Permit q CITY OF TIGARD ELECTRICAL PERMIT
11111 ' 4 . COMMUNITY DEVELOPMENT Permit #: ELC2011 -00051
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/20/2011
Parcel: 1S1260000300
Jurisdiction: TIGARD
Site address: 9718 SW WASHINGTON SQUARE RD F05
Project: CATHY JEAN Subdivision: WASHINGTON SQUARE MALL Lot: 0
Project Description: Sign lighting for (1) interior wall sign.
Contractor: ES & A SIGN & AWNING Owner PPR WASHINGTON SQUARE LLC
89975 PRAIRIE RD 2235 FARADAY AVE STE #0
EUGENE, OR 97402 CARLSBAD, CA 92008
PHONE: 541 - 485 -5546 PHONE:
FAX: 541 - 485 -5813
FEES
Quantity Description Date Amount
1 ea Sign or Outline Lighting 01/20/2011 $67.84
Specifics:
1 ea 12% State Surcharge - 01/20/2011 $8.14
Electrical
Type of Use: COM .
Class of Work: ALT
Type of Const:
Occupancy Grp:
•
Total $75.98
Required Items and Reports (Conditions)
This permt is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be don /in accordance with approv • plans. This permit will expire if work is not started within 180 da s of ' -nce, or if work is suspended for more the 180
days. ATTENTION: Oregon law ire •u to follow the rules adopted by the Oregon Utility Atilt Center. Th• e rules are set forth in OAR
952 -0 1 -0010 throu•h OAR 952 •01 -009' ou ay obtain a co.y of the rules or direct questions to OU C by calling 503.2 ..,•87 or 1.80 ' `
1 414
Iss d By: k... ____ u1 ✓A ' - ti� ' Permittee Signatu 0* � /�'� l �" �_
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. ELE . --450 FA � i Date: 4 ///
LICENSE NO. 57 6 /rte
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
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.
From:ESA SIGN & AWNING 541 485 5813 01/18/2011 10:38 #156 P.001/002
Electrical Permit APPlic t lll► +. FOR OFFICE USE ONLY
City of Tiand � ' � L ' R eceived
IN 'J g /-•0005:,)
• 13125 SW Hall Blvd., Tigard, OR 9 D ate' B v �� p Permit No„ AO/
C 9 2 O I Plan Review
Phone: 503.718.2439 Fax: 503.5 0 Date'By: other Permit. 6 fuwp 00
TIGARD Inspection Line: 503,639.4175 Date Ready'By: fur: ® See Page 2 for
Internet: www.tigard- or.gov CITY OF TIGARD Notifed'Method: Supplemental information
,..,.:.:s + -:::. ..A�f;.;r'.�:`_:.:..r:F:r.: S. . •�..:w.�s.:. tie' -
0 l y - -
❑ 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: sign where the available fault current ❑ Marinas and boatyards.
- -
exceeds 1
e ds 0 000 amps at volts 150 I is or
5 o
Floatiu buildings.
` % N
p
❑
I - and 2 -famil dwelling � Commercial /industrial ,,.,',,,., � ' in
� - iil;� !f-- " ".,'s�,'; ���� "' " " " " " less to round, or exceeds 14,000
ground. ❑Commercial -use agricultural
El � y dwelling ® ❑ Accessory building amps for all other installations. buildings. •
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ installation of 75 KVA or
.� . r,. :.' • ' � ' ,,., t,�, �, " " d
�. � " ' ; : - .;.... '`•' �,,;.�;�.;;:..;. Emergency system. larger separately derived system.
,�.,,,,::,::;> :.,,�:..::::'.::;: 5z: JflB „;S1T ' Ir. lF RMAT1flN�;- 1)i- il�flCAT10N °;.::;, >>;
•,*, v:`, :::a .:..:.:..:................. ....,,,,....,..,.:.,- r„ E' r.:: f..,....:', �,:.: �:.,...:_'. ,:a;.;..:,,„- ..�,r,,,...:;:.... , ., -.. a+�...z. o new otorloadof -2 1 -3
'� +.•��, " a:i " "'� ❑Addition f n motor
no.: Job site address "; Washington Square Rd I OOHP 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: CATHY JEAN ❑ Service or feeder 600 amps or more.
