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Permit y q CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT "1 • COMMUNITY DEVELOPMENT r Permit#: ELR2014-00045 T IC.A R O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 ©4�j' I Date Issued: 02/20/2014 Parcel: 2S101AB01400 Jurisdiction: Tigard Site address: 7600 SW DARTMOUTH ST Project: Walmart Subdivision: HERMOSO PARK Lot: 8 Project Description: Fire alarm system for a new 137,900 square foot retail store. 4/29/14,reprinted to add low voltage for CCTV. Contractor: AIRWAVE LLC Owner: PACIFIC REALTY ASSOCIATES LP 9865 NW 307TH AVE. 15350 SW SEQUOIA PARKWAY#300 NORTH PLAINS,OR 97133 PORTLAND, OR 97224 PHONE: 503-647-5999 PHONE: 503-624-6300 FAX: 503-647-7443 FEES Description Date Amount Specifics: Restricted Energy Permit 04/29/2014 $150.00 12%State Surcharge-Electrical 04/29/2014 $18.00 Type of Use: COM Class of Work: ALT Total Number of Systems: 0 Audio&Stereo: 0 Boiler Controls: 0 CCTV: 0 Clock Systems: 0 Data&Telecommunications: 0 Fire Alarm: 1 HVAC: 0 Instrumentation: 0 Intercom/Paging: 0 Landscape/Irrigation: 0 Landscape Lighting: 0 Medical: 0 Nurse Calls: 0 Protective Signal: 0 Security Alarm: 0 Other: 0 Total $168.00 Other Desc: Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accor.-• - . approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTE ON Oregon - requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0 0 through OAR 0090 �/C� obtain a copy of the rules or direct questions to OUNC by calling 503.-.2.1987 or 1.800.332.2344 Issued By: L Permittee Signet. �\ ii !. _ 1 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' Date: LICENSE NO. Call 503.639.4175 by 7:00 a.m.for the next available inspection date. 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. 03/17/2010 22:04 5036477443 AIRWAVE, LLC PAGE 01 Electrical Permit Applic GEiVED FOR(It 11( I I �E i \1 1 City of Tigard �l Received y ay iy 71 Permit No.: a,e-2101 - S II • 13125 SW Hall 8lvd.,Tigard,OR 9 Plan Review I g� 2 9 2 014 Other Permit: Phone: 503.718.2439 Fax: 503.5 9 Date/By: Inspection Line: 503.6339.4175 Date Ready/By! Mite 121 See Page 2 for T[G AR P Interact www,tigard or.gov CITY OF f IUARD Notified/Method; Supplemental Information TYPE 7n IllIw PLAN REVIEW ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked below): ®New construction ❑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 ❑ I-and 2-family dwelling ®Commercial/industrial ❑Accessory building amps for all other installations. buildings. ❑Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KvA or ❑Emergency system. larger separately derived system JOB SITE INFORMATION AND LOCATION ❑Addition of new motor load of 100HP or more. occupancy. Job no.: Job site address:7600 SW Dartmouth St ❑Six or more residential units. ❑Recreational vehicle parks. ❑Health-care facilities. ❑Supply voltage for more than City/State/211}:Tigard,OR ❑Hazardous locations. 600 volts nominal. Suitclbldg./apt.no.: Project name:WalMart ❑Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Dncriptian I Qty. 1 Fee. I Total I - New residential single-or multi-family dwelling unit. includes attached garage. Subdivision: Lot no.: �^ 1,000 sq ft.or less - 168.54 4J Ea.add'I 500 sq.R.or portion 33.92 1 Tax map/parcel no.: Limited energy,residential 75.00 2 DESCRIPTION OF WORK (with above sq.ft.) . Limited energy,multi-family 75.00 2 CCTV residential(with above so.ft.) �• - -Renewable Energy ❑ See Page 2 P-T,) E L2 9,0 1({_oaO4/Lj Services or feeders installation,alteration,and/or relocation ❑ PROPERTY OWNER ❑ TENANT 200 amps or less 100.70_ 2 201 amps to 400 amps 133.56 2 Name: 401 amps to 600 ampS 200.34 2 • Address: 60i amps to 1,000 amps 301.04 2 Over 1,000 amps or volts 552.26 2 City/State/ZIP; Temporary services or feeders installation,alteration,and/or relocation Phone:( ) Fax:( ) 200 amps or less 59.36 _J I Owner installation This installation is being made on property that i own which is not , 201 amps to 400 amps 225.08 2 intended for sale.