Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
IN DEVELOPMENT SERVICES PERMIT #: E 3/2006 -00161
.,� I- 13125 SW Hall B Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 7/3/2006
PARCEL: 1S12600-00300
SITE ADDRESS: 09589 SW WASHINGTON SQUARE RD B9 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: Limited energy for audio /stereo. Job No. 5375V
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: X INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATAITELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: • HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
WASHINGTON SQUARE LLC STONER ELECTRIC
BY THE MACERICH COMPANY 1904 SE OCHOCO STREET
9585 SW WASHINGTON SQUARE RD MILWAUKIE, OR 97222
TIGARD, OR 97223
Phone: 503- 639 -8865 Contact #: FAX 503- 659 -2824
PRI 503- 462 -6500
FEES Reg #: ELE 26-122C
LIC 44823
Description Date Amount SUP 3496S
[ELPRMT] ELR Permit 7/3/2006 $75.00
[TAX] 8% State Surchari 7/3/2006 $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 0 01 -! SO You may obtain copies of these rules or direct • - .ons to OUNC at 503 - 246 -6699.
Issued B i / � i �L�� Permittee Signatur = "ii
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.
6/30/2006 13:56 FAX 121001
„
Electrical Permit Application 1.()1,; 011.1 is ( IS () . 1 )
City of rigard E CE1VED Received
basin : ‘A/Ta xix PeEmit 2 , o-eol ,
_ _
13125 SW 1-1.1/ Blvd., Tigard, OR 9
Phone: 503.639.4171 Fax 503.598.1960 •'*'•'•nra)t, I ,
, KiiiI111111111111111 Other Permit
Inspection Line: 503.639.4175 JUN 3 0 2 00 P - J - 1 ,1 - IL Date Ready/Br IFNI RI SeePage Fir mien
Internet: www.ciligard.or.us Notifted/Methad;
. , CITY OF TIGARD , . , „ , , ,
',. :;:.',":'''''''',•'il . '' .t :".'' ' ',./.'... eltinitamitcnsioni !...... .:`.:.:•' ..?,''. . .:: ';'.7::P.EAN • ii '• ' . - ..'. ' .' ' . .
El New construction 11.41BAddition/alteration/replacement Please check all that apply:
ElSavice over 225 amps, control Cillazanions location
El Demolition El Other.
OService over 320 amps - mating 0Buildng ever 10,000 sq. ft.,
'• 2. * '''''!•:;•; - '‘ • :•: \ • . . -, 0 7 K•P*IST4tri 1 00.‘ ';'':',',‘'...'.' .' *.• . :::•: of 1- ad 2- faudlY awallicP 4 or more new residential
. ..
0 1- and 2-family dwelling facommeTeiavindegoini El Accessory building ['System over 600 volts nominal units in one structure
OBtulding over three stories pFeeders, 400 amps or more
0 Multi El Master builder . 0 Other _ _. Occupant lead over 99 persona OMsenfaettued Rummies Or
•' " • .. , • ' • ,. • ' „. '. ^JOB - Mt worott,44 , ; . • • ,/ !... ..,..., . DEgress/lighting plan RV park
Job no.: 537S" V I Job site address: 9,577 5.-;‘,) 44,1,1,4•4,..-12,t)---5-e41 OBealth-cam hairy ['Other:
Submit 2 sets of plans with any of thc above.
City/State/ZIP:77E erA The above are not applicable to temporary construction service.
.. ' .'f ^
Suite/bldg./ naPt .
Pmject narm: l'i ■A/ a> . D.e.dpuos
Cross street/directions to job site: NOW rmidential single- or multi-family dwelling unit.
