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Permit
; 111 E „ CITY OF TIGARD VISE ELECTRICAL PERMIT : COMMUNITY DEVELOPMENT ���' /'' Permit #: ELC2011 -00195 Date Issued: 04/13/2011 T IGARD 1 3125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 1S1260000300 i Jurisdiction: TIGARD Site address: 9591 SW WASHINGTON SQUARE RD B10 Project: Victoria's Secret Subdivision: WASHINGTON SQUARE MALL Lot: 0 Project Description: Relocate (1) 600 amp service and (120) branch circuits for TI 63,105 RMS AIC 4/15/11, reprinted to reduce number of branch circuits to (82). 6/21/11, reprinted to add low voltage for audio /stereo wiring and intercom /paging systems. Contractor: ADVANCED WIRING SERVICES INC Owner: PPR WASHINGTON SQUARE LLC PO BOX 644 2235 FARADAY AVE STE #0 CLACKAMAS, OR 97015 CARLSBAD, CA 92008 PHONE: 503 - 310 -3655 PHONE. FAX: 503 - 698 -6372 FEES Quantity Description Date Amount 1 ea Services or Feeders - 401 to 04/13/2011 $200.34 Specifics: 600 amps 82 crt Branch Circuits w /Purchase 04/13/2011 $608.44 Type of Use: COM Service or Feeder Class of Work: ALT 1 ea Plan Review Electricial 04/13/2011 $202.20 11 ea Info Process /Archiving - Lg 04/13/2011 $22.00 Type of Const: Sheet (over 11x17) Occupancy Grp: 1 ea 12% State Surcharge - 04/13/2011 $97.05 Electrical 1 ea Signal circuit or Limited 06/21/2011 $75.00 Energy Panel 9 Hourly Electrical 12% State 06/21/2011 $9.00 Surcharge 1 ea Signal circuit or Limited 06/21/2011 $75.00 Energy Panel Total $1,298.03 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 suspe.•ed for or- - 180 days. AT ` 1 TION: Oreg. law :: •'res you to follow the rules adopted by the Oregon Utility Notification Center. ray =• r _ - -re se/ ••• OAR 952 -00 0010 thr•ugh OAR 95 •-11: -0090. •u may obtain a copy of the rules or direct questions to OUNC by calling 503.232.198 jri�. 3 / Issue By: _ 1 . I'i.i �- - I . Permittee Signature: ✓ / / 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. CITY OF TIGARD 1 4 ' ELECTRICAL PERMIT * COMMUNITY DEVELOPMENT MEM Permit #: ELC2011 -00195 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/13/2011 Parcel: 1S1260000300 Jurisdiction: TIGARD Site address: 9591 SW WASHINGTON SQUARE RD B10 Project: Victoria's Secret Subdivision: WASHINGTON SQUARE MALL Lot: 0 Project Description: Relocate (1) 600 amp service and (120) branch circuits for TI 63,105 RMS AIC 4/15/11, reprinted to reduce number of branch circuits to (82). Contractor: ADVANCED WIRING SERVICES INC Owner: PPR WASHINGTON SQUARE LLC PO BOX 644 2235 FARADAY AVE STE #0 CLACKAMAS, OR 97015 CARLSBAD, CA 92008 PHONE: 503 - 310 -3655 PHONE: FAX: 503 - 698 -6372 FEES Quantity Description Date Amount 1 ea Services or Feeders - 401 to 04/13/2011 $200.34 Specifics: 600 amps 120 crt Branch Circuits w /Purchase 04/13/2011 $890.40 Type of Use: COM Service or Feeder Class of Work: ALT 1 ea Plan Review Electricial 04/13/2011 $272.69 Type of Const: 1 ea 12% State Surcharge - 04/13/2011 $130.89 Electrical Occupancy Grp: Total $1,494.32 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 r ance ' approved plans. This permit will expire if work is not started within 180 days of nuance, or if work is suspended for more the 180 days. AT NTION: Oregon 'Few r es ou to follow the rules adopted by the Oregon Utility --Dl tiQ.n Center. Those r ules are set forth in OAR 952 -001 010 thr ugh OAR 952 -0 -0090. ou ay obtain a copy of the rules or direct questions to O�C by calling 503.232. 7 or 11 Issu d By: / \ Permittee Signat .0 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 INSTALLATIO■ ONLY SIGNATURE OF SUPR. ELEC' ;, ' " Date: 1 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. 