Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2008 -00538
° .. COMMUNITY DEVELOPMENT DATE ISSUED: 9/17/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S126CB-00500
SITE ADDRESS: 09300 SW WASHINGTON SQUARE RD ZONING: C - G
SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG
PROJECT: MACY'S
Project Description: (3) branch circuits for cosmetic display and cashwrap.
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: 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:
MACY'S DEPARTMENT STORES INC. ACCURATE ELECTRIC
ATTN. PROPERTY TAX DEPT P.O. BOX 873425
7 WEST SEVENTH ST VANCOUVER, WA 98687
CINCINNATI, OH 45202
Phone: 513 - 579 - 7667 Contact #: PRI 360 - 944 -7001
FAX 360 - 944 -7013
FEES
Description Date Amount Reg #: ELE 37 -1029C
[ELPRMT] ELC Permit 9/17/2008 $60.15 LIC 158875
[TAX] 12% State Surchar 9/17/2008 $7.22 SUP 5094S
Total $67.37 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: Permittee Signature: � 2 7,
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.
SEP - 17 - 2008 09:21 Accurate Electric, Inc. 3609947013 P.001
aria■...I.* avail a. a.a aqua 4.10 IJAAVII. WASP as - -
=" City of Tigard . Date B l ®I �M/ Permit No. G P
a 13125 S W Hall Blvd„ Tigard, OR 97223 v Plan Review
2 Phone: 503.639.4171 Fax: 503.598.196 ' D ate /By: Other Permit:
T L GA RD Inspection Line: 503.639.4175 .639 1 "1 1. 00 , Date Rea dyBy: l . a . m � . � ® See Page 2 for
Internet: www.tigard-or gov C �Q ` ^ t�1 i i otified/Method: / ..L. Supplemental Information
.;.�,� ,
' :;� : ��.,.. ' E :�OF, 'W41B.[C'" I., .+;^ , � ; 'r,:`; I, , -•P,ILAI'( ItEUIE�iI,. ' ,
ID New construction J , ddition/alteration/re( C3 Please check all that apply (submit 2 sets of plans w /items checked below).
`, ❑ Service or feeder 400 amps or more El Building over three stories
El Demolition El Other ' ,U where the available fault current ❑ Marinas and boatyards.
''-;?•,;; "'�' . ` "z "> l ❑ Floating buildings.
;, n.. ,t ^r., .- . ;4'A G "� iY D ' ; ON .. :..... ... .
"" i exceeds 10,000 amps at 150 volts or less to ground, or exceeds 14,000 ❑ Commercial - use agricultural
❑ 1 - and 2- family dwelling VP,Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other. ❑ Fire pump. ❑ Installation of 75 KVA or
.r:;, > a ai :. i _; % ❑Emergency system larger separately denved system.
,x -g- . : ; •2 .,4 ; J SYIT,�` QZK1 :441• !i..Als[IP LQCATI,7* ;.?s� :.i ; ! ?i!_ `a. : :' :.%i a Addition of new motor load of ❑
..A„ "E", . .
L2 Job site address: 300 0, ` / ' >/ Six or or more. Recreational
Job no.
� l� 1 � � o _ III/ � Six or more residential units. ❑R vehicle parks.
City / State/ZIP: i [�� ❑ Health locations.
❑ Supply voltage for more than
1 ��,1 O 1 ! �� ❑Hazardous locati 600 volts nominal
Suite/bldg. /apt. no.: I Project name: M a c. j' S ❑ Service or feeder 600 amps or more.
,, 11 ,; ;�. ; , ,, ; ''.';. 1 "; 1.-- ;•• , ',:".'': ?E'SCBED11L1;
Cross street/directions to job site: Des cription I Qty. I 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
Tax map /parcel no.: - Ea. add'I 500 sq ft or portion 33.40 1
t c , h r , 1 Limited energy, residential
' t,��t;,..' • (•; , :? ; DE CRW IO? O WO r�K� '` :: °
+ "h :V::; +J '• : );':::rr ;�� °, -; (with a bove sq ft ) 75.00 2
ill „ Lo J c ^ / v ' i LJ ^ ]p ^ I / � /� d Limit resi e dent d en ial ( , multi above - fami sq. ly ft.)