Includes attached garagc
1,000 sq. fa or less 145.15 4
Subdivision: I Lot no.; Es. add'I 500 eq. ft, or portion 33.40 1
Limited energy, residential 75.00 2
Tax map/parcel no.:
.. Limited energy, non-residential 75.00 2
• ' • .• . ' • ' '' . 1 .: ; ; • :. ; ;: 1 ,orikkiriloirecir wdRK .. .;')::-;•,•`' ii :.:: .:: :' ,. ':'. • ':''. ' ' ' Eaeh romufsetured or modular _
chg • service saf9OSIeeder 0 2
ds-1,e.6 / of,a?: 4' G .. -
..) 4.5
— Services or feeders installation, alteration, and/or relocation
200 amps or law 8030 2
: '''' •1 ' - : ',. -EliitoPER:reiawritit ..-. :•2' ,:,:.... tr*EriArd.. . :-;' .':.: :,. 201 amps e° 4°° amPa 106.85 2
, • • • • . , .,
• ' 401 amps to 600 amps 160.60 2 .
Name; 601 amps to 1,000 amps 240.60 2
.
Address: Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City/State/ZIP: Temporary services or feeders installation, alteration, and/or
Phone: ( ) I Fate ( ) relocation
200 amps or less 66.85 1
Owner instsdlation: 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: Dale: Brands circuits - new, alteration, or mitetivion, per panel
• :.?:.• .' ‘• • • `‘'Y ' : . ' ••••• t Er .APpTICANT .:.'.... ' - . -. • . ,...:„ "tilfsforynket.pEgiamq :"."' • A. Foe fOr ham& circuits with
aervice or feeder fc each
6.65 2
Business name: branch circuit .
B. Fee for branch cirenih
Contact name: without savize or feeder fee,
46.85 2
Address:
Snit brim& circuit
- -.
Each addlbranch circuit 6.65 2
City/Slate/ZIP: Miscellaneous (service or feeder not included)
Pump or litigation circle 53.40 2
Phone: ( ) F ax: : ( )
Sign or outline lighting 53.40 I 2
E Signal circuit(s) or limited-
: ‘ Z ';''.‘:■;. ... . • Z''' • I ' ':." .1 CONTRACTOR- ,. . ' ':" •: ', .,: :: .. • ,. ',.' .. ':' ' ''. ;:. •,.!, • cuutRY Pawl, dictation, ur
extem
Business name: STONER ELECTRIC t i Page 2 •
Address: 1904 SE OCHOCO Bach additional inspection over allowable in any orthe above
Per inspection 62.50
City/State/ZIP: MILWAlUKTE, OR Investigation per hour (i hr min) 62.50
Phone: (503) 462-6500 Roc: (503) 659-4964 Industrial plant per hour 73.75
`'ELECIBICAL'.•PERMIT.,TEEST" I - 2 -, - • , ',
CCB Lie.: 44823 I Electrical Lic.: 26 Snprv. Lic.: 3496 Subtotal - 732c)
Sups Electrician signature, required: reL Plan review (25% of pennit fee) 22_
State surcharge (8
Print name: MICHAEL FALCONER Date: 4 Z, % of permit fee) (- oc,
TOTAL PERMIT FEE .87. cpc•
Authorized signature; Tab woo appricelko expire ifs permit in not alined within 180
,
der niter it lee been accepted as complete
Print name: Date: • Fee nehreblroy et by Tri-CouroyBmIding Industry Service Board
. " Nether a inward= prrpenoir allowed.
irOhnidarelPaminlELC-PamitAppdoo 1205 44046irivontwaittionm
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2006-00161
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/3/2006
Phone: (503) 639 -4171 tea
Inspection Requests (24 Hrs.): (503) 639 -4175 IL
INSPECTION WORKSHEET FOR DATE: 7/7/2006 TIME: 7:02AM PAGE: 4
SITE ADDRESS: 09589 SW WASHINGTON SQUARE RD B9 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: MADE IN OREGON
DESCRIPTION: Limited energy for audio/stereo. Job No. 5375V G
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503'639 -8865
CONTRACTOR: STONER ELECTRIC PHONE #: 5034151600
Inspection Request Scheduled For: Date: 7/7/2006 Pour Time:
• • _ Inspection Description Confirm # Contact # Message
Low voltage 032828 -01 503 - 701 -7278 Y
Corrections /Comments /Instructions:
*3' -ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL [1] 'CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: I \ 1 \,JB Date: •1' (p Phone #: (503) 718- 2-41fic>