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Permit C ITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2005 -00880 �� DEVELOPMENT SERVICES DATE ISSUED: 11/10/2005 . " 111 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 r ` PARCEL: 1S12600 SITE ADDRESS: 09302 SW WASHINGTON SQUARE RD ZONING: C - SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG Project Description: 1 sign lighting. 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 MULTI -LIGHT SIGN CO. BY THE MACERICH COMPANY 809 NE LOMBARD ST 9585 SW WASHINGTON SQUARE RD PORTLAND, OR 97211 TIGARD, OR 97223 Phone: 503 -639 -8865 Phone: 503 - 281 -3083 FEES Reg #: LIC 64107 tion Date Amount SUP 26 Description ELE 26 -90CLS [ELPRMT] ELC Permit 11/10/200: $53.40 [TAX] 8% State Surcharge 11/10/200 $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 Speglty'Codes and all other ap cable laws All work will be done in accordance with approved plans. This permit will expire if work is not started w in 180 days of issuanoe,,o(if work is suspended for more than 180 days. ATTENTION• Oregon law requires you to follow rules adopted b( the Oregon.latility Notifidation = Those rules are set forth in O' - 952 - 001 -0010 through OAR 952 - 001 -0100 You may obtain copies of these rules or direct qupstio ojg " at 503 - 246 -6699 or 1 - :: 332 -2 • • . c - Issued By: AP : . 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. Electrical Permit Ap ><cafi'ta �' FOR ol USE ONLY - u��1,� City of Tigard r �oo Dates i 1 , 06 .... JO Permit No 2 , , oo SAD 13125 SW Hall Blvd., Tigard, OR 97223 NOV 1 0l 2005 Plan Revie Phone; 503.639.4171 Fax: 503 /1 7 1 4 N41 f +I Date/By- Other Permit s - Inspection Line: 503.639.4175 __ c'_ Date Ready/By - RI See Page 2 for Internet: www.ci.tigard.or.us CITY OF TIGARD - Notified/Method r lG Supplemental Information TYPVEDOF�WORK O PLAN REVIEW ® New construction ❑ Addition/alteration/replacement Please check all that apply: ❑ Demolition El Other: ['Service over 225 amps, com'I ['Hazardous location OService over 320 amps — rating ❑ Buildng over 10,000 sq. ft., CATEGORY OF 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 El Multi- family El Master builder ❑Other; ❑Building over three stories ['Feeders, 400 amps or more DOccupant load over 99 persons ❑Manufactured structures or - JOB SITE INFORMATION AND LOCATION RV park ❑Egress/lighting Job no.: Job site address: D 1SW Washington Sq Rd V -5 ❑Healthcare facility DOther: Submit 2 sets of plans with any of the above. City/State /ZIP: Tigard The above are not applicable to temporary construction service. Suite/bldg. /apt. no.: v -5 Project name: Fragranza FEE* SCHEDULE Description I Qty. I Fee. I Total I Cross street/directions to job site: New residential single- or multi - family dwelling unit. Includes attached garage. 1,000 sq ft. or less 145.15 4 Subdivision: Lot no.: Ea add'I 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential 75.00 2 Limited energy, non - residential 75.00 2 DESCRIPTION OF WORK E ach manufactured or modular Hookup electric to one sign 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 ❑ TENANT 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 Name: 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City/State /ZIP: 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 600 amps 133.75 2 Owner signature: Date: Branch circuits — new, alteration, or extension, per panel ❑ APPLICANT ❑ CONTACT PERSON A. Fee for branch circuits with Business name: service or feeder fee, each 6.65 2 branch circuit B. Fee for branch circuits Contact name: without service or feeder fee, 46.85 2 Address: each branch circuit Each add'I branch circuit 6 65 2 City/State /Z1P: Miscellaneous (service or feeder not included) Phone: ( ) Fax:: ( ) Pump or irrigation circle 53.40 2 Sign or outline lighting 53.40 2 E -mail: Signal crcutt(s) or limited - CONTRACTOR energy panel, alteration, or extension. Describe: Page 2 2 Business name: Multi -Light Sign Address: 809 NE Lombard Each additional inspection over allowable in any of the above Per inspection 62.50 City/State /ZIP: Port, or Investigation per hour (1 hr min) 62.50 Phone: (503) 281 -3083 Fax: (503- 280 -9624) Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES* CCB Lic.: 64107 Electrical Lic.: .Icis uprv. i j343 -sig Subtotal — 3 Suprv. Electrician signature, req .' - • . - `� �� „_� Plan review (25% of permit fee) Print name: �� e a e: 11/ = State surcharge (8% of permit fee) - '7 7 TOTAL PERMIT FEE 7 i Authorized signature: �� This permit application expires if a permit is not obtain e7 wti thm 80 pe a pp pi days after it has been accepted as complete Print name: �/ A A � Date: 11/08/05 • Fee methndnlnov get by Tn- !'minty Rnilrlino In'hictry Servine Rnard /.,-, ? 02 CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC200S -00880 13125 Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/10/2005 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639 -4175 • 1 .L. INSPECTION WORKSHEET FOR DATE: 11/29/2005 TIME: 7:05AM PAGE: 89 SITE ADDRESS: 09302 SW WASH GTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQ■ . RE LOT #: TYPE OF USE: PROJECT NAME: FRAGRANZA DESCRIPTION: ) sign lighting. OWNER: WASHINGTON SQUARE L C, PHONE #: 503 - 639.8865 CONTRACTOR: MULTI -LIGHT SIGN CO. PHONE #: 503-281 -3083 Inspection Request Scheduled For: ►gate: 11129/2005 Pour Time: Code # