Permit C ITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
PERMIT #: ELR2005 -00221
DEVELOPMENT SERVICES DATE ISSUED: 8/4/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S12600 -00300
SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD MGMT ZONING: C -G
SUBDIVISION: ?ISBENGTON SQUARE LOT: JURISDICTION: TIG
Project Description: Low voltage wiring for fire alarm.
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:
PPR WASHINGTON SQUARE LLC OREGON ELECTRIC CONST /GROUP
BY MACERICH COMPANY 1010 SE 11TH AVE
9585 SW WASHINGTON SQUARE RD PORTLAND, OR 97214
TIGARD, OR 97223
Phone: Phone: 503 234 - 9900
• Reg #: LIC 203
SUP 4460S
FEES ELE 26 -95C
Description Date Amount REQUIRED ITEMS AND REPORTS
[ELPRMT] ELR Permit 8/4/2005 $75.00
[TAX] 8% State Surchar€ 8/4/2005 $6.00
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 95 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503-246-6699.
Issued By: , Permittee Signature: '�-
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.
AUG -03 -2005 09:34AM FROM -OR ELECTRIC SERVICE 5035352763 T -646 P.002/003 F -617
-
' 7 ' ;1 `'\ ' I ' Reeavod • ,
13125 SW Hall Btvd.. Tigard, OR 97223 pi Review
. I
Phone- 503.639,4171 Fame 503.598.1960 . 1 E d P • '; t/By: Other Permit:
Inspection Lino: 503.639.4175 ' ` L: NU 1 1. , i l� Date Resdy/By: I I Ivl B seeprge
Iate stet �vww.ci,tig ttd.or.us Notified/Method: - SqPtikosental Iatbrnrtion
�•� - r , ::...1:i`':..`.:,1 _ 9••.
,i_ar,;y : i� %k; d;.. "x , :4. .e a 'c '' t ^:.• ;'(:. ., Irv. ' • • -c : '� - , :'• r '' . • " . + '" .'ti
u , ...• c ,..,,• r-'•'=' •�•,,•f L� s .�ti.., t•: i %7 r S: � ,. : � :, • _ • � .. `i • `E New construction in Addition/alteration /replacement : ''tease check all tha apply.
❑ Demolition ❑ Other: ❑Service over 223 amps, comet t ORlwirdous location
['Service over 320 amps -rating ❑ Buildng over 10,000 sq. ft,
) 4;;J: " ,' ;� ; :^ , ;. '11'!•-:!. • c 1.y sa M • . l' z. ' .• "� ,� w , :; %,F. of 1 - and 2 - family dwellings 4 or more new residential
f .. l. :�'t•�;b' t ' r .... - ..;,1... � •!•'- 'S�.?a�' ,....., , .BSI _ �. .:��. n :+ �! ':i::''
❑ 1 - and 2-family dwelling ,CommeticiaHmdustrial ❑ Accessory building ❑ System over 600 volts nominal units in one structure
El Multi ftum7y ❑ Master Wilder ❑ Other ❑RAtildiag over three stories ❑Feeders, 400 amps or more
❑Occupant loa4 over 99 persons ❑Manufactured aaruct res or
+i; ;:'! r,c'.: f;;N' ...i., :. .: B 1TL" I ', i ' e '. ? . I ! ?...X04 ~ .. n :, b'`. :1 DEgress/ligl>Ang RV park
• Su cs facility ❑der
Yob no.: ZJ i b Job site address: q ) t4)4W tw 70.1 2
Submit Z sets of plains with any of the above.
City/StateIZIP: ' " Adz Oa. a Z L 1�}The above are not applicable to temporary construction service.
:"6. �: 1 Sl r � ;.i•:,. .ii:::" : ' i-; � . 1� } "4 \ , �:�)
Suite/bldg./apt no.: Pmjectname: l�4 .. - q ,�. y^ I 1 .
• Vin. meet ••
Cross street/directions to job site: New residential atingle. or multi-family dwelling emit.
Includes attached garage. - -
1,000 sq. ft or less 145.15 4
Subdivision: Lot no.: • Ea. add'[ 500 sq. ft or potion 33.40 1
Limited energy, residential 75.00 2
Tax map /parcel no.;
Limited energy, non - residential 75.00 2
r ia=6. • .Rt4+"'.n. -.:a. _ ':� �`ix. rivk;:Ii; �::P'' Each manufactured or modular
dwelling. service and/or feeder 90.90 2
Services or feeders installation. alteration, and/or relocation
•
Cwt M t - e L "• e� �` 200 amps or less 80,30 2
W 201 to 400 am s
R .ti : '+ u = • • =},'5+8�+m.FW"^!h: 1 174 ( :; , [ ' '� �' t / "! *y 1. L7 1 e. i " .r. . ; :. mnP3 p 106.85 2 •
401 oxlips 50 600 amps - 2
[ . 601 amps to 1,000 amps 240.60 2
• OW 1,000 amps or volts 454.65 2
Address: �S' ;, e, 544) a
Reconnect only 66.85 2
City/Suite/ZIP: '\ Mit...c) - 417 Z Temporary service! or feeders i>stallatiou. alteration. and/or
relocation
F ax ( )
Phone: ( .) 200 amps or less 66.85 - 1 '
Owner installation: This installation is being made on property than I own which is not 201 aamps to 400 amps 100.30 2.
