Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00512
DEVELOPMENT SERVICES DATE ISSUED: 9/12/2006
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: (3) branch circuits for shoe dept.
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: 2 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 STONER ELECTRIC
9585 WASHINGTON SQ. RD 1904 SE OCHOCO STREET
TIGARD, OR 97223 MILWAUKIE, OR 97222
Phone: Contact #: FAX 503 - 659 -2824
PRI 503 - 462 -6500
FEES
Description Date Amount Reg #: ELE 26 -122C
[ELPRMT] ELC Permit 9/12/2006 $60.15 LIC 44823
[TAX] 8% State Surcharge 9/12/2006 $4.81 SUP 34965
Total $64.96 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: '; 2.:74) r t Permittee Signature:
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.
09/11/2006 12:07 FAX a 001 /002
k�
Electrical Permit 1 l'cation, 1 \ \ � \ �' I'M � r r • 1 r i • : i ` : ru y i .1
City of Tigard 1 �. 1 Received O . P f �- / _Mara
i
13125 SW Hall Blvd., Tigard, OR 97223 A plenRe;iew
Phone: 503.639.4171 Fax: 503.598.1960 - ., 'i '1 n i ' = n'ti u I ' �• o - -.: � wit
Inspection Line: 503.639.4175 St:', - -!:.1 ' i J. beteReady/By GIIIII 51 See page2for
Intranet www.citigard.ormi Lk Notifies/Method: Supplemental Information
. T1�'F�'E OR „r( I ` ri'• : PLAN - REVIEW . .
❑ New construction _� • . • =@c o Please check all that apply:
❑ Demolition Other. ['Service over 225 amps, comm'l ❑Hazardous location
❑Service over 320 amps - rating ❑Bu ildng over 10,000 sq. ft.,
CATEGORY OF • CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential
•
❑ 1- and 2- family dwelling 'Et ❑ Accessory building ['System over 600 volts nominal emits in one structure
12 Multi-family ❑ Master builder ❑ Other. [Madding over three stories ['Feeders, 400 amps or mom
['Occupant load over 99 persons ['Manufactured struchnes or
- ;JOB SITE .INFORMATION AND LOCATION - OEsresanighting plan RV park
' ❑Health -care facility ❑Omer.
Job no.:��9 I (a Q. I Job site address: %(obO SL4) fdJ4f{1rV 412: v K Submit 2 sets of plans with any of the above.
Cit /State/ ZIP: ?t( a � e . c , 0t't 9 ?7...2a The above are not applicable to temporary construction service.
Suito/bldgJspt no.: Pro name: r Ms SCHEDULE . • -.
�' .4 9' 5 1 Qd. I Pon I Tam I ..
Cross street/directions to job site: New residential single- or maid - family dwelling unit
Includes attached garage.
1,000 sq. R or less 145.15 4
Subdivision: I Lot no.: Ea. add? 500 sq. R or portion 33.40 1
Tax map/parcel no.: Limited energy, residential 75.00 2
- Limited energy, non-residential 75.00 2
DESCRIPTION •• OF .v ORk - . Each manufactured or modular
• dwelling, service and/or feeder 90.90 2
t( R.E" Few._ 5 4 I Services or feeders Installation, alteration, and/or relocation
200 amps or less 8030 2
❑ PROPERTY OWNER •.. I • ❑ 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
Rammed only 66.85 2
City /State/ZIP: Temporary services or feeders installation, alteration, and/or
Phone: ( ) I Fax: ( ) relocation
200 amps or lees 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, pm 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
Contact name: without service or feeder fee, , 46.85 144 2
Address: lust branch circuit
Each addl branch circuit 'Z 6.65 • 13,30 2
City/State/ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) I Fax : ( ) Pump or imgetion circle 53.40 2
Sign or outline lighting 53.40 2
E -mail: Signal cirouit(s) or limited -
alteration, or
Business name: STONER ELECTRIC � b energy extension. Descra Page 2 2
Address: 1904 SE OCUOCO Each additional inspection over allowable in any of the above
Per inspection 62.50
-
City/State/ ZIP: MILWAUKIE, OR Investigation per hour (1 hr rain) 62.50
Phone: (503) 462 -6500 I Fax: (503) 6594968 Industrial plant per hoer 73.75
ELECTRICAL' PERMIT FEES•
CCB Lie.: 44823 I Electrical Lie.: 26 -122C Suprv. Lie.: 3496 Subtotal 60 , 155 -
Suprv. Electrician signature, required: IhK -Q Plan review (25% of permit fee) 19
/ ! [ (�� State surcharge (815 of permit fee) 4s i i
Print name: MICHAEL FALCONER I Dale l 1 TOTAL PERMIT b y,
Authorized signature: MU permit application expires [fa permit b not obtained within 180
days after It has been accepted as complete
Print name: I Dater. • Fee methodology eat by Tri - Comely Building Industry Service Board
