Permit t V CITY OF TIGARD
2. ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2007 - 00190
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/13/2007
PARCEL: 1S12600-00300
SITE ADDRESS: 09685 SW WASHINGTON SQUARE RD C7 ZONING: C - G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: LUCKY BRAND JEANS
Project Description: Low voltage for burglar alarm. Job No. 3- 21266 -1
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATAfTELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: • HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER: BURG ALARM X
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
WASHINGTON SQUARE LLC ADT SECURITY SERVICES, INC
BY THE MACERICH COMPANY 2815 SW 153RD DR
9585 SW WASHINGTON SQUARE RD BEAVERTON, OR 97006
TIGARD, OR 97223
Phone: Contact #: PRI 503- 469 -7100
FAX 503- 469 -7114
FEES Reg #: ELE 26- 209CLE
LIC 59944
Description Date Amount
[ELPRMT] ELR Permit 6/13/2007 $75.00
[TAX] 8% State Surchar€ 6/13/2007 $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 suspende • • no ore than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility NotificationrCenter.
Those - s are set forthJn 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain • • ies of these rules or direct questions to OUNC at
503.2A •.6699 or 1.800.3 .2344.
Issu - • By: / r 4 Permittee Si • nature: ,' , 4r (
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.
•
Jun 13 07 A J` Stephanie Pate 503469 p.1
Electrio� .lit Application t:OR oFricE USE ONLY
City oA1 1'i. 1 and Received ��v 4 .. Dutla O i Permit Na.: Q El
13125 SW HalI Blvd„ Tigard. 'V''' = -
Phone: 503.639.4 171 Fax: S e.5i'.-• .. .•i �•r�' ,;,,{.;\ Dat y�~ Other Perron:
� l ^ __
tnspeelioo line: 503.639 4175 "'� It Hate Re trdylB y el Ste Paget for
Ali' Tara
(nternel: www.ci.tigard.or,uS J ,',1 1 2001 Naufi /M [had. I 41, Sapitemenu .n
l infora _
TYPE OF W ; I. PLAN RI Vlt:w ' -
] New construction t o • • 1 .01 y ,.. Please cheek all that apply:
] Demolition t ' �' ❑Service over 225 amps, cnmm'I ❑Hazardous location
n ' a
, r./.. , 1;
� = - !\ . L]Sc vice over 320 amps - rating ❑Buitdng over 10.000 sq. ft., ,
r.►
. • e ' ,OP f ONSi fI211(T�(3N; t , ,, , �,, _ „ of I. and 2- family dwellings 4 or more new residential
1 and 2 family dwelling ® Commercial/industrial I=1 Accc.eiory building ['System ovei 600 volts nominal units in one structure
] Multi- fancily ❑ Master builder El Other, l�liuiWtng over three stories []Feeders 400 amps or inure
❑Occupant load ova 1 39 penoris ❑Manufactured structures, or
JOII SITE INFORMATION ANI) LOCATION , ❑Egtcssllibltting alas RV park
3 w .2�� ❑Health -;are facility ❑Other:
ob n0.: J ec
Site oddrs:
's�!/ G��SX��37 �� Submit 2 sets of plats with any of the above.
:i ty /State/ZiP: A D e4 97-233 The above are not applicable to tcucporuy construction service.
iuitcJbld�lnpt. no.. FEE' SCUEOULE
7 ' Project name: �Uc 6 " 44),1 .TC"
f nrenrro.a j Q,y. T rK, rdi 1 -•
Tress street/directions to job site: New residential single- or multi- family dwelling unit.
Includes Attached garage.
