Permit Av CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2008 -00061
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/19/2008
PARCEL: 1512600 -00300
SITE ADDRESS: 09619 SW WASHINGTON SQUARE RD L04 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: POTTERY BARN
Project Description: Installation of low voltage for fire alarm. Job No. 810194
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: X OUTDOOR LANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
WASHINGTON SQUARE LLC HUGHES ELECTRICAL CONTRACTORS
BY THE MACERICH COMPANY 9640 SW SUNSHINE CT STE 600
9585 SW WASHINGTON SQUARE RD BEAVERTON, OR 97005 -4689
TIGARD, OR 97223
Phone: Contact #: FAX 503 -626 -3377
PRI 503 -626 -3344
FEES Reg #: ELE 34 -281C
LIC 49850
Description Date Amount SUP 4506S
TAX I 12% State Such 3/19/2008 $9.00
[ELPRMT] ELR Permit 3/19/2008 $75.00 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 Noti - ion Center. - •se r -s are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or :irect questions to OU.• at 50 , - 46.6699 or 1.800.332.2344
Issu d By: / , � Permittee Sig .. ture: i , A�/>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 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.
Electrical Permit Application FOR OFFICE USE ONLY
City of Tigard RECEIVE seed ill — Permit No /
ilq a
q 13125 SW Hall Blvd., Tigard, OR 9722 Ian rv B O ry Review
-
Phone 503.639.4171 Fax 503 598 1960 Date /By Other Permit
TIGARD Inspection Line: 503 6394175 MAR 1 9 2008 Date Ready/By. lures ® See Page 2 for
Internet www.tigard - or.gov Notified/Method la Supplemental Information
TYPE OF WOI>ITY OF TIGARD PLAN REVIEW
❑ ® Addition /alter.i� r ih 11,1 OIVISIUN Please check all that apply (submit 2 sets of plans w /items checked below)
New construction
0 Service or feeder 400 amps or more ❑ Building over three stones
❑ Demolition ❑ Other: where the available fault current ❑ Mannas and boatyards
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building amps for all other installations buildings
❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump ❑ Installation of 75 KVA or
❑ Emergency system larger separately derived system
JOB SITE INFORMATION AND LOCATION ❑ Addition of new motor load of ❑ "A ", "E ", "I - 2 ", "I - ",
more occupancy
Job no.: 810194 Job site address: 9619 West Washington Square Rd 100HP or mor Recreational vehicle parks
❑ Six or more residential units ❑ P
City /State /ZIP: Tigard, OR 97223 ❑ Health -care facilities ❑ Supply voltage for more than
❑ Hazardous locations 600 volts nominal
Suite /bldg. /apt. no.: Project name: WA Square - Pottery Barn ❑ Service or feeder 600 amps or more
FEE SCHEDULE
Cross street/directions to job site: � Description I Qty I Fee I Total I •
„ I I ' q New residential single- or multi - family dwelling unit.
Includes attached garage.
V -- �u 1 L 'u .. U;-
Subdivision: Lot no.: 1,000 sq ft or less 145 15 4
Ea. add'I 500 sq ft. or portion 33 40 1
Tax map /parcel no.: Limited energy, residential
DESCRIPTION OF WORK (with above sq ft) 75 00 2
Limited energy, multi - family 75 00 2
Add Fire Alarm devices to existing system. residential (with above sq fl )
Services or feeders installation, alteration, and /or relocation
200 amps or less 80 30 2
❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106 85 2
Name: 401 amps to 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 1
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 extension, per panel
Owner signature: Date: A. Fee for branch circuits with
® APPLICANT ❑ CONTACT PERSON above service or feeder fee, 6 65 2
each branch circuit
Business name: Hughes Electrical Contractors, Inc. B Fee for branch circuits
without service or feeder fee, 46 85 2
Contact name: Adam Byrd first branch circuit
Address: Each add'l branch circuit 6 65 2
Miscellaneous (service or feeder not included)
City/State /ZIP: Each manufactured or modular 90 90 2
dwelling, service and /or feeder
Phone: (503) 816 -8057 Fax: : ( ) Reconnect only 66 85 2
E -mail: hec @hugheselectrical.com Pump or irrigation circle 53 40 2
CONTRACTOR Sign or outline lighting 53 40 2
Business name: Hughes Electrical Contractors, Inc. Signal panel, or alteration, limited-
g energy panel, alteration, or
Address: 9640 SW Sunshine Court, Suite 600 extension Describe I Page 2 75 00 2
Fire Alarm
City/State /ZIP: Beaverton, OR 97005 Each additional inspection over allowable in any of the above
Per inspection 62 50
Phone: (503) 626 -3344 Fax: (503) 626 -3377 Investigation per hour (1 hr min) 62 50
CCB Lic.: 49850 Electrical Lic.: 34 -281 C Suprv. Lie.: 3767S Industrial plant per hour 73 75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: _ Subtotal• 75 00
Print name: John Powell Date: 03/18/2008 Plan review (25% of permit fee) 0.00
State surcharge (12% of permit fee) 9 00
Authorized signature TOTAL PERMIT FEE 84 00
This permit application expires if a permit is not obtained within ISO
Print name: Date: days after it has been accepted as complete.
