Permit CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
DEVELOPMENT SERVICES PERMIT #: ELR2006 - 00100
r4 J I � 13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171 DATE ISSUED: 5/8/2006
PARCEL: 1S12600-00300
SITE ADDRESS: 09461 SW WASHINGTON SQUARE RD A13 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: Low voltage for HVAC.
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: X PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
WASHINGTON SQUARE LLC OREGON HEATING & AIR CONDITIONING
BY THE MACERICH COMPANY PO BOX 397
9585 SW WASHINGTON SQUARE RD DUNDEE, OR 97115
TIGARD, OR 97223
Phone: Contact #: FAX 503 -537 -2172
PRI 503 -538 -2953
FEES Reg #: ELE 522LHR
LIC 125815
Description Date Amount
[ELPRMT] ELR Permit 5/8/2006 $75.00
[TAX] 8% State Surcha 5/8/2006 $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: _ —57A, L pal .l.., Permittee Signature: ... S/ . 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.
May 04 06 12:53p MS Rentals, Inc. 503 - 537 -2172 p.1
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4Electrical Permit Application FOR O FFICe USE ONLY .
City of Tigard >rRived G
�eeceBy J 6 � Permit No.: 0 I Q O
13125 SW Hall Blvd., Tigard, OR 97223 p Review (�
Phone: 503 639.4171 Fax: 503.598.1960 A. ..: l I pate/By OtberPecnit:
Inspection Line: 503.639.4175 :� Data Ready/By I • . Id See Page 2 for
Internet www.ci.tigard.or.us Notified/Method: ) Supplemental Information
-- y ..: , O
TYPE' WORK =. _ _ - JP (:R E. Rcn:;a ..x'; ;'::
_'_ � -' , - a•_.
❑ New construction ❑ Addition/alteration/replacement Please check all that apply: T 1
❑ Demolition CI Other: ❑Service over 225 amps, comm'l ❑Hazardous location
❑Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft,
. ,- - - ' CATS ,,ORY N OF CONSTRUCTION , ' = ' - . of 1- and 2- family dwellings 4 or more new residential
ID 1 - and 2 family dwellin Commercial/industrial ❑ Accessory building ['System over 600 volts nominal units in one structure
❑ Multi family // ❑ builder ['Building over three stones ['Feeders, 400 amps or more
❑ Other: ❑Occupant load over 99 persons ❑Manufactured structures or
-- JOB', SITE P� I AND LOCATION • ° RV park
.. .. - " ❑Egress /h_hting plan
Job no.: Job site address: C-7 I S W U Sh Sq 1)-13 ❑ Health - care facility ['Other
Submit 3 sets of plans with any of the above.
City /State/ZI: 0g (] red_ - The above arc not applicable to temporary construction service.
suite/bld no.: .� ,, : '�
Pro name: =a } =::s. - <<,,- »ti.'` ,.E7 'r; S( D>fJ;E :': l; = , 1.
Description n' 1 Qty. I Fee 1 ' Twat ..
Cross street/directions to job site: New residential single- or multi- family dwelling unit
Includes attached garage.
1,000 sq. it or less I 145.15 I 4
Subdivision: Lot no.: Ea add'l 500 sq. R or portion 33.40 1 1
Tax map /parcel no.: Limited energy, residential 75 00 2 I
Limited energy, non - residential 75.00
.. --- --- a:e; "DESCRIPTlONNN:OT'.,WORK, - . .. r;, _r;=: du
_ , .. . Each manufactured or modular
(�� dwelling service and/or feeder 90.90 2
�� 11 �� Services or feeders installation, alteration, and/or relocation
• 200 amps or less 80.30 2
,J..1-;4";:;:::- Q P tokkit 'Y : OW mat. ` .r�' :: - -, t g g i .< x = - _ 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
Name: S Lw 1 C' e *�QC 2,,1 601 amps to 1,000 amps 1 240.60 2 • Address: J y It t 13 Over 1,000 amps or volts I 454.65 2
Reconnect only 66.85 2
Ciry/State/ZIP: 1 l �J r a G 7 .Q — ' Temporary services or feeders installation, alteration, and/or
Phone: ( ) ' J 1A Fax: ( ) 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
- ' • El €ON'TACI - PERSO "'` A . Fee for branch circuits with
;:,.<- :. .f� 3PP LICAIseT;� > ;1' ,`, • - r -; .- AT -r ° -.
