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Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT COMMUNITY DEVELOPMENT PERMIT #: ELR2008 -00140 TIGARD DATE ISSUED: 6/5/2008 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S126CA -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: Installation of (3) limited energy systems for CCTV & security cabling. Job No 66294 A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: • HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: CCTV & SEC X TOTAL # OF SYSTEMS: 3 Owner: Contractor: MACY'S NORTHWEST OREGON ELECTRIC GROUP 7 W SEVENTH ST. 1010 SE 11TH AVE C/O TOM HOWARD PORTLAND, OR 97214 CINCINNATI, OH 45202 Phone: (206)506 -7738 Contact #: FAX 503- 234 -1001 PRI 503- 234 -9900 Reg #: ELE 26 -95C FEES LIC 203 Description Date Amount SUP 4460S [ELPRMT] ELR Permit 6/5/2008 $225.00 [TAX] 12% State Surchar 6/5/2008 $27.00 REQUIRED ITEMS AND REPORTS Total $252.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Spedalty 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 gr�-$6G .3322 344. AI Issued By:L�� \-/� Permittee Signatu j; 11 OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: - LICENSE NO: Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. • ��N °05 - 06 06:21 AM FR OM - Oregon Electric Estimati y 95032313567 T -130 P.002/004 F -569 " iilCi:bl'1lQ t C1'liill tiJ J11114A611i City of Tigard l Received • - Q n G " ` Y Date/13y; S e8 Permit No.; � r/O —rilo / 0 't 13125 SW Hall Blvd., Tigard, OR 97223 11'' ® C 'ZOO$ Plop Review a Phone: 503.639.4171 Fax: 503.598.I9603UN e Date/By: Other Permit: Tit; \ Inspection Line: 503.639A175 c Date Ready/By: Jarss: BI Sec Page 2 for Internet: www.tigard- or.gov `/ r .f I LlT't 4otified/Mcthod: i! / a . Supplemental Information TYPE OF Itgiyi �8 ! ' -'' ; - PL,AN REVIEW ❑ New construction . -, p lease check all that apply P � Addition/alteration/replacement pp y (submit 2 sec of plans *MA ,17, checked below ) ❑ Service or feeder 400 amps or more ❑ Building over three stories. El Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards_ CATEGORY OF CONSTRUCTION exceed:: 10.000 amps at 150 volts or ❑ Floating building,.. less to ground, or exceeds 14.000 ❑ Commereial•uvc a,;ricultunl ❑ 1^ and 2- family dwelling ® Commercial/industrial ❑ Accessory building amps for all other inotallatienis. buildings. ❑ Multi- family ❑ Master builder © Other: ❑ Fire pump. LI Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION O Emergency system. larger separately derived system. ❑ Addition of new motor load of ❑' A' °g ' l �" • l_3" Job no.: 66294 Job site address: 9009 SW Hall Blvd 100HP or more. occupancy. IJSiX or more resietedlial units. CI Recreational vehicle park. City /State/ZIP: Tigard, OR 97223 ❑ Health -care facilities. ['Supply voltage for more thm, 7� ❑Hazardous locations. 600 volts nominal, Suite/bldg. /apt_ no,: ,,(, ') Project name: Macy's CCTV & Security ❑ Service or feeder 600 amps or more. � FEE SCHEDULE Cross street/directions to job site: Dc9eripGUn I Qty. I Fr - I Total ' " New residential single- or multi- family dwelling unit includes attached garage. • Subdivision: Lot no.: 1,000 sq. fl — or less 145.I5 I 4 Ea. add'l 500 sq. ft. or portion 33A0 1 Tax map /parcel no.: Limited energy, residential DESCRIPTION. OF WORK (with above sm. ft.) 75.00 2 Limited energy, multi - family CCTV & Security Cabling _ residential (with above sq. ft.) 75.00 2 Services or feeders installation, alteration, and/or relocation 200 amps or Less 80.30 12 ❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2 Name: 401 amps to 600 amps 1 60.60 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 installation, alteration, and/or relocation Phone: ( ) Fax: ( ) 200 amps or Iess 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 I 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 70L 401 amps to 599 amps 13335 I 1 2 Branch circuits — new, alteration, or extension, per panel Owner Signature: Date: A. Fee for branch circuits with ❑ APPLICANT . ❑ CONTACT PERSON above service or feeder fee, each branch circuit 6.65 2 Business name: B. Fee for l ranch circuits Contact name: L L y f r, 5.35 without service or feeder fee, ��/� first branch circuit 46.85 2 Address: Each add' l branch circuit : 6.65 _ 2 Miscellaneous (service or feeder not included) City/State /ZIP: Each manufactured or modular 90 -90 2 dwelling, service and/or feeder Phone: ( ) Fax: : ( ) Reconnect only _ 66,85 2 E -mail: Pump or irrigation circle 53.40 2 CONTRACTOR Sign or outline lighting • _ 53.40 2 Business name: Oregon Electric Group Signal circuit(s) or limited - energy panel, alteration, or 3 2 2503 Address: 1010 SE 11 Ave extension. Describe: Page 2 . 2 City /Seale /ZIP: Portland, OR 97214 _ Each additional inspection over allowable in any_of the above - - . Per inspection 62.50 __ . ] Phone: (503) 234-9900 Fax: (503) 234 -1001 investigation per hour (1 hr min) 62.50 CCB Lie.: 203 Electrical Lie.: 26 -95C Suprv. Lie.: 481$S Industrial p lant per hour 73.75 __ triaEI PCTRICAL PERMIT FEES Suprv_ Elecccej s' nature, r quired: jii Subtotal: 225.00 Print name:, n Plan review (2591 of permit fee): � � - "'' � . 'rte AFT- 5 r" State surcharge (12°5 of permit fee): 27.00 r Authorized signature: TOTAL. PERMIT 1-t ,: 252.00 Print name: This permit application expires if a permit is not obtained within 180 Date: days after it has been accepted as complete Number of inspections allowed per permit. 1 rBsildnrirrimiti /ELC-Permitnpp.doc 05/03415 440- 44115- RII,O5/COM/WEB CITY. OF TIGARD A . BUILDING DIVISION PERMIT #: ELR2008-00140 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/5/2008 Phone: (503) 639-4171 4/4,,,potht Inspection Requests (24 Hrs.): (503) 639-4175 ,,,-41- 4 _-.. INSPECTION WORKSHEET FOR DATE: 817012008 TIME: 7:02AM PAGE: 25 SITE ADDRESS: 09009 SW HALL BLVD 200 CLASS OF WORK: SUBDIVISION: WASHINGTON CIRCLE PLAZA LOT #: TYPE OF USE: PROJECT NAME: MACY'S FURNITURE GALLERY DESCRIPTION: Installation of (3) limited energy systems for CCTV & security cabling. Job No 66291 OWNER: 1‘,1ACY'S NORTHWEST, PHONE #: (206)506.7738 CONTRACTOR: OREGON ELECTRIC GROUP PHONE #: 503-234-9900 Inspection Request Scheduled For: Date: 8120/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 074374-01 503-793-9535 N --.......... Corrections/Comments/Instructions: N. \ I PASS Ill PARTIAL APPROVAL El CANCEL n NO ACCESS n FAIL 0 CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: G". Nee Le Date: 1101 Phone #: (503) 718- i _ ,