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Permit �`�� �� COMMUNITY DEVELOPMENT ELECTRICAL RESTRICTED ENERGY PERMIT ® PERMIT #: ELR2007 -00467 TIGARD DATE ISSUED: 12/18/2007 1 3125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1512600 - 00300 SITE ADDRESS: 09402 SW WASHINGTON SQUARE RD ZONING: C - G SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG PROJECT: DICK'S SPORTING GOODS Project Description: Installation of low voltage for (3) systems. A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: X INTERCOM & PAGING: X 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: 3 Owner: Contractor: WASHINGTON SQUARE LLC ADVANCED COMMUNICATIONS SERVICES IN BY THE MAC ERIC H COMPANY PO BOX 231196 9585 SW WASHINGTON SQUARE RD PORTLAND, OR 97281-1 196 TIGARD, OR 97223 Phone: Contact #: PRI 503 -598 -7082 FAX 503 -598 -7320 FEES Reg #: ELE CLE 139 LIC 179445 Description Date Amount [ELPRMT] ELR Permit 12/18/2007 $225.00 [TAX] 8% State Surcharf 12/18/2007 $18.00 REQUIRED ITEMS AND REPORTS Total $243.00 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 a - forth in O• ° 152 -001- through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503. • 6.6699 or 1.800.332.E Is-ued By: Permittee Signature: V ( 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 Application FOR OFFICE LJSE ONLY r Ci of Ti and D ac e /Bed t o 31 .,t ,Qa{o) 7 -4 4 7 III `J to }� Permit No.: g Date/By: � � 7 13125 SW Hall Blvd.,'Figard, OR 97223 Plan Review 11 Phone: 503.639.4171 Fax: 503.598.1960 Date /By: Other Permit: I' I G A K D Inspection Line: 503.639.4175 Date Ready /By: 11 ® See Page 2 for Internet: www. tigard- or.gov Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW E New construction ❑ Addition /alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi - family ❑ Master builder El Other: ❑ Fire pump. ❑ Installation of 75 KVA or ❑ Emergency system. larger separately derived system. .10B SITE INFORMATION AND LOCATION ❑ Addition of new motor load of ❑ °A", "E ", "I -2 , . 1 -3 ", Job no.: Job site address: 9402 SW Washington Sq Rd I o or more. occupancy. ❑ Six x or more residential units. ❑ Recreational vehicle parks. City /State /ZIP: Tigard, OR 97223 ❑ Health -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite /bldg. /apt. no.: Project name: Dick's Sporting Goods ❑ Service or feeder 600 amps or more. FEE SCHEDULE Cross street /directions to job site: Description 1 Qty. 1 Fee. 1 Total 1 * New residential single - or multi - family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1.000 sq. ft. or less 145.15 4 Ea. add'I 500 sq. ft. or portion 33.40 I Tax map /parcel no.: Limited energy, g) '' 75.00 2 DESCRIPTION OF WORK (with above sq. ft.) Limited energy. multi - family 75.00 2 Low Voltage: Voice /Data, Audio /Stereo, Intercom residential (with above sq. ft.) Services or feeders installation, alteration, and /or relocation 200 amps or less 80.30 2 ® PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2 Name: Washington Square LLC By The Macerich Company 401 amps to 600 amps 160.60 2 601 amps to 1.000 amps 240.60 2 Address: 9585 SW Washington Sq Rd Over 1,000 amps or volts 454.65 2 City /State /"LIP: Tigard, OR 97223 Temporary services or feeders installation, alteration, and /or relocation Phone: ( ) Fax: ( ) 200 amps or less 66.85 Owner installation: This installation is being made on property that 1 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 599 amps 133.75 2 Branch circuits — new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with ❑ APPLICANT ❑ CONTACT PERSON above service or feeder fee. 6.65 2 each branch circuit Business name: B. Fee for branch circuits without service or feeder fee, Contact name: first branch circuit 46.85 2 Address: Each add] branch circuit 6.65 2 Miscellaneous (service or feeder not included) City/State/ZIP: Each manufactured or modular 90.90 2 dwelling, service and /or feeder Phone: ( ) Fax: : ( ) Reconnect only 66.85 2 E -mail: \ Pump or irrigation circle 53.40 2 CONTRACTOR