Permit ✓ -
a CITY OF TIGARD • ELECTRICAL RESTRICTED ENERGY PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: ELR2007 - 00046
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/20/2007
PARCEL: 1 S 135BA -01802
SITE ADDRESS: 10101 SW WASHINGTON SQUARE RD ZONING: C - G
SUBDIVISION: WASHINGTON SQUARE TOO LOT: 025 JURISDICTION: TIG
PROJECT: BANK OF AMERICA
Project Description: Data/Telecommunications.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: X NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
WASHINGTON SQUARE LLC NETVERSANT CASCADES INC
BY THE MACERICH COMPANY 9740 SW NIMBUS
9585 SW WASHINGTON SQUARE RD BEAVERTON, OR 97008
TIGARD, OR 97223
Phone: Contact #: PRI 503- 646 -0533
FAX 503- 641 -6613
FEES Reg #: ELE 34- 589CLE
LIC 150328
Description Date Amount SUP 2903LEA
[ELPRMT] ELR Permit 2/20/2007 $75.00
[TAX] 8% State Surcha 2/20/2007 $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: J Permittee Signature: sjz-f 9t\o,p
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.
FEB- 9- 2007(MON) 03:45 NETVERSANT CASCADES INC P. 001/002
' , =--• '6, i...: d ' -.�
•
Electrical Permit Ap lica>lon FOR OFFICE USE ONLY .
2007
City of Tigard i c :o Received �. Pann Nth
IN
�' 111 SW Hall Elvd.- '1'1{tptd.OK , , . ,,,,;�Nrdv.
Dalc/ti_ 4 )/ ���/ V (A s
° Plume: 501.639.4171 Fay y 503 -r5 t(-, t•,,,,t,,l7p.c :' OtlwrPermir•
TIGARD Inspectlnn Line: 503.639.4175 L- - Date Reaaymy: Mil Ri See Par 2 Or
Internet: www.tlgard.nr,grw NndllediMsiIu,d: Snpplemrnlal tatermsttus
TYPE OF WORK' 'PLAN REVIEW 1 . . . . ..
❑ New construction Addition /altcmtion /replucemenl I'lwae check all Mai apply tsubmli j sets of wl curried below):
❑ Service ur ) sdcr •IOU amps or pare CJ Building over dare stoics,
❑DcmoliIiun ❑ Other: where the available lit cI,nlmt D Marinas and boattards
CATEGORY OF CON5TRUC. ' . . exceeds 10,000 amps at 15o volts re 0 Phallus bulldlup
less W inuuud. ar exceeds 14,000 ❑ Cnnun areial•use sgrIcul wan
❑ i- and 2- fumily dwelling ❑ Commercial /industrial ❑ Accessory building amps Thr all tither itwrallnu.ms, buildings.
❑ Multi- family ❑ Muster builder 0 Other, D Fin pwmtp. D hnwllattan or 15 KvA or
- : dOR "'y1T'F:.iNFORMATION AN .D.LOCA'1'tON . �„ '.i:', D nmrgmwcy larylern :tparutelr
. ❑ Addition of new tta,lur lucid or O "A ", "E', "1.2°,1 .3".
701. - k' rY IOO1t? ormen. occupancy.
Job no,: [Job s a I 0 1 0 1 sw w 1Sh. St ize Recreational veil le ports k ($_ 'lii (aSl wornatetesldentlslunits G
City/State/ZIP: 71 e 0 0g, 1-72_7 ❑ I Iaalllis etc facilities. ❑ Supply vulupe (a• nave don
❑ Harenlnur Ittadlumr. astir untie wrmdtal
Suite/bldg./apt. no,: r mime: r i-[ I '� �/ 0 `'lee or feeder ran amps nr mom
' 1 % E ,SCIIEDCILE
Cross NIrreUdirections to Job site: n....a u.", t.. P,.. 1021i •
New residential single- ur multi- family dwelllne unit.
includes attached garage.
Sulxiivlufon: Lol no,: 1.000 sy. R. or leas — 145.15 . 4
Ea. add'150 . It. or Dion 33.40 I
Tax map /parcel no,:
1-'' Limited energy. residential 75.00
. . ,„ K1
" t :'Die CYC1ON ! ,O • �VOT Z ' ' , . . • ',, I!. f wish above sqL1 .