111 CITY OF TIGARD ELECTRICAL PERMIT ° COMMUNITY DEVELOPMENT Permit #: ELC2011 -00195 Date Issued: 04/13/2011 TIGARD ' 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 1S1260000300 Jurisdiction: TIGARD Site address: 9591 SW WASHINGTON SQUARE RD B10 Project: Victoria's Secret Subdivision: WASHINGTON SQUARE MALL Lot: 0 Project Description: Relocate (1) 600 amp service and (120) branch circuits for TI 63,105 RMS AIC 4/15/11, reprinted to reduce number of branch circuits to (82). Contractor: ADVANCED WIRING SERVICES INC Owner: PPR WASHINGTON SQUARE LLC PO BOX 644 2235 FARADAY AVE STE #0 CLACKAMAS, OR 97015 CARLSBAD, CA 92008 PHONE: 503 - 310 -3655 PHONE: FAX: 503 - 698 -6372 FEES Quantity Description Date Amount 1 ea Services or Feeders - 401 to 04/13/2011 $200.34 Specifics: 600 amps 82 crt Branch Circuits w /Purchase 04/13/2011 $608.44 Type of Use: COM Service or Feeder Class of Work: ALT 1 ea Plan Review Electricial 04/13/2011 $202.20 11 ea Info Process /Archiving - Lg 04/13/2011 $22.00 Type of Const: Sheet (over 11x17) Occupancy Grp: 1 ea 12% State Surcharge - 04/13/2011 $97.05 Electrical Total $1,130.03 • 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 e ' " 9 4 11-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: - - Permittee Signature: d/(/ ` - / L Yz / e r A / 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. rq CITY OF TIGARD ELECTRICAL PERMIT 1111 COMMUNITY DEVELOPMENT Permit #: ELC2011 -00195 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/13/2011 Parcel: 1 S 1260000300 Jurisdiction: TIGARD Site address: 9591 SW WASHINGTON SQUARE RD B10 Project: Victoria's Secret Subdivision: WASHINGTON SQUARE MALL Lot: 0 Project Description: Relocate (1) 600 amp service and (120) branch circuits for TI Contractor: ADVANCED WIRING SERVICES INC Owner: PPR WASHINGTON SQUARE LLC PO BOX 644 2235 FARADAY AVE STE #0 CLACKAMAS, OR 97015 CARLSBAD, CA 92008 PHONE: 503 - 310 -3655 PHONE: FAX: 503 - 698 -6372 FEES Quantity Description Date Amount 1 ea Services or Feeders - 401 to 04/13/2011 $200.34 Specifics: 600 amps 120 crt Branch Circuits w /Purchase 04/13/2011 $890.40 Type of Use: COM Service or Feeder Class of Work: ALT 1 ea Plan Review Electricial 04/13/2011 $272.69 Type of Const: 1 ea 12% State Surcharge - 04/13/2011 $130.89 Electrical Occupancy Grp: Total $1,494.32 Required Items and Reports (Conditions) This permit i ' . ' • - • • ' . t• • the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be don- accordance with a••rov-• •ans. This permit will expire if work is not started within 180 days of issuance, or if work is sus•-nded fo -ore the 180 days. ATTENTION: Oregon law equires equires • =u to follow the rules adopted by the Oregon Utility Notification Center. 17 - are - t forth in OAR 952 801 -0010 thr• gh OAR 952 -00 0090 ay obtain a copy of the rules or direct questions to OUNC by calling 503.232.1 • I 44. I ued By: • Permittee Signature: i! � 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: ONT • C =; 1NST LATION ONLY SIGNATURE OF SUPR. ELEC' Date: y/: // LICENSE NO. 4 75 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 Holz OFFICE ESE ONLY ! /�- City of Tigard DateB r l;_ Permit No.: ... 06 / • 13125 SW Hall Blvd., Tigard, OR 97223 Received Plan Review ' Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: Inspection Line: 503.639.4175 Date Ready/By: Juris: ® See Page 2 for f 1 R D N otified/Method: Supplemental www.tigard or.gov PP lemental Information TYPE OF WORK PLAN REVIEW ❑ New construction [ Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below): ❑ 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 ❑ 1- and 2- family dwelling rti Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 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: (Nil % f.0 tkirlo iJ f 100HP or more. occupancy. 