Permit a CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2008 - 00050
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/5/2008
PARCEL: 1 S135BA -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: Installing (1) intercom and paging low voltage data system.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: X
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 NETVERSANT CASCADE, 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 710LEA
[ELPRMT] ELR Permit 3/5/2008 $75.00
[TAX] 12% State Surch 3/5/2008 $9.00 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 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: Permittee Signature: C y/ -sor
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.
i; i08(TUE) 18:51 NETVERSANT CASCADES INC P.001 /002
ef I1. t.t•ical Permit aA licat �
- - . ,,,.,.,:.. ,.- :_�- •�:r ;.::.,,;
io iR
cEIVE ' FOR OFFICEUSE ONLY ;' ' , ' ;
C Its Of Tigard Rrrelved 2 1
.-z. Nn
i " 1 312: 511' 11411 131%A.. 1 igard, OK 972 «3 - 5 biliti pl Ncricu
"° Phnne: 510.619,•1171 Hai M13 59E 19cifi i_Ilher Permit
Ilnte Hv. _
TlGJ1kb Insprcuuu Line P03 oJa 3175 CITY of riaRRD 0,1, Mundy/11y lulu I lill fire Nur 110
- - Internee w w.npardNrr,pnv � � I n,^D NullfiaUt 1.1111 l: _ _ tiupplenlenwl lnfurmaliun
TYPE OF W % i PLAN REVIEW
QNc Addltl011 (allel'allull /1ChI41Clttenl ^ rgowechccl, all 11131apply1 whom : ALA.urM !mum ).
(] Demolition Other: 0Service of Iecdcl .IW ,high• 1lt nuns D nluldlnri over three stories
_ , _ wt re nag nllpnhle limit Current Mari„os pint Iwuyaod..
CATEGORY OF CONSTIt1,1CTION evrerlls 111.0110 amps at IN) Snits ul 0 FAmtiuy inahnu(..
lest to ywulld, to • . -. 4. 1.1,UIlU 0 C trial -au arrtcullnral
❑ I- and 2-family J%rellint, II Cnmmcrcitll /industrial ❑ Accessory bnlildiny, anaw lot all finer Inautlallnlrm buildings.
Multi•1a01iIv Q Muster builder ❑Other: 0 l'orbump 1:1(naaol1ulwnn1UKVAur
JOlt , SITE INFORAI',nT1Ol AND ,LOCATION Irk. Emergency syntenl, htrrrr,ranratrlr svpeu
-•'•�• `I Add1110 in new ninon hung iii Q "A ", "E" "I•," °1 • J'
jillr Iltr,: 37.91 11 Job site address: ,01o, 1_ ) � � �� r lool I I' or more neupancl
r I 7sl. or 11101C lnldcnl�l ulna. 0 kecocalluuul ,driclu NIL,.
CIIy /S131e /7,1 P: M A 19-7.04 Q R q 7 7c7... D rry Health•ca,e roadie.. 0 :;owply vulIIi r bit natrr lluln
1-► flp2aldig11. 4nr1tnul.• itnn %fill: Itrinhul
ti1111C; h111g..a I no.: Project llal lie: ° Se vice at leedcr RIO a igs u Hunt:. ~ ` _ FEE SCHEDULE •
�'ro•s greet /directions to,)ob ssit uw.,t
- - . - - - -- New residential Angle. or multi -rain' ly dwelling u ghl. gww J .
tllcluden attaclrrtl t u ru Ile.
