Permit 1
< «, CITY OF TIGARD , ELECTRICAL PERMIT
PERMIT #: ELC2006 -00455 •
rl 14, DEVELOPMENT SERVICES DATE ISSUED: 8/16/2006
I I •
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, Job # 93415 (2) branch circuits for receptacles.
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: SIGNAUPANEL:
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: ' •
WASHINGTON SQ LLC ' OREGON ELECTRIC GROUP
9585 WASHINGTON SQ. RD • 1010 SE 11TH AVE
TIGARD, OR 97223 PORTLAND, OR 97214 •
• Phone: Contact #: FAX 503 - 535 - 2763
PRI 503 - 234 -9900
FEES
Description Date Amount Reg #: - ELE 26 - 95C
[ELPRMT] ELC Permit 8/16/2006 $53.50, LIC 203
[TAX] 8% State Surcharge 8/16/2006 $4.28 SUP 4460S
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 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: / yp: _ Permittee Signature: 5.1 .e.
• 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 - 6394175 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.
•
•
Airs -2006 10:58AM FROM -OR ELECTRIC SVC 5035352763 T -722 P.001 /002 F -288
', Electrical Permit Application _ .
City of Tigard MUFGOV 1 A- I -d 6 -.1)M Pamit e19.7iv6 G5V..S.Y"
13125 SW Hal] Blvd, Tigard, Oil 9-2 '�" per w plher Permit: il; Phone: 503.639.4171 Fax: 503398.1960 " t �•4"1. i' a1' • Internet ° 03 t '15 AUG 1 `j 2006 '�"'�" � � '` 1(� Inzart o
PLAI'4 REVIEW
: ; t Please check all that apply:
1,3 New construction B i i N ' • t O CI sc vice over 225 amps, cormt'l ❑Hazadous location
El Demolition BI
▪ over 320 amps - rating EIButldng over 10,000 sq. it,
CATEGORY OF CONSTRUCTION . • of 1 and 2 family dwellings 4 or more new residential
❑ 1 - and 2 family dwelling ❑ Commercial/industrial 0 Accessory building ❑System over 600 volts nominal units in one structure
❑Building over three stories ❑Feedarti 400 amps or more
❑ Multi-family ❑ Master builder ❑ Other ❑Occupant load ova 99 persons ❑Manufncce red snttctt,res or
- JOB SITE INFORMATION AND LOCATION ❑Egressi1tghting RV park
❑ Health -care facility ❑Other
Job no.: 93415 I Job site address: 9300 SW Washington Sq. Road Submit? sets of p1®s with any of the above.
City /State/ZIP: Tigard, OR 97223 _ The above are not applicable to temporary construction service.
• FEE" SCHEDULE •
Suite/bldg./apt. no.: I Project name: Macy's Department Store - Deerlotlm I Qei. J Fee. Taal ] ••
Cross street/directions to job site: New residential single- or multi - family dwelling unit.
Includes attached garage. _
j A00 sq. IL or less 145.15 4
Subdivision: I Lot no.: Fa. add'l 500 sq. R or portion 33.40 1
Limited energy. residential 75.00 2
Tax map/parcel no.: Limited energy, nonresidential 75.00 2
DESCRIPTION OF WORK ' ' . Each manufactured or modular
eiwelling, service and/or feeder 90.90 2
Install receptacles as directed.
Services or feeders installation, attendant. and/or relocation
200 amps or less 80.30 2
❑ PROPERTY OWNER I • 13. TENANT _ 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
Name: Macy's Meier and Frank 601 amps to 1,000 amps 240.60 2
Address: 9300 SW Washingon Square Road Ova 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City /State/ZIP: Tigard, OR 9'7223 Temporary services or feeders installation, alteration, and/or
( relocation
Phone: ) Fax: ( ) 200 amps or less 66.85 1
Owner installadon: 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
• ❑ 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
Cent= name: without service ar feeder fcc, I 46.85 li.L .ffi 2
each branch circuit
Address: Each add'l branch circuit t 6.65 (, , 65 2
City/State/ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) I Fax: : ( ) Pump or irrigation circle 53.40 2 .
Sign or outline lighting 53.40 2
E -mail: Signal cur ui(s) or limited-
CONTRACTOR . ' energy panel, alteration, or
----h extension. Describe: Page 2 2
Business name: Oregon Electric Group
Address: 1010 SE 11th Ave Each additional inspection over allowable in any of the above
Per inspection 62.50
City /State/ZIP: Portland, OR 97214 Investigation per hour (l hr min) 62.50
Phone: (503) 2349900 I Fax: (503) 5352763 Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES'
CCB Lie.: 203 f Electrical Lie.: 26-' I . • : 4460S Subtotal c SQ
-
Suprv. Electrician signature, required: ../.._,,, — ' Plan review (25% of permit feu)
State surcharge (8% of permit fee) N . ( )A.
Print name:
Ma, le" ix, J . i ' TOTAL PERMIT FEE C31. --1 1,
Authorized signature: / This permit application mime If a permit is not obtained within 180
days after It has been accepted as complete
(� • ■ 08/15/06 • Fee methodology set by Td -aunty Building Industry service : •
Print name: May Iii j, f)�1'bV1 el •• Number of iaspm:time per permit allowed.
iNBeu i<I.pp•doc 12/03 4104615T(I0f02/COM/WF8
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006 -00455
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/16/2006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/26/2006 TIME: 7:04AM PAGE: 17
SITE ADDRESS: 09300 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE: •
PROJECT NAME: MACY'S •
DESCRIPTION: Macy's, Job # 93415 (2) branch circuits for receptacles.
OWNER: WASHINGTON SQ LLC, PHONE #:
CONTRACTOR: OREGON ELECTRIC GROUP PHONE #: 503 234 - 9900
Inspection Request Scheduled For: Date: 10/26/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 038884 -02 503-849-2594 Y
Corrections /Comments /Instructions: t ,
AL I_ I N Old,
P 614 NI 1
►,l PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: � . ` N 66 Date: I fl W Phone #: (503) 718 -