Permit CITY OF TIGARD
ELECTRICAL RESTRICTED ENERGY PERMIT
o
° COMMUNITY DEVELOPMENT PERMIT #: ELR2007 -00370
f' " P 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/24/2007
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: Burglar and Fire Alarm low voltage.
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: BURG ALARM X
TOTAL # OF SYSTEMS: 2
Owner: Contractor:
WASHINGTON SQUARE LLC DYNALECTRIC
BY THE MACERICH COMPANY 5805 SW HOOD
9585 SW WASHINGTON SQUARE RD PORTLAND, OR 97239
TIGARD, OR 97223
Phone: Contact #: PRI 503- 226 -6771
FAX 503- 226 -7720
Reg #: ELE 26 -59C
FEES LIC 66793
Description Date Amount SUP 4653S
[TAX] 8% State Surcha 9/24/2007 $12.00
[ELPRMT] ELR Permit 9/24/2007 $150.00 REQUIRED ITEMS AND REPORTS
Total $162.00
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: 4/ALE44. ,(4L , Permittee Signature: ,9)-, Cow,
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.
9- 24- 07;12 :38PM;Dynalectrlc service ;503 226 7720 6 2/ 4
,. Electrical Permit Application 1 : FOR OFFICE USE ONLY
er City Of Ti and � Rec!Z
b � � Pemt No. 1SW Hall BlvdTigard, OR 97223 O' / 7
Phone:
Line: 503.639.4175 Date Ready /By: Jur
503.639.4171 Fax: 503.598.19 • � OQ1 Date/By: OtherPemne
TIGARD
Inspection / y .. [ 0 See Page 2 for
Internet: www.tigard-or.gov `` ( Notified/Method: - / I Supplemental Information
TYPE.; P LAN REVIEW
❑ New construction kvi Addi r ; • i1 a "et- . 1 Ir. 1 i I 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 D 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 ❑ Other: ❑ Fire pump. ❑ installation of 75 KVA or
JOB SITE INFORMATION AND. LOCATION ❑ Emergency system. larger separately derived system.
❑ Addition of new motor load of ❑ 'q ", °g ' I -2 "t -3"
Job no.: A07e 1 Job site address 6 L � �/� ` 100HP or more. occupancy.
/ J61'_ K / / 11: ❑ Six or more residential mots. ❑ Recreational vehicle parks.
City /State /ZIP: �'�e,,z f� D,S) ❑ Health -carc facilities. ❑ Supply voltage for more than
� fi ❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: V l/ /L S ❑ Service or feeder 600 amps or more.
Cross street /directions to job site: S '- .: . FEE SCHEDULE
Description _j_ Qty. I Fe m
e. I To_
•
/ / /// New residential single- or multi - family dwelling unit.
J /eC.a� . 3440 Includes attached garage.
Subdivision: / Lot no.: 1,000 sq. ft. or less 145.15 4
Tax map /parcel no.: — Ea. add'i 500 sq. ft. or portion 33.40 1
Limited energy, residential • DESCRIPTION OF (with above sq. ft.) 75.00 2
Limited energy, multi - family
0 4 A. _�rIA∎ 4 I ' 40 , �r residential (with above sq. ft.) 75.00 2
Services or feeders Installation, alteration, and/or relocation
200 amps or less 80.30 . 2
Q' PROPERT OWNER; j LJ TENANT 201 amps to 400 amps 106.85 2
Name: 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 1 2
City /State /ZIP: Temporary services or feeders installation, alteration, and /or
relocation
Phone: ( ) Fax: ( ) 200 amps or less 66.85 1 1
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 599 amps 1 133.75 2
Owner signature: Date: Branch circuits new, alteration, or extension, per panel
APPLICANI< _ A. Fee for branch circuits with
1 ❑ c[ONT� CT, PERSON above service or feeder fee,
each branch circuit 6.65 2
Business name: % B. Fee for branch circuits
Contact name: �' � ��-� without service or feeder fee, 46.85 2
�7 SAN _ first branch circuit
Address: Each add'l branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City /State /ZIP: Each manufactured or modular .
` dwelling, service and/or feeder
Phone: 90.90 2
�Jy�) $ -( �(S Fax: ( ) Reconnect only 66.85 2
E -mail: JJ s Pump or irrigation circle 53.40 2
.CONTRACTOR . Sign or outline lighting 53.40 2
3usiness name: f J l�f� _` Signal circuits) er or limited -
4 LY .NAY energy panel, alteration, or
kddress: I/ /4,1"14/e2 "`�+Q� S d,a -e extension. Describe: !J Page 2 //5t 2
:i ty/State /ZIP: ✓ 6X) 9 � Each additional inspection over allowable in any of the above
��, /// Per inspection 62.50
'hone:Z 77
Fax: (4'1J � aa� • ���� Investigation per hour (1 hr min) 62.50
-'-
:CB Lic.: - Electrical Lic.: _ '' Suprv. Lic.: L , Industrial plant per hour 73.75 _
rv. Electrician signature, requ (WI /
up ELECTRICAL PERNITT TE> S
� 1 , ♦ a Subtotal: /56.4r) '
'rint name: co l_ ti. � � Dab : 11 a_ �� Plan review (25% of permit fee):_ ju, I State surcharge (8% of permit fee): /.,
.uthorized signature: Arai i, A ALI _ - _.[ 44 TOTAL PERMIT FEE: no .R
This
rint name: . dg--,460/AM permi application expires if a permit Is not within 180
�-- A A u 1 Date: r ►� days after it t has s been n accepted as complete.
mpleplete. .
