Permit lit II CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2008 - 00299
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/22/2008
PARCEL: 1S12600-00300
SITE ADDRESS: 09530 SW WASHINGTON SQUARE RD H10 ZONING: MUC
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: APPLE COMPUTER STORES
Project Description: Low voltage for ADA door.
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: ADA X
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
WASHINGTON SQUARE LLC METRO OVERHEAD DOOR
BY THE MACERICH COMPANY 2525 NE COLUMBIA BLVD.
9585 SW WASHINGTON SQUARE RD PORTLAND, OR 97211
TIGARD, OR 97223
Phone: Contact #: PRI 503- 285 -7568
FAX 503 -285 -1793
FEES Reg #:
Description Date Amount
[ELPRMT] ELR Permit 10/22/200E $75.00
[TAX] 12% State Surch 10/22/200E $9.00 REQUIRED ITEMS AND REPORTS
Total $84.00
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 questi. • to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By: i Permittee Signature: 5ee. ��X.� ��
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.
e,iectrilc la_Fermit Applicattl a • C
6) ity of Tigard , . n :l a 'omit te ' t. 13125 8 W Hall Blvd„ Tlgerd, OR 97223 �� �, . V 1, .204 _ 1 i
.' . � I , Phone. 503439,4171 Pax; 503.598,1960 \ Other Permit
ri e�\ R 1, inapaadonLine: 501,639.4175 %c,, /GI
internot;. Mwr.dgard.or.gov Qi t r , ,.. _ ` , Suppftm • pnge2 for
It \ ('j � cntnl mlbrs,atirm
— t OF WORK PL Vii
® New construction Addition /alteration/rep! ant Plebem dunk all that appl (submit f saki ofrname wrttcm checked below)!
❑Dattlolitfan [] Qt)1es; I2Sawlesor fader 400 owe ormom ❑ Building over three stories.
whom the available theft current CI Marinas sad boatyards.
CATEGORY OF CONSIRf1CTYON ececedE 10000 reps at ISO vei% or D Pleating buildings,
(, 1• and 2 family dwell Com mcrc1a11lndustrial Act esso building Imo to sroatd oratorio 14,000 CI buildings.
m1at tue,griwttwal
❑Mnitlr•>�ro ry S �+ps fara0odtorieshdtatloru bulldlmgs.
ily C] Muster builder ❑ Other: r)Fire pump. r] ioatalladon of75KVAer
JOB ICE ]NROP;MATFt7N A1W 5,t9CAT1(01V OEme:gene6rgystem. Imtersapnntoly derived system.
❑ Addition of new motor Ioad of D "A ", "a•, 14". "1.3 ",
Job no,: Job site address: CAC 5 lP,�l,. Me f ix or ermoct. aocupsney,
0 SIx or mare racketed i units, 1I Roerentlonnl vehicle parka
Cli*Stute/Ziri I. M1 r A r ,T ❑lIealth•.wo facilities. 1:1 Supply voltage for mom than
1:1I14aadouaIacutIaa, 60 +roles nominal.
Suite/bldg./apt no,: , ' J Project name: L . pservioo or nadm_500 amps or more.
Cross street/directions to job site: ►��
Distal tlen 1 SCHEDULE A . - - .. % . i * • • • nt�rer<� •
New residential slegle• or melti.ihmlty Swel og unit
. .f
Incledas attached garage,
Subdivision; Lot too.: 1,000 sq. it or lase 145.16j L 4
Tax map /parcel no.; Ea. add't 500 sq. ft. or portion 33.40 1
Limited crictot, residential 75.00 2
— DESCRIPTION OP WORK ( with abavees . i}
0 Limited energy, multi roily 75.00 2
1 Mao al .\ f residential (tvtch shove sn, to
Services or f ee dersinstalladon.slteratiton, and/or relocation
200 amps or less 80.30 2
❑ PROPERT OWNER TENANT 201 amps to 400 amps 106,85 2
Neale; 401 amps to 600 amps 160.60 2
Address: - 601 em, to 1,000 amps 240.60 2
Over t,000 amps or voila 454,65 2
City /State/ZIP: Temporary services or feeders Installation, altoradnn, and /or
--
— relocation
Phone: ( ) Fax: ( ) 200 amps or less 66.85 t
Owner installation: This installation is being made on property that 1 own which is not 201 amps 10400 amps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670. and 701. 401 amps to 599 amps 133,75 2
Owner signature: Date: Branch tlreuita - new, alteration. or extension. per panel
El •APPLICANT A, Fee for branch circuits with
❑ CONT4,CT PERSON above service or 6,65 2
Business name: each branch oiroutt
S. Pee ibrbranch circuits
Contact name; without service or feeder fie, 46 89 2
first branch circuit _
Address: Each add'l branch circuit 6,65 � 2
Miacetianeous scrvl ° or feeder rot included)
City /State/ZTP: Each manutacw,ed or modular
dwelling. serrico and/or tbeder 90,90 2
Phone: ( ) Fax: : ( )
Reconnect onlx 66.85 2
E-mail; Pump or irrigation circle 53.40 2
■�
CONTRACTOR Sign or outline lighting ` 53.40 M1111111d
Business name: T Q , , P r Signal eireutt(s) or limited-
energy pane], alteration, or
Address: _ ` AL ►s I. r � , mxkflsion. Describe; Pic 2 2
City /State/ZIP; M 9 , , `�/ I Each Additional inspection over allowable in any of the above BVIEIIIIII
Phone; �+ • Fox: .i .l� Per Inspection 62.50
.
- 4 -, 1nvcstigatlon per hour 1Lhrmi 62.50
CCB L1c : �� An Electrical List • 1 prv. Lie,: 4 , Industri pleat per hour 73.75
.r ELECTRICAL PERMIT TEES
Suprv. Electrician signature, requited; _ - Subtotal:
Print Hartle: i a an Date: .� .� Plan review (25%ofpermit see); Aill State surcharge (12% ofpertnit foe)!
Authorizedsignapl ,r fit► ' Tile_' • TOTAL A$RMIPPBB: �
Print name; � � � This perm implication sip roo If a pangs s not obtained within 150
/` , , a / ` I�it .•� J . 17 days ony It has beet .iccptad an tampion%
tFultd !ut&e GtrnniN tine as/�tAe • ltenberofinapaetion., snowed per permit.
R
ingwarm lap Maa514r(rreoar�ot
£/L £6LI 'UO3 . say . oaS /,Jooa pgn0 OJBI4 Wd 55:t0 800Z•400•tZ
CITY- OF TIGARD
BV,ILDING DIVISION PERMIT #: EL R1008-00299
1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/22/2008
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 `'II
INSPECTION WORKSHEET FOR DATE: 12/24/2000 TIME: 7 :00Am PAGE: 3
SITE ADDRESS: 0%30 SW WASHINGTON SQUARE RD FI10 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
• PROJECT NAME: APPLE COMPUTER STORES
DESCRIPTION: Low voltage for ADA door.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: METRO OVERHEAD DOOR PHONE #: 503 -285- 7503
Inspection Request Scheduled For: Date: 12124/2000 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical finial 079204.01 503 -591 -4709 N
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: a...1A11-41 Date: /7- 2-6 A Phone #: (503) 718-