Sululivkion• Lnl nn.: 1.000111. FL urleiel 145.IS 4
- Tug mtlp /parcel no.: ' 1-4, add'I SOP rig 11 ur purtiun 33.40 1
Limned energy. rcun enilai 75.0U „
Uk.`(:HINIION OF ' \YORK (wuhahnvrsg�lll
(G) /y� •� /1 . Limited o ncluy, nndh furnily 15
- v_o_I ee Qve/1 �..; P. o e b (i I T L j 1 71/ residential t wilh ;delve wt. 11.1 _ - —
A
Scrti'Icee or feeders I imiolliillon. it ltcrntlun. s ntUnr , Omar llnn - -••
+ :UU amrinnl less HU,31I I I 2
PROPERTY awls R Q 'CM.Nnn"r 2 01 urnps toauU •In,no � I 0 8;
Nanm: 101 amps to 600 un rpa I (,0.G0 ;)
Address _ 6U 1 umn4 to 1,000 ramps 24U,nu
._..SZ✓ GtJ� , ; - Over 1,000 imps or wilts 4.4.6: I
City/Stare'ZIP, 0 g_ Temporary „rrvICI■ or fccdcrt. I nntallatInn, ulleruiloll. and /ur
- • -- •• - . -- • relucii Hun
Phone: I I Fax: ( ) 200 utnpo or lens - 61'01, I --
Owner Installation; '111ic instullul ion is being made nu prulro l ly thin I own which is nut 201 001113 to 4UU umpd Conn
i iicnticd for sale. Ieare. rent, or crchunge. according w ORS 4.17, .149, 670, and 701. 0I ornog to 599 ;mop% I3;•75 1 2
Owner SICIIllldle; • Branch circuits - IIPw', al,rr411Ur1. ur extcncl1111, 1' cr r and ,
- .. -- - - Unte: _ _ ~ A Fee fur brunch circuuR 111,11 1
APPLICANT I , ' .1:) CO,?'I•AC'I' 'PERSON , ahrwe nervier ur feeder fee.
Inch blanch circuit
G J
Husut:' . name:
O. Fee fur branch elrcuita —
l.untttel mime. rlldl,ur service or feeder I•ee,
— _ Iirt branch circuit 'IG B`
Addr . . _ Loch adtt'I ('ranch en cool 6,65 2
- - . — llilaeelluntrouo (■crvlcc fir feeder um Included)
CilyISIMi: /ZIP: - Deli mnnufaelured nrmodular 9U!lI1 - -
I'hr I I -- dwelling. service amt /ut %ceder _
__ Fax: nr 1
— - - _ Rccnn c1 Bugs_ CID G 85 (�
F•mnil: _ I'ump or Irrlpallnn encic 53.40 I
_ CONTRACTOR Sign or outline lighting 53 40 1
hU$11ICS11141114: Signal elreultl a) n1' lllni toil- -- ""
` t( Y.e r �, 1 _ Ir'l s (/( [� ) ,,I n�.. enerpv1mnel, allenllion, ur
,A rldress: 1 $ , o/ N 1 ru'1 ii .& i"1 "� “...E.--- . e lcu,iun. Describe: ; , Page 2 1st L�j
City/Slate/ZIP : [ V - 1 U 9 •' n a C Each addltlimol insprel U over allowable In env of IIir ulmvc --
V
.� � I Pei Inspection b. �U
Plume: ( Q > )(py(�t 'Q j a I la (c /�I - I Invcntlgatlnnlfcl huur1l lv0001 (12,51
CCI3 Lie.: 5" 0 '' I Electrical 1 y .16 J Suprv_Lic.: r7! O Le Ind_usiriul plum per hour - 73.75 I
11�� ELEC'TRIcs1. PERMIT PEL'S
Suprv. Elect rein sl n ature. rcquned: � . Su bmtal:
\ ` , OC•
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Print name: / L . / _ 0,1 1 Mite: : D Plan review (.3' r, nl'pernnt fee);
�/ P / - Stale nurcharpc(I ofpei mil lee ): 60
Aadhurircd sl;;nuturc: - -_ -- I'U'fA PERM q . (�
Print name + jj Thlw Merit appllcnlluu el pirn Irn prolog, I. m11 ahrulnrn nimbi inn
- I — Ila1`• ullerII .I,ecu11OCSMtcduseu,nplele.
I Ilw.ld�nu •I'm r Lr' r,:,mN Jae W ,J�ue N@Iltto' a iumic allnurd net pernnl
q 411 1111 'Ti 1.1 I b.,!;1 :,W w -H
CITY OF TIGARD - • z.
BUILDING DIVISION PERMIT #: F_t.R2008 oUO o
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/(f2008
Phone: (503) 639 -4171 111
Inspection Requests (24 Hrs.): (503) 639 -4175 �- F:
INSPECTION WORKSHEET FOR DATE: 3/12/2008 TIME: 7:00AM PAGE: 47
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: Installing (1) intercom and paging low voltage data system.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: NETVERSANT CASCADE, INC PHONE #: 503- 646 -0533
Inspection Request Scheduled For: Date: 3/12/2008 Pour Time:
Code # Inspection Description Co f m # Contact # Message
199 Electiical final 066549 -01 503. 92(}0086 N
Corrections /Comments /Instructions:
PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
• Inspector: G's 1`1 li L ' Date: 3 ' 1 Phone #: (503) 718- 2'114)