(case,rent or exchange,according to ORS 447,449,670,and 70). 301 amps to 599 amps 168,54 , 2 Owner signature: Date: Branch circuits-new.alteration.or extension per panel ® APPLICANT ❑ CONTACT PERSON A.Fee for branch circuits with above service or feeder fee, 7.42 2 Business name:Airwave,LLC each branch circuit B.Fee for branch circuits without Contact name:Holly Marshall service or feeder fee,first 5618 2 branch circuit Address:9865 NW 307th Ave Each add'l branch circuit 7.42 2 • Miscellaneous(Service or feeder not included) City/State/ZiP;North Plains,OR 97133 Each manufactured or modular 67,83 2 dwelling,service end/or feeder Phone:(503)647-5999 Fax::(503)647-7443 Reconnect only 67.84 2 E-mail:holly @airwavellc.COm Pump or irrigation circle 67,84 2 CONTRACTOR Sign or outline lighting 67.84 2 - Business name:Airwave,LLC "Signal circuit(s)or limited-energy I See 75.00 2 panel,alteration,or extension. Page 2 Address:9865 NW 307th Ave Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr City/State/ZIP:North Plains,OR 97133 Investigation(1 hr min) 66.25/hr • Phone:(503)647-5999 Fax:(503)b47-7443 l Industrial plant(1 hr min) 78.18/hr Inspections for which no the Is 90.00/hr ' CCB Lic.! 160178 Electrical Lic.: 34-688CL Suprv.Lic.; 4583LEA , specifically listed('/:hr min) /� ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: (�� _ Subtotal: 75.00 Print name: Jake Spenst �/ r Date: 4/29/2014 Plan review(25%of permit fee): I�, , ��� State surcharge(12%of permit fee): 9.00 j Authorized signature: •t. tiA 7T TOTAL PERMIT FEE 84.00 This permit application expires if a permit Is not obtained within 190 Print name: Holly Marshall Date: 4/29/2014 days after it has been accepted as complete. Number of inspections allowed per permit. 1.lnuiIdinNlPerOWdtELC„1'e min Apn_ELR ERE doe Rev 05/21/2013 440.4615T(I1/05/COMrwee 03/17/2010 22:04 5036477443 AIRWAVE, LLC PAGE 02 Electrical Permit Application-City of Tigard Page 2-Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Description 1 Qty. F« I lord 1 Fee for all residential systems combined ... $75.00 Renewable electrical energy systems: • Check Type of Work Involved: 5 kva orless 100.70 2 5.01 to 15 kva 133,56 2 ❑ Audio and Stereo Systems* _ to 25 kva 200.34 2 Wind generation systems in excess of 7.5 kva: ❑ Burglar Alarm 25.01 to 50 kva 301.04 2 50.01 to 100 kva 552.26 2 ❑ Garage Door Opener* >100 kva(fee in accordance with 2 OAR 918-309-0040) 552.26 ❑ Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* 7.42 3 Each additional kva over 25 ❑ Vacuum Systems* >100 kva—no additional charse 0.0 3 Each additional inspection over allowable in any of the above: O Other: Each additional inspection is 66,25/hr 1 IJ charged at an hourly(1 hr min) inspections for which no fee is 90.00/hr specifically listed(14 hr min) 1 COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system • $75.00 • Subtotal: (SEE OAR 918-309-0000) Plan review,if required(25%of permit fee)' State surcharge(12%of permit fee): - Check Type of Work Involved: TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 ❑ Audio and Stereo Systems days after it has been accepted as complete. • Number of inspections allowed per permit. ❑ Boiler Controls ❑ Clock Systems f] Data Telecommunication Installation add ` ❑ Fire Alarm Installation ecto L add and 1"`"' wIl n HVAC aje zo,t4-D045. • ❑ Instrumentation �^�,, /1 ��,.11-� O�-� ❑ Intercom and Paging Systems C Y ' Cxx n Landscape Irrigation Control* t_p„n — C ° ❑ Medical i� (l Nurse