' service or feeder fee, each 6.65 2
Business name:
branch circuit
B. Fee for branch circuits
Contact name: wit/lout service or feeder fee, 46.85 2
Address: each branch circuit
Each add'1 branch circuit 6 -65 2
City /StateJZIP: Miscellaneous (service or feeder not included)
' Pump or irrigation circle 53.40 2
Phone: ( ) Fax: : ( )
Sign or outline lighting 53.40 2 _
E -mail: Signal circuit(s) or limited-
CONTR4CIOR- energy panel, alteration, or
p' � extension. Describe: Page 2 i 2
Business name: Oevc C:1 T1 Cc...- l SA\ e._ 6 - ' • Address: PO C 7 - Each additional inspection over allowable in any of the above
1 Per inspection 62.50
City /State /ZIP: V C —f
I 1 m
� Investigation 62.50
Phone. ,03) 53% �r 5. � � � —�
a q 3 Fat:EQ3 53 . I -7-x— - Industrial plant per hour 73.75
_ L' . ELECTRICAL PERMIT FEES'" - ' ,•
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CCD Lic_: 1 ff Electrical Lie.: 7 " ° p Su rv. Lic : Subtotal
. r ' Z L
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Suprv. Electrician signature, required: �J t � Plan review (25% of permit fee)
Print name: ( )l S !'Y1 I' j Date: g, (i State surcharge (8% of permit fee) h U
1 I r j f TOTAL PERMIT FEE g U
Authorized signature: • This permit application expires Ka permit is not obtained within 180
days after it has been accepted as complete
Print name: I Date: • Fee methodology set by Tn -County Building Industry Service Board
" Number of inspections per permit allowed
I Nu uudi• gtP•... ,, zuE.c- nerreim.pprt« svoa aa0-461 ST(Io,UJCOM/wEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR200E- 001C)0
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/8/2006
Phone: (503) 639 -4171 /mrc+ I
( )
Inspection Requests (24 Hrs.): 639 4175 "
503 � ..
INSPECTION WORKSHEET FOR DATE: 6/6/2006 TIME: 7:02AM PAGE: 65
SITE ADDRESS: 09461 SW WASHINGTON SQUARE RD A13 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: SWEET FACTORY
DESCRIPTION: Low voltage for HiVAC.
•
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: OREGON HEATING & AIR CONDITIONING PHONE #: 503.5
Inspection Request Scheduled For: Date: 6/6/2006 Pour Time:
Inspection Description Confirm # Contact # Message
199 Electrical final 031147 -02 503 - 849 -8162 Y
Correc ions /Comments /Instructions: C I /E l'
.•
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1 V 'S LE
Date: 6 6- 44 Phone #: (503) 718- 2-44
CITY OF TIGARD •
BUILDING DIVISION PERMIT #: ELR2006 0 )100
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/0/2006
Phone: (503) 639 -4171 cc �
Inspection Requests (24 Hrs.): (503) 639 -4175 �i "'I��
INSPECTION WORKSHEET FOR DATE: 5/16/2006 TIME: 7:02AM PAGE: 74
SITE ADDRESS: 09461 SW WASHINGTON SQUARE RD M3 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: SWEET FACTORY
DESCRIPTION: Low voltage for HVAC_
OWNER: WASHINGTON SQUARE. LLC, PHONE #:
CONTRACTOR: OREGON HEATING & AIR CONDITIONING PHONE #: 503-530.2953
Inspection Request Scheduled For: Date: 5/16/2006, Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage -. 029926-01 503- B48•0162 Y
Corrections /Comme• - ruc ions:
•
•
•
•
MIMINEMEMIllk
•
•
PASS , ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑� FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: GAR-10 61 i 2 - Date: I I O' Phone #: (503) 718 -1-41,6