* Number of inspections allowed per permit.
u ildingiPermitslELC- PermitApp.doc 05/23/06 440- 46I5T(I t /05 /COM/WEI
CITY OF TIGARD , 4110
BUILDING DIVISION PERMIT #: FLR2007-00370
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/24/2007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 1/15/2000 TIME: 7:02AM PAGE: 44
SITE ADDRESS: 09402 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: DICK'S SPORTING GOODS
DESCRIPTION: Burglar and Fire Alaim low voltage.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: DYNALECTRIC PHONE #: 503
Inspection Request Scheduled For: Date: 1/16/2008 Pour Time:
Code # Inspection Description CO1 Contact # Message
199 'P i NtftSt- -
- 135 Low voltage 06320&-01
) N
Corrections/Comments/Instructions: i
---
1
X PASS fl PARTIAL APPROVAL [11 CANCEL [ I NO ACCESS
FAIL 11 CALL FOR INSPECTION Ei ADDITIONAL FEES ASSESSED
—
Inspector: .---p NOFc LA Date: 1 -16 Phone #: (503) 718- 2.1111it
CITY OF TIGARD .
BUILDING DIVISION r •
PERMIT #: H 82007 00370
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9//24/2007
Phone: (503) 639 -4171 ,,.,' 1 4,
• Inspection Requests (24 Hrs.): (503) 639 -4175 „'�_ "!..
INSPECTION WORKSHEET FOR DATE: 1/14/2008 TIME: 7:04AM PAGE: 4
SITE ADDRESS: 0PA02 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: DICK'S SPORTING GOODS
DESCRIPTION: E;IJr9lar and Fire Alarm low voltage.
OWNER: WASHINGTON SOI.IARE LLC, PHONE #:
CONTRACTOR: DYNALECTRIC PHONE #: 603-226-6771
Inspection Request Scheduled For: Date: 1/14/2008 Pour Time:
Code # Inspection Description Confir-m_# Contact # Message
13.6 I.ow voltage K / G3171 -01 \\ 503 849-4407 N
Corrections /Comments /Instructions:
W Co It.) LEI Ls N6T - IApe Quo o N6 q V-- 13Ko)( .
n PASS 1 1 PARTIAL APPROVAL n CANCEL 1 1 NO ACCESS
FAIL X CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: N V l.0 Date: 1 - 14/ Phone #: (503) 718- lifiligs
CITY OF TIGARD ,
BUILDING DIVISION $ PERMIT #: FLR2007..00370
13125 SW Hall Blvd., Tigard, OR 97223 AA, DATE ISSUED: 9 /7e; /2(tg i Phone: (503) 639 -4171 11
Inspection Requests (24 Hrs.): (503) 639 -4175 ,./
INSPECTION WORKSHEET FOR DATE: 1/11/2000 TIME: 7 :01AM PAGE: 66
SITE ADDRESS: 09402 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: DICK'S SPORTING GOODS
DESCRIPTION: E3uigIar and Fire Alarm low voltage.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: DYNALECTRIC PHONE #: 503 - 226
Inspection Request Scheduled For: Date: 1/11/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage `062303 -01 \ 503. 0494107 N
Corrections /Comments /Instructions: \
® Z 00(6rJ 1-iNtk V6t k -f" cesp400a6 eOF s7Oa r; ad
'14-,ka. yv■ cki A 5 - W'r AkpettAlaC etk. - . -- )1/4)0L - FitsN%-4\A.
6 T RaN% org R t tea. G 2. n' id creii4 -- w i114
)i--; Ucz r c: R _. ova 10 F, P .
a c _ : IL, , IN 4- 'ILL. : - P- 0`, 4 =' 1.I . t∎t6V
•
oc-- Ev1L.Vil It) Ip d t
V
1 I PASS ❑ PARTIAL APPROVAL 7 CANCEL n NO ACCESS
1 FAIL 3 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G--• n cw, L. Date: 1 / ii. - Q 0 Phone #: (503) 718- 7. tic,
CITY OF TIGARD
BUILDING DIVISION y. - . PERMIT #: ELR2007•CO3 ?0
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/;)4/2007
Phone: (503) 639 -4171 VP Inspection Requests (24 Hrs.): (503) 639 -4175 J.. .—
INSPECTION WORKSHEET FOR DATE: 12/12/2007 TIME: 7 :00AM PAGE: 62
SITE ADDRESS: VAN SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: DICKS SPORTING GOODS
DESCRIPTION: Burglar and Fire Alarm low voltage.
OWNER: WASHINGTON SQUARE t.LC, PHONE #:
CONTRACTOR: DYNALE.CTRIC PHONE #: 303 -22€ -6771
Inspection Request Scheduled For: Date: 12/1211007 Pour Time:
i
Code # Inspection Description `onlirm #� Contact # Message
136 Low voltage 61346 -01 603 -0'18 -4407 N
Corrections /Comments/ Instructions:
ST P
I .k 2 60- v - ) 14 ' k0
CANom. N 0 CA - 1 L i- s W A --)7
Na)(4-t 01---. Oe" Go4Z ; vzyir_q pATA,
*PASS Ti PARTIAL APPROVAL ❑ CANCEL . NO ACCESS
I I FAIL n CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED
Inspector: ' 'V Date: 11.1 01 Phone #: (503) 718- __