7t�C _ ❑ Six or more residential units. ❑ Recreational vehicle parks. City/State /ZIP: nG. 00. ( 2Z ID Health-care facilities. ❑ Supply voltage for more than / 1 ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: vh(,la j A � r .L j'• ❑ 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: Lot no.: 1,000 sq. ft. or less 168.54 4 Tax map /parcel no.: Ea. add'I 500 sq. ft. or portion 33.92 1 Limited energy, residential 75.00 2 DESCRIPTION OF WORK (with above sq. ft.) Limited energy, multi- family 75.00 2 rq er L 1 . • residential (with above sq. ft.) L � ` � Services or feeders installation, alteration, and/or relocation 200 amps or less 100.70 2 ❑ PROPERTY G OWNER (� I ❑ TENANT 201 amps to 400 amps 133.56 7 f 2 2 Name: `lam- t_ ` 1 401 amps to 600 amps i 200.34 ,7 601 amps to 1,000 amps 301.04 2 Address: 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 1 201 amps to 400 amps 125.08 2 Owner installation: This installation is being made on property that I own which is not 401 amps to 599 amps 168.54 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. Branch circuits — new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with pp ❑ APPLICANT I ❑ CONTACT PERSON above service or feeder fee, / A O each branch circuit 7.42 i7 ( �� , 2 Business name: B. Fee for branch circuits without service or feeder fee, first 56.18 2 Contact name: branch circuit Each add'I branch circuit 7.42 2 Address: Miscellaneous (service or feeder not included) City /State /ZIP: Each manufactured or modular 67.84 2 dwelling, service and/or feeder _ Phone: ( ) Fax: : ( ) Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E -mail: Sign or outline lighting 67.84 2 CONTRACTOR Signal circuit(s) or limited - energy Business name: ADVaNc 101.10 t i2_lIice--- j panel, alteration, or extension. Paget 2 1 Each additional inspection over allowable in any of the above Address: ?- F° 6 Additional inspection (I hr min) 66.25/ hr City/State /ZIP: �/6 JVt11 , a . T70, Cj Investigation (1 hr min) 66.251 hr Industrial plant (1 hr min) 78.18/ hr Phone: (,rd 3 10 - Wf Fax: (!f; ) E3Z-' r 6 q g Inspections for which no fee is / specifically listed (%2 hr min) 90.00 / hr CCB Lic.: 110 z j q 1 Electrical Lic.: Suprv. ic.: 77 ' ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: Subtotal: /D 9 `'t Plan review (25% of permit fee): f ,q ? a„ 4 Print name: G- j tlT /fr6 Date: 4// 0/ State surcharge (12% of permit fee): / TOTAL PERMIT FEE: Authorized signature: This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. Num of inspections allowed per permit. I:\ Building \Permits\ELC- PermitApp.doc 07/01 /10 440- 4615T(11/05 /COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for all residential systems combined $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: COMMERCIAL WORK ONLY: Fee for each commercial $75.00 system (SEE OAR 918- 309 -0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ 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 \Permits\ELC- PermitApp.doc 07/01/10 1 q Community Development TIGARD Request for Permit Action TO: CITY OF TIGARD Building Division Services Coordinator 13125 SW Hall Blvd., Tigard, OR 97223 Phone: 503.718.2430 Fax: 503.598.1960 www.tigard- or.gov FROM: ❑ Owner ❑ Applicant n Contractor X City Staff (check one) REFUND OR Name: ` t 6 INVOICE TO: (Business or Individual) M /t ey n iy >[ - ii., ( ... 0 , 2i j a ..g.4.1, eiS Mailing Address: Cam, ( (p City /State /Zip: a/1- (/ pt H 46 6e 9 1 ar S Phone No.: 6 - ? >10 -- 3( PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (✓): • A ► _ ERMIT APPLICATION. REFUND ' RMIT FEES (attach receipt, if available). (0t/f4 Aytig./. 