Permit CITY OF TIGARD ELECTRICAL PERMIT
° PERMIT #: ELC2007 -00622
COMMUNITY DEVELOPMENT DATE ISSUED: 9/6/2007
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: Wire (8) branch circuts for watch display.
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: 7 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
PRl 503- 462 -6500
FEES
Description Date Amount Reg #: ELE 26 -122C
[ELPRMT] ELC Permit 9/6/2007 $93.40 LIC 44823
[TAX] 8% State Surcharge 9/6/2007 $7.47 SUP 3496S
Total $100.87 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 -00 e • : r. gh 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.
Iss • . d By: Ii /// t. / Permittee Signature: / 2 /f t C 74 ' 61/
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.
09/05/2007 11:34 FAX 5036592824 STONER ELECTRIC 0 001
' Permit AD 1 EWE® l OF] I(L l al'_ OM.)
City of Tigard S E P 0 5 2007 Received. 4 D p -1X)
n Pe rmit No.: _ �! j� W • .1
13125 SW Hall Blvd., Tigard, OR 97223 Plat Review
I�Y T l' W' , , ffit
Phone: 503.639.4171 Fax: 503.598. �+� ' I ` Dui : .
Other Pet
Inspection Lino: 503.639.4175 IL O D 6:,A41- IL' Da. Ready/BY �+.�• ��� g See Page 2 for
Internet www.citigard.or.us Notified /Method: • Supplemental Intbrmatioa
• ; E• OF WORK • , . , ' : , r ,... I, :'• r PLAN. REVIEW ti: " ' :,v,,
•
❑ New construction Addition /alteration/replacement Please check all that apply:
❑ Demolition El Other ❑Service over 225 amps, comm'l ['Hazardous location
['Service over 320 amps — rating ❑Bnildng over 10,000 eq. R.
= ' • CATEGORY OF 'CONSTR�IXCI ION • ' • . of 1- and 2- famhiy dwellings 4 or more new residential
El 1 - 2- family dwelling %Commercial /industrial ❑ Accessory building - ❑System over 600 volts nominal limits in one structure
❑Building over three stories ['Feeders, 400 amps or more
❑ Multi-family ❑ Master builder ❑ Other: ['Occupant load over 99 persons ❑Ninnnctetwed structures or
'" V' . • JOB 'SIT ORMA•TION' AND•, LOCATION, park
plan RV p
no.: Job site address: p p_ ❑Healih-eare facility ❑Other.
Job
5r. � I 3( 3 W wAh6lralsr W Submit 2 sets of plans with any of the above.
City /St : -- r — i Cf 1 /ti/k Q 7 1-2 3 u The above are not applicable to tempormy construction service.
Suite/bldg apt. no.: Project name: 14 p c t� t5 O p
pe oerlptloo Q ty. I km I Total I
Cross street/directions to job site: New residential single- or multi- family dwelling unit.
- Includes attached garage.
1,000 sq. R or less 145.15 4
Subdivision: I Lot no.: En. add'1500 sq. it or portion 33.40 1
Limited energy, residential 75.00 2
Tax map/parcel no.: Limited energy, non - residential 75.00 2
' D1�4CIt� ITON or' WORK ' • • Each manufactured or modular
A H dwelling. service and/or feeder _ 90.90 2
W t I2 N C� `t/ W MCA D i6 Services or feeders instauation, alteration, and/or relocation
200 amps or less 80.30 2
$" .
': ❑'lPROPERTite .D'INNE'R'.'' ' '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 /Stale/ZIP: Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) I Fax: ( ) 200 amps or less 66.85 - 1
Owner installation: This installation is being made on property that T 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
• . r N,11::.,;'' ❑ APPLICANT , ' • • • I . ' . in CONTACT PERSON A. Fee for branch circuits -with - service or feeder fee, each 6.65 2
Business name: hunch circuit
B. Pee for branch circuits
Contact name: without service or feeder fee, 1 4615 - i C!' 2
first branch circuit
Address: Each add'l branch circuit _ J 6.65 44, .% 2
CityIStaie/ZIP: Miscellaneous (service or feeder not included)
Phone ( I F es; : (
Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E-mall: Signal circuit(s) or limited-
CON ACTOR 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: MI WAlUK.IE, OR Investigation per hoar (t In nun) _ 62.50
I Fax (503) 659-4968 Industrial plant per boar 73.75
- Phone: (503)462-6500 ( ) ' .s ELECTRICAL PERMIT.FEESf ' ..''+, ';.: '
CCB Lie.: 44823 Electrical Lic.: 26 -122C Suprv. Lie.: 3496 Subtotal 9,5,4o
Suprv. Electrician signature, required: ► �'C Nan review (25% of permit fee) •
State surcharge (8% of permit fee) 7. 4 7
Print name: MICHAEL FALCONER Date:
TOTAL PERMIT FEE / an • e7_
Authorized signature: Ms permit application expire if a permit is not obtained within 180
- days after it Ins been accepted as complete
Print name: 1 Date: • re!! mrthn,inlnw art by •M1i.('maa. Anirliny Tuna v S,,vier. nnmml
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00622
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 9/6/2007
Phone: (503) 639 -4171 ill
Inspection Requests (24 Hrs.): (503) 639 -4175 `:_..
INSPECTION WORKSHEET FOR DATE: 10/2/2007 TIME: 7:04AM PAGE: A4
SITE ADDRESS: 09300 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: MACV'S
DESCRIPTION: Wire (8) branch circuts for watch display.
OWNER: FEDERATED DEPARTMENT STORES, PHONE #: 206-506
CONTRACTOR: STONER ELECTRIC PHONE #: 503-462-6500
Inspection Request Scheduled For: Date: 10/2/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 056767 -01 503-4- 6822 N
Corrections/Comments/Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 10 — 2. Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00622
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/6/2007
Phone: (503) 639 -4171 (r1
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 9/19/2007 TIME: 7:00AM PAGE: 10
SITE ADDRESS: 09300 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: MACY'S
DESCRIPTION: Wire (8) branch circuts for watch display.
OWNER: FEDERATED DEPARTMENT STORES, PHONE #: 206 - 506-7207
CONTRACTOR: STONER ELECTRIC • PHONE #: 503- 462 -6500
Inspection Request Scheduled For: Date: 9/19/2007 Pour Time:
Code # Inspection Description - - ' # Contact # • Message
199 Electrical final 055957 -01 503-432-6822 N
Corrections/Comments/Instructions:
%-kt Foka Cc mfi L'el 1 06.1 ■
❑ PASS XPARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
•
Inspector: i Iv 4V L Date: Vilq Phone #: (503) 718 - {30
1