Permit CITY TIGARD ELECTRICAL PERMIT -
AI
�1�" DEVELOPMENT SERVICES RESTRICTED ENERGY
PERMIT #: ELR2000-00132
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 06/07/2000
SITE ADDRESS: 09508 SW WASHINGTON SQUARE RD SW PARCEL: 1S126C0 -01107
SUBDIVISION: ZONING: C -G
BLOCK: LOT: JURISDICTION: TIG
Proiect Description: Installation of Data Telecommunication System in existing commercial building.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: X NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: • HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
PPR WASHINGTON SQUARE PAVELCOMM INC
BY THE MACERICH COMPANY 1640 NW 14TH AVE
ATTN: JANET FISHER, ASSET PORTLAND, OR 97209 ORIGINAL
SANTA MONICA, CA 90407
Phone: Phone:
Reg #: ELE 26- 559CLE
LIC 00063963
FEES Required Inspections
Type By Date Amount Receipt Low Voltage Inspection
PRMT KJP 06/07/200C $60.00 0002767 Elect'I Final
5PCT KJP 06/07/200C $4.80 0002767
Total $64.80
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 adopted by the Oregon Utility Notification Center. Those vales are - forth in OAR
952 - 001 -0010 throu h OA 952 - 001 -0080. You may obtain copies of these rules • direct • -: ions to OUN• at (503)
246 -1987.
Issued by Permittee Signature )e p , I L
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 639 -4175 by 7:00 P.M. for an inspection needed the next business day
CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd by:
13125 SW HALL BLVD Date Rec'd:
TIGARD OR 97223 PRINT OR TYPE
V - 503 - 639 -4171 X304 Permit #: eL t 1000- 3) "
F - 503 - 598 -1960 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd:
WILL NOT BE ACCEPTED 64...P - 00o W8
Name of Devel pment Project- --- TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
GO J , I t I 1 I �y , �� Re SY STE Fee $60.00
1 1 /(� ('�/ (FOR ALL SYSTEMS)
JOB treet ddress S # �J
/ heck Type of Work Involved:
ADDRESS y 5 &, 5 . , 1, t '1 •
:�11111I/ 'L/ // ❑ Audio and Stereo Systems
Na 4 T ❑ Burglar Alarm
OWNER Mailing Address ❑ Garage Door Opener'
City /State I Zip I Phone # ❑ Heating, Ventilation and Air Conditioning System*
1 n Vacuum Systems*
e � / f.�� /l � 1�,t y1�
V l ti ll/ / l / I' % -T IN t, - n Other
CONTRACTOR �ihp� j ddp7S , (J \ U / 4 / jam n ✓ J TYPE OF WORK INVOLVED - COMMERCIAL ONLY
(Prior to issuance a (O / N (/l � e # /n� Fee for each system $60.00
copy of all licenses �-/ 1 � U (SEE OAR 918- 260 -260)
are required if Oreg L # Ej c
expired in C.O.T. r Check Type of Work Involved:
data base). ��
ncal �grt )y `� Jcr� P. � p i g ( � i " . / ❑ Audio and Stereo Systems
oe�p is 1 6¢,pate
11� �/ (� l ❑ Boiler Controls
Owner's Name
❑ Clock Systems
OWNER - Mailing Address
APPLICANT Data Telecommunication Installation
City /State Zip Phone # ❑
Fire Alarm Installation
This permit is issued under OAE 918 - 320 -370 This applicant agrees to
make only restricted energy installations (100 volt amps or less) under this ❑ HVAC
permit and to do the following:
❑ Instrumentation
1. Only use electrical licensed persons to do installations where required.
Certain residential and other transactions are exempt from licensing. ❑ Intercom and Paging Systems
These have asterisks('). All others need licensing;
❑ Landscape Irrigation Control*
2. Call for inspections when installation under this permit are ready for
inspection at 503 - 639 -4175; ❑ Medical
3. Purchase separate permits for all installations that are not ready for an ❑ Nurse Calls
inspection when the inspector is out to inspect under this permit;
4 Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting*
inspector are done, and;
n Protective Signaling
5. Assume responsibility for calling for a final inspection when all of the
corrections are completed ❑ Other
Permits are non - transferable and non - refundable and expire if work is not _ - __
started within 180 days of issuance or if work is suspended for 180 days Number of Systems
The person signing for this permit must be the applicant or a person ' No licenses are required Licenses are required for all other installations
authorized to bind the applicant.
/ / I FEES:
Ill / i k• P a/ 0
Sign.: ; re LA TER FEES $ 1lJO- O Q
4_
o
Pt SURCHARGE (.05 X TOTAL ABOVE) $ / -
Authority if other than Applicant TOTAL $
I \dsts \forms \resele doc 3/98
CITY OF TIGARD BUILDING INSPECTION DIVISION , 6 ,
•24 -Hour, Inspection Line: 639 -4175 Business Line: 639 -4171
• Date Requested — 3 AM PMr BLD
Location d9.5 8 S, - Suite d MEC
Contact Person Cc/ r � /4// Jewe/lj rs Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner EL$ 2.0e,e) —e?‘ /3 L
Retaining Wall ELR
• Footing Access:
Foundation 7
FPS
Ftg Drain �"` (Sr �J �/ (o Crawl Drain Inspection Notes: SGN •
Slab SIT
Post & Beam 014 % Ext Sheath /Shear 7F e_6)_ �, ,�.,� .
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Fir •
ire S -inkle
ire Alarm
Susp'd Ceiling .
Roof
Misc:
Final
PASS PART • FAIL
PLUMBING 6 /
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
Service
Rough In
UG /Slab
Low Voltage •
Fire Alarm
• • � PART FAIL
SITE
Backfill /Grading
Sanitary Sewer •
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: Viduci---Th [ ' ] Unable to inspect - no access
ADA A pproach /Sidewalk D ate / Other ! D / Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site. -