Permit •
7 �,5 4.•4:-II I T 'Y 1 I ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT
PERMIT #: ELR2007 -00465
T. IGA 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 12/17/2007
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: (2) Low voltage: CCTV and electronical article surveillance.
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: OUTDOOR LANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL: X
INSTRUMENTATION: OTHER: CCTV X
TOTAL # OF SYSTEMS: 2
Owner: Contractor:
WASHINGTON SQUARE LLC RITE WAY ELECTRIC
BY THE MACERICH COMPANY 2904 THREE LAKES RD. SE
9585 SW WASHINGTON SQUARE RD ALBANY, OR 97321
TIGARD, OR 97223
Phone: Contact #: PRI 541- 926 -0504
FAX 541- 926 -2656
FEES Reg #: ELE 22 -77C
LIC 40077
Description Date Amount SUP 3249S
[ELPRMT] ELR Permit 12/17/2007 $150.00
[TAX] 8% State Surcha 12/17/2007 $12.00 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: ' / Ar ._i/ Permittee Signature: Y""�
al) Q r u
OWNER INSTALLATION ONLY (]''
p
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.
3/3
.„2!kuv'Dec.14. 2007' 22AM35981960 CITY OF TIGARD No.1368 P tpju 01
Eke rical omit A licat
Received
EuEl D 101.:011.1(1...t,:y().1.,
City of Tigard
men _ , 7 07 3- PamitNcv oil / 2.4 7 — 0 , -
13125 SAT Hall Blvd., Tigard, OR 97223
Plan Review
Phone: 503_6394171 Fax 503.598.1960 DEC " ii:j •-•,. fi Da : . Oth Ponoit:
Inspection Line: 503.639,4175 . ,i!.... - '._ l , Dorm nosey/Hy. An* ', SI:CP.1ml for
Internet www tigard-or_goV CITY OF TinA . NotificrliKstiod SuPPlemental Infonostion
',1' '' '':' 11 .4 4 4 1 0' 41L . '' Vie: - ' IR ' .:';: ''''.7:::.;•f IZEEVEAS''r'''UitEESNEECN
U New construction 11 Addition/alteration/replacement Flease check all that apply:
0 Demolitio
1:IService over 225 amps, colonel iiHneardous location
n 0 Other:
. °Service ovcr 320 amps - rating Ofluildng over 10.000 sq. 8.,
=
RIES ;. egiSS.0 ''. .:' ..-• :•:,..'..:: : : ' - ' 1: . : . i: . - '''!:''. 01'1- and 2-thmily dwellings 4 or more new residential
• 1- and 2-fornily dwelling 13a Commercial/industrial U Accessory building ElSysteto over 600 volts nominal tusks in one structure
LIBuildlog over three storieti °Feeders, 400 amps ur Mare
0 Multi.family 0 Master builder o other
00„,p,nt toad over 99 persaao °Manufactured stmetures or
.':' • '7".'!-' P *, ' .......;.:-..::;21:47.41481:E: /1 0 611 8iATTOICANii".iiii0illtett'' : '. '.': :: : ' . ..1' ':.:'.!: On p lan RV park
01-Icalth-carc facility 0 Other
Job no.: ptiL 65 kb site address: A 0 . sk tja .,..,,, .
-, Submit 2 sots of phour with any of the above.
CIV/StatelZIP: •i , , 'It Aaell.1111.1111 The above are not applicable to ramporary COMIttlICifeb WM=
I Al= .■, ;:: '.. 7.■.;:,,11:e ' .71; • ..": •C`I ; • -: • • :1040
Suite/bldg./apt no.: Project name: IV' `6 co in .. t- VI rv CP•Vi •-■•sm..--.. .... .. — — — • • . • • . ••. - • . - • •
Cross street/directions to job site: New residential single- or multi-tamily dwelling unit.
Include@ attaelied _ars .
