Permit III ,v ' C ITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2007 -00044
COMMUNITY DEVELOPMENT DATE ISSUED: 1/22/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S126C0 -01403
SITE ADDRESS: 09300 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: LOT : JURISDICTION: TIG
Project Description: Macy's - (4) branch circuits for lights in women's shoe department. Job No. 54156Q
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: 3 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:
MAY DEPT STORES COMPANY, THE STONER ELECTRIC
ATTN: PROPERTY TAX DEPT 1904 SE OCHOCO STREET
611 OLIVE STREET MI LWAUKIE, OR 97222
ST LOUIS, MO 63101
Phone: Contact #: FAX 503 - 659 -2824
PRI 503 - 462 -6500
FEES
Description Date Amount Reg #: ELE 26 -122C
[ELPRMT] ELC Permit 1/22/2007 $66.80 LIC 44823
[TAX] 8% State Surcharge 1/22/2007 $5.34 SUP 34965
Total $72.14 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
suspende • • • - than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center.
Those r. es are set fo • h in 0 • R 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain copies of these rules or direct questions to OUNC at
503.2...6699 or 1.800. \
Issu - d By: /r , , �L .I Permittee Sig ' �� G am - -1/4...___,
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: ( /!f (e---- _ 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.
01/19/2007 16:59 FAX IA001 /002
.- ' • ---" IN Electrical Permit Ap r 11- 4 . 1 , ' 1 i'' FOR OFFICE USE ONLY
City of Tigard � ` 1 S ' -01 R"""ed --y-y
City A" Da tc/B . I'�o 7 At PemlitNo.: fie i/ -�o �/
13125 SW Hall Blvd., Tigard, OR 97223 ► Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 . o f c1 l Dai iss, rls • Other Permit:
Inspection Line: 503.639.4175 U � 1 ` , 1 � e ow 1 = , r, ' 1 J Date Ready/By. ® See Page 2 for
Internet: www.ci.tigard.or.us 1<A Notified/Method: Mil Supplemental Information
TYPE OF WORK. - • ' ••• PLAN. REVIEW
•
❑ New construction Addition/alteration/replacement Please check all that apply:
❑ Demolition ❑Other: ❑Service over 225 amps, comm'l ['Hazardous location
❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft.,
CATEGORY •OP CONSTRUCTION - of I - and 2- family dwellings 4 or more new residential
❑ 1 and 2 family dwelling Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
12 Multi - family ❑ aster builder ❑ Other: ❑Building over three stories ❑Feeders, 400 amps or more
DOccupant load over 99 persons ['Manufactured structures or
JOB SITE 'INFORMATION AND .LOCATION p • ' ❑Egress/lighting plan RV park
Job no.59,5 , Q I Job site address930D5s 4.v46Pa. GJ QF ❑Health care facility :Other:
Submit 2 sets of plans with any of the above.
City /State/ZIP:* The above are not applicable to temporary construction service.
Suite/bldgJapt. no.: I Project name: FEES S
nem lplloo I� '
Fee. Total
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.: Ea. add'I 500 sq. ft. or portion 33.40 1
Tax map/parcel no.: Limited energy, residential 75.00 2
Limited energy, non - residential 75.00 2 • . DESCRIPTION OF WORK • Each manufactured or modular
'e' mN4 • 14/ oC/ t0 t014475 / Swelling, service and/or feeder 90.90 2
Services or feeders installation, alteration, and/or relocation
,S y)2/ 200 snips or less 80.30 2
❑ PROPERTY OWNER - .- I ' ' ' . • C.3 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/State/ZIP: Temporary services or feeders installation, alteration, and/or
Phone: ( ) I Fax: ( ) relocation r
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 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 ❑ : CONtACI' PERSON A. Fee for branch circuits with
service or feeder fee, each 6.65 2
Business name: branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee,
fast branch circuit / 46.85 �" 2
Address:
Each add'1 branch circus 3 6.65 19.95 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 circuit(s) or limited
CONTRACTOR 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: MILWAUKIF., OR Investigation per hour (lhr min) 62.50
Phone: (503) 462 I Fax: (503) 659 -4968 Industrial plant per hour 73.75
'ELECTRICAL PERMIT FEES`' -
CCB Lic.: 44823 I Electrical Lic.: 26 -122C 1 Suprv. Lic.: 3496 Subtotal 4L go
Suprv. Electrician signature, required: Itk. .,v...... Plan review (25% of permit fee) -;�—
Print name: MICHAEL FALCONER I Date: //, %- State surcharge (8% of permit fee) 3"; 3
TOTAL PERMIT FEE ?4i
Authorized signature: This permit application expires If a permit is not obtained within 180
days after it has been accepted as complete
Print name: I Date: • Fee methodology set by Tri- County Building Industry Service Board
•• Number of inspections per permit allowed.
1 Wdldlag∎Pern ina'61.C- PermkApp.doe 12/03 44646151110102/COMiWEB
CITY OF TIGARD ,
BUILDING DIVISION PERMIT #: ELC2007- 00044
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/2212007
Phone: (503) 639 -4171 A '" 4 i ` I
Inspection Requests (24 Hrs.): (503) 639 -4175 'I � ..
INSPECTION WORKSHEET FOR DATE: 212007 TIME: 7 :04AM PAGE: 13
SITE ADDRESS: 09300 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: MACY'S
DESCRIPTION: Macy's - (4) branch circuits for lights in women's shoe department. Job No. 541560
OWNER: MAY DEPT STORES COMPANY, THE, PHONE #:
CONTRACTOR: STONER ELECTRIC PHONE #: 503-462-6500
Inspection Request Scheduled For: Date: 2/9/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 043208 -01 503 - 432 -6822 N
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FA ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 6--e N GeAV Date: 2 .- -4 1 "01 Phone #: (503) 718- 1-446