Permit •V , U Ayr A4r� fr 7? , 7 - . Cta!d -d ► I CJ 'Y V V ELECTRICAL PERMIT
IY RD
� r ' ° . n COMMUNITY DEVELOPMENT PERMIT #: ELC2008 -00505
DATE ISSUED: 10/10/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09714 SW WASHINGTON SQUARE RD F04 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG
PROJECT: JUST SPORTS
Project Description: TI. 10/10/08 ADDED (1) low voltage data system.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: 1
MANF HM/ SVC/ FDR: 601 +amps -1000 volts: MINOR LABEL (10):
SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: W /SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 9 IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
WASHINGTON SQUARE LLC BECK ELECTRIC INC
BY THE MACERICH COMPANY 15600 SE FOR MOR CT #B
9585 SW WASHINGTON SQUARE RD CLACKAMAS, OR 97015
TIGARD, OR 97223
Phone: Contact #: PRI 503 - 656 - 7396
FAX 503 -656 -4397
FEES
Description Date Amount Reg #: ELE 3 -5C
[ELPRMT] ELC Permit 9/3/2008 $106.70 LIC 2629
[TAX] 12% State Surchar 9/3/2008 $12.80 SUP 5024S
[ELPRMT] ELC Permit 10/10/2001 $75.00
(additional fees not listed here) REQUIRED ITEMS AND REPORTS
Total $203.50
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 ma obtain co•these rules or direct questions to OUNC at 503 246.6699 or 1 800.332.2344.
Issued By: ,- _ - ermittee Signature: 3/7/ c 'T r -
� • NER 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.
Sep 7 03 08 11:08a p,z
Ems; i
"" -Electrical p
Permit Ap 11Cati r� - I ECE
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FOR OFFICE USE ONLY
11 City of Tigard SEP — �(1,,'' Received t �' ,' _
P ermi t N o
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Er
13125 SW Hall Blvd ,Tigard, OR 97223 Plan Review •
Phone 503.639 4171 fax 503 598.1960- ® � ��GA�� DatelB Other Permit' . r
TIGARD Inspection Line. 503 639 4175 Hate Ready /By trim . " - r4 See Page for
Internet www tigard -or goy �3UJlLf ING ®I % ontlad /Hctliod , Supplemental Information
TYPE OF WORK PLAN REVIEW
Please check all that apply (submit 2 sets of plans uancros checked below)
❑ New construction ®' Addition /alterationireplacement
❑ Service or feeder 400 amps or more ❑ Budding over three stone,
❑ Demolition ❑ Other: where the available fault canent ❑ Manilas and beatyends
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts of ❑ Floating buildings
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ I - and 2-family dwelling ( 'Commercial/industrial 0 Accessory building amps for all other installations buildings
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump ❑ Installation of 75 KVA or
❑ Emergency system larger scpat atcly dem ivcd system
� JQR SITE INFORMATION AND LOCATION 7� ❑ Additionofnewmotorloadof ❑"A" "E',"I -? "I -1
.lob no :'�p c3 t,'1 IOOHPormote occupancy
la s elSh r4 - f tM �( �lG ✓G I` ❑ Recreational vehicle parks
❑ Health -care facilities ❑ Supply voltage lam
,� _� 7/Vt ❑ Six or more residential units par
City; StatetLll' � e� F � c( 0 �1 2� stoic than
1 ❑ Hazardous locations 600 volts mm�mal
Suite /bldg /apt no : Project name: Sl {S }- 5 pc, tr-5 ❑ Service or feeder 600 amps or more
FEE SCHEDULE
Cross street /directions to job site. Drserrpnon I Qty. I Pee I Total I •
Nevi residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision Lot no : 1,000 sq II or less 145 15 4
Ea add'I 500 sq. ft or port:on 33.40 1
Tax map/parcel no.' Limited energy, residential
75 00 2
DESCRIPTION OF WORK (wuh above sq ft )
A � �
Limited energy, thabov s 0
TG residential (with above sq 0) 75 00 2
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 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 2
City /Stale /ZIP. Temporary services or feeders installation, alteration, and /or
relocation
Phone: ( ) l 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
Branch circuits — new, alteration, or extension, per panel
Owner signature' Date: A Fce for branch circuits Huth
❑ APPLICANT ❑ CONTACT PERSON above service or leeder lee,
each branch circuit 6 65 2
Business name: B Fee for branch circuits C
without service or feeder fee, t P
Contact name' first branch circuit
46 85 2
Address Each add'I branch circuit ¶I 6,65 - 5 �,S 5 2
Miscellaneous (scrsicc 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 Pump or irrigation circle 53 40 2
CONTRACTOR Sign or outline lighting 53 40 2
Business name �LG� L I 'LL. Signal panel, or limited -
