Permit a
CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
; DEVELOPMENT SERVICES PERMIT #: ELR2005 -00174
.,� I° 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 6/29/2005
PARCEL: 1S12600-00300
SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD MGMT ZONING: C -G
SUBDIVISION: IMAP3GENGTON SQUARE LOT: JURISDICTION: TIG
Project Description: Sound system.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: X INTERCOM & PAGING:
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:
PPR WASHINGTON SQUARE LLC MUZAK LLC
BY MACERICH COMPANY 3318 LAKEMONT BLVD
9585 SW WASHINGTON SQUARE RD FORT MILL, SC 29708
TIGARD, OR 97223
Phone: Phone: 503 889 - 3848
Reg #: I,IC 142760
ELE 26- 1055CLE
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[ELPRMT] ELR Permit 6/29/2005 $75.00
[TAX] 8% State Surcharl 6/29/2005 $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 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699.
Issued By f� Permittee Signature: A.1 /fin ? J _____
II (J°'
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 App Vr`. FOR OFFICE IJSI:OiNLY
City of Tigard nacre /B G Received P ermitNo . OD/ /c
13125 SW Hall Blvd., Tigard, OR 97223 I I I e rl 200 Plan Review
Phone: 503 639.4171 Fax: 503.598.1960 JUN 2 7 , � +r, 0 I ,, ?, Date/B Other Permit.
Inspection Line: 503.639.4175 'lL' Date Ready/By Juris ® See Page 2 for
Internet: Line: CITY OF TIGA -� Nobfied/Method: Supplemental Information
BUILDING 4IVICION
' TYPE OF WORK PLAN REVIEW
X New construction ❑ Addition/alteration/replacement Please check all that apply:
1:1 Demolition ❑ Other: 0 Service over 225 amps, comm'I ❑Hazardous location
❑Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft.,
CATEGORY OF CONSTRUCTION of 1 and 2 family dwellings 4 or more new residential
❑ 1- and 2 family dwelling XCommercial /industrial ❑ Accessory building 0 System over 600 volts nominal units in one structure
El Multi - family ❑ Master builder El Other: ❑Building over three stories ❑Feeders, 400 amps or more
❑Occupant load over 99 persons ❑Manufactured structures or
JOB SITE INFORMATION AND LOCATION RD. ❑Egress/lighting RV park
Job no.: 1b4231 Job site address: 1585 sw WASQ. Si. RD. ❑ Health -care facility ❑Other:
Submit 2 sets of plans with any of the above.
City /State/ZIP: nolo. OQ , 41113 The above are not applicable to temporary construction service.
W asu1K & ?N p aimg6 FEE* SCHEDULE
Suite/bldg /apt. no.: Project name: ff J 1lYt 1(,�i
Description 1 Qty. I Fee. I Total I '
Cross street/directions to job site: New residential single or multi- family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 l
Limited energy, residential 75.00 2
Tax map /parcel no.: Limited energy, non - residential 75.00 2
DESCRIPTION OF WORK Each manufactured or modular
SOUNDSOUND p J dwelling, service and/or feeder 90.90 2
S J�b711 Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
❑ PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
Name: 601 amps to 1,000 amps 240 60 2
Address: Over 1,000 amps or volts 454 65 2
Reconnect only 66.85 2
City / State/ZIP: Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) Fax: ( )
200 amps or less 66 85 I
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 600 amps 133.75 2
Owner signature: Date: Branch circuits — new, alteration, or extension, per panel
❑ APPLICANT I ❑ CONTACT PERSON A. Fee for branch circuits with
service or branch circuit
der fee, each 6.65 2
Business name: bran
B. Fee for branch circuits
Contact name: without service or feeder fee, 46.85 2
Address: each branch circuit
Each add'I branch circuit 6.65 2
City /State/ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) Fax:: ( ) Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited -
CONTRACTOR energy panel, alteration, or
I extension. Describe: I Page 2 5 2
Business name: Muni( , 'WC .
Address: 12444 Nc MAl2l sr. Each additional inspection over allowable in any of the above
/� Q Per inspection 62.50
City /State/ZIP: POQnAN 0 , OR • 47210 Investigation per hour (I hr min) 62.50
Phone: (60 j) 254. 7410 Fax: J (�0 S ) 2s4. 4450 Industrial plant per hour 73.75
1 ELECTRICAL PERMIT FEES*
CCB Lic.: 1¢ '160 Electrical Lic.: �6 . ( a Suprv. Lic.: 7 , ` 15
TA...I__ C 38 3/I.EA Subtotal 1 Suprv. Electrician signature, required: � , Plan review (25% of permit fee)
Stat surcharge (8% of permit fee) 6- W
Print name: Alga C NGu Da te: 6 0/15
y I TOTAL PERMIT FEE al L J
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete
Print name: Date: • Fee methodology set by Tn- County Building Industry Service Board
•• Number of inspections per permit allowed.
I \Building\Permits\ELC- PermitApp doe 12/03 440- 4615T(10/02/COM/WEB
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK ONLY:
Fee for all residential systems combined ... $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
•
•
❑ Heating, Ventilation and Air Conditioning
System*
El Vacuum Systems*
El Other:
COMMERCIAL WORK ONLY:
Fee for each commercial system $75.00
(SEE OAR 918- 260 -260)
Check Type of Work Involved:
Audio and Stereo Systems
El Boiler Controls
❑ Clock Systems
El Data Telecommunication Installation
El Fire Alarm Installation
❑ HVAC
El Instrumentation
•
El Intercom and Paging Systems
El Landscape Irrigation Control*
El Medical
•
El Nurse Calls
El Outdoor Landscape Lighting*
❑ Protective Signaling
El Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
\Buildmg\Permits\ELC- PennrtApp doc 04/03
CITY OF TIGARD . _.�
BUILDING DIVISION PERMIT #: ELR2005 -00174
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2005
Phone: (503) 639 - 4171' ^��
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/10/2005 TIME: 7:02AM PAGE: 20
SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD MGMT CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: WASHINGTON SQUARE EXPANSION
DESCRIPTION: Sound system.
