Permit ~1, W CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2008 -00200
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/11/2008
PARCEL: 1 S 126CA -00900
SITE ADDRESS: 09009 SW HALL BLVD 200 ZONING: C -G
SUBDIVISION: WASHINGTON CIRCLE PLAZA LOT: JURISDICTION: TIG
PROJECT: MACY'S FURNITURE GALLERY
Project Description: Installing (1) low voltage data system.
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 NORTHWEST DYNALECTRIC
7 W SEVENTH ST. 5805 SW HOOD AVE
0/0 TOM HOWARD PORTLAND, OR 97239
CINCINNATI, OH 45202
Phone: (206)506 -7738 Contact #: PRI 503- 226 -6771
FAX 503- 484 -0233
Reg #: ELE 26 -59C
FEES LIC 66793
Description Date Amount SUP 4653S
[ELPRMT] ELR Permit 7/11/2008 $75.00
[TAX] 12% State Surch 7/11/2008 $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: ,' ,. ,....._ —�
– , — Permittee Signature: <->C ,/,.2...7,,,`
=;
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.
.
VOR OFFICE OS FAIN iNi'.44-W'' 0 ,, i, , ..,.. . ..
.j , Electrical 'Permit Application . • .
, . • . .
. . , „, ,, ,,. , ,„ ,, ,, t„ ,,, „,. , ;• ,,, tcie , _-.7, ,,,,,,, .•- —
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, r Receive,i
ew ,
-•,' • f OR 9EC .- • City of Tigard El ‘," , E ,:. Air,.._,
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e
,r " 13125 SW Hall 13Ivd Tisard 1
;, . .. Phone: 503.639.4171ax! 50
F ' 3.598.1960
I/III 0 ... p .k lan Revi
DaterBy: Othr Permit 7
TIGARD:
Inspection Line: 503.639 4175
JUL 1 1 2000 ,,, at Ready/ar —,t? inforniatfon El See Pager, ,Z for
SUPPletreteeterrai Notified/Method:
Internet: www.tigard-or .zov — .
• • i . - - lr:: -:w:i,•: :T,7•:.:.•:;:: • -:' :
tt.., .; . ,i:tioq:ii■pr,r . i mpirrekriA1 ; 11: 1 ij t1,1
,, ,i J.J,!:,, . . ,..„ , • . . I 4 l• 14 , ' , it - tt ' ' 7 . ' • '' " •
••' N i' " '' ' .'. ' •''''' - ' 4' ''' ..' " h: . ' .. .. i ' ' '-'1 ' ' -.' ' ' m. '• • . '• Pleaae check all that apply (submit 2 et..i of plans w/item Thecked below):
El New construction IN Addition/altSMDINSnDIVISI It 0 Service or feeder 400 aMpS or more 1=1 Building Ovezr three stories.
ODemolitiOn 0 n b where the available fault current Q Marinas and iboatyards.
tp,
V ity"*. ': l'o i•111 '''''''Ir"'' ''''1!IRi.;`,1'1'
TT • ...;, :!: ,•.:';,,:,,:•," ::•).::!.j:',•: •::.0l,14;3 ',,,,' i..■ li-1 I ,j ■ :i ' ,, ;; - 4.::jqii :41i g6 jj '' . • '1 ' , exceeds 10,000 amps at I 50 vol t5 OT 0 Flottn5 builidings.
1e39 to ground, or exceeds 14,000 0Commelcial-ku5t agricultural
0 1- and 2-family dwelling Convnercial/industrial E Accessory building amps for all other installations. 7oildings.
Ell Multi-furrlilY 1:1 Master builder 1:1 Other El Fire putnp. 0 Installation egt 75 FVA or
,, .,,, — 0 Etmergericy system. larger separaskely derived system,
, , , 7 -I mon „1 . 7: ,.,,i
' ''., . ,.. ; ' •.,.., ':: ' 1 '.:7' 6 . 'r 4• t) 0.4) 1.,' .4 1, !r ; itlfjii , :101,,i 0 Addition of sew motor load of
. looaP or more. occupancy.
Job no.: 10%094 11,7) Job site address: q onict so.) Hall, o six or more residential units. 0 Recreational vehicle parks.
0 Healt1;-eacc facilities. 0 suppty voltaue foi more than
City/State/ZIP: ---- OR- _._
— 0 HAyardous locations. 600 volts nornoinA
-
—■
Serice ot feeder 600 amps
Suite/bldg./apt, no.: — Project name: ,PT t&- S - 0 mAiwr„ v ormore. „ . ... .
'T; E TI" , ' ,P.T.T.::; 1 ;.: 7 ,' . ,4; { i ' . . . ' •
— IL —
Cross street/directions to job site: Description IIEM P2 e. I Total L -
_
- - New resideottal single- or muiti dwelling ainit,
Includes attached garage.
1,000 sq. ft or less 145.15 4
Subdivision: Lot no.: —
' ' Ea. add'l 500 KI7 ft. or portion 33.40 . 1
Tax map/parcel no.:• Limited energy, residential
75.00 i IIII
It i"x•Iiirli •INili .
:, A:G.4 ,.-s1 littaqa ii Pra't t 0 ". At : ' . : ' ' ' r i : : . : ' . ' ' " ' . A Limited energy, multi-family
II
1E11
6 • igiAinsj__ _„ residential (with above 5.. R.
" Services or feeders instOlation, alteration and/or relocation
200 amps or less 80.30 2
i• 201
' I" ' ''. ;•`:::EV ,:', AMER PIO! '.". ' MVS -1 ' • • rig , j amps to 400 amps
kii100 " in 072 '` W41551 .. 106.85
III
--,. 401 amps to 600 amps
— — .
