Permit CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2007 - 00033
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/5/2007
PARCEL: 1 S 126C0 -01403
SITE ADDRESS: 09300 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: MACY'S Security low voltage.
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: X
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
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 Reg #: ELE 26 -122C
LIC 44823
Description Date Amount SUP 3496S
[ELPRMT] ELR Permit 2/5/2007 $75.00
[TAX] 8% State Surcha 2/5/2007 $6.00 REQUIRED ITEMS AND REPORTS
Total $81.00
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: 1C..Cua[ e dulat Permittee Signature: �-Y7 �• C� ,�p/ji�,,
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.
02/05/2007 12:46 FAX 5036592824 STONER ELECTRIC lib 002
Ele�triical Permit A . ` roe. OFFICE 1SF ONLY
a
City of Tigard ,.. _ : _ / •
13125 SW Hall Blvd, Tigard, OR 9727) r ' :, - Plan tteYiccr oiler Permit:
Phone: 503.639. Fax 503.598.1960 I 73 0 t) - . u l' i j ' O a r pans: S« Kaye 2 for
bnmpoctinn Line: 503.639.4175 s , 1 4. ., Date Ready/By: g� far
I i it j- 1 y � NaSijiCdlMdbOd:
IntntteL www.citigar�or_us [� - .
PLAN REVIEW
l Please cheek all that apply:
❑ Ncw conghtraion A hon/eltesaliodteplaccmen ❑Service ova 225 amps, comm•I ❑Hazardous location
❑ Demolition ❑ Other - ❑Service over 320 taaps - mica ❑Buildog over 10,000 sq IL,
CATEGORY OF CONSTRUICTION of 1- and 2- family dwellings 4 or more new residential
❑ S y stem ova 600 votes nominal units in one structure
COmrttetoitrl/mdttshisl ❑ Ar ty building ❑Fccdets, 40o pips or more
El 1 -and 2-family ddwelling ❑ BuildiAg ova tbrcc stories
❑ Multi- family ❑ Master builder ❑ Other ❑Occupant load ova 99 pavans ❑M RV park
struaures or
JOB stTE' It OBMAT;ON°'Al'®.:•I10Ci ❑Fn�ng park LL ❑ll ahfranc facility Cloth=
Job no.: y D too s
J0b site address (boo 50 lv Submit a ads of plans with any of the above.
i 'Ibe above are applicable to temporary evmttueivn s arvicc.
City/State/ZIP: , c ,�u d , O 4 7 a3 FEE* SCIMMU .E.
I ..
�- r.. ��
StatelbldgJag� no.: �j� �� A& eG� S
o New residential Angle- or mdd -fam 7 dwe/Emg unit. Crow sbred/directioas to job sitY< Includes adlached mange.
1,000 t4 JL or less 145.15 4
Subdit+igio>L l Lot no En. midi 500 sq. 0: or portion 33.40 1
Linsited , resi 75.00 2
Tax n piparvel nor: United energy, nontosiden ial _ 15.00 1 2
' E d or modular
70F Tip* , •
C • . �., • dwe0as►paaViman 90.90
d/or feeds z
C A � 1.4.---- Ser ices or feeders altendio , and/or r loetivn -
200 Blips or less 5030 2
201 amps to 400 smpa 106.85 2
Q RO1*TlF'OVYNER . I ❑ 401 ampsto 600 amps 160.60 2
Name - 601 amps to 1.000 amps 240.60 2 -
Over 1,000 Q "11$ 454.65 2 •
Address: .., Reconnect only 6625 2
City/Stab:OP: Temporary serriees caftan. impfir '.amd/Or
eel ea6en
Phone: ( ) l Fax ( ) 200 arms or Ica 1
Owner This installation isbeing made on peop@tY tali own which is not 201 ampsto400 amps 10030 2
intended for sale, le sse, rent, or eon ge, according to ORS 447, 449, 670, and 701. 401 ampler 600 amps 133.75 2
Date: mch
D dradis —new, rio lt. or extension. Per Med
Owner signature: - n S- A Fee For Bch eIIr>�s +oW+
..:':4:S,41 - ic i 1 ` ' D r i service or feeder fee, earls • 6 • 2
b�chcirtvh -
B15iit Dames
13. Fee for ban& circus
Contact name: without service or feeder fee, 46.85 2
each branch rimed.
Addrte sK Eachadd•I branch circuit 6.65 2
Mneepmeom (service or feeder not Included) City/State/ZIP: 53.40 , 2
Pump or irrigation circle 2
Phone: ( ) Fax : ( ) Sign or online lighting
53.40
E - maiL Signal circuit(s) or limited -
OONTRACfOR _ energy panel, a r 75.00 /15: 0 2
Busing OS
c mc: STD N EGTR i C 1
Each additional fists over allowa in any attic above _
Address: i 9c) 4 S 0 c k o 0.0 Per fiction 62.50 _
City/StaterDP: Iv , th/4u I< 1 e p , O F 9 72 2 2 _
Investigation per how (l hr min) 62-50
al plant per hour 73.75
Phone (S63 4(. CoS
Z- no I Fax (503) to 4-9& ' �-� 8 ELECriticAL PERMIT FEES' - CCB Lic.: 440,e3 Electrical Lic.:2 , -J 2 2 c. I Suprv. Lic.: 349(.0S _ subtotal 36".. V
Suprv. Electrician signature, rcquired: PfLee4a.47 Plan review (25% of permit fee) /
F4 State surcharge (S% of Permit fee) , - Oa
Print name: M I K8 rA Leo N e R I hate: 0 45 /0 2 TOTAL PERMIT FEE TG... �- B p
Authorized Signature: TAIL permit application cdpIres ire permit is not obtainea within IRO
days atter It l.As been Accepted as complete
Print name: I • Fee mdbodnlogy set by Tn4'vmty Building Indurvy Service Boast
_ ...._.e._.r._._._r._._._ ._....._....
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2007- 00033 i
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/5/2007
Phone: (503) 639 -4171 i� � rt16 i
Inspection Requests (24 Hrs.): (503) 639 -4175 r
INSPECTION WORKSHEET FOR DATE: 3/22/2007 TIME: 7:00AM PAGE: 36
SITE ADDRESS: 09300 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: MACY'S
DESCRIPTION: MACY'S Security low voltage.
OWNER: FEDERATED DEPARTMENT STORES, PHONE #: 206-506.7207
CONTRACTOR: STONER ELECTRIC PHONE #: 503 - 462 - 6500
Inspection Request Scheduled For: Date: 3/22/2007 Pour Time:
Code # Inspection Description firm # Contact # Message
135 Low voltage 045240 -01 503-329-9S21 Y
no\ 1.--. 329 25c )
Corrections /Comments /Instructions:
•
.
) PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: v ' V%' ( ALE • Date: qt 4 i Phone #: (503) 718 - 1 -440