Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2007 -00650
COMMUNITY DEVELOPMENT DATE ISSUED: 9/17/2007
FTIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09522 SW WASHINGTON SQUARE RD H07 ZONING: C -G
• SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG
PROJECT: EDDIE BAUER
Project Description: Sign lighting interior.
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 HMI 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 MEYER SIGN CO OF OREGON
BY THE MACERICH COMPANY 15205 SW 74TH AVE
9585 SW WASHINGTON SQUARE RD TIGARD, OR 97223
TIGARD, OR 97223
Phone: Contact #: PRI 503 - 620 - 8200
FAX 503 - 620 -7074
FEES
Description Date Amount Reg #: ELE 20- 190CLS
(UMW] EEC Permit 9/17/2007 $53.40 LIC 64014
[TAX] 8% State Surcharge 9/17/2007 $4.27 SUP 566SIG
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 OU at 503.24..6699 or 1.800.332.2344.
Issued By: �i � / 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.
4
Elle trical Permit Appl _ E � % FOR OFFICE USE ONLY
City of Tigard Received DateB ! 7 Permit N :00 . ,.._,„ 1.4 , _ oa ( ,5a
° 13125 SW Hall Blvd., Tigard, OR 9's td 1 1 7 2007 Plan Review
C s Phone: 503.639.4171 Fax: 503.59.. ' .0 7 Date/B : Other Permit:
T I G A R D Inspection Line: 503.639 76 Y OF Y II ' Date Ready/By: EMI EI See Page 2 for
Internet: www.ti g ard -or. 0 1 1 U Notified/Method: Supplemental Information
idAING DI VISION PLAN REVIEW
❑ New construction ❑ Addition /alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
Tess to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ 1- and 2- family dwelling ❑ 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.
❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ",
Job no.: Job site address: SW Washington Square Rd r occupancy.
❑ Six x o or r m more a r rest esidential units. ❑ Recreational vehicle parks.
City/State /ZIP: Tigard, OR 97223 CP ,50 ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: H07 Project na e: Eddie Bauer ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: SW Washington Sq Rd and SW Hall Description 1 Qty. 1 Fee. 1 Total l •
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Ea. add'I 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential 75.00 2
DESCRIPTION OF WORK (with above sq. ft.)
Install (1) One Illuminated hanging ceiling Sign Limited energy, multi- family
() g g g g 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 ❑ TENANT 201 amps to 400 amps 106.85 2
Name: Macerich 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: 401 Wilshire Blvd Suite 700 Over 1,000 amps or volts 454.65 2
City/State /ZIP: Santa Monica, CA 90401 Temporary services or feeders installation, alteration, and /or
relocation
Phone: (301)394 -6000 Fax: ( ) 200 amps or Tess 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 signature: Date: A. Fee for branch circuits with
❑ APPLICANT 1 ❑ CONTACT PERSON above service or feeder fee,
each branch circuit 6.65 2
Business name: Meyer Sign Company of Oregon B. Fee for branch circuits
without service or feeder fee,
Contact name: Scott Stambaugh first branch circuit 46.85 2
Address: 15205 Sw 74 Ave Each add'l branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City/State /ZIP: Tigard, OR 97224 Each manufactured or modular 90.90 2
dwelling, service and/or feeder
Phone: (503) 620 -8200 Fax: : (503) 620 -7074 Reconnect only 66.85 2
E -mail: permits @meyersignco.com Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 1 53.40 2
Business name: Meyer Sign Company of Oregon Signal p a nel t(s) or limited -
energy panel, alteration, or
Address: 15205 SW 74 Ave extension. Describe: Page 2 2
City/State /ZIP: Tigard, OR 97224 Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: (503) 620 -8200 Fax: (503) 620 -7074
Investigation per hour (1 hr min) 62.50
CCB Lic.: 64014 Electrical 'c.: 20- 90CL �� t ,Suprv. Lic.: 566 -SIG Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: 0 Subtotal:
Print name: Phil Reynold e: 9/17/07 ,
Plan review (25% of permit fee):
State surcharge (8% of permit fee): 7 ,
Authorized signature TOT AL PERMIT FEE: 5 '� , 7'
This permit application expires if a permit is not obtained within 180
Print name: Scott St a Date: 9/17/07 days after it has been accepted as complete.
* Number of inspections allowed per permit.
I: 05/23/06 - 440-4615T( I I /05/COM/WEB