Permit CITY OF TIGARD ELECTRICAL PERMIT
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CITY PERMIT #: ELC2007 -00099
COMMUNITY DEVELOPMENT
� ' '" p " DATE ISSUED: 2/14/2007
gm 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09402 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG
PROJECT: DICK'S SPORTING GOODS
Project Description: Temp Power. Job #107008.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: S PUMP /IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL /PANEL:
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: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 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 DYNALECTRIC
BY THE MACERICH COMPANY 5805 SW HOOD
9585 SW WASHINGTON SQUARE RD PORTLAND, OR 97239
TIGARD, OR 97223
Phone: Contact #: PRI 503 - 484 - 0235
FAX 503 - 226 -7720
FEES
Description Date Amount Reg #: ELE 26 - 59C
[ELPRMT] ELC Permit 2/14/2007 $100.25 L1C 66793
[TAX] 8% State Surcharge 2/14/2007 $8.02 SUP 46535
Total $1 08.27 REQUIRED ITEMS AND REPORTS
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:
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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.
13 -07; 1:O8PM;Dynalectrlc service ;503 226 7720 # 2/ 3
��cc"_t Permit Application ,C' F s 11 u 4 Y � ,
_" p� �t n J ONI r't -t I ` 1 t J r x ,c- L 5N 'OR: U US cloy 1 � ' i�A i k.
Cit O f T igard NOI�IAIGC11 R ,, .. i . ''. r. .;:s , %57 � ; i ' ,.
Hill Blvd., Tigard, OR 97223 tie
Date/8 - Permo.: v � LL_
13125SW g ®f�'JLLJOA Plan Review u it N a, 7
Phone: 50.. 639 Fax: 503.598 1960 _ (,!
t i I Date/ Other Permit:
Inspection kite: 503.639.4175 LU 7 1 y _a.
7' [i:. 4 . ;;:.; ��,.:._ Da Ready /By: luris: 12/
Sec Page 2 for -
in tern et: \ .v - tigard.or.us
Notified/Method:
0 Supplemental ln f ormation
. . ,. t . '� ' IL'. >,, : . • ...,PLAN •REVIEW,
❑ New conitruction i► dditton /eratton rep acenien Please check all that apply:
❑ Demol 1 tion ❑ Other: ❑Se over 225 amps, comm'I ❑Hazardous locaation
CATECORY O CQN IbN t, < ` • 4 11 ❑Se'ry ce over 320 amps -rating ❑ Buildng over 100,000 sq. ft.
(;,• , • of i - and 2- family dwellings 4 or more new tresidential
❑ 1- and 2- iarnily dwelling Commercial /industrial ❑ Accessory building ❑Systein over 600 volts noininal units in one structure
Multi -farni ly ❑Master builder ❑Buitdin over three stories ❑Feeders,- 400-arimps-ormore
❑ ❑ Other
J013 SITE INFOR ❑Occ gi ant load over 99 persons (=Manufactured s tructures or
NATION AtND LOCATION;: t : ❑ Egre,s /lighting plan RV park
Job no.: /�60$ Job site address: • JS /t A. ' * , ❑Health -care facility ❑Other
IA Submit _2 sets of plans with any of the above. -^
City /State /ZIT: ` '
4 / The above are not applicable to temporary construction service.
Suite /bldg. /apt. no.: Project name: , • ? , - _,•• „,EE'SFCDUI
'• /Ift *. ` 1 4 ❑escrpsort ...
Q Tat
Cross street /directions to job site: New residential single- or multi - family dwelling hit •�
Inchides attached garage.
1,000 sq. ft. or less I 145.15 4
Subdivision: Lot no.: Ea. add'I 500 sq. ft. orportien 33.40 1-
Tax map /parcel no.: Limited energy, residential 75.00 -
{ ; s x r x iv f , li s; i +.ia 1 t!
