The URL can be used to link to this page

Permit C ITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2005 -00251 DEVELOPMENT SERVICES DATE ISSUED: 4/12/2005 AI� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S12600-00300 SITE ADDRESS: 09708 SW WASHINGTON SQUARE RD F -2 ZONING: C -G SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG Project Description: Interior sign. 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: Phone: 360 693 - 4773 FEES Reg #: ELE 37 -46CLS LIC 63951 Description Date Amount SUP 525SIG [ELPRMT] ELC Permit 4/12/2005 $53.40 [TAX] 8% State Surcharge 4/12/2005 $4.27 REQUIRED ITEMS AND REPORTS Total $57.67 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 q estions to OUNC at 503- 46 -6699 or 1- 800 - 332 -2344 - Issued By: r ,d $ Permittee 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. Elec ical Permit Application 1..<)R c)Fl IC► <tis O;N . City of Tigard D y 10Z O 174 PemvtNo.: � 5' 7jl 251 ® ' 13125 SW Hall Blvd., Tigard OR 97223 PAReview � Phone: 503.639.4171 Fax: 503.598.19 o �I ,•', ` DateBy: Other Permit: Inspection Line: 503.639.4175 -' �;, Date Ready/By: Jens 0 See Page 2 for Internet: www.eitigard.or.us f t* Notified/Method: )' V Supplemental Information TYPE RWo -�� 9) PLAN REVIEW ❑ New construction ❑ Additio l 4{1.1 * ohlrr P :*- ent Please check all that apply: G` • TAO ` ['Service over 225 amps, comm'I ❑Hazardous location ❑ Demolition Oth er. ° lJ ['Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft., CATEGORY � CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential ❑ 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building ❑ System over 600 volts nominal units in one structure ❑ Multi - family ❑Master builder Other: S IG N ❑ Building over three stories ❑ Feeders, 400 amps or more ❑Occupant load over 99 persons ❑ Manufactured structures or JOB SITE INFORMATION AND LOCATION ❑Egress/lightingplan RV park G ❑ Healthcarefacility ❑her: Job no.: Job site address: -( -20g sE mot) 0 wer6Al 54)04a Submit. 2 sets of plans with any of the above. City /State/ZIP: -- - d 4,Rp 6 R The above are not applicable to temporary construction service. Suite/bldg. /apt. no.: r -2_ (Project name: CQiirrB t is 1 LL FEE* SCHEDULE Description I Qty. I Fee I To I •• Cross street/directions to job site: 1 N'Texti ON t,U A 1 UoGTv 1• New residential single- or multi- family dwelling unit. Includes attached garage. Gq 0 MEE S I (, L) C 2 ATE t 3 1,000 sq. ft. or less 145.15 4 Subdivision: Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1 Limited malty, residential 75.00 2 Tax map /parcel no.: Limited energy, non - residential 75.00 2 DESCRIPTION OF WORK Each manufactured or modular dwelling, service and/or feeder 90.90 2 Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 ❑ PROPERTY OWNER I Ig TENANT 201 amps to 400 amps 106.85 2 401 amps to 600 amps 2 Name: G R P T - 4 IS IA-i2 R ELL 601 amps to 1,000 amps 240.60 2 Address: q 76 ca S W 06,4, NGibio s v z Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City / State/ZIP: - G pere_ t D X. 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 600 amps 133.75 2 Owner signature: Date: Branch circuits — new, alteration, or extension, per panel ❑ APPLICANT I ❑ CONTACT PERSON A Fee for branch circuits with service or feeder fee, each 6.65 2 Business name: V p G o v.4 e2 S(Gri Co • branch circuit B. Fee for branch circuits Contact name: p %C-V-- l I L. L 12 without service or feeder fee, 46.85 2 Address: ff 1.Q each branch circuit (D I S i'tc e. -I 9 9 Eadh add'l branch circuit 6.65 2 City /State/ZIP: V prfo ,p cg. t (,A/1N - i $ i Miscellaneous (service or feeder not included) Pump or irrigation circle 53.40 2 Phone: (3100) (04 3 cry 73 Fax: : (3(Pi) LA 3 ' 4 7 Sign or outline lighting C I, ) 53.40 2 E -mail: D ne/ i L-e-R. a V A'N S1 6NCO • (-Owl Signal circuit(s) or limited - CONTRACTOR energy panel, alteration, or extension. Describe: Page 2 2 Business name: VAN cem fit- S (ro Al Co • Address: mac- 19 Each additional inspection over allowable in any of the above Per inspection 62.50 City /State/ZIP: V abiNceUsst - 9 gt,( Investigation per hour (1 in min) 62.50 Phone: (340) G, 9 3 /47-73 Fax:760 ) t 3- a7 te > industrial plant per hour 73.75 ELECTRICAL PERMIT FEES" CCB Lic.: t ' J Electri ic.: ']- y(�i,$ Suprv. Lic.: S13 -516. Subtotal 5 t-/ o Suprv. Electrician signature, required: Plan review (25 %ofpermd fee) Print name: - S a (n r.- S; t ,, • , • h, i , 1 4 Date: State surcharge (8% of permit fee) �� TOTAL PERMIT FEE 7, U 7 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete Print name: Date: • Fee methodology set by Tri- County Building Industry Service Board c/ CITY OF TIGARD* BUILDING DIVISION • , PERMIT #: ELC2005 -00251 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/12/2006 Phone: (503) 639 -4171 A Ip��i�j��`� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/28/2005 TIME: 7:24AM PAGE: 62 r ' SITE ADDRESS: 09708 SW WASHINGTON SQUARE RD F -2 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: C ( V DESCRIPTION: Interior sign. \J 1,z-o N to «� k 9 L OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: VANCOUVER SIGN COMPANY, INC PHONE #: 360.693 -4773 Inspection Request Scheduled For: Date: 4/28/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 140 Sign installation 005560 -01 360.693.4773 N Corrections /Comments /Instru '• 0 ‘- 1 4--1 1\1 \t" \ 'aN1 S� `.� �a� e ' N S �� ON l'© C% 11&, %I t kA, V-4 ciD �- mac ��' - NIT) stv•At L ‘ • 1 • • f 1. PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS II FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED f, � i Inspector: Date: / � C� ' i Phone #: (503) 718-