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Permit TIGARD CIT"� OF TIG w ELECTRICAL PERMIT " \4 - a V H K PERMIT #: ELC2007 - 00001 COMMUNITY DEVELOPMENT DATE ISSUED: 1/2/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S126C0 - 01403 SITE ADDRESS: 09300 SW WASHINGTON SQUARE RD ZONING: C -G SUBDIVISION: LOT : JURISDICTION: TIG Project Description: Macy's - (13) branch circuits for stockroom remodel. Job No. 53756 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: 12 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: FEDERATED DEPARTMENT STORES STONER ELECTRIC ATTN: RANDY MCGREAL 1904 SE OCHOCO STREET 3RD AND PINE STREET MILWAUKIE, OR 97222 SEATTLE, WA 98111 Phone: 206 - 506 -7207 Contact #: FAX 503 - 659 -2824 PRI 503 - 462 -6500 FEES Description Date Amount Reg #: ELE 26 -122C [ELPRMT] ELC Permit 1/2/2007 $126.65 L[C 44823 [TAX] 8% State Surcharge 1/2/2007 $10.13 SUP 34965 Total $136.78 REQUIRED ITEMS AND REPORTS This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All wo ill be don- •• accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is sus ended for more tha 180 days. ATTENTION: Oregon law requites you to follow rules adopted by the Oregon Utility Notification Center. T se rules are set forth '' OAR :5 :01 -0010 through OAR 952 -001 -0100. You may obtain co•' - of th-se rules or direct questions to OUNC at 5 .246.6699 •r 1 800. Is ed By: �, l ` f� �L / J ; ;` � Permittee Si s nature: / , �� ;� ���/ - -- / OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: _TRACTOR INSTALLATION ONLY NI ■ SIGNATURE OF SUPR. ELE N: I, ..... / 10"------ DATE: A LICENSE NO: N ? 944, ✓ Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. /2007 14:27 FAX Q001 ' ectceitA lication roR (n l sic 0. 1.) try of Tigard 9r1 2°� 0 r � G,17 ;° ,� PermitNo..f , ? —d t1 / 13125 SW Hall Blvd., Tigard, OR — Plan Review Phone: 503.639.4171 Fax: 503.598.1960 I m 6 ) O 0 ' `$"' / ) I ' ` Date/13 • Sher Putt Inspection Line: 503.639.4175 J Iv L � L !_ ]�, - D R�dY� El See Pegs 2for Internet www.ci.tigard.or.us �c 4 Notified/Method Supplemental Information U C Y Li., i •..r.,. -� ;1 VIM .t? IY.P1 r, !ON PLAN REVIEW ❑ New construction JEI Addition / alteration /replacement Please check all that apply: 0 Service over 225 amps, comm'I ❑Hazardous location ❑ Demolition ❑ Other. 0 Service over 320 amps -rating ❑ Buildng over 10,000 sq. ft, CATF2ORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential ❑ 1- and 2- family dwelling + Commercial/industrial ❑ Accessory building °System over 600 volts nominal units in one structure ['Building over three stories ❑Feeders, 400 amps or more ❑ Multi- family 0 Master builder 0 Other. ['Occupant load over 99 persons ['Manufactured structures or .108 SITE INFORMATION AND LOCATION ` ❑Egress/Iighting Plan RV park Job no. 31 Job site address: f3D0 j J �AS Si. d - ['Health -care facility ❑OtheE L I 9 Submit/. sets of plans with any of the above. City/ State/ZIP: The above are not applicable to temporary construction service. Suite /bldgJapt no.: Project name; /it/ �/kp PEE' SCHEDULE a T 6 I CM' I 1 1 .. Cross street/directions to job site: New residential single- or multi- family dwelling unit. / Includes attached garage. /6 1,000 rig_ ft. orless 145.15 4 Subdivision: I Lot no.: Ea. add'l 500 sq. B. or portion 33.40 1 Limited energy, residential 75.00 2 Tax map/parcel no.: Limited energy, non - residential 75.00 2 DESCRIPTION OF WORK Each manufactured or modular �! dwelling, service and/or feeder 90.90 2 ��/4e� �",e J �� ( ��0/4, lari1/Z— _ Services or feeders installation, alteration, and /or relocation 200 amps or less 80.30 2 ❑ PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 Name: 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City/State/ZIP: Temporary services or feeders installation, alteration, and/or relocation Phone: ( ) Fax: ( ) 200 amps or less 66.85 1 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 600 amps 133.75 2 Owner signature:, Date: Branch circuits- new, alteration, or extension, per panel 0 APPLICANT I ❑ CONTACT PERSON a Fee for branch circuits with service or feeder fee, each 6.65 2 Business name: branch circuit B. Fee for branch circuits Contact name: without service or feeder fee, 4 .g 2 first branch circuit / 46.85 `Yfo fa Address: _ add'l branch circuit . / 2, 6 . 6 5 -79.60 2 City/ State/ZIP: Miscellaneous (service or feeder not included) Pump or irrigation circle 53.40 2 Phone: ( ) Fax: ( ) Sign or outline lighting 53.40 2 E -mail: Signal circuits) or limited - CONTRACTOR energy panel, alteration, or extension. Describe: Page 2 2 Business name: STONER ELECTRIC Address: 1904 SE OCHOCO Each additional inspection over allowable in any of the above �� Per inspection 62.50 City/State /ZIP: MILWAUKIE, OR 7'�� / Investigation per hour (1 hr min) 62.50 Phone: (503) 462 - 6500 Fax: (503) 659 - 4968 Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES* CCB Lie.: 44823 I Electrical Lic.: 26 -122C I Suprv. Lie.: 3496 subtotal /xi, , Suprv. Electrician signature, required: /rl du jJ,`.,■ Plan review (25% of permit fee) 7" Print name: MICHAEL FALCONER I /A /D? State eurcharge(8 %of permit fee) Jd, /3 Date: � `l TOTAL PERMIT FEE /3( • 7e, Authorized signature: This permit application expires if a permit Is not obtained within 180 days after It Inn been accepted as complete Print name: I Date: * Fee methodology set by Tel -Canty Building Industry Service Board ea Number of inspections per permit allowed. ,41dlding itoVI1.C- PoanttApp.doe 12/03 440.4615T(10102/COM/WEn CITY OF TIGARD BUILDING DIVISION PERMIT #: F_LC2007- 0000' 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/2/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 3/2/2007 TIME: 7 :00AM PAGE: i7 SITE ADDRESS: 09300 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: MACY'S , DESCRIPTION: Mac 's - (13) branch circuits for stoclaroom remodel. Job No. 53756 OWNER: FEDERATED DEPARTMENT STORES, PHONE #: 205.506 - 7207 CONTRACTOR: STONER ELECTRIC PHONE #: 503 - 462 -6500 i • Inspection Request Scheduled For: Date: 3/2/2007 Pour Time: Code # Inspection Description Confir Contact # Message 199 Electrical final (10425 503 032 613 N Corrections /Comments / Instructions: 1,00- • \Di SPAS 0 PARTIAL APPROVAL. ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: � 1v 118 L- Date: 1 4- 6J Phone #: (503) 718-1-414/0 CITY OF TIGARD ; - BUILDING DIVISION PERMIT #: ELC2007 00001 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/2/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 1/12/2007 TIME: 7 :04AM PAGE: 4 SITE ADDRESS: 09300 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: MACY'S DESCRIPTION: Macy's - (13) branch circuits For stockroom remodel. Job No. 53756 OWNER: FEDERATED DEPARTMENT STORES, PHONE #: 206 - 506 -7207 CONTRACTOR: STONER ELECTRIC PHONE #: 503 - 462 - 6500 Inspection Request Scheduled For: Date: 1/1212007 Pour Time: Code # Inspection Description Confirm # Contact # Message 19, it : 042106 -01 503. 43.2-6822 N Corrections /Comments Instructions: a. d� cJJ rw e L - 1 7 E - 6 3 0t Ala ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G- AR•0. N O v L Date: i 0 Phone #: (503) 718- VIA.