Permit '
III ti CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: ELR2007 -00083
TIGARD DATE ISSUED: 3/20/2007
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S12600-00300
SITE ADDRESS: 09500 SW WASHINGTON SQUARE RD JCPEN ZONING: C - G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: JC PENNEY
Project Description: Low voltage for burglar alarm. Job No. 83 15323 - 3
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:
INSTRUMENTATION: OTHER: BURG ALARM X
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: Contact #: PRI 503- 469 -7100
FAX 503- 469 -7114
FEES Reg #: ELE 26- 209CLE
LIC 59944
Description Date Amount
[ELPRMT] ELR Permit 3/19/2007 $75.00
[TAX] 8% State Surchari 3/19/2007 $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 set fort n OAR 952- 001 -0010 through OAR 952- 001 -0100. You may obt.' • spies of these rules or direct questions to OUNC at
503.246 99 or 1 800.332. /
Issue By: ® ,1�/i 4/u .4 i / Permittee Sig •ture: ,,,,A / � r J -, p_ ane7 4... —
i/ OWNER INSTALLATION ONL
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.
Mar 19 07 08:52a Stephanie Pate 503.469 p1
Electrical Vermit Aprillif irir— ,: FOR OFFICE USE ONLY
/-. t 1,
,,,
Luauv. ,..iff,AgEASE 1.,,,l -
1 y.i 25 sW Hall FlIvd,, Tig:arrl, OR 97223 Plirt i Nan Review
Phone: 503 u39 41i1 lx: 503 59S 1914.) I'Le..,.1 t., 14 '4',1 kt,,,I1'''
1 `-' 2 t : a I, j. ...1 II Datearly. ChlIcr l'crtrut
illSllNlies) I ilc: 503 039,4 175 Date Rezdy'lay Ao- el See Nr 'I for
m
inleel v v oa citigartl.or us k L°1.4 -L u, N,„.1,.,,,,,c,,,, /(' „,, Nonplenitn/q1 loformnflon
" - tligalKI)
-'?' fr ' F I PEllt t ,c PLAN REN - .
' .
--......
0 New construction 0 Atidition/nIterationfrephte i ire' ------------ — -- Please iiIMI: all t apply.
LIService rives 225 arnps,corrun'l 0 Harardous location
0 llcinolition 0 Other
.
aervicc over 320 amps - rating 01-3uilting ova <
• : CATEGORY OF: .CONSTROCTION ' , ' ” .,..' ' i . 'f''. ... , .. of]- and 2-family dwellings 4 or moru new nattlailial
OSystern over 600 voltN nominal units In 000 struLlurc
p I- and 2-family dwul I inu IZ Cornmorcitil/intitiNtri..11 0 Acce,%Nory building
Otitillding ova three stories OFeccleit4, 400 amps or mote
0 Multi 0 Master buildur 0 Other
—_ _--. _ • EiOcetip.utt load over 49 persons EiMaaufactored structures or
JOH sat INFORMATION AN LOCATION 0 EgrnsiliL-Jit tog plan KV park
_
Job no 83'- /s Z3 -4 Job site itddre. Su
s. 4 S 60 4aaee,7„, Dlie.altl■-.care f,1„:ility 0 Ot Far __
, .... 4 •.> c-", 9 ..„_____er. _.)'.. 5-4) .__. / Submit 2 sevc of plans with any c.:1 the a hovc
Ctty/Stale/ZIP ' 70,94="73 Pic above are not applicable to temporary e.onstruction SI,TvICC
. _ ..........................., ..... .....-.....-..-.......................,
' , . • Fi. • SCHE " ' ' .' '. .
S uttel clgiupt, no,' I Projat narne; .2. /i?" ----- DOLIL ----,--, -----.- -,- --.. -
I _ __.. , ,, . .. , _ _ Ihwiptlem
CroN streetidireetiorIN to job sitc, New rcsidenti2lsinglr or multi dm ening unit.
,
Meiotic% oftuated garnge.
._..__.
1,000 ;N. It. or leas 145 15 I 4
. _.............._ „ ... . —...,.._—___ .
Subdivision: Lot no- tn addll 500 sii oi porbon _ A 33.401
-----
Limited merry, rccdclential 75.00 2
Tax rri:171./parc‘.71 no„ I
--..------,---,-,--......--,.- ,. I:ni1lur. niiil-r0;idta)Intl : 7
.,0.1 opf 5.00 2
. . nr.SCR'IPTION OF WORK ' 1 llama manufaetured or modular . - -- -- .., . ‘ ...
