Permit CITY OF TIGARD ELECTRICAL PERMIT
111 q
PERMIT #: ELC2007 00678
COMMUNITY DEVELOPMENT
DATE ISSUED: 9/28/2007
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 cashier stations.
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: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 32 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 ATLAS ELECTRICAL CONTRACTORS
BY THE MACERICH COMPANY 4403 SE ROETHE RD
9585 SW WASHINGTON SQUARE RD MILWAUKIE, OR 97267
TIGARD, OR 97223
Phone: Contact #: FAX 659 - 4944
PRI 659 -2212
FEES
Description Date Amount Reg #: ELE 3 -2C
[ELPRMT] ELC Permit 9/28/2007 $259.65 LIC 1532
[TAX] 8% State Surcharge 9/28/2007 $20.77 SUP 5009S
Total $280.42 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable laws All
work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for
more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in
OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued B yd i,y f%' Permittee Signature: Sae I I c_.4- ■ cv
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
•
•
• K ATLAS ELECTRICAL Fax:5036594944 Sep 28 2007 9:33 P.02
, Ezectari Permit Anni lcation VV ( R I C E USE ONLY
City of Tigard ® n t s,: 9 Z$ 04- Su.) N' E[LZoo7- - 023 E
13125 Sw hall Blvd, Tigard, OR 91 i . , Flan Review . Phane: 503.639.4171 Fax: 503.5' :•" . U Dez/BY 0 l '
Ar
T [ v -' P. D Inspection Lune: 503,639.4175 a • oU j Date Ready/By Ready/By ks Id
Internet www.ggard-or_gov SEP 2 v Notified/Meffiod: /1 Suppk
(�r I See Page 2 for
ew entalinformation
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❑ Service or tteder 400 amps or . ['Building over three stories.
❑ Demolition • ® Other: Tenant Im'• rove where die avatlabk fault current ❑ Marina andboatyards.
exceeds 10,000 amps at 150
?, r1 •'!!i: �'�'a- "It i 7 -t� '- r�- tc: v;;�s ter• !'(P;'{iiZGT?:: - -. ^r:: ' iai��; ^.�j' r� • 'c; '�� - - -
re 1a �r S i r( i „-( 'ti i r r c: , � 1 }1 ,r. .:, volts • ❑ Floating buitdiaps_
,r���'1a , "� , ∎1 : ( 1 [ ,,., . 4 . h ' . � , :; i. 1 a. Il•l r..,_ a,-ii :i -. 'i
,.. 1! ti._.,..._a_ •, -•-: ,,. I� Ilu7a,�, . _ -. ,. ,e; ::,re: -.;t� :� ? i _ eLL.. -i .�:. �e � less to gmmid, or exceeds 14.000 ❑ COIIme1C181 -use agricultural
❑ 1- and 2- family dwelling ® Commercial/industrial ❑ Accessory building amps to ail other tortallaftons. buildings.
❑ Multi- family ❑ Master builder ❑ Other D Fire pump. , D installation of 75 KVA or
(t •• egi.i rP �r__,_ :.::Is :: 7,: .•;v, :,: q _if� :t
7 qi 7•; _ - • hill l ∎I' R 1 ❑may s Eger separately derived system.
>•� :=i?,.= L -^I:� _!iI`�� _ - ! n ia:• 7 .4 (t' _ ., . d _ .il, ( •Te i� i!, .•_ : _ r �
i2) l i,- . a, n, - r: !F `• :_n, .,y ,, f:7 ....77,:-;.-d,..,,;-7,:T.7,•:'
l . t9i _ n 1 c J l. ?'t `i �1 l 11, :=! I_., _ - 11 ,- -
":,�rt!.. =. 115: LC1��: �1 t°.,'. r.: rt_:: r._. .. .._ :... := c�1(r % ?r hart �._. a3...' yaca, uc::; t: c:. J11tL•{ lr�l ::(:Ia�r ?5ii�if:��l ii(ll ❑Additiwaof new =bar kasdof 0 "A', °E•'. °14"• "1,3 °.
1°o11p armore
Job no.: 16689 Job site address: 9800 SW Washington Squar Road ' ocropancy,
❑ Six or afore lonidaaaal 'mats • ❑ Recreational vehicle parts
City/State/ZIP: Tigard, Oregon 97223 0 Healthcare facilities. D Supply voltage for more than
❑ Hazardous locations. nominal.
