Permit � r
CITY OF TIGARD ELECTRICAL PERMIT
.1 PERMIT #: ELC2007 - 00551
COMMUNITY DEVELOPMENT DATE ISSUED: 8/7/2007
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: Install (1) branch circuit for relocating (3) floor boxes.
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: 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 ACCURATE ELECTRIC
ATTN: RANDY MCGREAL _ 514 NE 112TH AVE.
3RD AND PINE STREET VANCOUVER, WA 98684
SEATTLE, WA 981.11 •
Phone: 206- 506 -7207 Contact #: PRI 360 - 944 -7001
FAX 360- 944 -7013
•
FEES
Description Date Amount Reg #: • ELE 37 - 1029
[ELPRMT] ELC Permit- 8/7/2007 $46.85 LIC 158875
[TAX] 8V0 State Surcharge 8/7/2007 $3.75 SUP 50945
Total $50.60 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 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 -010' You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued B / % / /// Permittee Signature: �1d[ /l
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.
h4g'07 2007 7:55AM ACCURATE ELECTRIC,INC. 360 - 944 -7013 p.1
ellee ctrical Permit Applic>EttiaCE "ED Ro
E ro <-11: r• li_ I. uNu c1
: \ 1_,1
III City ofT><gard _', '' 200 Dat vea g �' C J Permit No.: 1 2 . L • 200-7
q 13125 SW Hall Blvd., Tigard, OR 9722 b' Plan Review
• C Phone: 503.639.4171 Fax: 503.59M �i
i OF TIGARD Da'By Other Permit:
i I c . n R l) Inspection Line: 503.639.4175 Vv �l �t Dale Ready/By: 1 See Page 2 for
�,((;; Nf :; Internet: www.tigatd or.gov E,Ui!��ING DIVISION Narti(feNMaFrak I ® Supplemental Information
li: 1' ,(i l,.rf'76^t• ` It ^cr.+_ E i k. .., J P f ., 3 5 f ! 9 17 ''' '' S Lit t:, :‘,'7:':`11;.:51i .'1 E 5 r; S t �E - i :r: ' � , 'N � I . , ! ,� , 0. ,.�
i
��i` >' i.. t`i�` .lS f,._:. i�i> i? t:: i.. �'..: n ` � a . �' l..E...i4S:_.� r. tC�yf.. � s4R� - 'r :t ' 4 t - ttT.:,n: �..>'+ry� .
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❑ New construction ® Addition/alberadon /replacement
Please Brock all that apply (submit 2 sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Bmfding over three stories.
❑ Demolition El Other:
where the available fi uit current ❑ Marinas and boatyards.
ITt' 1` 10x ` r i 5 ` ' z k ' / N ' t :r sr i ' t exceeds 10,000 at 150 volts or ❑ Floating buildings.
li,V,0S:: -Mr k)� i `., !
°_ ",.::,. :iCt.i1 tlMiu; -.51: ...,. x1 . F i . s? � { , + ' : S ] t Sil ] ?. ` . K r ; ,, �a g i �•
r, ..,E Y .. . ..E. sf Ina to grand to exceeds 14,000 ❑ Commercial•use agricultural
❑ I - and 2-family dwelling ® Commercial/industrial ❑ Accessory building amps ibr all cuter installations. buildings.
❑ Multi-family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ lastallalion of 75 INA or
a Yj , - : r o- n ,u ❑ Eatergeaty system larger separately derived systea
:`•.;lei ki.11`1f3it�r,;:ir e. D y , }sin• s. a` 4 ` ti li); te,., o. � ., y . ?i 0 Addition of new motoT lead of ❑"A" ,. ., -2 ,. „
Job no.: 30406 Job site address: 9300 SW Washhlgto Sq. Dr. 100HP or more' occupancy.
❑ Set or more residential units. ❑ Recreational vehicle parks.
City/State/ZIP: Tigard OR. 97223 ❑ Healthcare facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt no.: Project name: Macy's Coach Bags ❑serv ioeor feeder60 0 amps or more
I ::, .,. k21 :.L Kd1 } 4:...,�ti:' L.,4, !)'.;' ' ..,:4;..1;•18
4;�R 4, ,a j_,1s :n
,
Cross street/directions to job site: SW Blum Hall Blvd nerctintlon Qtr. F„, iota
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft or less 145.15 4
Es. add'l 500 sq. ft or portion 33.40 1
Tax map/parcel no.: Limited clergy residential
F a'!''fj ii1T / E' 4, 4 r (;, ! i .- 1 �ti 2 'v. . . ri A r . T.ie Y. s . ] F ? tr z 1; t t 75.00 2
•`:1 , .kw'! :c.st_�s •.,% -. !41.sr; t..,4- .,rfA.,: zt'. i:. .. q.,, i� 1.i. , u.:. •. , ,1 s t. . . , t :, � , t-. k _ .., n f t e, (with elpve ttq. ft.)