Calls I I Outdoor Landscape Lighting* ❑ Protective Signaling ® Other CCTV System Total number of commercial systems: 1 *No licenses are required. Licenses are required for all other installations i■3l Idiny\PmnitsOELC Permit Apo ELR ERE.dOC RevOSI?ll20t3 CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT COMMUNITY DEVELOPMENT Permit#: ELR2014-00045 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/20/2014 Parcel: 2S 101 AB01400 Jurisdiction: Tigard Site address: 7600 SW DARTMOUTH ST Project: Walmart Subdivision: HERMOSO PARK Lot: 8 Project Description: Fire alarm system for a new 137,900 square foot retail store. Contractor: AIRWAVE LLC Owner: PACIFIC REALTY ASSOCIATES LP 9865 NW 307TH AVE. 15350 SW SEQUOIA PARKWAY#300 NORTH PLAINS, OR 97133 PORTLAND, OR 97224 PHONE: 503-647-5999 PHONE: 503-624-6300 FAX: 503-647-7443 FEES Description Date Amount Specifics: Restricted Energy Permit 02/20/2014 $75.00 12%State Surcharge-Electrical 02/20/2014 $9.00 Type of Use: COM Class of Work: ALT Total Number of Systems: 0 Audio&Stereo: 0 Boiler Controls: 0 CCTV: 0 Clock Systems: 0 Data&Telecommunications: 0 Fire Alarm: 1 HVAC: 0 Instrumentation: 0 Intercom/Paging: 0 Landscape/Irrigation: 0 Landscape Lighting: 0 Medical: 0 Nurse Calls: 0 Protective Signal: 0 Security Alarm: 0 Other: 0 Total $84.00 Other Desc: Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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 the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtai .. .. oft e ru= direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. /1 Ah Issued By: --- _.� Permittee Signature: ∎∎1 A �_1 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' Date: LICENSE NO. Call 503.639.4175 by 7:00 a.m.for the next available inspection date. 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 NS� Received lig City of Tigard AAmy. ci/�pit err. Permit No.: ��p AD 1 y_n,yi ti i 13125 SW Hall Blvd.,Tigard,OR 97223 , ric■\"Plan Review err. `I` L�-�-r Other Permit: 1_, j). —Ow&7 Phone: 503.718.2439 Fax: 503.598.1960 0 1)at �: v rJ i i 1 Inspection Line: 503.639.4175 (`� r 8 r.y: Jurir: ® Page 2 for■ Internet: www.tigard-or.gov \ �� r? I'�`.od: p Supplemental Information __ - TYPE OF WORK ` ' PLAN REYIB- t - View construction ❑Addition/alteration/replacem Please check all that apply(submit 1 sets of plans w/items checked below): ❑Demolition ❑Other: ❑Service or feeder 400 amps or more ❑Building over three stories. where the available fault current ❑Marinas and boatyards. CATEGORY OF CONSTRICTION exceeds 10,000 amps at 150 volts or p 0 Floating buildings. less to ground,or exceeds 14,000 ❑Commercial-use agricultural ❑ 1-and 2-family dwelling tommercial/industrial ❑Accessory building amps for all other installations. buildings. ❑Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived system. • ❑Addition of new motor load of ❑"A","E","1-2","1-3", Job no.: Job site address: 71.60D 1 A ' �(�� IOOHP or more. occupancy. 0 v 1 D1. 1 r t 517 ❑Six or more residential units. ❑Recreational vehicle parks. City/State/ZIP: I 1 ❑Health care facilities. ❑Supply voltage for more than 1 t ❑Hazardous locations. 600 volts nominal. Suite/bldg./apt.no.: tA.� Project name: -L Q�� ❑Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Description I Qty. I Fee. I Total I • New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: I Lot no.: 1,000 sq.ft.or less 168.54 4 Ea.add'l 500 sq.ft.or portion 33.92 1 Tax map/parcel no.: Limited energy,residential DESCRIPTION OF WORK (with above sq.ft.) 75.00 2 Limited energy,multi-family 75.00 2 ,re_ atiArryl residential(with above sq.ft.) _ Renewable Energy ❑ See Page 2 Services or feeders installation,alteration,and/or relocation ❑ PROPERTY OWNER i ❑ TENANT 200 amps or less 100.70 