Permit CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2007 - 00058
TIGAitD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/7/2007
PARCEL: 1S 12600 - 00300
SITE ADDRESS: 09601 SW WASHINGTON SQUARE RD L - 1 ZONING: C - G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: FOREVER 21
Project Description: Sound system.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: X 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:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
WASHINGTON SQUARE LLC CUSTOM CABLING SOLUTIONS
BY THE MACERICH COMPANY 9300 NE 12TH WAY
9585 SW WASHINGTON SQUARE RD VANCOUVER, OR 98664
TIGARD, OR 97223
Phone: Contact #: PRI 360- 828 -8169
FAX 360 - 828 -8491
FEES Reg #: ELE CLE62
LIC 172264
Description Date Amount
[ELPRMT] ELR Permit 3/7/2007 $75.00
[TAX] 8% State Surcha 3/7/2007 $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 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 or 1.800.332.2344.
Issued By: _6 Permittee Signature: 75
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.
ecricaiPermitApplicattopte-ru— FoR orricE list; ()NI ,v
City of Tigard
13125 .SAVI-Tti II Blvd., Tigard, OR 'Y7
' ■
' Phone. 503.639 4171 Fa X' 503.59:p: R C.. e l V 20 C 07 Othr
u raw B '
t.
Plan Revictv
Daterty. Permit N
pe r clutx „
T 1 GAR . co9 -ea o 5 em
D Inspection Linc: 503.639,4175 CITY OF Date Ready/13y ,,,,- . See Pnge 2 for
Internet: www,tigurd-or.gov 'TIGARD Notified/Method: Supplemental information
' ' -' • - tra-i-' •••• -•'• • - 1 ' • - -,.■ ,l„ ;,ii, pV.,,NV 0 RA•c:(•,•, • •, ' ', - •• ... .r_' .'!.."1 -r :,;.4.: 7 . '.t./? Az% .... : ..,.X
Ncw construction 0 Addition/alteration/replacenlent Please check all that apply (submit 2 sets of plans willarne. checked below)
El
0 Service or feeder 400 amps or MOM 0 Madding over three StOrten.
0 Demolition El Other.
where the available fault current 0 Manilas and boatyards
(..:.:Z7!4■. ..•+,.0 ,. :' . - :,,
exceeds 'O .-WO amp s at 150 volts or 0 Floating buddIngs
lev4 to ground, or exceeds 14,0
0 1- and 2-famil dwelling El Commercial/industrial 0 Accessory ..: building .mr.N r 00 0 Contmerciat.u.se agricultural or all other installation.% but [dingo
0 Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation at 75 KVA oi
k,V -,-..■-,-,.,," 41 .-.., :. ...4,,,,,,,,, y .,, ,, , 7 , 0 ._.., 27 , , ,,,.,--, ;v7,, v 1 :,, , 0 hMergency system, larger separately derived system
...rt/ji.l.t• ' `•,'''',.° ; . •." - "''.'.' '' ' 0 Addition of new motor load or
Job no.' Job site address: SW Washington Sq. Rd. 100HP or more occupancy.
0 Six or more residential Und.S. 0 Recreational vehicle parks
City/State/ZIP. 97223 Woe/ 0 Health-care facilities 0 Supply voltage for tern that
0 Hazardous locations. GOO volt:. nommol
Suitc/bldg./apt. no.: 1,01 Project name: Forever 21 1:l Service or feeder 000 amps or more
! :`;',!'.!,;
Cross sueet/directions to job site, n `1 Qty. I rte. I 'Nig r
New residential single or multi dwelling unit.
Includes attached garage.
Subdivision: I Lot no.: 1,000 RI ft or 1055 145.15 4
Ea. add'i 500 sq. ft. or portion 33 40 1
Tax map/parcel no.:
Limited ener:;, residential
: : 4 4#ggefiAtjfiik)F 4 , - .i0:yAki.i.!.:::', . "I: , ii:1 with above . • . ft. 75.00 2
Limited energy, multi-family III
Sound System Installation- for background music
residential with above so ft 75 00 2
Services or feeders Installation, alteration, and/or relocation
200 amps or less 80.30 2
lidrezt'=4-t:r triPt';‘.!:,; i: tiNit+ F ' .. :, .r eN . ;-: .`"- ,•."