energy panel, alteration, or
Address 1 J (000 S E (2._ M012- GT - 6 extension Describe: Page 2 2
City /State /ZIP. C 1c,,c_ VAvv - t CsS 012 e9 701S- Each additional inspection over anon. able in any of the above
Per inspection 62 50
Phone. (57)3) (05(,_ - 7 >9 b Fax: (SZI ) to S ( y- 3S '7
investigation per hour (I hr mm) 62 50
CCB LIC : a ( , r , C. Electrical Lic 3-5(1_, Suprv. Lic : 5 O..) x f. -S Industrial plant per hour 73 75
ELECTRICAL PERMIT FEES I e 7(? t ' - 7
Suprv. Electrician signature, required: Subtotal, / O
Print name' e c,, l e5 -je hA
1. y Dale 91 i
Plan review (25 °0 of permit tee)
Stale surcharge (12% of permit fee) / . i
Authorized slgnattlr TOTAL PERMIT FEE ', i r (I ( I •
� Tins per mit application expires of a permit is nut a awed within I So
Print name
C cif/LQ y }�' G t y A 1 5 I Date J G �
3 O days after it has been accepted as complete
' Number of inspecimns allowed pet permit
t'.o..ada „y,o.,..,;,vm.c n<,,,d.A do, 05 440.4615T(I uostcontAvER
.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ElC20UB 005tl5
13125 SW Hall Blvd., Tigard, OR 97223' DATE ISSUED: 10/10/2008
Phone: (503) 639 -4171 �.I�I�n
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10114/2008 TIME: 7:00AM PAGE: 14
SITE ADDRESS: 0p � � 9 CLASS OF WORK:
SUBDIVISION: 09714 SW WASHINGTON SQUARE RD F LOT #: TYPE OF USE:
PROJECT NAME: WASHINGTON SQUARE
DESCRIPTION: JU..3T SPORTS
TI. 10/10/08 ADDED (1) lose voltage data system.
OWNER: PHONE #:
CONTRACTOR: WASHINGTON SQUARE LLC PHONE #:
BECK ELECTRIC INC 503 656_7396
Inspection Request Scheduled For: Date: 10/14/200 Pour Time:
Code # Inspection Descri•tion Confirm # Contact # Message,
199 Ele cal f'' 076680 -01 503 -656- 7396 Y
Corrections /Comments / Instructions:
•
•
•
•
•
•
S ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ' ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: / C — t y - c1' Phone #: (503) 718-
CITY OF TIGARD •
BUILDING DIVISION PERMIT #: ELC700&O0505
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1W10/2008
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 I � ..
INSPECTION WORKSHEET FOR DATE: 10/13/2008 TIME: 7:00AM PAGE
SITE ADDRESS: 09714 SW WASHINGTON SQUARE RD F0 LO CLASS OF WORK:
SUBDIVISION: 1N ASHINGTON SQUARE #: ,TYPE OF USE:
PROJECT NAME: J UST SPORTS
DESCRIPTION: TI. 10/10/08 ADDED (1) low voltage data system,
OWNER: rASHiNcTON SQUARE LLC PHONE #:
CONTRACTOR: BECK ELEMT-21C INC PHONE #: 503-656-7396
Inspection Request Scheduled For: Date: 10113!20013 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage r V i n 076610 -01 503-312 -7380 Y L/
Corrections /Comments /Instructions:
•
•
•
•
•
SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: / 0 ' 3 — Phone #: (503) 718-
CITY OF TIGARD •
BUILDING DIVISION PERMIT #: EL C2003-00505
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/3/2008
Phone: (503) 639 -4171 igmp
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/9/ 2008 TIME: 7 :QiAM PAGE: 3 . t
SITE ADDRESS: 09714 SW WASHINGTON SQUARE RD F04 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: JUST SPORTS
DESCRIPTION: TI
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: BECK ELECTRIC INC PHONE #: 503 -656 -7396
Inspection Request Scheduled For: Date: 10/9/2008 Pour Time:
Code # Inspection Description ' C nfirm_# Contact # sage
130 Ceiling cover 07645 .01 503- 312 -7380
N Y
Corrections /Comments /Instructions: nn��
4 U 11
•
' 'ASS ❑, PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: � N66 L-<
- Date: /O N at Phone #: (503) 718- 2"1 17
CITY OF TIGARD
BUILDING DIVISION PERMIT #:
9
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 - 41714 9/3/2008
Ot15t95
/Z0()F3
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/2/2008 TIME: 7:00AIvl PAGE:
SITE ADDRESS: p9714 SW WASHINGTON SQUARE RD F04 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE
#: TYPE OF USE:
PROJECT NAME: JUST SPORTS
DESCRIPTION: TI
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: BECK ELECTRIC INC PHONE #: 503-G56 -7396
Inspection Request Scheduled For: Date: 1W2//2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
125 Wall cover 0761111 -01 503- 656 -7396 \ Y
Corrections /Comments /Instructions: 312 3'2Q
L j �. S 7t V r
QE-, ' Ar
flkib,011 5 d tb2E Z U 01(- 0-OkGt
- 6.() 03\re g(ea.
X pAss ❑ PARTIAL APPROVAL . ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Cr-\' av Date: Phone #: (503) 718-1$14