Permit 44�r r � 1 t ;'. CITY OF T ELECTRICAL RESTRICTED ENERGY PERMIT
�''�"� °'�` COMMUNITY DEVELOPMENT PERMIT #: ELR2007 - 00402
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/31/2007
g PARCEL: 1512600 -00300
SITE ADDRESS: 09402 SW WASHINGTON SQUARE RD ZONING: C - G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: DICKS SPORTING GOODS
Project Description: Low voltage: voice /data, audio /stereo, intercom.
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 DC ELECTRIC INC
BY THE MACERICH COMPANY PO BOX 1146
9585 SW WASHINGTON SQUARE RD DALLAS, OR 97338
TIGARD, OR 97223
Phone: Contact #: PRI 503- 623 -3912
FAX 503- 623 -4606
Reg #: ELE 27 -79C
FEES LIC 154465
Description Date Amount SUP 4999S
[ELPRMT] ELR Permit 10/31/2007 $225.00
[TAX] 8% State Surcha 10/31/2007 $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 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: ,0,4 ri1 �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 A,, Ilea l �h . 1q elt R o � i ti° i ii yy 0,w1� ° {� 1 , , :
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tI t , .i 13125 SW Hall Blvd., Tigard, OR 974 1Datc/fl 31 O
,-• t T 3 ® Plan Review
Phone: 503.639.4171 pax: 503.598 0 � Other Permit:
i; t ,;��, Inspection Line: 503.639.4175 Date Ready/B r
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m' Internet: ww.tigard- or,gov GRTY 0I 5 • ....,....d: Bl See Page for
Supplemental information
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❑ New construction ® Addition/alteration/replacement Please cheek all that apply (submit 2 sets of plans w /items checked below):
❑ I)eritol ❑ Other: El Service or feeder 400 amps or more ❑ Building over three stories.
where the available fault current
11I s{ t } { 8{7 iI i E i ; r i f A E cal I ° , t ,I; c f {[' J� l r I11 } 4A U 7111 l ` x f w f ],li, . ii` iii i r Ifldt1l, i q:' l { . { 0 Matinee and boatyards.
j! ..1_ €.•... i i ,rt: i Villi I II ,.(, 1 : t tl:ili ... 1 .., ?,tul _ x. j t 1.4 . ,it �a:l t, :.,,,:,,•.kii,nl ;i _z ii? fl ld::,',; { t 1. k?11;111 1.,, ilk. } :: t s,`1'1 exceeds 10,000 amps at 150 volts or ID Floating buildings.
less to ground, or axti nets 14.000 ❑ Commercial -use agticulturaI
0 1 - and 2 family dwelling ® Commercial/industrial ❑ Accessory building
amps for all other installations. buildings.
❑ Multifamily EI Master builder ❑ Other; ❑ Fire pump. ❑ Installation of 75 KVA or
4 {Gl 1 i : } ?C
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l ! t i , w :, i t I it ! J t i t. Tt I h^i , t t } 1 Std (f , % r{ lI{� ( ❑ f Y ,stem. larger separate", derived system.
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- • . .„, .odd t on of new motor load of
Job no.: 61989 Job site address: 9402 SW Washington Sq Rd 100HPormore. occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parks.
City /State/ZIP: Tigard/OR/97223 0 dealt{, -care facilities. 0 Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.; Project name: Dicks Sporting Goods ❑ } Se 77 rvice or fi eder 600 amps or mo
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Cross street/directions to job site:
near, r.w, Qty. Nt. Total -
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: I Lot no.: I,000 sq. ft. or less 145.15 _ 4
Tare map/parcel no.: Ea. add'I 500 sq. ft. or portion 33.40 — 1
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Limited energy. residential 7500 2
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, (with above sq. ft.)
