't i
, s • ['Egress/lighting plan :�.�;:' L �_ ..ter t r,- : r �,r 4�.�,. . , _f_.. .,� ..�
g p RV park
Job no . �� � 0 � Jo site address 9 5q3 'n ❑Health -care facility ❑
�G i 2— S C J 1/ 1/ 5� Submit 2 sets of plans with any of the above
City/Stat 1 1 61T ,e— The above are not applicable to temporary construction service
Suite/bldg./apt. no.: Project name: �/�QA�+/� b t" r 44, Q�i T .
t ItT`� v` Description I Qty. I Fee. I Totol
Cross street/directions to job site: New residential single- or multi - family dwelling unit.
V 9 N- s 5 q � I
Includes attached r l ss garage. -
\ _ 1 1,000 sq. ft. or less 145.15 I 4
Subdivision: l 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
"t \' . ; -4 i 5 , 04 T' :0U .$ *. N..5.: .', Each manufactured or modular
tat - b 1 S CtA So -o �0@•C S dwelling, service and /or feeder 90 90 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 80 30 2
milt i' i.•s p ' , ∎ • : ;16it, ' n'a'y -7 ii -. ,^Nu.`,. , .V 201 amps to 400 amps 106 85 — E 2 • -MI- 4 : l+ 1� "� ei ' ` .."4,94,417. - 401 amps [0 600 amps 160 60 2
Name' 601 amps CO 1,000 amps 240 60
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
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.
401 amps to 600 amps 133 75 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
t J~ . ,v A Fee for branch circuits with
R :aLS s ,J_tl;��- r�ZS��>� .a c, it ti
service or feeder fee, each G 65 2
Business name. �.r�� branch circuit
I B Fee for branch circuits
Contact name: IA) 1{ 1 a4--"--1, without service or feeder fee, 46 85 2
each branch circuit
Address: // "" _ j ��
Le Z (,p so i .4 424„ Each add'l branch circuit 6 65 _ 2
City/State/ZIP. Miscellaneous (service or feeder not included)
- ty �>\ A- ��e z
Pump or imgation circle 53 40 2
Phone: (.) _ Fax : ( )
Y z3� 7 Sign or outline lighting 53 40 2
E -mail: Signal circuit(s) or limited -
, i. T `It i:V . � 7 fl qq �� y ( 7• N 1414 • , 4 tlti:t ' energy panel. alteration, or
extension Describe I Page 2 2
Business name: .c ._ e cA w ate) xe_ c_--\-- •r NS.— _
Address 'Z 4 5 M \� Each additional inspection over allowable in any of the above
Per inspection 62 50
City /State /ZIP U 0( d CP.- c'7 2't--4 Investigation per how (t hr nun) 62 50 _
Phone: (sea) 23 — (S Co y _ I Fax: (9 2 _- c j $ Industrial plant per hour 73 75 T --1
CCB Lie.: 7 2g42... I Electrical Lic..3 1 -5 L,L Suprv. Lic. 3'-{tFt5 Subtotal--
Suprv. Electrician signature, required. Plan review (25% of permit fec)
� 1 State surcharge (8% of permit fee) ��
Print name. � Lt�r� \,r � \ ' . Date: �oc, I
TOTAL P ERMIT FEE 3 (‘ r
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.
i \Buildmg\Pemuu'ELC- PennitAppdoe 12/03 440- 461 ST( 10 /02/COM/WEB
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Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
Fee for all residential systems combined $75.00
Check Type of Work involved:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning
System*
❑ Vacuum Systems* -
( . S
yy ,
Fee for each commercial system $75.00
(SEE OAR 918- 260 -260)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
i \Buddmg\PCr ts\ELC•Pumnwpp d« 04/03
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ElR2006 -00096
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 4/26J200
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639- 4175il�..
INSPECTION WORKSHEET FOR DATE: 6/3/2006 TIME: 7:08AM PAGE: 69
SITE ADDRESS: 09393 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: ABERCROMBIE KIDS
DESCRIPTION: ABERCROMBIE KIDS - low voltage for anti theft pedestals at front doors:.
Job it 430606 98612.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: BROADWAY ELECTRIC- COCHRAN INC PHONE #: 503 - 234 - 6564
Inspection Request Scheduled For: Date: 5/3/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
Electiiccal final 029160 01 972-249-6895 N
Corrections /Comments /Instructions:
T■.
A PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
I �
Inspector: (J Y ` 0 36 l.-� Date: 5 3 Phone #: (503) 718 - 211