Permit 71 CITY OF T I G A R D ELECTRICAL RESTRICTED ENERGY PERMIT
i . .
COMMUNITY DEVELOPMENT PERMIT #: ELR2008 -00201
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/14/2008
PARCEL: 1 S126CA -00900
SITE ADDRESS: 09009 SW HALL BLVD 200 ZONING: C - G
SUBDIVISION: WASHINGTON CIRCLE PLAZA LOT: JURISDICTION: TIG
PROJECT: MACY'S
Project Description: Installing (1) audio system.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: X INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA /TELE COMM: 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. SAFE TECHNOLOGY GROUP INC
ATTN: PROPERTY TAX DEPT 6400 NE HWY 99
7 WEST SEVENTH ST SUITE G #375
CINCINNATI, OH 45202 VANCOUVER, WA 98665
Phone: 513 -579 -7667 Contact #: PRI 360 - 699 -2130
FAX 360 - 719 -1527
FEES Reg #: ELE CLE79
LIC 173731
Description Date Amount SUP 4272LEA
[ELPRMT] ELR Permit 7/14/2008 $75.00
[TAX] 12% State Surch 7/14/2008 $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: y � ' � Permittee Signature:
GGGG 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.
t 1 t�
' Permit Application Net) FOR OFFICE USE ONLY
.
City of Tigard D /By T ; ,� ' Permit No : ay 1_
'I 13125 SW Hall Blvd., Ti 'AO) dEa
Tigard, p '1 p Plan Review ` r k- /
.'- a rd, OR 9 11 .:':- Phone: 503.639.4171 Fax: 503.59 1960 1 ` 1 k t - Date /By. Other Permit: d ?k `^J' (,r�
T IGAKD Inspection Line: 503.639.4175 Date Ready/13y Juns: El See Page2 for
Internet: www.tigard or.gov �� ` G -T � �� 4 5 t &tifred/Method Supplemental Information
. TYPE OF WO r r .. � , ' . PLAN REVIEW . , ' •
C1 New construction A 1 Vi ent Please check all that apply (submit 2 sets of plans w /items checked below)
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available 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
❑ 1- and 2- family dwelling j Commercial/industrial ❑ Accessory building amps for all other installations. buildings
❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump ❑ Installation of 75 KVA or
. , ❑ Emergency system larger separately derived system
JOB SITE INF dres N" D Taw ❑ Addition of new motor load of Job no.: Job site addres � � G Q I 100HP or more. occupancy
e� 3 hl i7 / ) ❑ Six or more residential units ID Recreational vehicle parks
City /State/ZIP: -77 � 61_ed (J r € d.„3.3 �3 ❑ Health -care facilities. ❑ Supply voltage for more than
� ❑ Hazardous locations. 600 volts nominal.
Suite/bldg./apt. no.. Project name:
el a C S r 7.44. YY - t/1 /,_ � q.� i f _❑ Service or feeder 600 amps or more.
i 7.�Y (YG
Cross street/directions to job site: R Description FEE, SCHEDULE
'� 4� l�i� 1 .'L� � � i �. '�Vl. �G� (�G+�� P tion � QtY. I Fee. � Total
New residential single- or multi -family dwelling unit.
rt— HA ( r Includes attached garage.
Subdivision: Lot no.: 1,000 sq. it. or less 145.15 4
Tax map /parcel no.: Ea. add'l 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
DESCRIPTION' OF WORK' • - . , ' (with above sq. ft )
• Limited energy, multi - family 75.00 2
({ [,itli0 5 y •--e, residential (with above sq ft.)