7 ■ V • ICE FOR FEES DUE (attach case fee schedule and explain below). ❑ REMOVE CONTRACTOR FROM PERMIT (do not cancel permit). Permit #: et-C aOI /- 60/95 O /9 5 Site Address or Parcel #: 969/ lA) �A6.l+ t1�'o`ra,lJ mot. Q.D. Project Name: \)1 t,TO atilt ''S 5ecar Subdivision Name: 41- Lot #: WA EXPLANATION: �I .,'r) tA.0 i ►3 G 60, PE or L ok_ rac e -1 (0 aao" PJ } w_(-t} Ct O CLk t TS -- FL (82> fbi o C. !-t L' t 2u t TS Signature: a' Date: 4 /, S //t Print Name: 1_ I)&ti Ab01hSk\ Refund Policy 1. The Director or Building Official may authorize the refund of: a) any fee which was erroneously paid or collected. b) not more than 80% of the land use application fee when an application is withdrawn or canceled before any review effort has been expended. c) not more than 80% of the land use application fee for issued permits. d) not more than 80% of the building plan review fee when an application is canceled before any plan review effort has been expended. e) not more than 80% of the building permit fee for issued permits prior to any inspection requests. 2. Refunds will be returned to the original Payer in the same method in which payment was received. Please allow 1 -2 weeks for processing refunds. FOR OFFICE USE ONLY '> Rte to S s Admin: Date EMWMICIWIS Rte to Bld • Admin: Date 1p iijaz. B 1�6�►� Refund Processed: Date „j i B /;; Invoice Processed: Date B Permit Canceled: Date Ar 41: By 4ejr Parcel Tag Added: Date By Receipt # Date Method Amount $ I:\ Building \Forms \RegPemutAction.doc Rev 07/26/07 Electrical Permit Application FOR OI Fl( F ISE O" I.1 Received � � . .' / � /f„� -•a % City of Tigard Dateiv 7;_ Permit No.: prlf�' r • 13125 SW Hall Blvd., Tigard,OR 97223 Plan Review I Phone: 503.718.2439 Fax: 503.598.1960 DateBy ki 11 t` L Other Permit: I \RI) Inspection Line: 503.639.4175 Date Ready/By: Juris: HI See Page 2 for Internet: www.tigard- or.gov Notified/Method: Supplemental information TYPE OF WOR PLAN REVIEW El New construction [h Addition/alteration /replac Please check all that apply (submit 2 sets of plans w /items checked below): ❑ 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. El less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ❑ I- and 2- family dwelling I&I Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. ❑ Addition of new motor load of ❑ "A ", "E ", "l -2 ", "1 -3 ", Job no.: Job site address: ( qc,i fA[,j- tik-© � 100HP or more. occupancy. _ ❑ Six or more residential units. ❑ Recreational vehicle parks. City/State /ZIP: • i6,A 6R-- q7 ZZ•3 ❑ Health -care facilities. ❑ Supply voltage for more than / ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: Vrc`id .ei it J -( ❑ Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Description I Qty. I Fee. I Total F • New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 168.54 4 Tax map /parcel no.: Ea. add'l 500 sq. ft. or portion 33.92 1 Limited energy, residential 75.00 2 DESCRIPTION OF WORK (with above sq. ft.) Limited energy, multi- family 75.00 2 t7 C C' —17.5, residential (with above sq. ft.) lam" Services or feeders installation, alteration, and/or relocation 200 amps or less 100.70 2 ❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 133.56 2 ROQ `IL- Name: , r • Vrl i t �I_ H- 401 amps to 600 amps 200.34.5f 2 601 amps to 1,000 amps 301.04 2 Address: 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 1 201 amps to 400 amps 125.08 2 Owner installation: This installation is being made on property that I own which is not intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2 Branch circuits — new, alteration or extension, per panel Owner signature: Date: A. Fee for branch circuits with $ '2. Qp ❑ APPLICANT I ❑ CONTACT PERSON above service or feeder fee, 4 7.42 . 