**Number of inspection per permit allowed.
caBm1 ' .doe 12/03 440.46151(10/02/O()aa/w®
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC200&.00512
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/12(2008
Phone: (503) 639 -4171 Ati
II I!
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/23/2006 TIME: 7 :04AM PAGE: 53
SITE ADDRESS: 09300 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: MACY'S
DESCRIPTION: (3) branch circuits for shoe dept.
OWNER: WASHINGTON SO LLC, PHONE #:
CONTRACTOR: STONER ELECTRIC PHONE #: 503- 462 -6500
Inspection Request Scheduled For: Date: 10/23/2906 Pour Time:
ode # n • : on Description Confirm # Contact # Message
199 Electrical fin.. 038613 -01 503- 709 -4539 N
Corrections /Com - - - actions:
`!t PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: N b8 1. Date: 111 Phone #: (503) 718 - 1 -4 +60 O
CITY OF TIGARD '
BUILDING DIVISION PERMIT #: ELC200&00512
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/12/2006
Phone: (503) 639 -4171 t " 6 I i
Inspection Requests (24 Hrs.): (503) 639 -4175 I
INSPECTION WORKSHEET FOR DATE: 10/12/2006 TIME: 7:01AIVi PAGE: 72
SITE ADDRESS: 09300 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: MACY'S
DESCRIPTION: (3) branch circuits for shoe dept.
OWNER: WASHINGTON SQ LLC, PHONE #:
CONTRACTOR: STONER ELECTRIC PHONE #: 503-462-6500
Inspection Request Scheduled For: Date: 10/12/2006 Pour Time:
Code # Ins ection Description Confirm # Contact # Message
130 Ceiling cover 038064 -01 503.462 -5218 N
Corrections /Comments /Instructions:
) ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1 1 2 E Date: % 0 (I P hone #: (503) 718- Ag__
CITY OF TIGARD
.. BUILDING DIVISION PERMIT #: ELC2006`00512
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/12/2006
Phone: (503) 639 -4171 "9 ' I
Inspection Requests (24 Hrs.): (503) 639 -4175 . I —
INSPECTION WORKSHEET FOR DATE: 10/6/2006 TIME: 7 :03AM PAGE: 55
SITE ADDRESS: 09300 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: MACY'S v,/OMtit\)
DESCRIPTION: (3) branch circuits forshoe dept. 1.0 t.k. ‘,-v L
la cko, s i p
OWNER: WASHINGTON SO LLC, - PHONE #:
CONTRACTOR: STONER ELECTRIC 4 C rn\■Kt-) PHONE #: 503-462-6500
Inspection Request Scheduled For: Date: 10/6/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 037775.01 503 - 709 -4539 Y
Corrections /Comments / Instructions:
IA. U rb
S QEspi7 ALL cA oir G
111.4Ack._ ork tia. X10.2 -(- le brae 81 3Q wiLDa ,
AliT6 •. Ao W?T CAVeill. CAI L-
d 1 1 6 V I ' 6%)* 1 404' itIOA L -
v ,) V b a q - / vci, c- / btZT 1:j C.,av .E` f�[_
caQ Le 10 k q 4o4') MOK.
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
N FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G 1i 0 q Date: t 0 4 6 Phone #: (503) 718 - I.' %