Relocate 3 floor boxes Limited energy. multi - family 75.00 2
residential (with above sq. R)
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
.T' Sri , t]i /1 -4 `Y S Y I f T.: , � r V 1 t l< l ,.,,. l ``Fat ", ',• vF ,f C .t �. . u r ,. . _ i ;; 201 amps to 400 amps 106.85 2
t rt -
: *., u £ s.,. ..t.�� ?73 .. .L,. ,�.� tic. >. .,., .. .f ., t„ t. ..4
Name: 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
City /State/ZlP: 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 599 amps 133.75 2
Branch circuits - new, alteration, or extension, per panel
Owner signature: 1,4 , Date A. Fee for branch circuits with '
r r a 4, S , ,',f s a E i? r: u / a . a , r. S
ii "L x:.,IXtV` 4 - :/., :, i4 .ji : -!: �.:t..2r ..?; ,s ' y ,;i,ii:4;% , A 4 €3 `. •;� . s. r t . r ; ,'. . .;. k' : s *':. ::usrfirl inn . ' ss: : :. above service or feeder fee, 6.65 2
each hunch circuit
Business name: Accurate Electric B. Fee far branch circuits
Contact name: John L. Doran without service or feeder fee, 1 46.85 46 2
first branch circuit
Address: Each add'l branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City/State/Z1P: Each manufactured or modular
• dwelling, service and/or feeder 90.90 2
Phone: ( ) Fax:: ( ) Reconnect only 66.85 2
E - mail: Pump or irrigation circle 53.40 2
fi . F t i . �r ti 4 t „r ,, r vti £ i i ' ' O ,» q f f' Sign or outline lighting 53.40 2
, t t )I! 7 i> t tot ., f l t
4f ? e l?.rtr Y, ix,..l,' 1., iU �.i .'.tL..•: tfh.v.a:rJ:s, .t,.. t' Fn t�Y -ic j . . t.:=.: . ]), . � Y...,., � =, a_ - 1. ..,5
Business name: Accurate Electric Signal circuit(s) or limited -
energy panel, alteration, or
Address: 514 NE 112 Ave extension. Describe: Page 2 2
City/State/ZIP: Vancouver, WA 98684 Each additional Inspection over allowable in any of the above
Phone: (360) 944-7001 Fax: (369) 9447013 Per inspection 62.50
Investigation per hour (1 ltr mm) 62.50
:: = Electrical Lic,: 37- 1029W//i•• Suprv. Lie.: 50948 pph/ industrial plant per lour 73.75
W s K, t y. ! .-E ' i t : it t s t t •: ti
Suprv. Electrician signature, required: is .. #` 1 �E' . i; f,� ; itf :f.
- . - Subtotal: 46.85
Print name: Kenneth P. Sweo Date: 8 Plan review (25% of permit fee): 0
State stay/large (8% of permit fee): 3.75
Authorized signature: A •
o TOTAL PERMIT FEE: 50.60
Print name: Kenneth P. Sweo Date: 8-06-07 This permit application aspires If a permit Is not obtained within 190
days after It has been accepted as complete.
• Number of mspectiosa allowed per permit
1.l Bioldina \PermitAE1.C- ParmitApp.doc 052346 440.4615T( I INS/COM/WEB
CITY OF TIGARD
A
- BUILDING DIVISION PERMIT #: ELC2007 -00551
AR 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 8/7/2007
Phone: (503) 639 -4171 glj�l
Inspection Requests (24 Hrs.): (503) 639 -4175 �+�— IL.
INSPECTION WORKSHEET FOR DATE: 8/27/2007 TIME: 7:00AM PAGE: 1
SITE ADDRESS: 09300 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: MACY'S
DESCRIPTION: Install (1) branch circuit for relocating (3) floor boxes.
OWNER: FEDERATED DEPARTMENT STORES, PHONE #: 206-506-7207
CONTRACTOR: ACCURATE ELECTRIC PHONE #: 360.944 -7001
Inspection Request Scheduled For: Date: 8/27/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
140 ion 054695 -01 503 - 758-3350 N
CA if 1 04-
ctions /Comments /Inc tions:
'V
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS '
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: C- N °C 6 Le Date: '6I 2.i 01 Phone #: (503) 718 - IA