Permit CITY OF TIGARD ELECTRICAL ENERGY
RESTRICTED ENEGY
� DEVE H B r S o ERV SERVICES 639 -4171 DATE PERMIT ELR2003-00336
O 30/03
SITE ADDRESS: 09530 SW WASHINGTON SQUARE RD H -10 PARCEL: 1S126C0 01107
SUBDIVISION: WASHINGTON SQUARE ZONING: C -
BLOCK: LOT: JURISDICTION: TIG
Project Description: Install closed circuit TV and burglar alarm low voltage.
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: : X
TOTAL # OF SYSTEMS: 2
Owner: Contractor:
PPR WASHINGTON SQUARE LLC ALLPRO SYSTEMS •
BY THE MACERICH COMPANY 1137 HARBOR LN
9585 SW WASHINGTON SQ. RD. KEIZER, OR 97301
PORTLAND, OR 97223
Phone: Phone: 1- 503 -566 -7207
Reg #: LIE503- 5&213
ELE 24- 489CLE
FEES Required Inspections
Description Date Amount Low Voltage Inspection
[ELPRMT] ELR Permit 10/30/03 $150.00 Low Voltage Inspection
Elect'I Final
[TAX] 8% State 10/30/03 $12.00
Total $162.00
This Pen 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 � j Permittee Signature 0 aio0
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
Oc 1 29 03 10 :092 Robert Binkley 5035667202 p.1
O/ 10J1..1.7 J.V. Vr •,r.. --
.. 'Electrical P ermit A lication f1 / _ ) r l' C, I'. l_!SL O�0NI_1'. • (}2
R GCC'v y If 7 J�// 0 2 z ..6/3 PeredtNo.:C _ F "'
—• 2 - ` j 3 / � :
ggff alga
City of Tigard .' ECE V E. Detehli : Sign tld� :
13125 SW Hall Blvd. ■ - Men Review Other
Tigard, Oregon 97223 paua/By: PcrodtNo.; ,
Phone: 303.639 -4171 Ft 403 -4 3 ; , . O v `" �e No
I ntern w
Internet Vrw.ci.iigetd.or.ue ai.:1
p3 �� �'` t�tstta Jun 0 see PaSa 2 for '
24lwurinspectionRequest~T 1 i D �1 i t iemdt+Rcthod ' _ � r I Su £ ormation.
CITY OF
BUILDING DIVISION
over 115 1
� .� _ �_ _ t r. i
I I! .. .I I 1 1 � . i i t 1 1_ t ��� - /I t -I - _ - , -i ���I C `, $ y E 1
■— New construction _ - IN ~ • • S tv1Ce amps- II FTeaith•etc+e facility
D emolition c
110 tlon /alteratt • t Co n00ceeial ■ Building o over 10,000
:1., • • e. r ❑ Suvice ovor 310 ampsaadag of 41 Bu1dmg over 10,000 square juror,
1 I • '.' i 1 I E 1 i rag 1 _ I,_ 'I lil' _ •I - - _ -'1.1.% ?d 1 & 2 :
family dwellings four Cr or MOM =its is
r 1 & 2 -Fauu1 • dwellin. r: Cotrsncroitl3/Industrial own COO volts a one em cn
vee
f A A ooess • B • • • • _ LJ Radial; over barns stories g Feeders, 400 amps or more
_ Matt Fallyi a Occupant load over 99 pereons ® Manufrctwed abuct a RV rut
Master Builder a Other • " '=.5p= ,
.. ..d_„!� e ........, '2,:,. .- - I �''I , /aIL. . , _._1 , . I e i .: ! : I!'I •�' , .�. - . ;,r_r4 9ibmit sum of plans Alttt• the abort.
"p`' _ _. I ry The above u t lkable to tour er. o ,,�� can octton service.
