Permit CITY OF TIGAR ELECTRICAL PERMIT
!t ; , � , + PERMIT #: ELC2007 -00449
COMMUNITY DEVELOPMENT DATE ISSUED: 7/2/2007
iT,IGA'RD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
' c'oostorz g PARCEL: 1S12600
SITE ADDRESS: 09467 SW WASHINGTON SQUARE RD All ZONING: C - G
SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG
PROJECT: STARBUCKS
Project Description: Sign lighting.
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: 1
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: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 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 SQUARE LLC VANCOUVER SIGN COMPANY, INC
BY THE MACERICH COMPANY 6615 SW HWY 99
9585 SW WASHINGTON SQUARE RD VANCOUVER, WA 98665
TIGARD, OR 97223
Phone: Contact #: PRI 360 - 693 - 4773
FAX 360- 693 -2747
FEES
Description Date Amount Reg #: ELE 37 -46CLS
[ELPRMT] ELC Permit 7/2/2007 $53.40 LIC 63951
[TAX] 8% State Surcharge 7/2/2007 $4.27 SUP 525SIG
Total $57.67 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.? / / ,45, - 141J Permittee Signature: Ar t' :.' _ vim/ 1 LA
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.
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.Electrical Permit A 1> <ca ,� r 1 o R 01711C I u I 0 N 1 fi '
`- C ity of Tigard d p ermit N
A a t 0 2 2001 DateB //7') 3_13 ;,a07-- 0 p i y 'g
1 3125 SW Hall Blvd., Tigard, OR 97223 v an Rev w
C Phone: 503.639.4171 Fax: 503.598.1960 O t : Other Pe ' .
' ' Inspection Line: 503.639.4175 CIT.' i i A eady/By: Juris: l ® See Page 2 for
TIGARD P
Internet: www.tigard- or.gov 4 _ , r q� i r ethod: Supplemental Information
•
- • TYPE ailiT17RK PLAN REVIEW
❑ New construction Addition/alteration / replacement
Please check all that apply (submit 2 sets of plans w /items checked below):
` � l t( I I n ❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition Others u where the available fault current ❑ Marinas and boatyards.
CATEGORY OF COIUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ 1- and 2- family dwelling 0/ Commercial/industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire PumP. ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system larger separately derived system.
1 ❑ Addition of new motor load of ❑ "A ", "E ", "I -2 ", "1 -3 ",
Job no.: Job site address: N yt"7 W ( � h(0 1I Cj , 44 100HP or more. occupancy.
❑
�t� L , ❑ Six or more residential units. Recreational vehicle parks.
ty - / J ard 0 f 9�aQ
Ci / State/ZIP: ',) ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name j( ? j) (La ❑ Service or feeder 600 amps or more.
J FEE SCHEDULE
Cross street/directions to job site: Description I Qty. 1 Fee. 1 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] 500 sq. ft. or portion 33.40 1
Limited energy, residential
DESCRIPTION OF WORK (with above sq. ft.) 75.00 2
J (� + Q (J a / a D /� -y� n /(/� / / n L energy, multi - family
�t l �Vi ti / o I `,Q y:tl 1��/' ?.e Tiff z / iri J/ , residential (with above sq. ft.) 75.00 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
PROPERTY OWNER I. TENANT 201 amps to 400 amps 106.85 2
Name: o ,, 401 amps to 600 amps 160.60 2
/ I^ 1 � 601 amps to 1,000 amps 240.60 2
Addres - /././(0-7 LL „,,,, I� , V,, . �)�, Over 1,000 amps or volts 454.65 2
City/ State/ZIP: 7 Vil ) ��) D i ! / Y ? 7 f s ��7 Temporary services or feeders installation, alteration, and/or
/ L J relocation
Phone: ( ) I Fax: ( ) 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 599 amps 133.75 2
Branch circuits – new, alteration, or extension, Per panel
Owner signs e: Date: A. Fee for branch circuits with
APPLICANT I A ❑ CONTACT PERSON above service or feeder fee, 6.65 2
� �} each branch circuit
Business name: 1 �--1' 1 (I 9) cLULI \ i (o (it B. Fee for branch circuits
Contact name �- l ^,�li 1 J without service or feeder fee,
first branch circuit 46.85 2
v V (J
Address: ( ' C Each add'I branch circuit 6.65 2
f) D I ' ` ^' Miscellaneous (service or feeder not included)
City/State/ZIP: 1 I a It , 9) ( u l 1 )` q� j Each manufactured or modular 90.90 2
( 'O) L 1 5 - Lf -7 / (3 ) 03 ^ ln service and/or feeder
Phone: Fax: : 11i • / � 7 (r) Reconnect on
only 66.85 2
E - mail: 1 )te K L 3 U Cep Al �/) 6 ( �) V) Pump or irrigation circle 53.40 2
CO cT J ( ' - Sign or outline lighting ' 53.40 O)2) LLC 2
,/ ���� ( / n V rf /� S ignal circuit(s) or limited-
Business name: ( J _p/ e ner gy panel, alteration, or
Address: extension. Describe: Page 2 2
City/State/ZIP: / 1 ii A i . . r\ ` 1 , Each additional inspection over allowable in any of the above
Phone: ( )
- ��I .f Wilit � , r Per inspection 62.50
:
V a x Investigation per hour (1 hr min) 62.50
CCB Lic.: �7 -7 / cJ/ Electrical Lic.: 3 7- L / up . Lic.: - I9STCi Industrial plant per hour 73.75
,i1' ELECTRICAL PERMIT FEES ' i
Suprv. Electrician signature, required: ! Subtotal: -..)2) (fr'1
Plan review (25% of permit fee):
Print name: Fg � , �! . ! 6, ■ ate: 07 r /0-7 State surcharge (8% of permit fee): Li
Authorized si :nature: , I 1 1 , (" TOTAL PERMIT FEE: Cy? (
��
Print name: ,J t� I )l
) — 7 tf..,267 This permit application expires if a permit is not obtained within 180
�� Date: days after it has been accepted as complete.
* Number of inspections allowed per permit. •
t:\ Building \Permits\ELC- PermitApp.doc 05/23/06 440- 4615T(II/05 /COM/WEB