intended for sale, lease, lent or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2
Owr>Ier signature: Date: Brooch circuits- new, alteration, or extension, per panel
1 �'ea,r"',tt .', e .r, ,.k ,'m,-, 0' ,, + . .r A Fee for branch circuits with
i;� c
"9"'9t"`T e 0tiy ' service or feeder foe, each 6.63 2
Business name: Oego 'r [ranch circuit - , • B. Fee for branch circuits
Contact name: dC rte. - without aervice or feeder fee.
•` a - each branch circuit 46,85 2
Address: 0%0 . C - (k ¢y Nye:- Eachadd'l branch circuit 665 2
City/Stale/ZIP; 204.T _41 .O CL- - Mlacelbtnecem (service orfee iernotincluded)
• Phone: (- 5 t S 'r4 )o Fax : ('J3) g • or irrigation cirri* 53A0 2
Sign or outline lighting 33,40 2
E -mail: "Signal circuit(!) or limited-
" c ,' energy panel, alteration. or /
"" extension. Describe ! Page 7 e 2
Busing= e: 1 .� t ant .�. _
ess
Address: Each additional impaction over allowable In any of the above
to " �` 4 -
Per inspection 62.50
City/State/ZIP: a - w s • Zi Investigation per hour (1 he min) 62.50
Phone: (js�) t,,, ' CIO ( plant per hour 73.75 . ,
CCB Lic.: to Electrical Lac.: Subtotal 7
Soprv. Electrician signature, required: l _ Plan review (25% of permit fee)
Printn�e: -A i f i � ' ice/ /� a surcharge (8% of permit fee) ( ` ��
ire•- - D : f .�i! S V ? �
TOTAL PERMIT
signet e: / %
7hb permit applkatleb (view Ire parade b not obtained •dt6'ia 150
••- • � l� � i day. alter it hi. been accepted es complete
Print name: 446. g :Mandl Date: e 7 Ofs • Pee methodology sec byTri •Cowuy Building Industry Service Bo
CITY OF TIGARD
BUILDING DIVISION PERMIT #: � - 0021.1
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: II q + ^� TIME: PAGE:
. Oa- , S G>> GAP.
SITE ADDRESS: .t ' , ' 1 CLASS OF WORK:
SUBDIVISION: � ^ LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Co. p - # Inspection Descri. Confirm # Contact # Message
• F-11J a I. Ft &o Ilan\
Corrections/Comments/Instructions:
$
AS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION Ei ADDITIONAL FEES ASSESSED
Inspector: / 'v 6 v Date: 4.. , - 05 Phone #: (503) 718- 1,
1
1 .
CITY OF TIGARD
BUILDING DIVISION _ PERMIT #: ELR2005 -00221
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/4/2005
Phone: (503) 639 -4171 i
Inspection Requests (24 Hrs.): (503) 639 -4175 - 1L
INSPECTION WORKSHEET FOR DATE: 11/812005 TIME: 7:00AM PAGE: 94
SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD MGMT CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: WASHINGTON SQUARE EXPANSION
DESCRIPTION: Low voltage wiring for fire alarm.
OWNER: PPR WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: OREGON ELECTRIC CONST /GROUP PHONE #: 503 - 2349900
Inspection Request Scheduled For: Date: 11/8/2005 Pour Time:
Code # Inspection Description onfirm # Contact # Message
199 Electrical final 02 570 -01 503- 7937177 N •
Corrections /Comments/ Instructions:
NoCJ Li s%o\ J(L. Div Lr3
Om.) N VS OlV l 6 v4. -b1'N I Nefibk. .
P po.) - 1.-t. 14 P- 41.
IES) t .. %r :0-- - Vikti_ cr. IhoA) ■ M71%.... .;-.L.'
114 11tx-X III IC . (6 - I T' . i mk 1 - it . % - ""ININE. e...z . " 4 11‘ k
j . a i i) a.av 0 4 L ENO V `? RS v -
•
❑ PASS t4PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: N V L Date: ti ou Phone #: (503) 718- tot