Permit CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: ELR2007 - 00044
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/20/2007
PARCEL: 1 S 126C0 -01403
SITE ADDRESS: 09300 SW WASHINGTON SQUARE RD ZONING: C - G
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: MACY'S
Project Description: Low voltage: Telecomm wiring.
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:
FEDERATED DEPARTMENT STORES STONER ELECTRIC
ATTN: RANDY MCGREAL 1904 SE OCHOCO STREET
3RD AND PINE STREET MILWAUKIE, OR 97222
SEATTLE, WA 98111
Phone: 206 -506 -7207 Contact #: FAX 503- 659 -2824
PRI 503- 462 -6500
FEES Reg #: ELE 26 -122C
LIC 44823
Description Date Amount SUP 3496S
[ELPRMT] ELR Permit 2/20/2007 $75.00
[TAX] 8% State Surcha 2/20/2007 $6.00 REQUIRED ITEMS AND REPORTS
Total $81.00
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: Permittee Signature: Aix AL LC�J
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.
02/19/2007 14:56 FAX 5036592824 STONER ELECTRIC 0 002
Ele Permit App - FOR OFFICE USE ONLY
±� V E a l h'' ,_7 .boo
City of Tigard o o -
13125 sW Hail Blvd.. Tigard, OR 9722 B 2 'J 2 007 P Re n Other Permit. 503.639 -4171 Fax: 503.598.1960— a 1+1's I MUM : ther (� se: 1'age2 far
I b» Ready/By:
Inspection Line: 503 - 639.4175 CITY (�i: �•IGARD Notifu el so. Page inron n
Internet: www.titigatdor.� ajninIhra nivisl i
TYPE OF WORK PLAN REVIEW
Please threat all that apply:
I=1 New construction AdditiotJaluCtalien /scplaretne+lt ['Service over 225 amps, camel ❑ Hazardous location
❑ Demolition ❑ O then ❑Service over 320 amps — rating ❑ Buildng over 10,000 sq. R,
CAT ItY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential
❑System over 600 volts nominal units in one structure
0 1 and 2- family dwelling Cot>anercial/mdtL�trishl ❑ Accessory building Building over three stories ❑ Feeder 400 amps or more
❑ Multi- family ❑ Master builder ❑ Outer. ❑ pccup.,nt load over 99 persons ❑ vlanufaciwed str ucua es or
JOB RITE' •IIlY*ORMAITON 4N1D IA Effottaightio8 Plan Rif park
❑Heahh -ears fatuity ❑der
Job no.: Yob site address: 3 y 2 submit 2 sets of plans with any of the above.
city/Ss b: 1 ?,�� above are �tappti�ble temporary s
v� � • .. M-
l ij r,
_ .
Suite/bldgJapt: no.: Project name: ' 1' (f1 , p QV. Fee S eal
Cross strod/directions to job site: � '� 0 / New re ddeafial or maltidaroUy d&
lndndes afwcbed basal
1,000 sq. 0_ er less 145-15 4 _ l_ StlbdiviSi� I
Lot no.: Ea- add'I 500 sq. fi. or portion 33.40 1
Limited energy, rceidealial 75.00 2
Tax map/parcel no.: IinAed energy, non - residual 75.00 2
D ?dF t ORK _ —Each or modular
J _dam serif aadlor feeder 9090 2
t1 �0.! <� (� b �'I.t t/K ! error or fe n b�.1tat� alteration. tmaror EIoCea
200 tarps or less 8030 2
-
• 201 amps w 400 amps 106.85 2
o ;>Y :OWNER = :: 0 TENANT 401 amps to 600 amps 160.60 2 .
Name _ 601 ampeto 1,000 amps _ 240.60 ; 2
Over 1,000 amps or vo0s 454.65 2
Address
only _ 6685 _ 2
City/StaidZIP Temporary services or feeders L ilot4 alteralloo, awdfor
per ( ) I Fax ( ) t 200 amps or lei 6 685 1
2 -
Owner installation: Ibis installation is being made on property that I own which is not 201 Io 400 amps 10030
intended for sale, lease, tent or fie, according to ORS 447, 449, 670, and 701- 401 aropsto 600 sumps 133.75 2
Owner sgaaime' _ Date Branch rsecvibt —mw, aloe
or eitrattlam per panel
-
�: F:• /A Fee fat hands circuits with ` =Q' ; PIr C: A` - stoma orfeeier fee, each 6 2
Bosky= name: _ brancho4+ens _
S. Fee for breach circuits
Con,aCt Oame without service or feeder fee. 4615 2
each branch circuit .
Address: Each add'1 b rand► tawit _ 6.65 - I r
City /State/ZIP: M' eom (service or feeder tot included) -
Pump or irrigaiioa circle _ 53 - 2 _
Phone ( ) Fax : ( ) sign or outline i g 53.40 -. 2
E -mail: Sigoal cawit(s) or limited -
coriTnAcroR energy panel, alteration. or
_ extension. Describe: 1 75.00 q S UD 2
Business name: STS N ��i =c.T7e r C _
Each additional inspection over allowable in any of the above
Address: i 9 o 4 Se 0 G h a c G Per inspection 62.50
City/State/7 -1P: r - t r L wAtu k 1 E o R 9 72 2.. a Investigation per hour (I hr milt) 62.50
lndaultial plant per hour 73.75 t :
Phone: ( 3) '¢(0 z - (oS�o l Fax: (5-Q.3 ) 5`)- 4 8 5
PERMIT FEES'
CCB Lic.: 44 gz 3 I Electrical Lic.:2 2 2 e l Suprv. Lic.: +96, s Subtotal 7‘.
Suprv. Electrician signature, required: J'1l ..Q Plan review (25% of permit fee) — /
State surcharge (S% of permit fee) (/
pnnt Dale: ,, 0
M 1 KE g4 ca N E IS )1I 0 i t'
TOTAL PERMIT FEE 1 . 00 _
Authorized signature this permit application eipires ifa permit Is not obtained within IBO
days alter it hu been accepted so complete
Print name: Date: • Fee methodology set by Tn -County building Indust,• Samcc Hoard
CITY OF TIGARD
j 'I
BUILDING DIVISION PERMIT #: ELR2007 -00044
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7j20/2007
Phone: (503) 639 -4171 �°* /l
Inspection Requests (24 Hrs.): (503) 639 -4175 �'��
INSPECTION WORKSHEET FOR DATE: 2/2212007 TIME: 7 :02AM PAGE: 48
SITE ADDRESS: 09300 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: MACY'S
DESCRIPTION: Low voltage: Telecomm wiring.
OWNER: FEDERATED DEPARTMENT STORES, PHONE #: 206 -506 -7207
CONTRACTOR: STONER ELECTRIC PHONE #: 503.462_6500
Inspection Request Scheduled For: Date: 2/22/2007 Pour Time: 5;AG
9"
Code # Inspection Description Confirm # Contact # Message 9 . 55 -
35 ‘-M-----KR-
Low volts• -. 043715 -01 503. 806 -1386 N
Corrections/Co t /Instruction .:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G' ooe Date: 2 V2. 01 Phone #: (503) 718-2A4