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Permit
'+ CITY O F TIGARD ELECTRICAL PERMIT iiil ° PERMIT #: ELC2007 -00192 . . COMMUNITY DEVELOPMENT DATE ISSUED: 3/29/2007 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: MACY'S Project Description: Demo out existing 120 volt receptacles and modify (1) lighting circuit. Job No. 710209 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: 1 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: MAY DEPT STORES COMPANY, THE HUGHES ELECTRICAL CONTRACTORS ATTN: PROPERTY TAX DEPT 9640 SW SUNSHINE CT STE 600 611 OLIVE STREET BEAVERTON, OR 97005 -4689 ST LOUIS, MO 63101 Phone: Contact #: FAX 503 - 626 -3377 PRI 503 - 626 -3344 FEES Description Date Amount Reg #: ELE 34 - 281C [ELPRMT] ELC Permit 3/29/2007 $53.50 LIC 49850 [TAX] 8% State Surcharge 3/29/2007 $4.28 SUP 40255 Total $57,78 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 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 tha :0 days. • - NTION: c - con requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 95 - 001 -0010 through c • - • 2 -00 -',100 You may obtain copies of these rules or direct questio at 503.246.6699 or 1.800.332.2344. e ` Issued : y: � P /l/Adaisiiti ' Permittee Sign ture: %. `4 JI OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or r- . OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: �� / d ' .L � _ / I 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. Electri aL ermit Application FOR OFFICE USE ONLY AF City of Tigard Date/By. QtJ • 13125 SW Hall Blvd., Tigard, OR 97223 Received Plan Review O III U Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Permit No.:IL/ ' ee /90 a-- Other Pettmr Inspection Line: 503.639.4175 Date Ready/By: Jung ® See Page 2 for T I G A R D Internet: www.tigard- or.gov Notified/Method: !� Supplemental Information ;*v.gt:v;L.),'--..',r-i:,i,ig,,sip;?...!_Ar;::;:, ,IWIRITOVOIM-1*- WAk,-..q*Plik0:Ei.t.:_-L*t-,.. Addition/alteration/re ry Please check all that apply (submit a sets of plans wlnems checked below): ❑ New construction ® P lacement ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. w +,, :N�•.�i 2..37: " ,� exceeds 10,000 amps at 150 volts or ❑ Floating buildings. > .c • ' 'A ti µ r r , ei-a UaI2� , , 60 ? `i . = r 10,0 ? , mot'• less to grotmd, or exceeds 14,000 ❑ Commercial-use agricultural ❑ 1- and 2- family dwelling El Commercial/industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or u . �; . T -. _ _ .•.- ❑ Emergency system larger separately derived system. i- -, t. jO : .'�qFQ M T10l�a;n,D f + n e 1` 'ON�`r .-° " _ t i r " ' ,` " ❑ Addition of new motor load of ❑ "A ", •`E", "1 -2 ", "1.3" '?ST k �.J;�;z ryuyt Cz3,%:. i -w�,: nes�;a �. � •st�c_, ' +: I OOFIp or more. occupancy. Job no.: 710209 Job site address: 9E00 r l s;wre 1 a1 0 Six or more residential units ❑ Recreational vehicle parks. ❑ Health-care facilities. ❑ Supply voltage for more than City/ State/ZIP: Tig3xd, 97223 ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt no.: Project name: yt 8 bik Square Mall ❑ Service or feeder 600 amps or more. Cross street/directions to job site: Description I Qty. I Fee. I Total I • New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4 Ea. add'I 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential 75.00 2 ," .,` ,::... — r ;a; r::, o ' , ) h't $T:t�" . -. .. .,_ _''' ; �' tpESCRiPT. , ,, • .aF, q a- <.,.,!. i i r x_ w r .:.:. kstiY; ` ' (with above sq. •i ... ' �'� . ' '` ' � , �" �''- ' -' - � � Limited energy, multi - family 75.00 2 D3ro at existing 120volt rtnrFr71 -1aG_ M-r ify me lighting circa it. residential (with above sq. ft.) Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 rz sec r r r- x"I`�i"`'c,r. -' 'V, / 4, _ ,� .4 y y t � ;; T3 11 ` ,C?� � = ; raikk ' :' . ► T' f ' 201 amps to 400 amps 106.85 2 .. U4 �..i•��:;: * c r. ,,a+> 1T.`., E* r!!'t ._n� .. , ...r . .5 a� a. 401 amps to 600 amps 160.60 2 Name: 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 Temporary services or feeders installation, alteration, and /or City/ State/ZIP: relocation Phone: ( ) Fax: ( ) 200 amps or less 66.85 1 201 amps to 400 amps 100.30 2 Owner installation: This installation is being made on property that I own which is not 401 amps to 599 amps 133.75 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. Branch circuits — new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with h + 'y:'i�� i�'� }!Y °f "``V' " `'�""�"'' n''`" abo service or feeder fee, 6.65 2 a^ j 1 � y - : ,r'$';a:3 T; a �: �1111Tr)rTI;Itgi 0 Q Jr ° c= i(� " "t' a ',.a! 4 a�,•� ©' "r . ti / .r ,w,. al i.: .i,r�• ".;Y �4c - n :c )�,. �;'ca „ =- �': -_s • *Y. _ - `>T^ '�� each branch circuit Business name: B. Fee for branch circuits without service or feeder fee, 1 46.85 46.85 2 Contact name: first branch circuit Each add'I branch circuit 1 6.65 6_65 2 Address: 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 t p-� ,'� ;:,.Y -' "r w .;- Si or outline li htin 53.40 2 < ; ° 1. sl,..,'G *47 61.13 -.t :'•.e s,q.;: 4. ._ r }. "j ^_ P� g g �' � Signal circuit(s) or limited - Business name: Hughes Electrical Contractors, Inc. energy panel, alteration, or Address: 9640 SW Sunshine Court, Suite 600 . extension. Describe: Page 2 2 City/State/ZIP: Beaverton, OR 97005 Each additional inspection over allowable in an of the above Per inspection 62.50 Phone: (503) 626 -3344 p Fax: (503) 626 -3377 Investigation per hour (I hr min) 62.50 CCB Lic.: 49850 \ &\ 0 ` Electrical Lic.: 34 -281C Suprv. Lic.: #45069 Industrial plant per hour 73.75 n Suprv. Electrician signature, required: . ki Subtotal: 53_50 Plan review (25% of permit fee): 0_0n Print name: Carl D. Delgado D te: 03/29/2007 State surcharge (8% of permit fee): 4.28 Authorized signature:. �K / 6D � / TOTAL PERMIT FEE: 57,78 (/ This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. • Number of inspections allowed per permit. I:\ Buildineermits \ELC-PennitApp.doc 05/23/06 440- 4615T(I I/OS /COM/WEB • CITY OF TIGARD . - . . BUILDING DIVISION PERMIT #: ELC2007 -00192 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/29/2007 Phone: (503) 639 -4171 A J i I Inspection Requests (24 Hrs.): (503) 639 -4175 �- I INSPECTION WORKSHEET FOR DATE: 4/10/2007 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: Demo out existing 120 volt receptacles and modify (1) lighting circuit. Job No. 710209 OWNER: MAY DEPT STORES COMPANY, THE, PHONE #: CONTRACTOR: HUGHES ELECTRICAL CONTRACTORS PHONE #: 503-6263344 Inspection Request Scheduled For: Date: 4/10/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical 046257 -01 503-816-8049 N Corrections/Comments/Instructions: 4 ,ss--- ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: be LE Date: 1"', `1 1 di Phone #: (503) 718 - 444