OWNER: PPR WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: MUZAK LLC PHONE #: 503-889-3848
Inspection Request Scheduled For: Date: 11/10/2005 Pour Time:
Code # Inspection Description Confi # Contact # Message
� °1 °1 F
020964-61 803-242-7869 Y
1
� •rrections /Comments/ - ructions:
i t�1 s `YL�LJL. i ;ors) A "A111
J
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: V 11 WALE' A LE' Date: 1 111 b Phone #: (503) 718- 241-1
r
CITY OF TIGARD r ......
BUILDING DIVISION PERMIT #: ELR2005 -00174
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2005
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 � "'IL
INSPECTION WORKSHEET FOR DATE: 11/8/2005 TIME: 7:00AM PAGE: 76
SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD MGMT CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: WASHINGTON SQUARE EXPANSION
DESCRIPTION: Sound system.
OWNER: PPR WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: MUZAK LLC PHONE #: 503 - 889 -3848
Inspection Request Scheduled For: Date: 11/8/2005 Pour Time:
Code # Inspection Description Confir Contact # Message
135 Low voltage 020599.01 803-242 -7869 Y
Corrections /Comments /Instructions:
k MAtaatolr-
. 1051 ALL43. IOU , itiLz40
6J1 E i Ni L
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: CTI N SL- Date: 14 1 Phone #: (503) 718- 10 ■
CITY OF TIGARD
....
BUILDING DIVISION . PERMIT #: ELR2005 -00174
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6129/2005
Phone: (503) 639 -4171 I�
Inspection Requests (24 Hrs.): (503) 639 -4175 .-'
INSPECTION WORKSHEET FOR DATE: 10/19/2005 TIME: 7:03AM PAGE: 72
SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD MGMT CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: WASHINGTON SQUARE EXPANSION
DESCRIPTION: Sound system.
OWNER: PPR WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: MUZAK LLC PHONE #: 503889 - 3848
Inspection Request Scheduled For: Date: 10/19/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage / Fx N � . 018669 -01 803-242-7869 Y
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Corrections /Comments /Instructions:
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NN N PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: N V et--q Date: 1 0 f 11105 ' Phone #: (503) 718- D1
OF TIGARD
BUILDING DIVISION PERMIT #: s
ELR200.r00174
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6129!2005 1
Phone: (503) 639- 4171 ,c. ; lll • ....
af Inspection Requests (24 Hrs.): (503) 639 -4175 _
INSPECTION WORKSHEET FOR DATE: 8/29/2005 TIME: 7:13AM PAGE: 78
SITE ADDRESS: (19586 SW WASHINGTON SQUARE RD MGMT CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: WASHINGTON SQUARE EXPANSION
DESCRIPTION: Sound system.
OWNER: PPR WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: MUZAK LLC PHONE #: 503 - 889.3848
Inspection Request Scheduled For: Date: 8/29/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 014461 -01 803- 242 -7869 Y
Corrections /Comments /Instructions: K
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SMALL `-1/4 &I L c --'F t [ -.1, So 1 k\ q
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: N E LE Date: 1 2, C \ Q5 Phone #: (503) 718 - 2
J
CITY OF TIGARD :
BUILDING DIVISION PERMIT #:
EL.R2005•00174
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2005
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8/4/2005 TIME: 7 :08AM PAGE: 23
SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD MGMT OFFIC CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: WASHINGTON SQUARE EXPANSION
DESCRIPTION: Sound system.
OWNER: PPR WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: MUZAK LLC PHONE #: 503-889-3848
Inspection Request Scheduled For: Date: 8/412005 Pour Time:
Code # Inspection Description • ' •• # Contact # Message
135 Low voltage 112832-01 803 -242 -7869 Y
ctAL ‘0
Corrections /Comments /Instructions: ' Pcv
PA 1
nnA LL o tsb S s6' n
I /
1
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: $' Tu., Phone #: (503) 718- _ZVI
A
CITY- OF TIGARD
BUILDING DIVISION _ PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: ELR200 &.00174
Phone: (503) 639 -4171 m �a:,��h'�� 6/29/2005
Inspection Requests (24 Hrs.): (503) 639 -4175 `__—
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
71271200E 7:15AM 63
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION: 09585 SW WASHINGTON SQUARE RD MairOFFIC TYPE OF USE:
PROJECT NAME: WASHINGTON SQUARE
DESCRIPTION: WASHINGTON SQUARE EXPANSION
Sound system.
OWNER: PHONE #:
CONTRACTOR: PPR WASHINGTON SQUARE LLC, PHONE #:
MUZAK LLC 603 889 .3818
Inspection Request Scheduled For: Date: Pour Time:
7/27/2005
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 012222 -01 503 -254-7100 Y
Corrections /Comments /Instructions: /
.10S1PLL ) - KyL -
vrA LL' R,0 befElc C o r2��'I6Os (Y\6.-
YAta, C6 N t..- v NC NIA LL NT) IS `) I ( ()0 •
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PASS ❑ PARTIAL APPROVAL Ill CANCEL ❑ NO ACCESS
El AIL ❑ CA FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
II
Inspector: Date: Phone #: (503) 718- ?Jig