Permit CI TY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
° COMMUNITY DEVELOPMENT ITY PERMIT #: ELR2009 -00038
O T
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/20/2009
PARCEL: 1 S126CB -00500
SITE ADDRESS: 09300 SW WASHINGTON SQUARE RD ZONING: MUC
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: MACY'S
Project Description: Installation of voice & data.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: X NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
MACY'S DEPARTMENT STORES INC. PROCOM COMMUNICATIONS INC
ATTN: PROPERTY TAX DEPT 2316 SE CLATSOP
7 WEST SEVENTH ST PORTLAND, OR 97202
CINCINNATI, OH 45202
Phone: 513 -579 -7667 Contact #: PR! 503- 233 -8037
FAX 503- 233 -8052
FEES Reg #: ELE 3- 397CLE
LIC 109929
Description Date Amount SUP 1172LEA
[ELPRMT] ELR Permit 1/20/2009 $75.00
[TAX] 12% State Surch 1/20/2009 $9.00 REQUIRED ITEMS AND REPORTS
Total $84.00
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: j \f44,, f\Q Permittee Signature: 410-' 1.�� „ .v `n Y '
t
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.
•
Jan 20 09 02:47p Procom Communications 5032338052 p.2
Electrical Permit Applk CEI V ED PenmtNo FOR OFFICE USE ONLY
City of Tigard
i ■ i Q(fiR1
• 13125 SW Hall Blvd., Tigard, OR 97223 Plan RevcReview Other Permit:
Phone. 503 639.4171 Fax 503 598 2 V ,i 2u t (I . Received
Deceive:
TIGARD
Inspection Line 503.639 4175 J H I + Date Ready/By Jugs El See Page 2 for
Internet: www tigard -or gov V�/ ((�� /� p NotifiedlMethod 1 C) Supplemental Information
'TYPE �yt'1RlrF PLAN REVIEW
❑ New construction IE AdditStialklaIDMISION Please check all that apply (submit 2 sets of plans rvlitems checked below)
❑ Service or feeder 400 amps or more ❑ Building over three stories
❑ Demolition ❑ Other: where the available fault current ❑ Mannas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial-use agncultral
❑ 1 - and 2- family dwelling El Commercial /industrial ❑ Accessory building amps for all other installations buildings
❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump ❑ Installation of75 KVA or
❑ Emergency system. larger separately derived system
JOB SITE INFORMATION AND LOCATION ❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ",
100HP or more. occupancy
Job no.: Job site address: 09300 SW Washington Square Rd ❑ Sir or more residential milts 0 Recreational vehicle parks
City /State/ZIP: Tigard /OR/97223 ❑ Health-care facilities ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal
Suite /bldg. /apt. no.: Project name: Macy's ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: oaerIpilon I Qty. 1 Pee. I Total I •
Ncw residential single- or multi - fancily dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft or less 145 15 4
Tax map /parcel no.: Ea add'I 500 sq. ft. or portion 33.40 1
Limited energy, residential 75 00 2
DESCRIPTION OF WORK (with above sq ft.) -
Limited energy, multi - family 75 00 2
voice and data 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: Macy's Dept. Stores Inc. 401 amps to 600 amps 160 60 2
601 amps to 1,000 amps 240 60 2
Address: 7 West Seventh St Over 1,000 amps or volts 454 65 2
City/State/ZIP Cincinnati /OH /45202 Temporary services or feeders installation, alteration, and/or
relocation
Phone: (513)579 -7667 Fax: ( ) 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
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
A. Fee for branch circuits with
® APPLICANT ❑ CONTACT PERSON above service or feeder fee, 6.65 2
each branch circuit
Business name: ProCom Communications, Inc. B Fee for branch circuits
Contact name: Shawn R. Giles trtrhour service or feeder fee, 46.85 2
first branch circuit
Address: 2316 SE Clatsop Each add'l branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City /State /ZIP: Portland /OR/97202 Each manufactured or modular 90 90 2
dwelling,
Phone: (503) 233 -8037 Fax: : (503) 2.33-8052 Reconnect only 3 -8052 nl y eand /or feeder
Reco 66.85 2
E -mail: shawng @procomcommunications.com Pump or irrigation circle 53 40 2
CONTRACTOR Sign or outline lighting 53 40 2
Business name: ProCom Signal circuits) or limited-
energy panel, alteration, or
Address: 2316 SE Clatsop extension Describe. I Page 2 75.00 2
City /State/ZIP: Portland /Or/97202 Each additional inspection over allowable in any of the above
Phone (503) 233 -8037 Fax: (503) 2338052 Per inspection 62 50
Investigation per hour ( hr min) 62 50
CCB Lic.: 109929 Electrical Lie.: 3- 397CLE Suprv. Lie.: 1172LEA Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: �� „eie 1 — Subtotal
Print name: Shawn R. Giles Date: 1/20/09 Plan review (25% of permit fee)
State surcharge (12% of permit fee) 9 00
Authorized signature: X / Ae / TOTAL PERMIT FEE 84 00
Print name: Shawn R. Giles Date: 1/20/09 This permit application expires if u permit is not obtained within 1[i0
days after it has been accepted as complete.
' Number of inspections allowed per permit
I .Bmlchne.Pennm`ELC- PermiiApp doe 05.23 440-1615T(I1/05 /COM/w'EB
CITY OF TIGARD
BUILDING DIVISION
A PERMIT #: ELR2009-0003
D ATE 8 ,
13125 SW Hall Blvd., Tigard, OR 97223 E ISSUED: 1/20/2009
Phone: (503) 639-4171 . It
Inspection Requests (24 Hrs.): (503) 639-4175 ..„...„ --
INSPECTION WORKSHEET FOR DATE: 2/ 10/2009 TIME: 7: 01 AlY1 PAGE: 11
SITE ADDRESS: 09300 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: vVASHINGTON SQUARE LOT #: TYPE OF USE: •
PROJECT NAME: MACY'S
DESCRIPTION: installation of voice & data
OWNER: MACY'S DEPARTMENT t.:; INC., PHONE #: 513-579-7607
CONTRACTOR: PROCOM COMMUNICATIONS INC PHONE #: E;03-233-0037
Inspection Request Scheduled For: Date: 2/10/2009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
--- ----„\
136 Low voltage 013043".•01 503-619-9447 N
11 C\ Fi (AL- .
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Corrections/Comments/Instructions:
YNAAN NveL 6 td? 17a '.
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r■ PAS 0 PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
fl F■ L 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: C --- ' 6 'Wi) L ' 1 0 1 Phone #: (503) 718-
1
CITY OF TIGARD
BUILDING DIVISION ``" PERMIT #: ELR2009.00038
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: //2012009
Phone: (503) 639 - 4171 - , ,.i, „I '
Inspection Requests (24 Hrs.): (503) 639 -4175 '''I
INSPECTION WORKSHEET FOR DATE: 2/5/2009 TIME: 7 :00AM PAGE: 12
SITE ADDRESS: 09300 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: MACY'S
DESCRIPTION: Installation of voice & data.
OWNER: MACY'S DEPARTMENT STORES INC., PHONE #: 513-579
CONTRACTOR: PROCOM COMMUNICATIONS INC PHONE #: 503 - 233 -8037
Inspection Request Scheduled For: Date: 2/512079 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 080317 -01 503.519 -9447 N
Corrections /Comments/ Instructions:
0(\) m lE
0 o igie4..AboaL
Li a
The electrical installation defects noted
on this report shall be corrected and
• an inspection request made within 20
calendar days per OAR 918- 271 -0030
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL fx CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G7 c)'O E Date: �-' (� ' Phone #: (503) 718- 1 -010