Sign or outline lighting 53.40 2 Signal circuit(s) or limited - Business name: Advanced Communications Services, Inc. energy panel, alteration, or Address: PO Box 231196 extension. Describe: 3 Page 2 225 2 City/State/ZIP: Portland, OR 97281 tf 90 Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: (503) 598 -7082 Fax: (503) 598 -7320 Investigation per hour (1 hr min) 62.50 CCB Lic.: 179445 P \ 4 -`i \1 Electrical Lic.: CLE 139 r I t t 11 Suprv. L ic.: 19 77LEA Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES Suprv. Electrician signature. required ' , -k. ¢, Subtotal: Print name: Bryan Burleson Date: 12 -18 -2007 Plan review (25% of permit fee): State surcharge (8% of permit fee): 18 Authorized signature: w 2 TOTAL PERMIT FEE: 243 Th is permit application expires if a permit is not obtained within 180 Print name: Joseph Fotl Date: 12 - - 2007 days after it has been accepted as complete. * Number of inspections allowed per permit. I \ Building \ Permits \ELC- PermitApp doc 05 /23/06 440-461 5T( I I /05/COM /WEB r 1 1 CITY OF TIGARD f .' BUILDING DIVISION PERMIT #: ELR2007.004( 7 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 17918/2007 Phone: (503) 639 -4171 `° '� ' Inspection Requests (24 Hrs.): (503) 639 -4175 �-!+i ``�I_�.. INSPECTION WORKSHEET FOR DATE: 1/78/2008 TIME: 7:0OAlVi PAGE: 3 SITE ADDRESS: 09102 SW WASHINGTON SQUARE RD •CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: DICK'S SPORTING GOODS DESCRIPTION: Installation of Iovv voltage for (3) systems, OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: ADVANCED COMMUNICATIONS SERVICES IN PHONE #: 503-E.98-7082 ,t;.41 07 Inspection Request Scheduled For: Date: _ 193`'J8 Pour Time: Code # Inspection Description onfirm - # Contact # Message 13 5 Low voltage ( ./6o6o1 503.507 -9740 N 1 F*wt--,, Corrections /Comments /Instructions: ----- - C1 P (LA: i ©z \-.a SSG , on t S l(k& RAT, pia 't p L iU ((Kr is(\1. . ei t.k.- \ \r.06F d' 1---:1 s NIA (1 Oa) h '' 0 1 '— St s i 4 i (A--W3 IN) 4s,Q eLANNNN , ` � . I V N SS n PARTIAL APPROVAL ❑ CANCEL NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Cr 0 C Date: 1' V L v v Phone #: (503) 718- �� Yv'1 CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR2007.00467 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/10 /2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 !: INSPECTION WORKSHEET FOR DATE: 1/4/2008 TIME: 7 :01AM PAGE: 30 SITE ADDRESS: 094(12 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SOUARE LOT #: TYPE OF USE: PROJECT NAME: DICK'S SPORTING GOODS DESCRIPTION: lns+.all; Lion of low voltage for (3) systems. OWNER: WASHINGTON SQUARE L,LC, PHONE #: CONTRACTOR: ADVANCED COMMUNICATIONS SERVICES IN PHONE #: 503 - 7002 Inspection Request Scheduled For: Date: 1/4/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 Low voltage 062581 -01 503-507-9740 Y Corrections /Comments /Instructions: j U 4 E vJE11 w oil. -L._ 6F r4th F G sc iA0 6 � Esv LJ N (5 J 1 1 n PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ,FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ry 68 L' Date: 1 ' • fl 9 Phone #: (503) 718 - 14%. CITY OF TIGARD BUILDING DIVISION PERMIT #: FLR2007.00467 131'25LSW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/18/2007 Phe: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 1/3/2008 TIME: 7:00AM PAGE: 19 SITE ADDRESS: 09402 SW WASHINGTON SOUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: Dlt;K' SPORTING GOODS DESCRIPTION: Installation of km voltage for (3) systems. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: ADVANCED COMMUNICATIONS SERVICES IN PHONE #: 503-590-7032 Inspection Request Scheduled For: Date: 1/3/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 Low voltage 062499-01 \ 503-ri15-4456 Corrections/Comments/Instructions: — r vi%6 irectACT 6 6 of . vo ralitreati 1:* P-acz44/ t)0 • 7 PASS 7 PARTIAL APPROVAL 7 NO ACCESS E FAIL El CALL FOR INSPECTION ADDITIONAL FEES ASSESSED • Inspector: "— NZ?) L1 Date: 3' t;s8 Phone #: (503) 718-