Permit CITY TIGARD ELECTRICAL PERMIT
4 -
PERMIT #: ELC2008 -00181
Y�' COMMUNITY DEVELOPMENT DATE ISSUED: 5/19/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S12600-00400
SITE ADDRESS: 09800 SW WASHINGTON SQUARE RD SEARS ZONING:
SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG
PROJECT: SEARS
Project Description: Relocate PGE service transformer and reconnect service.
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:
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: 2 >=4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
WASHINGTON SQUARE LLC CHRISTENSON ELECTRIC, INC.
BY THE MACERICH COMPANY 111 SW COLUMBIA STREET # 480
9585 SW WASHINGTON SQUARE RD PORTLAND, OR 97201
TIGARD, OR 97223
Phone: Contact #: PRI 503 - 419 -3300
FAX 503 - 419 -3728
FEES
Description Date Amount Reg #: ELE 26 -34C
[ELPRMT] ELC Permit 5/19/2008 $909.30 LIC 458
[ELPLCK] ELC Pln Rev 5/19/2008 $227.33 SUP 1994S
[TAX] 12% State Surchar 5/19/2008 $109.12
REQUIRED ITEMS AND REPORTS
Total $1,245.75
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 la ' • • • - of these rules or direct questions to OUNC at 503 246.6699 or 1.800.332.2344.
Issued By: . Permittee Signature: [per_4 /��j/)
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'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.
*06_ �C Gtit �, w • : -
' Electrical Permit Application FOR OFFICE USE ONLY
Received G
City of Tigard C E ate/By: ,n D g' PermitNo.: i° 13125 S W Hall Blvd., Tigard OR 972 l� = an Review 960 �,{
Phone: 503.639.4171 Fax: 503.598. T Date/By: y// V O $ � / j..4 < Other Permit:
T I G A R D Inspection Line: 503.639 p MAR Date Ready See Page 2 for
Internet: www.tigard- or.gov Ivl I� Notified/Method I (� Supplemental ® loformation
TYPE OF WO ! b uc, ,: `) PLAN REVIEW
❑ New construction ®Addition/alte {itit e`1 MSiON Please check all that apply (submit 2 sets of plans w /items checked bel ?w):
y El Service or feeder 400 amps or more ❑ Building over three storks.
❑ 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 agricultu {al
❑ 1- and 2- family dwelling ® 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 ", "I -_ , 13 ,
Job no.: 0800007 Job site address: 9800 SW Washington Square Road IOO or or more. occupancy.
❑ Six or more residential units ❑ Recreational vehicle parks.
City/State /ZIP: Tigard, Oregon 97223 ❑ Health -care facilities ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite /bldg. /apt. no.: -- Project name: PGE Tranformer Relocation ® Service or feeder 600 amps or more
FEE SCHEDULE
Cross street/directions to job site: Go to Sears store at Washington Square Description I Q1 . I Fee. I Toro' I •
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Ea. add'I 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: 1S102BA00152 Limited energy, residential
DESCRIPTION OF WORK (with above sq. ft.) 75.00 2
Limited energy, multi - family 75.00 2
Relocate PGE service transformer and reconnect service residential (with above sq. ft.)
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: Sears Holdings Management Corporation 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: 3333 Beverly Road Over 1,000 amps or volts 2 454.65 909.3 2
City/State /ZIP: Hoffman Estates, IL 60179 Temporary services or feeders installation, alteration, and /or
relocation
Phone: (847)286 -2500 I Fax: (847)286 -7976 200 amps or less 66.85 I
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. Fee for branch circuits with
❑ APPLICANT I ® CONTACT PERSON above service or feeder fee, 6.65 2
each branch circuit
Business name: Sears Holdings Management Corporation B. Fee for branch circuits
Contact name: Jorge V. Belda without service or feeder fee 46.85 2
first branch circuit
Address: 8501 Auburn Blvd. Each add'I branch circuit 6.65 2
Miscellaneous (service or feeder not included) _
City/State /ZIP: Citrus Heights, California 95610 Each manufactured or modular 90.90 2
dwelling, service and/or feeder
Phone: (916) 726 -7765 Fax: : (916) 726 -6074 Reconnect only 66.85 2
E -mail: JBelda @searshc.com Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 53.40 2
nc. PO �/A r Signal circuit(s) or limited -
Business nat l.!/Jn �f ei.JJ .y, J g' 7S-, A /renergy panel, alteration, or
Address: a/ S A Y /Uel.- \ L q S' 4� extension. Describe: Page 2 2
City/State /ZIP: , _ J �1-1a)-/ Each additional inspection over allowable in any of the above
V / ' ���(/ Per inspection 62.50
Phone x(51 )) J I of _?. j - Fax: (�3) if/ y .. -'3'> Investigation per hour (I hr min) 62.50
CCB Lic.: t Electrical Lic.: „la 3(>• c I Suprv. Lic.: lqq ys' Industrial plant per hour 73.75
-/ ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: 4 i ) �, (r ai,, e� � , Subtotal: 909.30
Print name: R,4 Date: 5 -X6/� Plan review (25% of pe fee): 227.33
State surcharge (12 /o of permit fee): 109.12
Authorized signature: TOTAL PERMIT FEE: 1245.75
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 \Budding \ Permits \ELC- PermitApp.doc 05/23/06 440-4615T(I1 /05 /COM/WEB
CITY OFTIGARD
BUILDING DIVISION PERMIT #: ELC2008 00181
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 5/19/2008
Phone: (503) 639 -4171 Iill
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/9/2008 TIME: 7:01AM PAGE: 41
SITE ADDRESS: 09800 SW WASHINGTON SQUARE RD SE2S CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE L TYPE OF USE:
PROJECT NAME: SEARS
DESCRIPTION: Relocate PGE service transformer and reconnect service.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: CHRISTENSON ELECTRIC, INC. PHONE #: 503.419.3300
Inspection Request Scheduled For: Date: 1019/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 076438 -01 503 -724 -3673 Y
Corrections /Comments /Instructions: • LAO . I/ 7 2- IR
N
N
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q4
■i1 PAS- ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
• . L ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: IN L Date: 16 1i 1 Phone #: (503) 718- 1446
L� ' 1 7
CITY OF TIGARD • -
BUILDING DIVISION PERMIT #: ELG200600181
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/1912008
Phone: (503) 639-4171 .._ hlvil
Inspection Requests (24 Hrs.): (503) 639 -4175 _ '
INSPECTION WORKSHEET FOR DATE: 9/8/2008 TIME: 7:00AM PAGE: 4
SITE ADDRESS: 09800 SW WASHINGTON SQUARE RD SEARS CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: SEARS
DESCRIPTION: Relocate PGE service transformer and reconnect service.
