Permit `r CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
II
COMMUNITY DEVELOPMENT PERMIT #: ELR2008 - 00198
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/9/2008
PARCEL: 1 S126CA -00900
SITE ADDRESS: 09009 SW HALL BLVD 200 ZONING: C -G
SUBDIVISION: WASHINGTON CIRCLE PLAZA LOT: JURISDICTION: TIG
PROJECT: MACY'S FURNITURE GALLERY
Project Description: Installing (1) low voltage data 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 NORTHWEST PROCOM COMMUNICATIONS INC
7 W SEVENTH ST. 2316 SE CLATSOP
C/O TOM HOWARD PORTLAND, OR 97202
CINCINNATI, OH 45202
Phone: (206)506 -7738 Contact #: PRI 503- 233 -8037
FAX 503- 233 -8052
FEES Reg #: ELE 3- 397CLE
LIC 109929
Description Date Amount SUP 1172LEA
[ELPRMT] ELR Permit 7/9/2008 $75.00
[TAX] 12% State Surch 7/9/2008 $9.00 REQUIRED ITEMS AND REPORTS
Total $84.00
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC at 503.24• - • • 0,0.332.2344. illialallb
Issued By `` ma . ,. _ Permittee Signature: -� ��/l
OWNER INSTALLATION ONLY ��,
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Jul 08 08 03:41p Procom Communications � u 032��80� 0 � p. • " 4 ' ElECti'ICal Permit A llC CE1V Et) '' a ' }�, FOR O U SE ONl l � h " ,�$ , i F " y ;
c y . i „. a 1, ” '7, l i it; . . .ekk 1 ? lit Yf G
Received
Q
71 City of Tigard Date B : �/L Permit No.: �` y '1.
'r 13125 SW Hall Blvd., Tigard, OR 9722 Plan Review `
Phone; 503.639.4171 Fax: 503.598.1 ®� Z �Q �
Date Other Permit: I A p 4 1 7
TIGARD Inspection Line: 503.639 Date Ready /By: RI See Page 2 for
Internet: www.tigard- or.gov CVTY OF 119_ C) Notified /Method: Supplemental Information
TYPE ?? p1MG Divilvim PLAN 'REVIEW
Please check all that apply (submit 2 sets of plans wtitems checked below):
❑ New construction Z Addition /alteration /replacement
❑ 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
❑ I- and 2- fancily dwelling ® Commercial /industrial ❑ Accessory building amps for all other installations buildings.
❑ Multi-family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION
['Emergency system, larger separately derived system.
❑ Addition of new motor load of ❑ "A ", `'E ", "1 -2 . "I -3
Job no.: Job site address: 9009 SW Hall Blvd. 10011P or more. occupancy.
❑ Six or more residential units ❑ Recreational vehicle parks.
City /State /ZiP: Portland Oregon 97223 ❑ Health -care facilities ❑ Supply voltage for more than
❑ Hazardous locations 600 volts nominal.
Suite /bldg. /apt. no.: A Project name: Macy's Furniture ❑ Service or feeder 600 amps or inure
FEE SCHEDULE
Cross street/directions to job site: Description I Qt,.. J 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. fl. or portion 33.40 I
Tax map /parcel no.: Limited energy, residential
75.00 2
DESCRIPTION OF WORK (with above sq. R.)
Limited energy, multi - family 75.00 2
Voice and Data residential (with above sq. 11.)