1,000 sq. R. or less 145.15 4
subdivision: Lot no.: Ea. ncld'I 500 sq. ti, or portion 33,40 1
'ex map /parcel no.:
Limited energy, residcvitiat 75.00 2
. Limited energy. non- rraldential 75.00 2
DESCRIPTION Of WORE' . Ibarh manufactured oriaalttlar
dwelling, service and/or fender 90.90 2
_ ticrvicca or feeders installation, alteration, and/or relocation
/ 200 amps or lets 80,30 2
Q PROPER OWNER ❑ •I Iy •� — 201 amps to 400 amps 106.85 - 2
401 amps to 600 amps 160.60 2
lame' 601 amps to 1 ,000 amps 240.60 2
-
,ddress: Over 1,000_ amps or vokc 454.65 2
Reconnect only -�- 66.85 2
'its /StiatcILll': Temporary services or feeders installation, alteration, and /or
hone: reloca •
FA7t: ( ) 200 amps or lesli 66.65 l
owner tnsttallatlon: This installation is being mndc on property that I own which is ntit 201 amps to 400 amps 100.30 2
'tended for sale, least, rent, or exchange, according to ORS 447, 449, 670, and 701, 401 amps to 600 timers 133.75 2
iwner signature: Date: Branch clrenfts- new, alteration, or i tension, per panel
0 APPLICANT 0- CONTACT PERSON A, Fee for branch cutuits with
uvirlCSS name: service Or fizzier tee. each 6 65 2
branch circuit f
comet name: g—,� /`�$US B. w et for b mewls
without service or feeder fce,
46,35 2
ddrmes:
first branch circuit
[!ach add'! branch circuit 6.65 2
ity /Statc/ZIP: fr scellat►eosts (service or feeder not included)
!� �� — Pump or irrigation circle 53.40 2
hoot'
�3 ) 9! -72 / L I Fci , ( ) Signor outfii tlighting 53.40 2
nc
- nil; - Signal circuits) or limited- -
CO NTRACrUIt — energy panel, alteration, or p
.. -.- -� -- e . , , [t�'�t �1pes5 l Page 2 2
usinesS name: ADT Security Services . :' ff7�
ddness: 2815 SW 153` Dr, Knelt additional Inspection over allowable In any of the above
Per inspection 62.50
ity /State1Z1P: Beaverton OR 97006 _ investigation per hour (I hr min) 62.50
lone: (503) 469 -7100 Fax: (503) 469 -7114 bide tnal plant per hour - 73.75
is1,ECTR1CAL PERtiIIT FEES; _
�B Lit.: 59944 — Electrical Lie.: 26 209CI,i; Su Lie.: LEA,389
Subtotal 15 e'
Iprv. Electrician signature, required: '• �. � Plan review (2.5 %ol'pcxmitEric) - _ �
State surcharge (8% of permit fee) Do
int Drite :
name.: kb-Ai �`,_r �
Ithoriz�d signature: /',. - J - - f O • OTAL PERMIT FEE 8/ D b
'•Wier This per,nit not plic
apa oamit i1c khll
/ d alt llun it h pired as be If a per acce a. comobt ied within I
int nastier �` N je /A. &r I Date: J • Fee methodology set by Tri.Counfy Building tndustryService Boast
- •• Number of irispe chain per permit alkiweci.
0, ..ekN- •- 0.1r•I f -r'•re,i, nn,m.,• it o, •� -daD- 16137(10 /6LCOwv.•i:u
P, P
CITY OF TIGARD
BUILDING DIVISION A PERMIT #: ELR2007 -00190
" 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/13/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 °7 I I..
INSPECTION•WORKSHEET FOR DATE: 6/29/2007 TIME: 7:00AM PAGE: 3f3
SITE ADDRESS: 09685 SW WASHINGTON SQUARE RD C7 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: LUCKY BRAND JEANS
DESCRIPTION: Low voltage for burglar alarm. Job No. 3-21266.1
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: ADT SECURITY SERVICES, INC PHONE #: 503
Inspection Request Scheduled For: Date: 6/29/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
qq ��..LL�,o�w voltage 051197 -01 \ 503- 469-7212 N
Corrctiions /Cb l ent6l tructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
El IL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: CT iv L � Date: 6' ZPt.. 0r] Phone #: (503) 718- 2.444