Permit I
MI CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
IPILI! COMMUNITY DEVELOPMENT PERMIT #: ELR2007 - 00049
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/22/2007
PARCEL: 1 S 126C0 -01403
SITE ADDRESS: 09300 SW WASHINGTON SQUARE RD ZONING: C - G
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: MACY'S
Project Description: Burglar Alarm. Job #83 20514 - 3.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL: X
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
FEDERATED DEPARTMENT STORES ADT SECURITY SERVICES, INC
ATTN: RANDY MCGREAL 2815 SW 153RD DR
3RD AND PINE STREET BEAVERTON, OR 97006
SEATTLE, WA 98111
Phone: 206 -506 -7207 Contact #: PRI 503- 469 -7100
FAX 503- 469 -7114
FEES Reg #: ELE 26- 209CLE
LIC 59944
Description Date Amount
[ELPRMT] ELR Permit 2/22/2007 $75.00
[TAX] 8% State Surcha 2/22/2007 $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: �� rid � 5 Permittee Signature: cj .e
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.
Feb 07 12"420 Stephanie Pate - 503469 p.1
Electrical Permit Applicat • t g FOR OFFICE USE ONLY
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13125 SW Hall Blvd., Tigard, OR 92J '
Phone 5I1.6.1') 4171 1'.ex 511 'Hr
:1598 ]. ta`) D . I hewer.
t . ,-- � { �. r , hewer. Oehcr fennel.
lnspccuon line 50J 639 4175 - `� ° _ r \ \1 \ �y �� 1L D,u q,• ResdyiUy- :an ' lid Set Page 2 for
Intcnict: www ci tipatd,ar,u4 y\ O\ � \t - Nutitie Mcllwd: ' Supplemental Information
_. T�re. OE WOu1 ,.. - PLAN RI:VJKW ° -
CI N'. w conslructioo CZ Addi lion /ulter �' ` �u Please cheek All (hat apply. —_ n
❑ Service over 225 anq)S, wrnm'l OH.a;,trdotu 100t1on
O
Demolition Q Other DScrvic -c over 320 amp); rating ❑Hulling Data' 10,000 sy 0.,
. - CATEGORY 1 01' CONSTRUCTION.. . • Of 1- and 2 family dwellings 4 or more new residential
❑ I - and 2- family dwellin 2.1 Comtnetcht1' a kislriil Q Accessory building QSystern over 000 volts nominal units in one. slructus;
013uileting over three stone, OFecder, 400 amps of more
❑ multi- tariitl ` ❑ Master builder ❑Other: OOccupant load o err 99 persons ❑Manufactured structures or
^ JOB SITE INFORMA'UON 'AID L LOCATION ❑I31,rec.l LghGnL plan RV park
- ❑ health -care facility DUther; i
Job no.:g3 - 3 I Job ' iLC txl(Iress: �30o SI,rJ4 f. 5 - � R. d
Su bm 2 i( sets of pli n. with any Of tic above
City;Sl.ltc'Zll'' ? / ' / 9_7z2 3 Ilk; above are net .tppl'icablc to lctnporary constrction service.
SUItdbldl;.!.,pt. no . I Project narne.�, e/ S �/l>.tor#w!ST -
- �� OM' S('1tk;DltLl`. ..
De,cnption -1 slur- I Fa Turrt r �.....1
C rocs strce[/d t,
irecLrns 10 hob Stk.. — Nets rpsirdcrrtutl single- or multi- family dwvllmg unit,
"' " " "- - — - Includes attached rrarage.
1,000 Ai, It. ur lcsa �_ ' 145.15 4
Suhdiviiinn' Lot no.; L.t add'I 500 .:q ti, or portion 3 3.10 I
Tax maptxue l no.:
' - •- -- 1 •ended energy, resldential 75.00 2
____- -- ` • - - Limited energy. non- resitI atlud 75.00 2
r b1:5L'R_____ , of WORK, Pads. mannftctun:xiormodular
/ / • / / t7 _ dwclhng sacrcc and/or fender '10 90 2
—r.
v ��� + - - .._., Services or feeders installation_, alteration, midi') relocation
e i _ 200 amps et kiss - 1f) 30 30 1
—
[] f1tUl'E R i'Y OWI+iFat _ _ L _—
❑ 1'� TY T : O I _uui�n [0 400 ampa 1C( 2
401 amps to 600 amps 160.60 _2
Name -- __ ,. , ._ 001 a to 1,00(1 amps _ 240.iU h 2
Address: Oval 1,000 amps or volt, 454,65 2
_ - - • -- Itccot only I 66 85 I - 2
City/State/ZIP;
- w _. Temporary servicrc u r fMtlers installation, alteration, andlor
Phone' rclocanon _
• Fax: , 20 amps or lc;:. eiti,8 I
Owner installation; This inst;;llation is being nude on proporry that 1 own which Is not 201 turps 1u400 amps 100311 2
intended for sale, loose, rent, or exehanpc, accordioe to ORS 447, 449, 670, and 701. - ' -
401 :unpv to 600 :imps 133 7,5 2
Owner Signature' _ _Datc. Brandt circuits new, alteration, or extension, per panel
CCNT PERSON': A lee lot ire h i i s,'
1 APPLICANT - . - .,
�► < y ACT .,. service t nc c roe is h
or ftcder fee. such
6,05 2
Business name' ., n
- /stanch circu
U, Fee Ins ,ranch circuity ^ _ --
CC)11GtCL I111111C - -
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s,,if6m n acrvtce Of icxtdet fee. •tri.tSS -, f i't b ranch ar, uit
Add ress. ...,_.,., -_ ,_.
- -.. - - -, _. „ Eueli add'I branch circuit _ 11 05
City/State/ZIP Mlticelhtnurua (service or feeder not iitcludctl)_
Pump or Irritation circle 53 40 2.
Phone 1 4. ��DO I crx._ ( ) - •
-
Sign ur outline lightinty 53 40 2
1: •rn,nl, - S■I;nitl cneuit(s) er limited- --
__..._ ,CONTRACTOR - -- ' I eru'rgypanel, niterati:n, or CC
crtcnsion Desei'ty: / Pace f- 2
Business flume: ADT Security Set "' -- _ ._ - - 1 'Ii
Address. 2815 SW 153 Dr, l,ach additional intpeedon over nllowablc in nny ol'the above.
- —
- � Pet tnspeciiorl fi,SU
C Beaverton OR 97006 Cnvcsug i ion per hour (I hr n,m 02 __I
Phone: (503)409-71N T t - Industrial plant per hour ".3.75 l
• 1 ax • (503) 4 711ti - EL.EC.'TlRtCAI. PE. MIT FEESi - '
CCs; Lie. 59944 Fieetrtetil Lie.• 26 209CLli Suprv. I.te.. LEA389 eo
Supr,• l?eetricinn sign :RUir, rechltici, ; 1 ,0 l J J P1n IeV1:W C::S",ros,lpcmitt fee)
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Print nitre: ,e,.,..-,,./ � I Dale: •�7 — ' ti
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!\Ulh(ft1' „mil '.Ign011)t l ' �f � _ �� � 1 h[s permit opplicatiun mph es if a permit is nr.t obtained within 11)0
— yy �� ^^-- — - -- day+ afar It )1.1c bc,ro :,cncrue8 44 complri
Print (Lune: /t � N f/�4. US' 1)a ;e: • 1'le nledsrarilo ".:;ea by fn C'ouuty IluAdtnr Indu,try Scotia, ft.s ui
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