OWNER: WASHINGTON SQUARE LW, PHONE #:
CONTRACTOR: CHRISTENSON ELECTRIC, INC. PHONE #: 503419 -3300
Inspection Request Scheduled For: Date: 918/2008 Pour Time:
Code # Inspection Description Confirm Contact # Message
199 Electiical final 5218-01 503-724-3673 Y
. Corrections /Comments /Instructions: 3 0 M I N
- P___■1;:) 2 1 -- 001
c�K'J C i q wh I (� S V ?
J.. w I L4.- CMaz -AL II-AN (t > �, j n Se
W1\13 V 144 PTAC Pt* -
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G:---. N66 Date: 'L '1%1 Phone #: (503) 718- Li 1'l
CITY OF TIGARD
BUILDING DIVISION y PERMIT #: ELC2008 -00181
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/19/2008
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 .611:1111 L.
INSPECTION WORKSHEET FOR DATE: 7/22/2008 TIME: 7:01AM PAGE: 3
SITE ADDRESS: 09800 SW WASHINGTON SQUARE RD SEARS CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: SEARS
DESCRIPTION: Relocate PGE service transformer and reconnect service.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: CHRISTENSON ELECTRIC, INC. PHONE #: 503- 419 -3300
Inspection Request Scheduled For: Date: 7/22/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 073015-01 503 -724 -3673 Y
Corrections /Comments /Instructions: '��'�
■
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CA . 4 - _1► 24.-
1
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❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL 15cNO ACCESS
A FAIL y CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
N 68 L r Date 1 1% Phone #: (503) i� "t
Inspector: ( ) 718-
CITY OF,TIG,ARD ,
A ...
BUILDING DIVISION PERMIT #: ELC200B -00181
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/19/2008
Phone: (503) 639 -4171 V
Inspection Requests (24 Hrs.): (503) 639 -4175 .,. .
INSPECTION WORKSHEET FOR DATE: 7/11/2008 TIME: 7:00AM PAGE: 6
SITE ADDRESS: 09800 SW WASHINGTON SQUARE RD SEARS CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: SEARS —
DESCRIPTION: Relocate PGE service transformer and reconnect service.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
---- CONTRACTOR: CHRISTENSON ELECTRIC, INC. 1■(4) PHONE #: 503-419 -3300
Inspection Request Scheduled For: Date: 7/11/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
195 Misc. inspection 072538 -01 503. 7243673 '- Y
Corrections /Comments /Instructions: n/
No ` s
E Y. L 6111 MI VI KIf MA Q c 4130.t4 ozw s) N
PQ6' kliy s .v1 c : 1-ic.iAL 'a erg 46'0(ts"
., a () Cava' .. a a• ANL•
A PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Cr ' N % ' Date: 1 J VIM Phone #: (503) 718- Z101:6`
I
CITY OF TIGARD
A , .
BUILDING DIVISION PERMIT #: ELC2008-00181
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/19/2008
Phone: (503) 639 -4171 l
Inspection Requests (24 Hrs.): (503) 639 -4175 IL
INSPECTION WORKSHEET FOR DATE: 7/0/2008 TIME: 7:00AM PAGE: 57
SITE ADDRESS: 09800 SW WASHINGTON SQUARE RD SEARS CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: SEARS
DESCRIPTION: Relocate PGE service transformer and reconnect service.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: CHRISTENSON ELECTRIC, INC. PHONE #: 503-419-3300
Inspection Request Scheduled For: Date: 7/8/2008 . Pour Time:
Code # Inspection Description Confirm # Contact # Message
105 Underground/slab cover 072293-01 503- 4133623 N
Corrections/Comments/Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 7 -84
Phone #: (503) 718-