2 201 amps to 400 amps 133.56 2 Name: 401 amps to 600 amps 200.34 2 Address: 601 amps to 1,000 amps 301.04 2 Over 1,000 amps or volts 552.26 2 City/State/ZIP: Temporary services or feeders installation,alteration,and/or Phone:( ) I Fax:( ) relocation 200 amps or less 59.36 1 Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps 168.54 2 Owner signature: Date: Branch circuits—new,alteration,or extension,per panel ❑ APPLICANT I ❑ CONTACT PERSON A.Fee for branch circuits with above service or feeder fee, 7.42 2 Business name: each branch circuit L i B.Fee for branch circuits without Contact name: Ak.1 ' M0. I service or feeder fee,first `—l branch circuit 56.18 2 Address: Dl5l� ) n Y , Each add'I branch circuit 7.42 2 City/State/ZIP: ' , � 71 O VV+ �L q--r 13.. Each manufactured(service du or feeder not included)4 2 1"". Each manufactured or modular dwelling,service and/or feeder Phone:(5�) 609---i_ a Fax: :( ) (��_ ��% Reconnect only 67.84 2 E-mail: Vi 0 ikL.{ C_, ai d"�. L 'V l 1c . ("cry') Pump or irrigation circle 67.84 2 1 CONTRACTOR Sign or outline lighting 67.84 2 Business name: V Signal circuit(s)or limited-energy See 1 Yr�� ` I panel,alteration,or extension. I Page 2 1 S 2 Address: q OI.Il FJ jo W ab-`441_ Tf4re._ Each additional inspection over allowable in any of the above , City/State/ZIP: ,'vb f/0J1�t Cr12_ q--7 I Investigation mi() hr min) 66.25/hr . l C 11 L Investigation(1 hr min) 66.25/hr Phone:(5n)624-1_ 5cn t'3l I Fax:(rte (143 Industrial plant(1 hr min) 78.18/hr • rr Inspections for which no fee is 90.00/hr CCB Lic.: '(..601.7 Sc I Electrical Lic.:3`(_ . Suprv.Lic.: specifically listed(%:hr min) - ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: _is Plan review(25%of permit fee): Print name: ID_ J • 5. • Date: 21Zb h Li State surcharge(12%of permit fee): Authorized signature: ;. / (y, a� TOTAL PERMIT FEE: ( 1 This permit application expires if a permit is not obtained within 180 Print name: �C I ilia /+hn I Date: /77 1L(f days after it has been accepted as complete. _I "� • Number of inspections allowed per permit. I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 05/2I/2013 440-4615T(11/051COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Fee for all residential systems combined $75.00 Description I Qty. I Fee I Total I • Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: ❑ Burglar Alarm 25.01 to so kva 301.04 2 ❑ Garage Door Opener* 50.01 to 100 kva 552.26 2 >100 kva(fee in accordance with 552.26 2 ❑ Heating, Ventilation and Air Conditioning OAR 918-309-0040) System* Solar generation systems in excess of 25 kva: Each additional kva over 25 7.42 3 ❑ Vacuum Systems* >100 kva—no additional charge 0.0 3 ❑ Each additional inspection over allowable in any of the above: Other: Each additional inspection is charged at an hourly(1 hr min) 6625/hr 1• Inspections for which no fee is 90,00/hr specifically listed(/2 hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system $75.00 Subtotal: (SEE OAR 918-309-0000) Plan review,if required(25%of permit fee): State surcharge(12%of permit fee): Check Type of Work Involved: TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 ❑ Audio and Stereo Systems days after it has been accepted as complete. " Number of inspections allowed per permit. ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation Jre Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical n Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:\Building\'ermits\ELC_PermitApp_ELR_ERE.doc Rev 05/21/2013 Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 7600 SW DARTMOUTH ST, TIGARD, OR, 97223 Commercial - Electricial Limited Energy 198 Low voltage final PASS - No C of O ELR2014-00045 Herb Stabenow Violation Summary: Inspector Contractor