Services or feeders installation, alteration, and /or relocation
200 amps or less 80 30 2
® PROPERTY OWNER ❑ TENANT 201 snips to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
Name: Macy's
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 I
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
Owner signature: Date: Branch circuits-- new, alteration, or extension, per panel
A. Fee for branch circuits with
® APPLICANT ❑ CONTACT PERSON above service or feeder fcc,
each branch circuit 6.65 2
Business name: ProCom Communications, inc. B. Fee for branch circuits
without service or feeder fee,
Contact name: Shawn Giles first branch circuit 46.85 2
Address: 2316 SE Clatsop Each add'I branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City /State /ZIP: Portland, OR, 97202 Each manufactured or modular 90.90 2
dwelling, service and /or feeder
Phone: (503) 233 -8023 Fax: : (503) 233 -8052 Reconnect only 66.85 2
E -mail: shawng @procomcommunications.com Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 53.40 2
Signal circuit(s) or limited -
Business name: Procom energy panel, alteration, or
Address: 2316 SE Clatsop extension. Describe: 1 Page 2 75 2
City /Statc /ZIP: Portland, OR 97202 Each additional inspection over allowable in any of the above
Phone: (503) 233 - 8037 Per inspection 62.50
Fax: (503) 233 - 8052 Investigation per hour (I hr min) 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: ( Q % Subtotal: 1 75
Pr name: Shawn Giles / Date: 7/8/08 Plan review (25'% of permit fcc):
State surcharge (12% of permit fcc): 9
Authorized signature: f /(:?,,l� TOTAL PERMIT FEE: 84.00
Print name: Shawn Giles � Date: 718/08 This p ermit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
• Number of inspections allowed per permit.
l'\Bsildine \Permits ■ELC- PermilAgg.dec 05 /23.06 440 4615T( IIiO5iCO9.WEB
. .
CITY OF TIGARD „
BUILDING DIVISION PERMIT #: EL.R2008.00198
DATE ISSUED 7/912008
13125 SW Hall Blvd., Tigard, OR 97223
Phone: (503) 639-4171 Awl lilt
A.J41'. - - 1---•
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 8/14/2008 TIME 7•00AM PAGE: 12
SITE ADDRESS: 09009 SW HALL BLVD 200 CLASS OF WORK:
LOT #: TYPE OF USE:
SUBDIVISION: WASHINGTON CIRCLE PLAZA
PROJECT NAME: 1 FURNITURE GALLERY
DESCRIPTION: Installing (1) low voltage data system.
OWNER: MACY'S NORTHWEST, PHONE #: (206)506_7738
CONTRACTOR: PROCOM COMMUNICATIONS INC PHONE #: 503_233.8037 \A N g,
Inspection Request Scheduled For: Date: w140008 Pour Time:
Code # Inspection Description Confirm # Contact # Message .
\\... y
135 Low voltage . 074193-01 503-519-9447
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Corrections/Comments/Instructions:
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PASS
PARTIAL APPROVAL D CANCEL I I NO ACCESS
* {K a _
E FAIL pi CALL FOR INSPECTION II] ADDITIONAL FEES ASSESSED
Inspector: CT - - NI tg, LE Date: 1 . 1 t t • 6 51 Phone #: (503) 718- 2.446
1
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. ,
CITY OF TIGARD I
, .
BUILDING DIVISION / :. , ,
PERMIT #: ELR2008-00198
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/9/2000
Phone: (503) 639-4171 kovo l It
Inspection Requests (24 Hrs.): (503) 639-4175 .-44. ■ ' l II.
INSPECTION WORKSHEET FOR DATE: 7/11/2008 TIME: 7:00AM PAGE: 14
SITE ADDRESS: 09009 SW HALL BLVD 200 CLASS OF WORK:
SUBDIVISION: WASHINGTON CIRCLE PLAZA LOT #: TYPE OF USE:
PROJECT NAME: MACY'S FURNITURE GALLERY
DESCRIPTION: Installing (1) low voltage data system,
OWNER: MACY'S NORTHWEST, PHONE #: (206)506-7738
CONTRACTOR: PROCOM COMMUNICATIONS INC ( . ., 90,,w1 3) PHONE #: 503-233-0037
\,
Inspection Request Scheduled For: Date: 7/11/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 072526-01 503.519-9447 Y
Corrections /Comments/ Instructions:
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.0-\,-1,5 'prvvrr t4N3 ok4 kbP;1110041_,. .
, ; Q : vlb t. Z.,■■ '.- .. 7 ■14.:; ,
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. ,
n PASS ', PARTIAL APPROVAL 0 CANCEL n NO ACCESS
El FAIL I I CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: . . Pt; L4 Date: if L I 6 Phone #: (503) 718- 21M•