Permit n CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2008 -00262
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/15/2008
PARCEL: 1S126CB-00500
SITE ADDRESS: 09300 SW WASHINGTON SQUARE RD ZONING: C - G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: MACY'S
Project Description: Voice / data cabling system.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: X NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
MACY'S DEPARTMENT STORES INC. PROCOM COMMUNICATIONS INC
ATTN: PROPERTY TAX DEPT 2316 SE CLATSOP
7 WEST SEVENTH ST PORTLAND, OR 97202
CINCINNATI, OH 45202
Phone: 513 -579 -7667 Contact #: PRI 503- 233 -8037
FAX 503- 233 -8052
FEES Reg #: ELE 3- 397CLE
LIC 109929
Description Date Amount SUP 1172LEA
[ELPRMT] ELR Permit 9/15/2008 $75.00
[TAX] 12% State Surch 9/15/2008 $9.00 REQUIRED ITEMS AND REPORTS
Total $84.00
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:
,,„,..__"4111111111. Permittee Signature: See 7/
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.
Sep 15 08 08:06a Procom Communicatio. 4 5032338052 p.2
Electrical Permit Application FOR OFFICE USE ONLY
City of Tigard Received All Illl Penmt No: r
1
• 13125 SW Hall Blvd , Tigard. OR •',y!. '111 O Date'Bv' `Li�J��
Phone 503 639 4171 Fax 503.59:: •':i' nc % Plan Review
1. Date /Bv Other Permit
T I G AR D Inspection Line' 503 639 4175 ` A , w o Date Ready /By 1 PI See Page 2 for
Internet www tigard - goy S[,` .aYGC►' ahlied Method � Supplemental Informat
TYPE OF WOR O � ,• �� i. t PLAN REVIEW
❑ New construction ® Addition/alteratio V Please check all that apply (submit 2 sets of plans w/nenis checked below)
t , ❑ Service or feeder 400 amps or more ❑ Building over three stones
❑ Demolition ❑ Other: Q where the mailable fault current ❑ Marinas and boatyards
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ I- and 2- family dwelling ® Commercial /industrial ❑ Accessory building amps for all other Installations buildings
❑ Multi - family ❑ Master builder ❑ Other: ❑ Fite pump ❑ Installation of75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system larger separately derived system.
❑ Addition of new motor load of ❑ "A ", "L-" "1 • ? ", "1.3
Job no.: Job site address: 9300 SW Washington Square Rd. l00HPormore occupancy
❑ Six or more residential units ❑ Recreational vehicle parks
City /State /ZiP: Tigard, Or, 97223 ❑ Health -care facilities ❑ Supply voltage for more than
❑ Hazardous locations GOO volts nominal
Suite /bldg. /apt. no.: Macy's I Project name: Macy's 2" 11. remodel ❑ Service or feeder 600 amps or more
FEE SCHEDULE
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 11 or portion 33 40 I
Tax map /parcel no.: Limited energy residential
75 00 2
DESCRIPTION OF WORK (with above sq it.)
voice and data Limited energy, multi - famil 75 00 2
residential (with above sq 11 )
Services or feeders installation, alteration, and /or relocation
200 amps or less 80 30 2
❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106 85 2
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 /ZIP: 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 1 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: Date: A Fee for branch circuits with
❑ APPLICANT ❑ CONTACT PERSON above service or feeder fee,
6 65 2
each branch circuit
Business name. B Fee for branch circuits
without scry ice or feeder fee, 46 85
Contact name: first branch circuit 2
Address: Each add'I branch circuit 6 65 2
Miscellaneous (service or feeder not included)
City /State /ZIP: Each manufactured or modular 90 90 2
Phone: dwelling, service and /or feeder
( ) Fax:: ( ) Reconnect only 66 85 2
E -mail: Pump or irrigation circle 53 40 2
CONTRACTOR Sign or outline lighting 53.40 2
Business name: ProCom Communications Signal circuit(s) or limited -
energy panel, alteration, or
Address: 2316 SE Clatsop extension Describe 1 Page 2 I 2
City/State/ZIP: 97202 Each additional inspection over allowable in any of the above
Per inspection 62 50
Phone (503) 233 -8037 Fax: (503) 233 -8052 Investigation per hour (I lit loin) 62 50
CCB Lie.: 109929 Electrical Lie.: 3- 397CLE Suprv. Lie.: 1172LEA Industrial plant per hour 73 75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: Subtotal. 75 00
Print name: Shawn Giles Date: 9 /15/08 Plan review (25% of permit fee).