:iv/cilia)+, ie41' iv." and'or feeeliN. I 90 9 0
/ie . ra_iatcail/)erk _ 2
S<Irvices, or feecters insiallaliOn, Alteration, andlor relocation
7 00 -nips or less SO 10 2
- - 201 :mil). to 400 tamps 10 2
ID PKomleri uwrsti,-k .. •.p . :110,61 ANT 7 ... [
I 401 ;WV to ('00 amps 160 60 2
Name 691 amps to 1,000 amps ' -__ 240.00 2
Address' Over 1,000 oinps of volt.
Reconnect only I 1 00.85 2
. —_-
City/State/ZIP: Temporary services nr feeders inctallation, alterati an
on, dr :o
— ' relocation
Phonc: ( 1 I Fax: ( )
200 ,ittii.is or Ls:, 1 -- -- 66.85 I .
- -------------,
Owner installation: This inNtrillation is being made on property that I own which IN not ! f,.T1,„.,---.7p,,:,;;Fiia;;;--------;-- 2
intended for 'ti, lem:e, rent, or eNcliange, according to ORS 447, 44), 670, and 791. 1
401 arnpt to 600 :imps 133•75 2 ) - - Owiicr signztrurc. Datc; Branch &cults - new. airern0on, or extension. per panel
—
—___—____ --. ..... 7 -..., .,
.
C APPLICAN T o CONTACT PERSON I k. Pee f:IT brani;litimuils with
-- -1 St:MCC or feeder fee, ea , ch
6,65 2
Business rutmc • branch clietnt
—,— i D. Pet.: ro, branch eimoite
Concnci name: ivitheat service or l'oaler fee, .
46.K5 2
firm br,nch circuit
Address. Path add'I branch circuit <1 65 1
City/St8W/ZIP. Miscellaneous (service or feeder not included)
— ,
Pump or orirtmon circle 53.40 . 2
Phony ( ) 1 a.ii• : (
)
Sign ur utilluie lig2tin 53.40 2
, ---.
F.-mail: SOW •;irctia(s) or limact-1-
7=„="777. CO
- .. • . . ' ..ancrctm:Tott . .., . . . .. .. . ,." - .., .. ... . man. rime% alto or
/ Page 2 15 2
Business name. ADT Security Services I
— ...... . ._. ____. ,... .... ---
Address, 2815 SW 15.3 Dr. Each additional inNpretiun over allowable in any atilt': abvve
)
____ ____ _ . . , . Per III VCCI.1011 I 62 50
City/StatdZ1P. Beaverton OR 97006 Inve,tigation per hum (I hr nun) ! 02 50 : _ _
I
industrial plant peg hour I 73 75 i I
Phone (503) 40927100 • i Pax; (503) 40
E.I.ECTRICA I', PERMIT Frl
---.----_--,-----
CCB Lic, 59044
F.:emical 1.ic,: 26-299C1-E7 Supry Lic . I..F.A389 0
Sublet,/
. . . . _
Suprv. Elet:tn‘iiiin si5n,itur+,1, required , I L ." ..< 1 ,../ Plan review (25% of permit fee) _--
—....._....__ . . . - ... --_-..,.. .---,
Print name: i (-" /./ S E/t/ ,.e.k,t D -
am /90X7 State vuicharze 0% or permil fcc) 4. oe
_..._ ... .... .... .._.... ..... _________ ..._ _ .._ •
, Tu'r AL PERMIT FUL g/ 0 6
AuthOrizet1 snat
tgure, -4,, I / Thi,,,,..n.i, ailpriolloo rkpirro if a permit Is not obtained within 180 .
clays After It hat been kecepted as complete
Prim name: /64/ jellA u-r Date: - v niviiicie h) Tri-CtItinty 1 ilkiltlinz Indmccry Sl'uL boon'
--------- -- -- - --- - Nvoiber of .n..,ort.l.ort, par pemilt ;illowell.
..............-■
17,111.1trePm In.` I'l r Pc-run IA.. A t. I 'Al / de e2e i . .7.--- e '1
iS
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2007- 00083
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/20/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 s' 1.L.
INSPECTION WORKSHEET FOR DATE: 6/27/2007 TIME: 7:00AM PAGE: 60
SITE ADDRESS: 09500 SW WASHINGTON SQUARE RD JCPEN CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: JC PENNEY
DESCRIPTION: Low voltage for burglar alarm. Job No. 83- 15323-3
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: ADT SECURITY SERVICES, INC � 2�p0 \ PHONE #: 503
Inspection Request Scheduled For: Date: 6/27/2007 Pour Time:
Code # Inspection Description ( m Contact # - Message
135 Low voltage 05/003-01 503- -M9 -5566 \ Y
Corrections /Comments /Instructions:
WO*K I % ( aW \L (0) 5
wif
-L001 cAel l fl gmN6 0 0- t , n1
2 °1? Criooa.: u 1,1 l,�' C u LA B LE--
Nee No 043 mur4
'PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ' Noes Date: 61.1 • tr.) Phone #: (503) 718- - 'I _