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Permit • CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT • ° COMMUNITY DEVELOPMENT PERMIT #: ELR2008 -00196 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/8/2008 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 protective signal system. A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPEIIRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA /TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: X INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: 1 Owner: Contractor: MACY'S NORTHWEST ADT SECURITY SERVICES, INC 7 W SEVENTH ST. 2815 SW 153RD DR C/O TOM HOWARD BEAVERTON, OR 97006 CINCINNATI, OH 45202 Phone: (206)506 -7738 Contact #: PRI 503- 469 -7212 FAX 503- 469 -7114 Reg #: ELE 26- 209CLE FEES LIC 59944 Description Date Amount SUP LEA389 [ELPRMT] ELR Permit 7/8/2008 $75.00 [TAX] 12% State Surch 7/8/2008 $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: mittee Signature: i`` /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: 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. Jul 03 08 01:OOp Stephanie Pate 503 -469 p.1 `; 1., Electrical al Permit A lication 9 :' ' City of Tigard EC 6 • _ ? r 1312.5 SW Ilan Blvd, Tigard. OR 97223 EriVE d zap. - 1`aroae No,: �Z i2 G y g �! o � Moo Review - � Line: 503 ,417503.598.1960 Jul_ 0 82008 Other > ;� t4 /, l 1 w w zi d- oCgevv '' Sit Soo Pic for TX1'�OFW� ° + . . L ` e _ 51 4facmado. Ebr New , . -. ark! PLAN 1 YiEW ew com motioO ..: .. ... -i` •�i. .i .�. _-- ..- .�..�� .. Demolition Flew U f� ( nit 2 seas of plans W /14-m5 Checked bekNe): ❑ 0 Other thole( 400 f or mode 0 Budding cm: three auoaw. wham boirewlahle nab Wfreat ❑ tit ktg's' and CATEGORY . 011z CONSTRVCFION . V moods WOO awl at ISO volts or C0 Firming bu7d . Cl 1 - and 2.1aaiaily dwelling Q Acoc ofd+ buiI feu m geed, or owe k 14,000 ❑ Com,o�iat.� agricultural O rum -1 f 0 o i Ci m"- our building. 0 Neatest builds D tnoblteemi or ss Kvw err l site address.: JOB STIR IIYI 1NA7f 0At AND LOCATION ❑ Frree tx-•r air derived sysecm. Job se.: zl3 - z y ° 301? rosS Addalrp of acw motor load of © ° A E , "1-2"," t_3« 00 9.51 Al., � / �`3/vo 0S wee relidaseirl ,w o Rconsienet vehicle City/Stnze/ZIP- TIGARD OR ! - 7 ' - 9 .3 Clsaalth.crra faunTitiri 0 Sep* voliage Mr mom man g�trlbldgl 0 f aotet lee:ai s. boa volts nouooal. Project name: , t/ y j _ ! Se�vicaa Ui r edor 600 sow ar morn. Cross sbneddireotions to job site: ! FEE SC1l D�p118 J r _ New r><c.tieal r , 0' 1 p f. r . New r e gestRi or i sotii -4m►ty dwelling amt. Subdivision: �� Lot no.: 1.00014 Cr It�t 195.15 14 T el ep(pmtre•I no. Ea- edd7 500 sq. fk or podia' 3140 1 / , N. it r' r - OF Lemited energy. residential .11 (wall *ova Via,) ,) 75.00 2 / di . 1 rii / woe Limited energy,. tnuMuutm i I�ty 75 04 2 - ie l . tir;iia alio* , Services o r f e e d e r s tau t lalienation, sad/or reiocntton t] ?lIO RTY OVI+P�t ` 200 amps or icss IAIII 8030 201 an: Pa to 400 rouges Mill 106 -85 ME 2 Name: 401 mops to 600 mama 160.64 NM 2 Addr 401 amps to 1,000 amps - 240.50 ME= �' Over 1.000 s or volts MI 454.65 MIMEO 1 empornr ...Tom or feeders instalLitian e d for Phen C: ( ) - relocation ' Fax ( ) 200 tams °rtes 66.215 i Cromer installation: This installation is being made on qty that 1 own wI cti is not 2°I to 400 amps 10034 2 inrexsdr iJ for Sale. /ease. Nut, or exchange, actording to ORS 447, 449.570, and 701. 401 =Ps to 599 a ws 133.75 Owner sigoatnre: 2 D om: 0 rssiele armies- new abinete .. - or aaeaton, , r ■ =V A Fee for br ec r fir ceder u!M 4 bPtT ilc 1` aP1�pPr ahwasraaiced]f cdeo ice, Business amntc - Fee branch trit 6 Mill } B. Fee without branch servic e�euC e or feeder let C ME= . Contact pct name: A-1 ' f 1j Q�-US � without mrio Srst Womb cinoit • . Facd ran booth arii 6.65 .11111E11 City/Slater P: - M1NCdnse9tee service or feeder not included Bach a vice and/or dr mo r dula 1111 Pbo (5b3 > , - 7z/ Pax: - d a fictur or: feeder 90.90 �. Fi- arat7: _ . ) llaaoruwrxa>z!r 66,85 © Pmulf • or irritation circle MI 53.40 • Sign crucial= ligtaing I 53.40 2 BtxsSt a name: AD f' SFCU1tY7`Y Signal tiro t(s) or limited- - -- energy Addtrss: 2815 SW 133 DR_ P alteration. or cx siwe. Do nie= Page 2 75.00 2 City/State/ZIP: DRAVERTON OR 97806 - Each nddttiomd I- . . aver allowable * oldie above Phan= (593) 410 -7212 Fmc: (503) 469 -7114 ;" .. 62.50 - CC8 Lit.: s t4 Inw�ti on per hour (t >a min) 62.30 Lie.: 262090 LE Suprv. l lc.: 1. 4389 lal *ea per boor _ 73.75 Stipp Electrician s tare, raft »1CRICAL F taut FE3y5 •� Subtotal_ 75.00 Printwoo: KEN1CRAUS Date ? d( - IPFaorevieww((25%of permit fee: Authorized II :. , State Sombreros (12% of permit see): 4.00 ��� =o4 J _ TOTAL PEWIT FEE: 84.00 Theis permit applir� ins expires ifo permit a net ebtai.ed wiebin rso Print name: KEN 1CRAU5 Date: th i. 99-A.006 • N i p after it twos beta ord or nme,iete. ++aa6tsrir e o gg doom alln�stat Kr P ;t 6 C. / , j CITY OF TIGARD . BUILDING DIVISION PERMIT #: Fl R20013 OtlIS6 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/8/2008 Phone: (503) 639 4171 /o�oir� 0 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8/1217008 TIME: 7 :00AhII PAGE: SITE ADDRESS: 09009 SW HALL BLVD 200 CLASS OF WORK: SUBDIVISION: WASHINGTON CIRCLE PLAZA LOT #: TYPE OF USE: PROJECT NAME: MACV'S FURNITURE GALLERY DESCRIPTION: Installing (1) low voltage protective signal system. OWNER: MACY'S NORTHWEST, PHONE #: (206)506 -7738 CONTRACTOR: AD' SECURITY SERVICES, INC PHONE #: 503 -469 -7212 Inspection Request Scheduled For: Date: 8112n008 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 Low voltage 074060-07 503.513.5601 N 0 Corrections/Comments/Instructions: ons /Comm /Instructions: \ - l\ \\:. AA I V PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ F I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: e 4 W 6 V Date: • 12 A Phone #: (503) 718 -1tt