Cross street/directions to job site: ,5 � � Uescription 1 Qty, J Fee. 1 Total I
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 168.54 4
Ea, add'I 500 sq. ft. or portion 33.92 I
Tax map/parcel
no.: Limited energy, residential
,
75,00 2
• - '`�='a`° with above sq. R.
••RI 'IOAI- F�:WflRK -'.:,: iz. >r.,
.......:+..tia,�.:,.. t,...:. -.. Limited energy, multi- family 75.00 2
Install (1) S/F walls sign inside Washington Sq. Mall on storefront residential (with above sq. ft.) ,
Services or feeders installation,,alteration, and/or relocation
200 amps or less 100.70 2
21 am 0 a s to 40 amps 0 s 33.56
i;* �
:; +r'�
P OPERTY� flER'� > �` p P
A
Name: CATHY JEAN 401 amps to 600 amps 200.34 2
601 amps to 1,000 amps 301.04 2
Address: 9640 SW Washington Square Road Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation, alteration, and /or
City/ State/ZIP: Tigard, OR 97223
�]
relocation
Phone: (. 3 47 , 8 97 70 Fax: ( ) 200 amps or less 59.36 1
201 amps to 400 amps 125.08 2
Owner installation: This installation is being made on property that I own which is not
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2
Branch circuits - new, alteration, or extension, Per panel
Owner signature: Date: A. Fee for branch circuits with
. ,i::,,. :: >,.,;:.:; +;:,�,:,;. ,...;:.::..�...•_,::::..:, ., .zk :�a.; a r e rtee
yi: o ede
:..:,,:'.,.:,,:,,�..,... ®,,, C`. ls 'T:,,;;...,: „,.....;,:::'.,..,. ' „<.. ;,l't �i: .�O�I�.AC 7.42 2
............._.,.,,.,,,,.., r.,...., ..,,.�.,..,., �s .;r.,:u each branch circuit
Business name: ES &A Sign & Awning B. Fee for branch circuits without
service or feeder fee, first 56.18 2
Contact name: Linda Padilla branch circuit
Each add'' branch circuit 7.42 2
Address: 89975 Prairie Road Miscellaneous (service or feeder not included)
Each City/State/ZIP: Eugene, OR 97402 dwelling, service and/or or r modular 67,84 2
dwelling, service and/or Feeder
Phone: (541) 485 - 5546 Fax: : (541) 485 - 5813 Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
E-mail: ipadilla@esasigns.com
Sign or outline lighting 1 67.84 67.84 2
c.; rt�t¢`: :Fl,v'h' ,;
... ...........',,:.....,.,....�,,,....,...,,_ ... ,.�... .,.: w ,i' %Y: ”" a.;;. „v. .. ,:,�.......: Signal circuit(s) or limited-energy
Business name: ES &A Sign & Awning panel, alteration, or extension Page 2 2
Each additional inspection over allowable in any of the above
Address: 89975 Prairie Road Additional inspection (1 hr min) 66.25/hr
Investigation (I hr min) 66.25/ hr
City /State /ZIP: Eugene, OR 97402 .
industrial plant (1 hr mm) 78.18 / hr
Phone: (541) 485 - 5546 Fax: (541) 485 - 5813 inspections for which no fee is 90.00 / hr
specifically listed (V hr min)
CCB Lio.: 163470 Electrical Lic.: 20543CLS Su rv. Lic,: 514si ” „-;i' ; ?>i =d':;=`` °': , °EL ECTRICAt PERMIT6:FEES R ; - W,rii;'='i=
<'• _
r/ Subtotal: 67.84 '
Suprv. Electrician signature, required: `�= J_ 451,A9,47:25 Plan review (25% of permit fee):
Print name: Gordy Rosbo .: D ate: 1 -17 -11 State surcharge (12% of permit fee): 8 . 1 4
TOTAL PERMIT FEE: 75.98 ,
Authorized signal I /, T f / ' / This permit application expires if a permit is not obtained within 180
-
days after it has been accepted as complete.
Print name: Linda a' tlla Date: 1 - - a Number of inspections allowed per permit.
t:, Building \Permits\ELC- PermiiApp.doc 07/01 440- 4615T(11)05.COM
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