S =, u...t,I. tit Limited energy, non- residential 7
, 75.00
t , ; :a 3 ,..s :..... DK CR ;f oil of woxuc... t Nt . ,..,,_ �- ill "�•t� 41 -
/
sr. Each manufactured or modular
. , i► dwelling service and /or feeder
'. /L �� L L 40 _ s - - L / de r, 90.90 2
Services or feeders installation, alteration, and /or i ocation
" ' 3 � k =n. -wy f Y faYls 1 �� +' S ' SY'f;' nttit a•� 200 amps or less 8(1.30
x�'" ► esii. l ' tp4 - i a del -t i{ �;( ti!° . '' + ,.� ij mil; 201 amps to 400 amps 106.85 % 2 -,
' .,c"1'� v.„. ,, 3� t :t. . 't4 , 1.4.1. 11:V ^..V.4.En.[ �Ib4...' �h han f k .4 :k ' ""'t;' !i ∎ 1 'd • 401 amps to 600 amps 160.60 2
Name: 601 amps to 1,000 amps 240.60
2
Address: Over 'I,000 amps or volts 454.65 2
ity /State /ZIP: Reconn .ct only 66.85 2
Temporary services or feeders installation, alteration„ and/or
'hone: ( ) per ( ) relocatfon
200 amps or Tess 66.85 I
)wner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 _
ntended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. - 2
401 amps to 600 amps 133.75 2
)wner signature: Date: Branch circuits - new, alteration, or extension, per pastel
r;• - M s % I's 4 jyw'h, Ii ' ' ° ' s + 2'3 a `k : F1` T,„1 .4 ttc'r � t . i r�.
:f i... , ..,. -... x : . • .... .tyh.a-i.' yh • l : i',0"; , , A. Fee for branch circuits with r-
usiness name: service or feeder fee, each
r�Q / / - branch circuit 3 6.65 /9. 2
ontact name: L B. Fee to: branch circuits
,go: -- V , 4 ' • t 4 without service or feeder fee,
ddress: each blanch circuit 46.85 2
Each ad5'1 branch circuit 6.65 2
ity /State /ZiP: Miscellaneous (service or feeder not included)
(Pump .(12.1197-7i Fax:: ( ) Pump or irrigation circle 53.40 2
lone:
- Sign or oritline lighting 53.40 2
mail
z- t 1uX , rc Signal circuit(s) or limited -
fu.� h 4 �ra.-,t,c''trs''i .t!1I4; ',let:�3�'i?§i .,: i L °k(3,t1 ♦ s[;. ?ari 3_zttt;•ia. it z cM1l r • f ,try,{t �
�+ a, n {j,n,...t h 'ti�l.i?.ya�1t energy Pa:tei alteration, or
iciness name: T 1 � L }.1 o/ t i �
(5 pa :1:A; Page 2 2
ldress: .!� ) L �✓"1 / „� Each additional inspection over allowable in any of the above
� Per inspection 62.50
ty/State/ZIP: ,� / ( t Jy_��f q � 7c 9 4 7 Investigation per hour (t lu- ruin) 62.50
o ne: !S ) a 4 Fax: - Industrial pant p hour }�� T A7�ri 73.75 -
!r. di .�x»1-::... ..to.�tt lc l'<<,ct'. �rli:! Flreii tt- ''. rS
. s
'B Lic.: . E lectrical L ic.: � zo -�` Suprv. Lie.: 4 /6 ' t -:.
Subtotal `
Dry. Electrician signature, required ,e 1 . 4 , l > Plan review (25% of permit fee)
it name: - `, a , d o Date: ' 0 r State surcharge (8 %ofpermit fee) Q
Ar. TOTAL PERMIT FEE 4
horized si __.
i- Q' This per:;,it application expires if a permit i not obtained within ]
days after it has been accepted as complete
It name:' / Date:
i .t e� A M Fee methodology set by Tri- County Building Industry Service Board
'* Number of inspections per pemait allowed.
mg \ Pei mits \ELC- Pcrmitdpp.dnc 12/03 440- 4615T(I0 /02 /COM/WEB
CITY OFTIGARD
BUILDING DIVISION PERMIT #: ELC2007- 00099
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/14/2007
Phone: (503) 639 -4171�� i
Inspection Requests (24 Hrs.): (503) 639- 4175!�i �"I_�..