JObBltO address: W /}.�17 /� `�� _77., _..'.._Y` itTli i .' + -I : 1 j -.. `- L-ci : :li i .:t_- " nIF;
Suite # 5 3( I Bldg. /Apt #: C, J _ Number of inspections par permit allowed
Project Name: A PPLE. cot. r Tamed • don Q I fee curl Toad
New Includes Cross street/Dbections to job site: gwi ta h a d d r i par j
� dwa8(r� uIncludes Includes attached e �•aea
Servke 8i bidedt
100IQ. 0= Drina 1 145.11 4
Bert additional 500 ... or on thereof 39.40 1 l
L4atmd - ,/tt_,i ��F3•'� —8
Subdivision : Lot # l F•- •IIE1
Tax .• t• • el #: • - • .. - home or modulardwellitng
{., I.I! , 1j 1 f. y11' _ r(If I��:7r ii _. i; 'I' 7 I 7, I 1 . : l:4_ _ sersi:e 11141/Br reeler 00.90_ 2
Services or fbedem - IAttalbdon,
siterndam or relot:door
100 auto u:sao 1 6030 2
I 400 106.95 2
p 1 amps to amps 160.40 2
II : %I i I r.n `ilia iiiy ii_•! r h'I, .' L : ' ;7`.'1Cf I 7t �l T T II �. J I I F f , fe l anpl to too amps _... ��w�.. 240.60 2
I Over 10DD auras or vple 434.55 2
Name: t Racoon:itaotr 661.1 2
.address: Temporary :Amities or feeders - Inca latleo, •
&Retailed:, or relocation: 66 l 1
Ci /State/7. 100 sow orloss
201 m deo ar* 10030 2
Phone Fax 1 13315 2
_ � ii 201 to D auras
'',1.1 t ` i ,.. : °, . , ! _"',...t4 . :. . . ' , _i t ! •' !! , r P : } I %� , t . , ` I , ... ! nrmneh dreuitl .l:eir, al.tergt(OII. or
Name: 1 o:teasfon per pence
A. he fur trash &Izmie vetch maws Df 6.65 z
Address: smite Q &caer foe. each bomb circuit .
Ci /State/Zip: E. Tee for branch circuits without purwsaz of
eerrico or fi:rder I erg ..... ''r -. r 46.63 2
Phone: I Fax: Tisch addtaotsatbtlo' • - • I nos
lrllsa(Servlm or fecdsr not included):
E-mail: oh . 5340
(. .." ` ._., - _ E
t I ! _ 4 .! _ ._ _. . _' or
., •1 L �
-- 0340 Z
Job No: i Ita ohcu1t(s) of a limited stew panel,
Business Name: A ///'to d .s>�e�� °r`r`` -�tD" Z 2
Des c>1ptlon 11.1
Address: //_3 7 //.r,r. vg.- LN
, Rath additional inspection over the allowable la at►y of the &born
City /Stirtesa p: /Le s le e- 0-7e 9' 7 3e9 / per idsseetioa per lens {min. l hats) 1
Phone: 544 7a a .7 Fax: s& L 7;p a
CCB Lie. #: 77 2 7 Lic. #: A y- Y `jtLt" • i -i `. _. i • . , 4 -4:.,;_,,T:3
Supervising electrician /J / _O i1 Subtotal' r 5 /S o - '
., sifqiature requited: ...�.....---"" 1':?n Review (25% of Permit Fee) S 49
PrintName : ,/ 1✓ de E I Lic. #: 3/ S'1 4 _ State Surcbu6e(9 %of Permit Foe) S /2- .ae
TOTAL PERMIT FEE S /6Z•46'
Autharizoi, — D 2 Notice: T6ls permit application expires if n permit is boe obtained within
A
�-J' Dial J� �T fo3 180 days after it has been accepted as complete.
*Fee methodology set,byTri- Connty Building industry Service Board.
A 2'TNUQ. t&-era.
.mime Tina, =++c/
iAbstacritdr FeassiTloPenciltApp.doc 01/03