! Services or feeders installation, alteration, and /or relocation
200 amps or less 80.30 2
' .0 PROPERTY OWNER' . ❑ TENANT 201 amps to 400 amps 106.85 2
Name: V 401 amps to 600 amps 160.60 2
'Oct 01 amps to 1,000 amps 240.60 2
Address: e 3 \\ Over 1,000 amps or volts 454.65 2
City/State/ZIP: J Y_J J Temporary services or feeders installation, alteration, and /or
)
r- C l I t G o V' relocation
Phone: ( ) Fax: ( y 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 1 00.30 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
., ' "RI APPLICANT' l . , ❑ 'CONTACT' PERSON ' above service or feeder fee,
each branch circuit 6.65 2
Business name: 5 e ' _ e � et 6 f o , 4 (' n J ,c B. Fee for branch circuits
1� C y without service or feeder fee,
Contact name: Sots 01" $ first branch circuit 46.85 2
Address: ( ify 9 [4_ i (ei � o 3`) 5 Each add'l branch circuit 6.65 2
7 Miscellaneous (service or feeder not included)
City /State /ZIP: U C n GOU(lI J`» g tit)--- Each manufactured or modular
dwelling, service and/or feeder 90.90 2
Phone: (3( q _ I ( b Fax: : (3(,0) f Gj _ / 5 Reconnect only 66.85 2
E - mail: Pump or irrigation circle 53.40 2
. , , ' ., CONTRACTOR , I , : - . Sign or outline lighting 53.40 2
• Business name: 5a 'a n u (0 9y / „ , , n C energy panel, a l er or t i o o
�^' `.� `�+,�, energy panel, alteration, or
Address: (jciO () Air r f• l „ q q 5'� k / 3 75 -
extension. Describe: I Paget 2
City /State /ZIP: Vin 6 - W A e � (y s Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: ( 3(� t} ) �l , �l 3 O Fax: (3 (� p) C _ f�� Investigation per hour (1 hr min) 62.50
CCB Lic.: J - 7 3 -? 3 ( Electrical Lie.: G (' 7 C 1 Suprv. Lie.: <127.,), t� "'A Industrial plant per hour ' 73.75
r,,_ • _ ELECRICAL PERMIT'FEES, - Suprv. Electrician signature, required: Subtotal: "7 S .4°'
Plan review (25% of permit fee):
Print name: fir 5 S Date: - 7 _ / I�_ by q �_
State surcharge (12% of permit fee): 9 ...sp.:.--.
Authorized signature: TOTAL PERMIT FEE: ll — 1
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:\ Building \Permits \ELC- PermitApp.doc 05/23/06 440- 4615T(I1 /05 /COM/WEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2008-00201
13125 SW Hall Blvd., Tigard, OR 97223
DATE ISSUED: 7114/2008
Phone: (503) 639-4171 , Mtnipi!tilii _
Ins Requests(24 Hrs:): (503) 639-4175 „JAI 11.
INSPECTION WORKSHEET FOR DATE: 7/18/2008 TIME: 7:00AM PAGE: 33
SITE ADDRESS: 09009 SW HALL BLVD 200 CLASS OF WORK:
SUBDIVISION: WASHINGTON CIRCLE PLAZA LOT #: TYPE OF USE:
PROJECT NAME: MACY'S
DESCRIPTION: Installing (1) audio system.
OWNER: MACY'S DEPARTMENT STORES INC., PHONE #: 513-579-7667
CONTRACTOR: SAFE TECHNOLOGY GROUP INC PHONE #: 360-699-2130
Inspection Request Scheduled For: Date: 7/18/2009 Pour Time:
Code # Inspection Description ,,—Confirm-# Contact # Message
195 Misc. inspection 072839-01 360.773-8265 N
Corrections /Comments/ Instructions:
° Ftageo- c--s % 1-.t pi 0 --erct -
1 I PASS PARTIAL APPROVAL 0 CANCEL fl NO ACCESS
I I FAIL I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: CI'm • KA 1-1 Date: .. )(fli 091 Phone #: (503) 718- IAA
. . -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2008-00201
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/14/2003
Phone: (503) 639-4171 NPlilli‘ _
Inspection Requests (24 Hrs.): (503) 639-4175 ,_.._,w - ■... i sa
INSPECTION WORKSHEET FOR DATE: 8/12/2008 TIME: 7:00AM PAGE: 26
SITE ADDRESS: CLASS OF WORK:
09009 SW HALL BLVD 200
SUBDIVISION: LOT #: TYPE OF USE:
WASHINGTON CIRCLE PLAZA
PROJECT NAME: MACY'S
DESCRIPTION: Installing (1) audio system.
OWNER: MACY'S DEPARTMENT STORES INC., PHONE #: 513_579.7667
CONTRACTOR: SAFE TECHNOLOGY GROUP INC PHONE #: 360-699-2130
Inspection Request Scheduled For: Date:
8/121008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final ' 07405B.01 360-773-8265 N
Corrections /Comments/ Instructions:
N .\
\ _ A 1
V
PASS
fl PARTIAL APPROVAL El CANCEL NO ACCESS
I I FAIL 1 CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
c N ()10 LT Date: S
Inspector: Phone #: (503) 718-