1,000 - . tl_ or less MIMEO El
Subdivision: Lot no.: Es_ add'l 500 s ,. IL or portion OM 33.40 emu
Limitod energy, residential IIII 75.00 El
Tax map/parcel no.:
mim en - _ , noo.residential 1111 75,00 11.1111311
..:..,.,4,......:. ,„:,:,:::,.::..,y,:;,!,;..,t,:,.,,,,:igActiittriiiiit,*10W ..:. ?.::.?:,..'..''' !::.;...,;- .''.,::: ... ' Each manufactured or moduhr 1111
II 0-.•eil V Myelin service and/or Rieder 90.90
Services or feeders lostslletIon, alteriaion and/or reloeation
9._,V.e_ A N-CAELL,,41/4 1 • S WV 0 ' U
• , 200 amps or lett II. 8030 EN
:: :0 1 :--'...... , i , : ''..- `V 42°1 . 1 "St 4 arriPs I= 106.85
401
= 160 11111MIEN
601 amps *0 1,000 , : ,.5 .111 240-60 11=1E11
Address: diiiiii.111 Over 1,000 amps or volts MIIM 113
Reconnect only EMI 66.85 fl
City/State/ZIP;
--"1111111111111111111111111111.1." Temporary services or feeders instaltntion, alterntiou, sod/or
Phone: ( ) - .011111111=111 - 11111.1.11111.111 education
200 ant • ,. or lest MI 66. as III
Owner install/100W 'O. . . lion is being made on p • . - ' - , I own which is not 201 amps 1o400 amps I= 10030 INIIIIIEI
Intended for • ! , ease, rent, or exchange, according to ORS 447, 449, . i, .. 701_
401 amps to 600 am • . MI 113.75 En
tIA er si u attire: Pate: Branch circuits- new, alteration. or extension, . r mad
: i . 40 . sriaA,p/t1:. -,.,':,,,..:.:;-, ':''. • -- latopiwitegliiiiigail '4:-. ;-.■,-:;":;:., : A. Fee for branch circuits with
II
service or feeder fee, eadi
Business name: • s -1_ \ Intusch circuit .
Mk e. ,. • -C-
R. Fee for branch o cuits 6.65
Contact name: 110 tr. ..." - 4h - . o. - without service or feeder fee.
46
.85
,-
first branch circuit 111
Addrems: Z C I lb - I - 1.N . - 9_, - e. - 1 - C.Cf . s,5 l : Is . Each WI brandi circuit 111M 6.65 ligi
City/Statv/ZIP: i • 0,....,,,,.., 1110 macealuoiss (servitg ur feeder not Included)
' • or irrigation circle NM 53_40 Ell
Phone: (5 l) Cf z, b - OS 0 ' Fax: : (511 )9 2 &.-- 2, 6 S--( Sign ce outline lighting al 53,40 lim
E R LA) E. 7, RITE Pr elEC-..--tRIC- klain Signal circUit(s) or limited-
..n .7 . 1, 43141s11:RACTOR°;.Y , 5+: - .%. 17 • , ,.. . ......?';.', ; .W;:.! . , . =ITV Para. alteration, Or
extension. Describe: a Page 2 istri
12123M: - V.) 0- el ec...
Address: MrirEntlerini
Per inspection soi 62.30 IIIII
City/State/Z1P:
Investigation : or hour (1 hr min) 1.1 62.50 III
Phone: ( ) / • . 1 3 . o g Fax: ( ) industrial plant per hour 11111 73.75 111111.11.
'..int :,,,' q , 4911:1/,' : •.7., ::,.t..14`
IIMMIIMFE Electrical Lie - 2/7 . S u . z 49 S
Sulnotal
suprv. Electrician signature, require,d:
'■at'dj?,-:"-:"-'e..-.1111-"-- Plan review (25% of permit fee) . 0 e
Stara sm-charge (8% of permit *he)
Printhame: .'e ._.e- 5 cry, S " `r• Date: ) 2 - — CY"
TOTAL PERMIT PEE b. 00
Authori2ed signature: -,aosi!.... This porma application aspires oll permit lanai obtained within 180
day* aftera has beta accepted as cemaide
Print name:
- V •,.....ar v nate: -. - - & 7 ... Foe mothodolom sot by Tri-couirty BuildingIndostry Service Board
■
Norther ofinspegiaas rer Permit sliev•ed• ;
miwidineftsffmmuc-P.iniRece i ved
Tie Se P ,15, 4:01 P M 440.461s-ro0uc0k4jvan
CITY OF TIGARD
BUILDING DIVISION PERMIT #: CLR2007 Q C;6
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/1712007
Phone: (503) 639- 4171'������������
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 1/35/2000 TIME: 7 :0i0Alvf PAGE: 39
SITE ADDRESS: 03402 SW WASHINGTON SOUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: CAMS SPORTING GOODS
DESCRIPTION: (2) Low voltage: CCTV and elec:t.ronic :al article surveillance.
OWNER: WASHINGTON SOtJARE LLC, PHONE #:
CONTRACTOR: RITE WAY ELEC TRIC PHONE #: 541 - 926-0504
Inspection Request Scheduled For: Date: 1/292008 Pour Time:
Code # Inspection Description j Co . fir-m - #, Contact # Message
199 Elect' final 0639Th -01 ', 541 - 926 -06U4 Y
1
Corrections /Comments /Instructions: —__ 'Iiii
R
\) ViV
PASS _ PARTIAL APPROVAL _ CANCEL I I NO ACCESS
FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: G N b8 L Date: I` 1-6 Phone #: (503) 718- 1414