...',■. .11/4,'ATIPTP.81;747P-,1,rmi.,.f.:,47..,.-:,;:.,,,,t -, 1
- - .:' n
0 **0-- --. --4, 201 amps 1 0 4 0 0 amps 106.85 2
Name 401 amps 10 600 amps 160 60 2
601 amps to 1,000 amps 240.60 2
Address. Over 1,000 amps or volts 454.65 2
City/State/ZIP : Temporary services or feeders Installation, alteration., and/or
relocation
Phone; ( ) Fax: ( ) 200 amps or less 66.85 I
Owner installation: 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 599 amps 133.75 2
Branch circuits - new, alteration, or exten5ion, per panel
Owner signature: Date: . A. Fee for branch circuits with
''TS:il above service or feeder fee,
6.65 2
„ .
each branch circuit
Business name: Custom Cabling Solutions B. Fee for branch circuits
without service or feeder fee,
Contact name Teresa Prather first branch circuit 46 85 2
Address: 9300 NE 12 Way Each add'I branch circuit 0 65 2
Miscellaneous (service or feeder not included)
City/State/11P Vancouver/WA/98664 Each manufactured or modular
2
dwelling, service and/or feeder
Phone (360) 828-8169 Fax: : (360) 8213-8491 Reconnect only . ti6.85 2
E taprather@corocast.net Pump or irrigation circle 53 40 2
: : -"„- - 7 - 2' ,. -,, , :r - ;.,r; . .• ; ;;-,,,' , ' .i -1,: :,",.:, 7-,5:57T -.,. 't,i;,: Sign or outline lighting 5340 2
. . „ . .. , .. . .
Signal circuit(s) or limited-
Business name: Custom Cabling Solutions energy panel, alteration, or
1 75
Address 9300 NE 12 Way tor 4 extension Describe: Page 2 2
r A.J'• 1 0 Each addllienl I
anspection over allowable in any of the above
City/State/ZIP' Vancouver, WA 98664 023 1, v /v l \
Pcr inspection 62.50
Phone. (360 : " : 8169 / 7).14 # v 60) 828.8491 Investigation per hour t i hr min) 62 5Q
/
/ _ Industrial plant per hoUr 73 75
CCI3 1 e.. IN= / F.Icetrical Lie.: ----. I Sup! ' ... .--
-- - - -' . ': . " ' ' --ELECTRICAL 'PERMIVT.Egg
. ..r.: ...-------
Suprv, •,. - ' .' signature, required Subtotal 75
- - ,
Plan ICVieW (25% of permit fee).
P11111 riant0 Chris Prather i)ate: 3/6/07
Suite sin charge (8% dperr00. 1 I,
• . _.
--
.1 Al PlAtMII H I, 8 I 00
Autliori/(11 , :ignatur c
't iii, permit application expit us If a permit k net obtained , it hi it 1110
1 1111 Mime: j1)11te
-
days after it hi,, been aCeCnted as t ninpirti.
- - -- • :•,,,,,,a,,,, a liKixst 101, al IOW.. ti I'll pt/Il/il
440.40 I ST( I UM/COMM VI)
I , 11(1 , 1,1 , 14 , 11 . 11olivokl C•Pci 11.1App /1... , 1 , 7 VW.
2/Td W13017:60 LOO T6178 8E8 092 : 'ON XIld suotlmos 6utige3 wolsno : woelA
•
CITY OF TIGARD ___ .
1
BUILDING DIVISION PERMIT #: ELR2007- 00058
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/7/2007
Phone: (503) 639 -4171 V Inspec tion Requests (24 Hrs.): (503) 639 -4175 ... ..
INSPECTION WORKSHEET FOR DATE: 6/7/2007 TIME: 7:00AM PAGE: 42
SITE ADDRESS: 09601 SW WASHINGTON SQUARE RD L -1 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: FOREVER 21 -
DESCRIPTION: Sound system.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: CUSTOM CABLING SOLUTIONS PHONE #: 360828-8169
Inspection Request Scheduled For: Date: 6/7/2007 Pour Time:
Code # Inspection Description G onfirm - # Contact # Message
135 Low voltage 049789-01 360-518 -3402 N
0 FIA\L•
Corrections /Comments /Instructions:
•
. 6r. /i/ \
`PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: b4 LE Date: 6.1. 0 Phone #: (503) 718- 20
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2007- 00058
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 31712007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 3113/2007 TIME: 7 :02AM PAGE: 48
SITE ADDRESS: 09601 SW WASHINGTON SQUARE RD L - 1 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: FOREVER 21
DESCRIPTION: Sound system.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR. CUSTOM CABLING SOLUTIONS PHONE #: 360 4828 - 8169
— Inspection Request Scheduled For: Date: 3113/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 360.828 -8169 N
orrections /Com ents /Instructions:
r *kW\ 1,aa A 14 $
l
` r
t.) S 0 JnSO U'iM 7 -0 aka. )
cA6 vci Liza- 44...L
EV CO r2., cmpG .
lArta45 4 e 7-1 r►
tIr4 wkatte IZ,Qt\\5. PLsotai ce 101,
❑ PASS 1111 1W - P - ARTIAL APPRO ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G Y 0 e Date: 3• 63- on Phone #: (503) 718- 4L41