Permit a ' " CITY OF TIGARD ELECTRICAL PERMIT
IN PERMIT #: ELC2008 00480
: . : COMMUNITY DEVELOPMENT DATE ISSUED: 8/20/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S126CA-00900
SITE ADDRESS: 09009 SW HALL BLVD 200 ZONING: C - G
SUBDIVISION: WASHINGTON CIRCLE PLAZA LOT : JURISDICTION: TIG
PROJECT: MACY'S FURNITURE GALLERY
Project Description: Installation of (1) sign lighting for sign at front entrance.
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:
MACY'S MEYER SIGN CO OF OREGON
5514 SATSUMA AVE 15205 SW 74TH AVE
N. HOLLYWOOD, CA 91601 TIGARD, OR 97223
Phone: 818- 763 -4798 Contact #: PRI 503 - 620 -8200
FAX 503 - 620 -7074
FEES
Description Date Amount Reg #: ELE 20- 190CLS
[ELPRMT] ELC Permit 8/20/2008 $53.40 LIC 64014
[TAX] 12% State Surchar 8/20/2008 $6.41 SUP 566SIG
Total $59.81 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 do 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 th 180 days. I ENTION: Oregon law requires you to follow rules adopted by the Orego .• • • ification Center. Those . -s are set forth in
OAR 52- 001 -0010 throu 0 952 - 001 -0100. You may obtain copies of these rules or direct •uestions to • NC at 503.246.6•'•9 or 1.800.332.2344.
Iss ed By: � Permittee Signat• - �� _ � � y
1 �.�7)� • ` �
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent. NIII
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 Appli y - i 1 - - E I S /ED (/ , FOR OFFICE USE ONLY t
City of Tigard M aa V Date t7 // D r Permit No..E1,4 k��tJ AO
1111 -
" 13125 SW Hall Blvd., Tigard, OR � ®•201' , P lan Review
6
Phone. 503.639.4171 Fax: 03.598.19 , i , . Date /B Other Permit
TIGARD
Inspection Line: 503.639.41 JT D Ready/By ee g 0 S Page 2 for
•
P '
Internet: www.tigard- or.ri.. i
OF /'a Notified /Method. `� Supplemental Information
_,,, §. z IV ;,< z� .. P-liAN.
� REVIE W, 010;4:::::-;„!';'71.1,1:1::
■ /gyp j �
❑ 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.
ms s,, �•3,,a exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
_ CATEGORYOE; CONSTRUCTION p 'ry
- �fia �` =-� „� ''� „ °'� ' - �'� _ ` "�-`° less to ground, or exceeds 14,000 ❑Commercial -use agricultural
El 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: p p Installation 75 KVA
,,,,.•. - - ❑ Emergency system larger separately derived Fire o
n 1 at erived
;° t'i5 J,O.B SITE'z INFORMATION' AND'' /LOCATION` ❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ', "I -3 ",
Job no.: Job site address: 9009 SW Hall Blvd. IooHP 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.: 200 Project name: Macy's ❑ Service or feeder 600 amps or more
' ' ; "•FEENSCHEDULE RI ;5 >'; ;..u> • ;Y;.;ff:5 >N
Cross street /directions to job site: Washington Square Description j Qty. I Fee. I 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 1
Tax map /parcel no.:
Limited energy, residential
. t, ,., - .;,,:,, 5 , 75.00 2
:. DESCRII11,0 ,O *.9,, : 4 ;'` .-r' . ;< --,''' , with above s ft.
I ) elec wall sign on west elevation Limited energy, multi family
Install
( ) g i residential (with above sq. R ) 75.00 2
Services or feeders installation, alteration, and /or relocation
200 amps or less 80.30 2
w' 6PROPERTY.OWNER4, J (7 J s y ® TEN
'ANTe : : ;.: z,:--. •,� 201 amps to 400 amps 106.85 2
Name: Macy's 401 amps to 600 amps 160 60 2
601 amps to 1,000 amps 240 60 2
Address: (same as above) Over 1,000 amps or volts 454 65 2
City /State /ZIP: Temporary services or feeders installation, alteration, and /or
relocation
Phone: ( ) 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 signature: Date: A Fee for branch circuits with
'' ° f ' ''/,:: '` =s ' PEli50N.' above service or feeder fee,
6.65 2
APPLICANT;. " �?.GONTAGT�
each branch circuit
Business name: (Same as contractor) B Fcc for branch circuits
Contact name: without service or feeder fee, 46.85 2
first branch circuit
Address: Each add'l branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City /State /ZIP: Each manufactured or modular 90.90 2
dwelling, service and /or feeder
Phone: ( ) Fax: : ( ) Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
0 ; t r ; ", •i ' '''",' " Sign or outline lighting I 53.40 53.4 2
<. , NTRAGTOR;; " ` . .. '`'s g g
Signal panel, or t mi,
Business name: Meyer Sign Co. of Oregon, Inc. or
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 mi n) 62.50 _
CCB Lie.: 64014 Electrical Lie.: 20 - I90CL Suprv. Lie.: S1G566 Industrial plant per hour 73.75
`r "; ELECTRICAL :.'RERMIT`FEES : : :' //" /n '4
Suprv. Electrician signature, required: Subtotal: 53.4
Print name: Phil Reynolds Date: 8 - - Plan review (25 % of permit fee):
State surcharge (12% of permit fee): 6.41
Authorized signature: 11 011� TOTAL PERMIT FEE: 59.81
This permit application expires if a permit is not obtained within 180
Print name: Steve Murphy Date: 8 -20 -08 days after it has been accepted as complete.
* Number of inspections allowed per permit
1 \Bwldtng \ Permits \ELC- PermitApp.doc 05/23/06 440- 4615't-(11/05/COM /WEB
CITY OF TIGARD
J '
BUILDING DIVISION }--. .
PERMIT #: ELC2008-00480
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: W20/2008
Phone: (503) 639-4171 , ffmelvillii , ,
Inspection Requests (24 Hrs.): (503) 639-4175 JAI ti.
INSPECTION WORKSHEET FOR DATE: 8/21/2008 TIME: 7:02AM PAGE: 26
SITE ADDRESS: 09009 SW HALL BLVD 200 CLASS OF WORK:
SUBDIVISION: WASHINGTON CIRCLE PLAZA LOT #: TYPE OF USE:
PROJECT NAME: MAGY'S FURNITURE GALLERY
DESCRIPTION: Installation of (1) sign lighting for sign at front entrance.
OWNER: MACY'S, PHONE #: 818
CONTRACTOR: MEYER SIGN CO OF OREGON PHONE #: 503,620.0200
Inspection Request Scheduled For: Date: 8/21/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
..-------_.:
199 Electrical final 445u-01, 503-620-8200 N
Corrections/Comments/Instructions:
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I CALL FOR INSPECTION pi ADDITIONAL FEES ASSESSED
Inspector: CT"' N LC Date: I & 2 4 6 Phone #: (503) 718- M
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