600 volts noal.
Suite/bldg./apt. no.: Project name: IMITTIPoireirptiltitemotlal SE / 0 Service or feeder 6008mpa or •, •
iY ter:! - r1!� ", 1: I :. . ` . 1 fill '? 1,):1'';'ir • ' i' v Icy {'f, r n : ;
Cross street/directions to job site: Drente �.;! '! I { .1,• ^ Q, i! Fs. '
. ( � 1. , '�.,I r : .: _. t • , , nL(t 1 d.l :II • ! -y.t•. •
New residential single- or multi r y dwelling unit. •
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft or less ', 145.I5 4
Tax map/parcel no.: Ea. add'1500 sq. ft. or portion 33.40 1
�p residential
L „ ,., _ .. I r ,, .._ :ar.:e -- ::S "v_•' s:ar : ; ; g:m: Limited energy, 75.00 2
ia'(N {, r_y: 1,, ni.�''i�' .•t '� �s r .rr "`Cr :1 'ti 1. i i - .>,: - ''1rJ( f1
,53E�.l = };,.111 h;:z� S ul, :,tiaiii p 1: �. ..i i,.. s , (. .:G'':; I{,l ,r':
`fir •r-- rf ; r (N,,_; li i (with above °I' R)
;cIS4� d ( i „llllin_4- �1_',Il�l:::e;r7i 1 -- .. ,I,P. . }y .i l'7��; . � A I „a,,l:. „! „rill .,. . -.
Limited energy, multi - family 75.00 2
Install electrical for remodel of store. - TV •, 1 g ,1/. , I t a ` It , . 6! residential (with above sq ft.)
'� QY1 S V51 �.1C �S' l fl # C. r ► \ • , 'A. .
Service' or feeders installation, t :.n, and/or relocation
200 amps or leas 80.30 2
• :!1 "- 1�ra;mnlr �1 n:rr., r'rra :a:a �,;. o I ,,; 'r:: f. ..: ?? ,. ;!.•'[1'Sfit'1 .
?I!+ r 5r' n;1. +1l . : t% ( h }:':�' 1 it is il!�':t[i. -- o 1LIli 9 . ; 1(i!: ; jF:,ia�,'+ 201 t0 400 106.85 2
ni 1 :, ;:..( •.0 -• ,� r(.it:` l :,t t 1 I . _ - I
''i }r_,!tli.;l.:l.r.u.. : i'il }r� ?tiu.f:_Y. Iii,.-:'::-.-::,.,[. 1..: ���: l: r.., �r}' ll:�l�lf::.i..:!hlIrI11����.iL. t•Cl! 1 11111 . n.., .,..l:n:;:t.IL•c..�:..F::rl�i(1 furl
Name:
401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240 -60 2
Address: Over 1,000 amps or volts 454.65 2
City/State/ZIP: Temporary services or feeders , •. tattoo, alteration, and/or
relocation ■
Phone: ( ) ' Fax ( ) 200 amps or less
• 66.85 I 1
Owner installation: This installation is being made on property that I own which is not 201 arms to 400 attzps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amply) 599 amps 133.75 2
Owner signature: Date: Branch circuits - new, :literati or extension, per panel
80 A. Fee for branch circuits with
- _rrr3.,T,a .,..,,, 1 ... _� r.^. r.= r• "_= "?g •:_l_�.; }r:f;'( I? =�:
'; _rl i +. ...., _Fr.'u.,,.,,.� g ,!,r 1 X13: - _,,�.:!!C
.nl f� S:i ''•1 �1 _'- Cr:: -' ,' 4ir'is g la ; I `l 11 '- krtf�i. : �. _., (t h' li ,L•: '., 1:.� ' n. .. jll above aeNlee err feeder fee �� �''„ :r:z,dl.x ,_��.,:.r l :rr:.::.,: �r.,� : , � � ,,�- ,'lnlrl,,,r - -:-.r .:� $_ =:. � .. I�riN ... .. each branch circuit
6.65 2
Business name: Atlas Electrical Contractors, Inc. • B. Fee for branch circuits
• without service or feeder fee, 1 46.85 46.85 2
Contact name: Ty Shepersky 5rst bl=each circuit
Address: 4403 SE Roethe Road Each add'l branch circuit 32 • 6.65 212.80 2
Miscellaneous (service or feeds not included)
City /State/ ZIP: M lwatllde, Oregon 97267 Each manufactured or modular 90.90 2
dwelling, service and/or feeder
Phone: (503) 659 -2212 Fax.: : (503) 659 -4944 Reconnect only 66.85 2
E-mail: Pump Pump err irrigation circle 53.40 2
: ,.. -� r . 1 .., t _ - , t �_ .!r! _; a:: 11 >'•:; . >: , •_>1 p' ' ' or outline ti 53.40 2
I , i :��i_,,;fy:;,.