2 each branch circuit Business name: B. Fee for branch circuits without service or feeder fee, first 56.18 2 lit Contact name: branch circuit Each add'l branch circuit 7.42 2 Address: Miscellaneous (service or feeder not included) City/State/ZIP: Each manufactured or modular 67.84 2 dwelling, service and/or feeder Phone: ( ) Fax: : ( ) Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E - mail: Sign or outline lighting 67.84 2 CONTRACTOR Signal circuit(s) or limited - energy Business name: /i " it ��i ; panel, alteration, or extension. Page 2 2 ✓Q 1 �'� i Each additional inspection over allowable in any of the above Address: '1 Q_ jX 6441 Additional inspection (1 hr min) 66.25/ hr Ci /State /ZIP: G'' � � , Ct 7 v i 5 • Investigation (1 hr min) 66.25/ hr , Industrial plant (1 hr min) 78.18/ hr Phone: ( 03') 3 it) 3 /.;. Fax: (S; ) 0�'(- C 9'1 7 Inspections for which no fee is 90.00/ hr specifically listed (V2 hr min) • CCB Lic.: go 2ef I Electrical Lic.: Suprv. ic./ 7 j ELECTRICAL PERMIT FEES Subtotal: /, ^ ) q0. {4 Suprv. Electrician signature, required: Q Plan review (25% of permit fee): -0. Print name: / $ G_ 1ft',��/ /�G�/ TC�� D ate: Q � /! State surcharge (12 of permit fee): � �, Authorized signature: TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. • Number of inspections allowed per permit. I:\ Building \Pennits\ELC- PermitApp.doe 07/01/10 440- 4615T(11 /05 /COM/WEB CEIVED APR 1 5 2011 L CITY OF TIGARD HIRSCH ENGINEERING BUILDING DIVISION 7077 Orangewood Ave, #211 Garden Grove, CA. 92841 TRANSMITTAL T: (714) 893 -6157 F: (714) 894 -7294 To: Date: 04 -14 -2011 Company City of Tigard Bldg Dept., Project Victoria's Secret #417 13125 SW Hall Blvd., Washington Square Tigard, Oregon 97223 Portland, OR (Rev # 3, Design Changes - 03.15.11) Attention: Debbie Adamski- Senior Permit Tech Project Number(s): Telephone: 503.718.2450 Architect: 210134 Facsimile: Engineer: 10 - 099 WE ARE SENDING YOU: FOR YOUR: ® Via: FedEx 1 Overnight ❑ Approval ❑ Drawing Files ® Use ® Prints El Information ® Stamp /Signature ❑ Review /Comments ❑ Submittals ® As Requested ❑ Other ❑ Other Copies Total Size Media Sheet No.(s) Description 1 11 30x42 Bond E01.1 - E05.1 1st Set Bond Copy (stamped & signed) 1 11 30x42 Bond E01.1 - E05.1 Additional Bond copies (stamped & signed) 2 2 8.5x11 Revision Bulletin REMARKS: COPIES TO: PREPARED BY: Cesar Herrera SHIPPING USE ONLY: Shipped By: Date No. of Pcs. Weight Total Charges V: \HHH Projects \McCall \Victoria's Secret \10 -099 Washington Square \Correspondence \Transmittals \11 - Page 1 of 1 04.14_VSS_Washington Sq_McCall.doc 4/14/2011, 2:09 PM REC EIVED HIRSCH ENGINEERING CI APR 15 ?l 7077 Orangewood Ave, #211 gU, OFT Garden Grove, CA. 92841 I NG D T: (714) 893 -6157 F: (714) 894 -7294 I v U L L ET I N N O. 3 To: McCall Description: Rev # 3, LL Comments — 03.07.11 From: Hirsch Engineering, Inc Re: VSS — Washington Square Project No. 10 -099 Date: 03.22.11 The following instructions are issued to the Contractor. The Contractor shall promptly inform subcontractors and others performing or supplying the Work of relevant contents of this Bulletin. If any changes to the Contract Sum or Time are required, Contractor shall submit quotation - showing change in Contract Sum or Time within time frame as dictated by the project manager. If no such quotation is submitted within the time specified, no change to the Contract Sum or Time will be allowed. This Bulletin is not a substitute for a Change Order, which is required to be executed in accordance with the conditions of the Contract for any change to the Contract. Sheet