.1
O ( 15.00 Limited energy, multi- family 7S.
VQ l C e- 4' O C i7 I a n% residential (widw Mete ay, IL
J( Services ur feeders installation alteration and/or relocation
U 200 amps or less MI 80.30 I
,. :(] : PROPRR'IY OW NER. _ . II 'I',:�i+ ,.,'Q�'1'kNAfVdr 201 amps ln400nmtpa 106.85 2
Name: 401 ulnas to baD asn • 1(s0.60 2
601 amps to 1.000 amps 240,60 111111 2
Address: Over I,000 amps urvoila 454,1i5
City /State/ZIP: Temporary services or feeders Installation, alteradnn, and/or
relocation
Phone: ( ) sax: ( ) 200 ant a or less 66.85 I
Owner Installation: This installation is being made on property lhul 1 own which is not 201 amps to 400 amps II 100.30 IIIII 2
intended for sale, lease, rent, or citehunve, according to ORS 447, 449, 670, and 701, 40111111410 599 an . 133.75 2
Brands circuits.. new alteratla or extension. er unel
Owner signature: Date: A. Fee ibr branch circuits tvlrh
,; , ''' ' [1 AYPl;1C l:..!''!' !: 0• COtill'Agrli1GRSON !'i;'1Fi;' ' above service or feeder fee, • each branch circuit 6'65
business name: 13. Fix for branch circuits
ndrhonr service or feeder i'ec, 46 ,85 2
Ckinlact name: ilrst branch circuit
Address: _ add'I branch circuit I 6,65
- Miscellaneous (service or feeder but Included)
City /Stuic/ZIP: leach manufactured or modular 2
dwelling. service and/or feeder 90,90
Phone: ( ) Fax :: ( ) Recunnet utily GG,BS
E•mai l: Pump or Irrigation circle 53,40 2
__ _ .. , . ' ` ' CONTRACrOIC ' , I • 1 Sian or outline lighting 53.40 2
mime: / Ver h.'- — Lu 5 Signal Nrcult(a) or lllnl
Business
:' L� J _ �, eatergy panel, alteration. or Q�
Addres,: I 7 y 0 .s6/ ii, 1 e-1 b1,1 S FI V ti ` u e, atrnnson. escribe 1 Paget /, 2
City /State/7.IP: v n 1 o R Cf t' f 60 g Each additional Inspection aver atiowahlo In an ofihc above
Per Inspection 122.50
Phone: (5b3 (pi{ (p —653 Fax: (5113 ) (51/ - 4 ) (Pi hrvestlpndan per hour (I lit min) ,.50
CCB I.ic.: 1.50 o Z g Electrical Lic.:3C1 7C/.E Suprv. Lie.: 7 /OLE4 Industrial pkufl per hour 73.75
'EEEC19tICA7:' I!ERMIT'Ff3Ei51
Suprv. Electrician signature. required: / ) Subtotal: VS, 0 0
Print name: ✓ a • ' ` Dune: 2 I 1 D Plan review (257U or permit fee):
Mate numhar'ge (8% of permit fee): (p . C) 0
Authorized signature: TOTAL PERMIT FF_F.: S(, 00
'l'6Is permit appllwthm eardrum Ira ',aren't Is nut obtained within 1BU
h Print name: 1 Date: dsy. prier Is has beau accepted as complete,
• Nun:bst ul' inspections allowed per permit.
I , Iw{Wmsu`stimn, , r1.C•IwmnAtm.dnc ayjiIaa 44w615TIIl/USICOMIWCD
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2007 -00046
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2!20/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 °T I L.
INSPECTION WORKSHEET FOR DATE: 7/23/2007 TIME: 7;p1AM PAGE: 77
SITE ADDRESS: 10101 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE TOO LOT #: 025 TYPE OF USE:
PROJECT NAME: BANK OF AMERICA
DESCRIPTION: Data/Telecommunications. •
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: NETVERSANT CASCADES INC PHONE #: 503-646-0533
Inspection Request Scheduled For: Date: 7/23/2007 Pour Time:
Code # Inspection Description Confrm # Contact # Message
199 Electrical final 043766 -01 503 -332 -9246 N
Corrections /Comments /Instructions: C. UV CA—'
A PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Cr NM L' Date: 1 Phone #: (503) 718- 201
1