t "h ii''i� I 1! ,Iln!w,:l!1fi ;tiri; ,c- _; ' ,?�;n:11: . ._.lt,. I - : ,, )� ,Ir1 - .!t ,, S I gO S
�.!lr,; 1 uafri G- I liirl•.�.. 'I;i:��al�:::,1 : . ' � !) _ �,, .r . , ",..r r. , „1., t �.�, I I rr _ .. n. lv ' �•z�3i• � _�TI1:G ,E ,
�
Signal circuit(s) panel, e r t i on,
Business name: Atlas Electrical Contractors, Inc. or
energy p anel, alteration, or
Address: 4403 SE Roethe Road extension. Describe: Page 2 2
City /State/ZIP: Milwaukle, Oregon 97267 • Each additional ivapection by allowable to any of the above
Per inspection 62.50 .
Phone: (503) 659 -2212 Fax: ( 503) 6594944 Investigation per hour (1 m' min) 62.50
CCB Liu.: 1532 L7 l7. ecbrical Lie.: 3 -2C Suprv. tic.: 5009S Industrial plant per hour 1 73_75
a , 1. -, _IL , j ' }� T I U' , . � . _ I 1 1 .(., . Ic ° "' • }
% nil � I!It�tl
Suprv_ Electrician bigllatltre, required � � p Subtotal: 259 65
Print name: T Shepersky / Date: 9/28/07 Plan rrvliew (25% of pewit fee):
State surcharge (8 permit fee): 20.77
/
Authorized signature: - � TOTAL 'EBM T FEE: 280.42
�� ► This permit applicadon tf permit la 'rot obtained within 180
Print name: Ty Sheperslcy JAME Date: 9/28/07 days after it has beevecapted as complete.
/ • Number of inspections allowed pa permit
Ltam7cbee �GPamuAVpdoe 05 - . _ 440461s1(ll/OS/COM/ , • o -
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007•00678
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: ,9,/28/2007
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175 —
INSPECTION WORKSHEET FOR DATE: 10/31/2007 TIME: 7 :00AM PAGE: 75
SITE ADDRESS: 09000 SW WASHINGTON SQUARE RD SEARS CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: SEARS
DESCRIPTION: Relocate cashier stations.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: ATLAS ELECTRICAL CONTRACTORS PHONE #: 6532212
Inspection Request Scheduled For: Date: 10/31/2007 Pour Time:
Code # Inspection Description • . -• Contact # Message
199 Electrical final 058713-01 503901 -9336 Y
Corrections /Comments /Instructions:
AM
biqk 1
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: � N o3l7 Date: 101 11(Q� Phone #: (503) 718- 2y1110
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00678
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/78/2007
Phone: (503) 639 -4171 A:
Inspection Requests (24 Hrs.): (503) 639 -4175 'I I ..
INSPECTION WORKSHEET FOR DATE: 10/25/2007 TIME: 7 : 01AM PAGE: 37
SITE ADDRESS: 09800 SW WASHINGTON SQUARE RD SEARS CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: SEARS - -
DESCRIPTION: Relocate cashier stations.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: ATLAS ELECTRICAL CONTRACTORS PHONE #: 6559 -2212
Inspection Request Scheduled For: Date: 10/25/2007 Pour Time:
Code # Inspection Description onfirm # Contact # Message
199 Electrical final 058330 -01 503 -901 -9341 Y
----7
Corrections /Comments /Instructions:
y
)
1■I o C ∎W Alest.rs I z S loco w
❑ PASS ❑ PARTIAL APPROVAL CANCEL LNO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G-- tv5p l.l" Date: 181 / S M Phone #: (503) 718-11146