No. Sheet Name Summary E01.1 Electrical • Revised section 26.09.23 per masters update. Specifications Electrical E01.2 Notes & • Added symbol for graphic eye to the electrical symbols legend. Schedules • Replaced base plan per architectural changes. E02.1 & Electrical • Revised power layout in the storefront, back of house, sales and backwrap. E02.2 Power Plan • Revised detail call -outs due to masters update changes. • Added notes. E03.1 & Electrical • Replaced base plan per architectural changes. E03.2 Lighting Plan • Revised lighting layout in the storefront, pink room & back of house. • Added notes per master updates. • Electrical E04.1 Light Fixture • Added light fixtures "SC" per design changes. Schedule E04.2 Electrical • Replaced details for traffic counter and delivery buzzer schematic per masters Details update. E04.3 Electrical • Added detail for storefront dimming system per masters update. Details • Replaced detail "B" for sensormatic. E04.4 Electrical • Replaced details per base plan changes and masters update. Details Electrical E05.1 Panels & • Revised panels "A" & "C" based on design changes. Riser • Added storefront dimming system riser diagram. Diagram V: \HHH Projects \McCall \Victoria's Secret \10 -099 Washington Square \Correspondence \Rev Page 1 of 1 Bulletins \00056042RV3e (Elec'I).doc 4/14/2011, 10:21 AM K_ip,r.r.. ca..tip .. - n. Fa.+ _ gi City of Tigard June 10, 2011 Advanced Wiring Services Attn: Mark Beatty PO Box 644 Clackamas, OR 97015 Re: Permit No. ELC2011 -00195 Dear Mr. Beatty: The City of Tigard has processed a refund for overpayment of permit fees on the above referenced permit for the following: Site Address: 9591 SW Washington Square Rd Project Name: Victoria's Secret Job No.: N/A Refund: ❑ Check # in the amount of $ . ® Credit card "return" receipt in the amount of $364.29. ❑ Trust account "deposit" receipt in the amount of $ . Notes: Per applicant's request as scope of work was reduced from (120) branch circuits to (82) branch circuits. Credit card refund was processed on 4/21/2011 and receipt is attached below. If you have any questions please contact me at 503.718.2430. Sincerely, 4 Dianna Howse Building Division Services Coordinator Enc. 1 :\ B ffild ,,, oitefundsv3 3 1264WIlititlidiiMiclarlignelpOregon 97223 0 503.639.4171 TTY Relay: 503.684.2772 0 www.tigard- or.gov 1 111111 0 . ° City of Tigard r c n IZ D Accela Refund Request This form is used for refund requests of land use, development engineering and building application fees. Receipts, documentation and the Request for Permit Action form (if applicable) must be attached to this request. Refund requests are due to Accela System Administrator by Wednesday at 5:00 PM for processing by the following Wednesday. Accounts Payable will route refund checks to Accela System Administrator for distribution. Please allow up to 2 weeks for processing. PAYABLE TO: Mark Beatty DATE: 4/21/2011 Advanced Wiring Services PO Box 644 REQUESTED BY: Dianna Howse Clackamas, OR 97015 Debbie Adamski TRANSACTION INFORMATION: Receipt #: 182152 Case #: ELC2011 -00195 Date: 4/13/2011 Address /Parcel: 9591 SW Wash Square Rd Pay Method: CreditCard Project Name: Victoria's Secret EXPLANATION: Scope of work changed from (120) branch circuits to (82) branch circuits; refund difference of permit fees paid. REFUND INFORMATION: , . - :Fee`D scriptton . From (Re ' ' `Rev Account. No :A6161141 - .Exam 4 'Buildi ig Permit Fee . Example •2300000-43104 $ :A fount Misc. Administration Fee 2300000 -43130 $364.29 TOTAL REFUND: $364.29 APPROVALS: If under $5,000 Professional Staff If under $12,500 Division Manager PKA ,o,CLI/�_ If under $25,500 Department Manager