Name: 601 amps to 1,000 amps 240.60 III
__....
LI
Address: - 1,000 amps or volts
, ' —
..
Temporary services or feeders installation, alteration, and/or
City/State/ZIP: relocation . • .
—
Phone ( ) Fax: ( ) 200 amps or less . ME 66.85 • III
4 - II. '
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps ,100 30
. 11 . intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701, 401 amps to 599 amps 133.75
Branch circuits - new, alteration, or ext. : panel
Owner signature: Date: A. Fee for branch circuits with
--7.; P : :(14 1 1 7 111 BS T: 1 73t Inti ll11 ;1 i above service or feeder fee,
. ::: ''' ' .' ' :' :::.:;::.: ■ . 1 ,. rid :., ...'. ■%''' 1 ' 'i !;i.'" H . !'' " ' ' ■ . " , ' '4} .k . 0 - I , • •ttirtt : ,t • 1 6.65 2
• :. vetch branch circuit
Business name: pl,i nale&Yl.. C_ , J El. Fee for branch circuits
-- without service or feeder fee, 48.35 2
Co name: DA 5 ,____ _ first branch circuit
Each add'l circuit .
66 -
— -- si
Address: 6 ws- 53, jAtooLA-v-io _
_. Misccilaritious (s or feeder tint included
City/State/r cl_ c'112:-'21 Each manufactured or modular
90,90 II
dwelling, service and/or feeder
hOne- (603 )2240- Go I Fax: : 6 ) .4.q.m, .... 62 ,,
Reconnect only _
66,85
IN
-
E ail: . +4 iso, ..., A.,r -t 0 • d &A ... Pump or irrigation circle
5340
;:' : : i.4■V.' r. .; ' •a3'41i1•Z/r/1/ }1 ,d 11 4 . 211CLINei: ? -CiligA i ll/ l i/ ; ///1 41/1151111r 1 Sign or outline lighttg 53 40
Business name:
.1i
7 I III— . Signal circuit(s) or limited
er -
engy panel, alteration, or
dress:
extension. Describe: II .
1 Page 2 - 75 ' 2
y/State/ZIP:
Each additional inspection over allow ble in any °lithe above
2
— — Per Inspection 62.50
Phone ( ) ji 0
Fax ( ) —
investigation per hour (1 hr nu) 62.50
CC 13 Lic.: 2 "ic., Electrical Lic.. 6, ha e- 3 Suprv. Lie.: , 41 t
gl — Industrial plant per hour 73.75
ZTIMIEDig cici
Print narne:
iTagotoltetwo..grox • •
Suprv. Elect4an signature, required: ......,,,a 741 Subtotal: 5.
12 .__.._....
\ce t4- 1 c
Date: 't i 1 Cc. —„,_.. Plan review (25 of pe
Authorized signal rrnk fee)L
State surcharge (12% of permit fee):
_.„_.,
ure: 7 20_,..
TOTAL PERMIT PEE:
/
Print name: e,0 r7" - Date: 71 1 t 0 • — `1his permit application expires If a permit is not obtained within 550
days after It has been accepted at complete.
* Number of inspections allowed yet pemit,
1:',Puilding\Permi!s \ELC-FermitApp doe 05/23/06 440-461011 I /01/COmiwE5
• .
CITY OF TIGARD
BUILDING DIVISION
AO— PERMIT #: FLR2008-00200
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/11/2008
Phone: (503) 639-4171 kopsimpl I li
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
8/12/2008 7:00AM 24
• SITE ADDRESS: CLASS OF WORK:
09009 SW HALL BLVD 200
SUBDIVISION: LOT #: TYPE OF USE:
WASHINGTON CIRCLE PLAZA
PROJECT NAME: MAC FURNITURE GALLERY
DESCRIPTION: ,
Installing (1) low voltage data system.
OWNER: PHONE # : ( 206)506,7738
MACY'S NORTHWEST,
CONTRACTOR: DYNALECTRIC PHONE #: 503-226-6771
Inspection Request Scheduled For: Date: 8/1212008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low vol age 074060-01 503-51R-5691 N
COrnons/Com nstructions:
\ \ I
\\\ C\
• \\\_,
■,..)\,, V \
y N...../ \
PASS I I PARTIAL APPROVAL I I CANCEL fl NO ACCESS
I i FAIL [ CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: 3'' 0 q?) (....e Date: 't ISA Phone #: (503) 718- 1-Y4
CITY OF TIGARD
. ,.
BUILDING DIVISION
A PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DA ELR2008-00200
TE ISSUED: 7/11/2008
Phone: (503) 639-4171 4001141111111
Inspection Requests (24 Hrs.): (503) 639-4175 014 ''......
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
8/412008 7:03AM 28
SITE ADDRESS: CLASS OF WORK:
09009 SW HALL BLVD 200
SUBDIVISION: LOT #: TYPE OF USE:
WASHINGTON CIRCLE PLAZA
PROJECT NAME: MACY'S FURNITURE GALLERY
DESCRIPTION: Installing (1) low voltage deka sytem.
OWNER: MACY'S NORTHWEST, PHONE # :
#. (206)506-7738
CONTRACTOR: DYNALECTR1C PHONE #: 503-216-6771
Inspection Request Scheduled For: Date: 8/4/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
/
503.519-5691
135 Low voltage 073647-01 - Y
Corrections/Comments/Instructions: TOM ./ 1 11N- 02.4
3 4 2- ft-0 IS& tco 0410 **1 0 •
ri PASS PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
0 FAIL 111 ALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: G Ni3G1.- Date: 1 ' (S Phone #: (503) 718- pi
, .