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�1 Limited energy, multi - family
Low Voltage - Voice & Data C4A /c I a.d t residential (with above sq. ft.) 75.00 2
C �� � Services or feeders Installation, alteration, and/or relocation
}) P t� n 200 amps or less 80.30 2
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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 12
City /Statc /ZIP: Temporary services or feeders installation, alteration, and /or
relocation
Phone: ( ) [ Fax: ( ) 200 amps or less 66.85 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 133.75 2
Owner signature: ]?etc: Branch circuits— new, alteration, or extension, r panel
t � , A. Fee for branch circuits with
1.'),i1,, i f!., ir<1,1 ; :Lzi 1-, „a I 2 in ;:?.a d4 � 4:11 , 1i' i � ff., t : : ::1 „11cili l� ,,,. h{,.L14 1..1 ;1; - 4 11, LI; : f 1 t ki, above service or fccdc fee,
Q Ill, t 1 � r ! x•1i r I , 6.65 2
each branch circuit
Business name: Advanced Communications B. Fee for branch circuits
Contact name: Joe without service or feeder Yee 46.85 2
first branch circuit
Address: Each add'1 branch circuit I 6.65 2
Miscellaneous (service or feeder not included)
City /State/ZIP: Each manufactured or modular
dwe lling service and/or feeder 90.90 2
Phone: (503) 507 -9740 Fax: : ( ) Reconnect only 66,8$ 2
E-mail: Pump or irrigation circle 53,40 2
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� }{ i j gJ } `' .40 2
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Business name: DC Electric Inc Signal circuit(s) or limited -
energy panel, alteration. or
Address: PO Box 1146 extension, Describe: . Page 2 2
City /State /ZIP: Dallas /OR/97338 Each additional inspection over allowable in any of the above
Per inspection 62.50 '
Phone: (503) 623 -3912 • Fax: (503) 623 -4606
Investigation per hour (1 hr min) 62.50
CC Lic.: 154465 7� Electrical L ic.: 27 79C Suprv. Lie.: 4999S Industrial plant pct hour 73.75
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Suprv. Electrician signature, required. ' ��.� I�it,l.. 1 , ,.,,. i� {
Y Subtotal: 5,00
Print name: Justin Moore Date; 10/29/2007 Plan review (25 °a of permit fee):
/ State surcharge (114 ofpertnit fee);
A ith0in01 Authorized signature: ` 4, A - . ■ TOTAL PCR FEE: : Print name: Autumn Barton bate; 10/29/2007 This permit application expires it a permit is not obtained w 180
t days after it has been accepted as complete.
• Number of inspections allowed per permit. a o s —
r: Vint leinglpwrui,s■Er,GPennlrgpp 05/23 /66
440�oI5T(11 /OS /COM/tv)rg
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CITY OF TIGARD
BUILDING DIVISION .:. PERMIT #:ElAt 00 2.
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 i;�ii' t�a
°
Inspection Requests (24 Hrs.): (503) 639 -4175 6 11
INSPECTION WORKSHEET FOR DATE: I— +0 46 TIME: PAGE:
SITE ADDRESS: gIiiOZ 5 W WAA 101Y1'60 5t • CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: bs tX S SpOtal it G-001)5 DESCRIPTION: Lout V 6 LTA 4, ,
OWNER: PHONE #:
CONTRACTOR: p C C�M3 t. I kf C., PHONE #:
Inspection Request Scheduled For: Date: 1^ L --ON Pour Time:
Code # Inspection Description Confirm # Contact # Message
Corrections /Comments / Instructions:
PARTIAL APPROVAL ❑ CANCEL 1 I NO ACCESS
K FAIL) n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G • N oe w Date: 1 4j -IA Phone #: (503) 718- VA b
_ -
CITY OF TIGARD
BUILDING DIVISION
PERMIT #:EL.M.CO'')• 00
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10.31,
Phone: (503) 639-4171 it4
Inspection Requests (24 Hrs.): (503) 639-4175 IL
INSPECTION WORKSHEET FOR DA: '0 TIME: PAGE:
SITE ADDRESS: C A .1 A10 1 2. S L4 LAg INCrTc.)0 541, • CLASS OF WORK:
SUBDIVISION: v _ LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
', OWNER: PHONE #:
CONTRACTOR: D C <„ I NC PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
\CW\ N..1 c:i L__,`Y. •
Corrections/Comments/Instructions:
• ,
•
\.,.
•
fl PARTIAL APPROVAL CANCEL •fl NO ACCESS
I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
y e ,
. NU-.3 - I - t - 2J-1
Inspector: Date: Phone #: (503) 718- 4 b
CITY OF TIGARD
BUILDING DIVISION PERMIT #: E1_ ?. 00402
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/31/2017
Phone: (503) 639 -4171 ,1��1 ��it
Inspection Requests (24 Hrs.): (503) 639 -4175 ': ":_..
INSPECTION WORKSHEET FOR DATE: 12/113/200i7 TIME: 7:01AM PAGE: 2
SITE ADDRESS: 09402 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: DICK'S SPORTING GOODS
DESCRIPTION: LOW voltage: voice/data, <nidi4 /:,tereo, intercom.
OWNER: WASHINGTON SQUARE Lie, PHONE #:
CONTRACTOR: DC; El EC1RJC INC PHONE #: ;03 G23.3912
Inspection Request Scheduled For: Date: 12/18/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
136 Low voltage 7- 061767 01.,, 503. -9710 \ Y
Corrections/Comments/Instructions: w._._
P R oN �� �►7 S k�-- CA Q L AZAwt. -1:s
i tJV i ttn nn • CA P 62 e.nn& F6(L PLE t) vay..
O(, RAi‘i- • P1R1. ' '00 •
PASS n PARTIAL APPROVAL ❑ CANCEL fI NO ACCESS
FAIL I∎ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ..-- NU?) Date: I sort. 01 Phone #: (503) 718- 1-1I14,