75.00 2
171XT4ilf,IL.:''.:." Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
i, . ,, !C „PI PERT , „•_ ., .`; •. ; r,•;:' :Q - *OlT :• •w . r; :,: , ,.;2 201 amps to 400 amps 106.85 2
Name: 1 401 amps to 600 amps 160.60 2
` 601 amps to 1,000 amps 240.60 2
Address: � - A 1 , � 1 ' ti °WA Over 1,000 amps or volts 454.65 I 2
City/ State/ZIP: ` 1I Temporary services or feeders installation, alteration, and/or
f relocation
Phone: ( ) 1"111, �t MAI.1% 200 amps or less 66.85 1
Owner Installation: This insta ation is being made on property that own w tch is not 201 amps to 400 amps 100.30 2
'
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, an 7rl . 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
: : ANT :' " O
t . :'O C7 `pair' ' - ": _ < ,. "< ; . above service or feeder fee, 6.65 2
each branch circuit
Business name: ct -e -C j 2 J --y) ( B. Fee for branch circuits { 1 Lt , h/
VA � 1 i l� without service or feeder fee, ` 46.85 `SW 2
Contact name:
MI UL. 1 L first branch circuit
Address: Each add'I branch circuit - '1, 6.65 2
Miscellaneous _(service or feeder not included)
City/State/ZIP: Each manufactured or modular
dwelling, service and/or feeder 90.90 2
Phone: Fax: : ( ) Reconnect only 66.85 2
E - mail: Pump or irrigation circle 53.40 2
• ;• , FACTO$,' , , . • Sign or outline lighting 53.40 2
Signal circuit(s) or limited -
Business name: Accurate Electric, Inc. energy panel, alteration, or
Address: P.O. Box 873425 extension. Describe: Page 2 2
City/State/ZIP: Vancouver, Wa. 98687 Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: (360) 944 -7001 I Fax: (360) 944 - 7013 Investigation per hour (1 hr min) 62.50
CCB Lie.: 158875 I Electrical Lie.: 37 -1029C I Suprv. Lie.: 5094S Industrial plant per hour 73.75
ELECTRICAL -PERMIT 'FEES . : •
Suprv. Electrician signature, required f 4 / J Subtotal: pQ 1 /5
Print name' Ken Sweo Date.0 _1(.7_08 Plan review (25% of permit fee):
State surcharge (12% of permit fee): - 7 . 2.2
Authorized signature: tit v 1
r � ) ) l A J � IF a TOTAL PERMIT FEE: b`7 .3
Print name: Debi Watts Date+ -i1 _n�/
, -0 0 This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
' Number of inspections allowed per permit.
1 :•Buddmg•Pmnrts'ELC- PermrtApp.doc 05 440-4615T111'05,COMWEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2008 -00538
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/17/2008
Phone: (503) 639 -4171 4111151111
Inspection Requests (24 Hrs.): (503) 639 -4175 s ..
INSPECTION WORKSHEET FOR DATE: 10/1/2008 TIME: 7:02AM PAGE 3
SITE ADDRESS: 09300 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: \ TYPE OF USE:
PROJECT NAME: MACY'S
DESCRIPTION: (3) branch circuits for cosmetic display and cashwrap. •
OWNER: r r PHONE #: 513
MACY'S DEPARTMENT STORES INC.,
CONTRACTOR: ACCURATE ELECTRIC PHONE #: 350.944 -7001
Inspection Request Scheduled For: Date: 10/1/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
14u Sign installation \ ,,,...... 076165-0 503-758-3350 N
•
2\:
Corrections /Comments /Instructions:
L 33 L 1 NO
•
•
-- t; ,/ Al
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
•
Inspector: 1\s6Q L Date: !IN Phone #:- (503) 718- VIA
CITY OF TIGARD , �, ' • Pi
BUILDING DIVISION PERMIT #: ELC200B.00638
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/17/2008
Phone: (503) 639 -4171 111
Inspection Requests (24 Hrs.): (503) 639 -4175 ..' I ..
INSPECTION WORKSHEET FOR DATE: 3/18/2008 TIME: 7:00AM PAGE: 10
SITE ADDRESS: 09300 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: MACY'S
DESCRIPTION: (3) branch circuits for cosmetic display and cashwrap.
OWNER: MACY'S DEPARTMENT STORES INC., PHONE #: 513-579 -7667
CONTRACTOR: ACCURATE ELECTRIC PHONE #: 360944-7001
Inspection Request Scheduled For: Date: 9/18/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough -in 075635-01 503.758 -3350 \, Y gLA 0Nc.
Corrections /Comments/ Instructions:
1, -... PAS 111 PARTIAL APPROVAL El CANCEL El NO ACCESS
❑ AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G ---, tlV 48 i_.""
Date: t ill 1 Phone #: (503) 718 - 1-ilg0