Permit CITY OF TIGARD ELECTRICAL PERMIT
° PERMIT #: ELC2008 -00028
COMMUNITY DEVELOPMENT DATE ISSUED: 1/14/2008
= • 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
g PARCEL: 1S12600-00300
SITE ADDRESS: 09402 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG
PROJECT: DICK'S SPORTING GOODS
Project Description: (2) sign lightings, change in size of sign required new electrical work.
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: 2
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HM/ SVCI 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 YOUNG ELECTRIC SIGN CO
BY THE MACERICH COMPANY 20100 SW 112TH AVE
TIGARD, OR 97223 TUALATIN, OR 97062
Phone: Contact #: PRI 503 - 612 -6672
FAX 503 - 612 -0914
FEES
Description Date Amount Reg #: ELE 37 -5ICLS
IELPRMTI EEC Permit 1/14/2008 $106.80 LIC 69308
Il AXj 12% State Surchar 1/14/2008 $12.82 SUP 66I SIG
Total $119.62 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 . • ENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Ce• er. Those rul are set forth in
OAR 952 1 - 0010 throug• •AR ' '01 -0100. You may obtain copies of these rules or direct questions to OUN• - .03.2 .6699 1.600.332.2344.
Issued y: 1 /L s' Permiftee Signature: 4
,
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.
Electrical Permit Application FOR OFFICE USE ONLY
4
Receiv / / /6 n
Permit No.: g , City of Tigard Date/By: l d p ,,,g . -
13125 SW 1 -tall Blvd., Tigard, OR 97223 Plan Review
_ ? Phone: 503.639.4171 Fax: 503.598.1960 Date/B : Other Permit:
T I G A R D Inspection Line: 503.639.4175 Date Ready /By: 63 See Page 2 for
Internet: www.tigard - or.gov Notified /Method: Supplemental Information
. TYPE OF WORK 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.
less 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 ", "I -2 ", "1 -3 ",
Job no.: Job site address: 9402 SW. Washington Sq. Rd. Ioo or or more. occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parks.
City /State /ZIP: Tigard, OR. 97223 ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite /bldg. /apt. no.: Project name: Dick's Sporting Goods ❑ Service or feeder 600 amps or snore.
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
Ea. add'I 500 sq. ft or portion 33.40 I
Tax map /parcel no.: Limited energy, residential
DESCRIPTION OF WORK (with above sq. ft.) 75.00 2
Limited energy, multi - family
Replace 2 sets of existing channel letters on parking structure +htl 4- rea residential (with above sq. ft.) 75.00 2
(n
Services or feeders installation, alteration, and /or relocation
S ;.,- 5cod 1.J ',Anal Wri, o r 1 co rIc II y eel' '.((• -- e d. 200 amps or less 80.30 2
Eri PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2
Name: Washington Square LLC By the Macerich Co. 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: 9585 SW. Washington Sq. Rd. Over 1,000 amps or volts 454.65 2
City /State /ZIP: Tigard, OR. 97223 Temporary services or feeders installation, alteration, and /or
relocation
Phone: ( ) Fax: ( ) 200 amps or less 66.85 I
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 ® CONTACT PERSON above service or feeder fee,
each branch circuit 6.65 2
Business name: Young Electric Sign Co. B. Fee for branch circuits
Contact name: Thad Firkins without service or feeder fee, 46.85 2
first branch circuit
Address: 20100 SW. 112 Ave. Each add'I branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City /State /ZIP: Tualatin, OR. 97062 Each manufactured or modular 90.90 2
dwelling, service and /or feeder
Phone: (503) 612 -6672 Fax: : (503) 612 -0914 Reconnect only 66.85 2
E -mail: tfirkins @yesco.com Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 2 53.40 106.80 2
Business name: Young Electric Sign Co Signal circuit(s) r ration, d-
energy panel, alteeration, , or
Address: 20100 SW. 112th Ave. extension. Describe: Page 2 2
City /State /ZIP: Tualatin, OR. 97062 Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: (503) 612 -6672 Fax: (503) 612 -0914 Investigation per hour (1 hr min) 62.50
CCB Lic.: 69308 Electrical Lic.: 37 -51 CLS Suprv. Lic.: 710 SIG Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: Subtotal: 106.80
Print name: Jerry James Date: 01/14/2008 Plan review (25% of permit fee):
1 ...._ fro
State surcharge (I2% of permit fee): 12.82
Authorized signature: t h TOTAL PERMIT FEE: 119.62
Print name: Thad Firkins Date: 01/14/2008 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'.\ Building \ Permits \ELC- PermitApp.doc 05/23/06 440- 4615T(1 l /05 /COMM'EB
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: FLC20(113.0O0?8
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/14/2008
Phone: (503) 639 -4171 '' ,iI-'llt
Inspection Requests (24 Hrs.): (503) 639 -4175 !I
INSPECTION WORKSHEET FOR DATE: 1f24/2008 TIME: 7.02AM PAGE: 80
SITE ADDRESS: 09402 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: DICK'S SPORTING GOODS
DESCRIPTION: (2) sign lightings, change in size of sign required new electrical work.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: YOUNG ELECTRIC SIGN CO . PHONE #: 5036116672
Inspection Request Scheduled For: Date: 1/24/2008 Pour Time:
Code # Inspection Description Confirm #\ Contact # Message
199 Electrical final 063772 -02 503.756 -6645 N
Corrections /Comments/ Instructions:
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PASS n PARTIAL APPROVAL ❑ CANCEL NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: CIM M,G L Date: 1 " 9 - 1 - Oi Phone #: (503) 718- 1.41-0.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC20O0 -00028
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: - I /14 /7(i08
Phone: (503) 639 -4171 Ate "' ° i
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 1/24/2008 TIME: 7:02AM PAGE: tf i
SITE ADDRESS: 09402 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: DICK'S SPORTING GOODS
DESCRIPTION: (2) sign sightings, change in size of sign required new electrical work.
OWNER: WASHINGTON SQUARE L.LC, PHONE #:
CONTRACTOR: YOUNG ELECTRIC SIGN CO PHONE #: 503 - 612 -.6672
Inspection Request Scheduled For: Date: 1/24/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
140 Sign inctaIlation 063772 -01 603 -756 -6646 Y
Corrections /Comments /Instructions:
O PASS PARTIAL APPROVAL ❑ CANCEL Ti NO ACCESS
n FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: I % L Date: 1 '� y ' D Phone #: (503) 718- 11410