' Number of inspections allowed per permit
1 \Buitding\Permits\ELC- PermitApp doe 05/23/06 440- 46I5T(I I /05 /COM/WEB
r
CITY OF TIGARD . A BUILDING DIVISION PERMIT #: ELR200B.0i1061
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/i9i2008
Phone: (503) 639 -4171 l i3O ,
Inspection Requests (24 Hrs.): (503) 639 -4175 r
INSPECTION WORKSHEET FOR DATE: 4/1/2008 TIME: 7:01AIdi PAGE: 21
SITE ADDRESS: 09519 SW WASHINGTON SQUARE RD L04 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: POTTERY BARN
DESCRIPTION: Installation of low voltage for fire alarm. Job No. 810194
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: HUGHES ELECTRICAL CONTRACTORS PHONE #: 503G26 3344
Inspection Request Scheduled For: Date: 4/1/2008 Pour Time:
Co # In e Nio ctionDecription Confirm # Contact # Message
135 - Low voltage 067651 -01 503. 816.8057 N
Corrections /Comments /Instructions:
•
-1(1/
4 " --) PASS ❑ PARTIAL APPROVAL 111 CANCEL ❑ NO ACCESS
r L ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: c . I tQj Date: i i- ` • T1 Phone #: (503) 718- IiL1/0
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR200B -00061
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/19/2008
Phone: (503) 639 -4171 ,,1 li
Inspection Requests (24 Hrs.): (503) 639 -4175 "i "__�
•
INSPECTION WORKSHEET FOR DATE: 5/19/2008 TIME: 7:00AM PAGE: 1
SITE ADDRESS: 09619 SW WASHINGTON SQUARE RD L04 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: POTTERY BARN
DESCRIPTION: Installation of low voltage for fire alarm. Job No. 810194
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: HUGHES ELECTRICAL CONTRACTORS N1J PHONE #: 503 - 626
Inspection Request Scheduled For: Date: 5/19/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 070093 -01 415 -260 -0367 . Y
Corrections /Comments/ Instructions:
r■) *(1) CLIOQ
Q ea 0 U
z
111 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: OW) L.-CP Date: 6.-fic Phone #: (503) 718- P4
•
CITY OF TIGARD, •
BUILDING DIVISION PERMIT #: ELR2009•03031
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/19/20081
Phone: (503) 639 -4171 �*
Inspection Requests (24 Hrs.): (503) 639 -4175 �'':.. •
INSPECTION WORKSHEET FOR DATE: 3/24/2008 TIME: 7:00AM PAGE: 19
SITE ADDRESS: 09519 SW WASHINGTON SQUARE RD L04. CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: POTTERY BARN
DESCRIPTION: Installation of low voltage for fire alarm. Job No. 810194
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: HUGHES ELECTRICAL CONTRACTORS PHONE #: 503.625 - 3344
Inspection Request Scheduled For: Date: 3/24/2008 Pour Time:'
Code # Inspection Description onfirm # Contact # Message
195 Misc.. inspection 067210-01 \ 603 - 016-80£7 N
Corrections /Comments /Instructions: l
13 PA& ► tok c.L ctiNicak ) 4
❑ PASS ... APARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
\ Inspector: toe 14 Date: 31 at Phone #: (503) 718- 144