State surcharge (12% of permit fee) 900
Authorized signature: TOTAL PERMIT FEE. 84 00
Print name: Shawn Giles Date: 9/15/08 This permit application expires if a permit is nut obtained within 180
days after it has been accepted as complete.
• Number of nnpceuons allowed per pesos
I iBuiidm5\PermdstELC P°rmiApp doc 05/23/06 440 -46 15T( i Ir05'COM/WEB
CITY OF TIGARD :,
BUILDING DIVISION �'
PERMIT #: R200c Ott26a
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/1c5/2008
Phone: (503) 639 -4171 �
Inspection Requests (24 Hrs.): (503) 639 -4175 "I I..
INSPECTION WORKSHEET FOR DATE: 11/6/2008 TIME: 7:00AM PAGE: 7
SITE ADDRESS: 09300 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: MACV'S
W . H . 79,
DESCRIPTION: Voice / data cabling system. MAt,Y DEPARTMENT ..STsystem. IN4., 7, J
OWNER: 'S STORES � J / PHONE #: 513-579 -7G67
CONTRACTOR: PROCOM COMMUNICATIONS INC PHONE #: 503 - 233-8037
11 - 7 - 0 �
Inspection Request Scheduled For: Date: 11/6/7008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
13+ Low voltage 077761 -01 503=5'I9 i4 7 N
Correct ons /Comment I s ruction . irdairallr
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 6' N 6Q Lil Date: Vi() `) Phone #: (503) 718 -1 00
CITY OF TIGARD , . }.r
BUILDING DIVISION i PERMIT #: FLR2008 -00262
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/15/2000
Phone: (503) 639 -4171 "
Inspection Requests (24 Hrs.): (503) 639 -4175 ,711411i11‘
' �'I �..
INSPECTION WORKSHEET FOR DATE: 11/5/2008 TIME: 7:01AM PAGE: 26
SITE ADDRESS: 08:00 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: MAcV'S
DESCRIPTION: Voice / data cabling system.
OWNER: MACY'S DEPARTMENT STORES INC., PHONE #: 513_579.76G7
CONTRACTOR: PROCOM COMMUNICATIONS INC PHONE #: 503-233-8037
Inspection Request Scheduled For: Date: 11/5/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 077645 -01 503 -519 -3447 N
Corrections/Comments/Instructions:
WO 01\)E Q S{6 VJ'0 I
J
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.....
❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
Z LFAIL 'ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ' Iv 06 11 5 Date: ( 9' 6 "b ��
Phone #: (503) 718- Z
CITY OF TIGARD 0
BUILDING DIVISION PERMIT #: ELR2008 -- 001282
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/1c,12008
Phone: (503) 639 -4171 16 7 , il
Inspection Requests (24 Hrs.): (503) 639 -4175 II-
INSPECTION WORKSHEET FOR DATE: . 1102008 TIME: 7:00AM PAGE: 37
SITE ADDRESS: 9 . - RD CLASS OF WORK:
0.300 SW WASHINGTON SQUARE
SUBDIVISION: WASHINGTON! SQUARE LOT #: TYPE OF USE:
PROJECT NAME: NAVY
DESCRIPTION: Voice / data cabling system.
OWNER: MACY'S DEPARTMENT STORES INC., PHONE #: 513- 57937887
CONTRACTOR: PROCOM COMMUNICATIONS INC PHONE #: 503233.8037
Inspection Request Scheduled For: Date 11/3/2008 Pour Time:
Code # Inspection Description - • • . Contact # Message
135 Low voltage 077523.01 503 - 5134447 N
Corrections /Comments /Instructions:
t 0 Ot )• or.) 5 I`r- U •
c\-1/40 J we V. _
V . kor ) . -0
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
7 FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: `9'. N v g Lg' Date: It M U Phone #: (503) 718-