If under $50,000 City Manager If over $50,000 Local Contract Review Board . EOR TIDEMARK SYSTEM: INISTRATION; USE ONLY J. ' 16 , F. :" ,; Case Refund Processed: I Date: I i /at // I By: I: \Building \Refunds \RefundRequcstdoc x 09/01/2010 • • CITY OF TIGARD RECEIPT V a 13125 SW Hall Blvd., Tigard OR 97223 503.839.4171 TIGARD Receipt Number: 182240 - 04/21/2011 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID • ELC2011- 00195 $- 364.29 Total: $- 364.29 PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Credit Card 046660 DHOWSE 04/21/2011 $- 364.29 • Payor: Mark Beatty, Advanced Wiring Services . Total Payments: $- 364.29 Balance Due: $364.29 i %717 i Tidemark • • P h System Administration ,< Finance Department Request Date: / //Z //// To: Liz Lutz Angela McCoy • From: Dianna Howse/ • Re: Receipt #: C rA /,S..Q , l f e 4'O Please process this request as follows: Journal Entry (route copy of JE to Dianna Howse). Reversal (fees have been reversed on Revenue Account Report). Credit Card Return (fees have been reversed on Revenue Account Report). Other /Explanation: 2E7. /) al/ .04- -1 6-A/7".. • Thank you / ¢ I: \ Building \Fottns \RteSlip- FinanceReq. doc Page 1 of 1 CITY OF TIGARD RECEIPT i 13125 SW Hall Blvd.. Tigard OR 97223 5Q3.839.4171 TIGA::) gr-r-74A/6 Receipt Number: 182152 - 04/13/2011 CASE NO FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAD ELC2011.00195 $1.494.32 Total: S1A9422 PAYMENT METHOD CHECK 9 CC AUTH. CODE. ACCT ID CASHIER ID RECEIPT DATE RECEIPT ANT Crecit Cad 048860 DADAMSKI 04113P 11 51.494.32 Pa: Mar* Beatty - Advanced Vi fri g Services Total Payments: $1.494.32 Balance Due: (31.494.32) /<./9% y G r Tidemark . System Administration ' I •,,,, Finance Department Request Date: 72///f To: Liz Lutz Angela McCoy From: Dianna Howse/ Re: Receipt #: !/ a/ Please process this request as follows: • Journal Entry (route copy of JE to Dianna Howse). Reversal (fees have been reversed on Revenue Account Report). Credit Card Return (fees have been reversed on Revenue Account Report). Other /Explanation: • Thank you! ,� �/ _ I: \Bwlding \Forms \RteS6p - FinanceReq.doc '�� CITY OF TIGARD RECEIPT n 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 TIGARD Receipt Number: 182152 - 04/13/2011 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID ELC2011 -00195 Services or Feeders - 401 to 600 amps 2200000 -43103 $200.34 ELC2011 -00195 Branch Circuits w /Purchase Service or 2200000-43103 $608.44 Feeder ELC2011 -00195 Plan Review Electricial 2200000-43110 $202.20 ELC2011 -00195 Info Process /Archiving - Lg Sheet (over 2300000 -43135 $22.00 11x17) ELC2011 -00195 12% State Surcharge - Electrical 1003100 -24001 $97.05 ELC2011 -00195 Misc Administration Fee 2300000 -43130 $364.29 Total: $1,494.32 PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Credit Card 046660 DADAMSKI 04 /13/2011 $1,494.32 Payor: Mark Beatty - Advanced Wiring Services Total Payments: $1,494.32 Balance Due: $0.00 • • Page 1 of 1 4 • CITY OF TIGARD RECEIPT E _ 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 TIGAIfl) 0/ /it/4 Receipt Number: 182152 - 04/13/2011 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID ELC2011 -00195 Services or Feeders - 401 to 600 amps 2200000 -43103 $200.34 ELC2011 -00195 Branch Circuits w /Purchase Service or 2200000 -43103 $890.40 Feeder ELC2011 -00195 Plan Review Electricial 2200000 -43110 $272.69 ELC2011 -00195 12% State Surcharge - Electrical 1003100 -24001 $130.89 Total: $1,494.32 PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Credit Card 046660 DADAMSKI 04/13/2011 $1,494.32 Payor: Mark Beatty - Advanced Wiring Services Total Payments: $1,494.32 Balance Due: $0.00 • • Page 1 of 1