INSPECTION WORKSHEET FOR DATE: 4/20/2007 TIME: 7 :OOAM PAGE: 23
SITE ADDRESS: O94O2SWWASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: DICK'S SPORTING GOODS
DESCRIPTION: Temp Power. Job #107008. Add (4) temporary services for buildout equals a total of (5). Deduct (3)
branch circuits.
OWNER: WASHINGTON SQUARE I_LC, PHONE #:
CONTRACTOR: DYNALECTRIC PHONE #: 503 - 220 -6771
Inspection Request Scheduled For: Date: 4/20/2007 Pour Time:
Code # Inspection Description Confirm #� = Contact # Message
13 r ; : "o a. - 048897 -01 \' 503 - 313 -2599 N
orrections /Comments /Inst actions:
ey
c....
PASS _ PARTIAL APPROVAL NCEL n NO ACCESS
CALL FOR INSPECTION 1 1 A DITIONAL FEES ASSESSED
Inspector: , (1\ Date: 11 (V Phone #: (503) 718-1J4410
CITY OF TIGARD
BUILDING DIVISION A . PERMIT #: ELC2007 -00033
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/1402007
Phone: (503) 639 -4171 '�1
Inspection Requests (24 Hrs.): (503) 639 -4175 ^_..
INSPECTION WORKSHEET FOR DATE: 4/18/2007 TIME: 7:OOAM PAGE: 10
SITE ADDRESS: 09402 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: DICK'S SPORTING GOODS
DESCRIPTION: Temp Power, Job #107008. Add (4) temporary services for buildout equals a total of (5), Deduct (3)
branch circuits.
OWNER: WASHINGTON SQUARE L.LC, PHONE #:
CONTRACTOR: DYNALECTRIC PHONE #: 503- 226.6771
Inspection Request Scheduled For: Date: 4/18/2007 Pour Time:
Code # Inspection Description Confirm # ,� Contact # Message
120 Electrical rough -in 046710 -01 ` 503.313 -2593 N
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Corrections /Comments /Instructions: �
)___________
PASS _ PARTIAL APPROVAL X CANCEL n NO ACCESS
F7 FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: S ► '° v" Date: 1 D I Phone #: (503) 718 -2
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007- 00099
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7114/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639-4175 4J
INSPECTION WORKSHEET FOR DATE: 2120/2007 TIME: 7 :O9AM PAGE: 96
SITE ADDRESS: 09402 SWWASHINGTON SQUARE RID CLASS OF WORK:
SUBDIVISION: OVA SHII'JGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: DICK'S SPORTING GOODS
DESCRIPTION: Temp Power. Job #107000.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: DYNALECTRIC PHONE #: 503484
Inspection Request Scheduled For: Date: 2120/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
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110 Temporary electrical ;:ervic :e -,503 -B49 -2328 N
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Corrections /Comments /Instructions: 1
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PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
fl FAIL ❑ CALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED
" ' 6'v
Inspector: 1�‘ Date: t 1 Phone #: (503) z4'yb-
p � ) 718-
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007- 00099
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 21/4 /2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 2/16/2007 TIME: 7 :OOAM PAGE: 2 ; •
SITE ADDRESS: 09402 SW WASHINGTON SOUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: DICK'S SPORTING GOODS
DESCRIPTION: Temp Power. Job #107008.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: DYNALECTRIC` PHONE #: 503-4a1-0235
Inspection Request Scheduled For: Date: 2116/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
110 Temporary electrical service 043507 -01 603.849.2328 °s •
Corrections /Comments /Instructions:
- 0 1 1 S Ab y
)
1 PASS 1 1 PARTIAL APPROVAL XCANCEL NO ACCESS
1 FAIL 1 1 CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: C' ` 6 e \ Date: 2 -16 < O' Phone #: (503) 718-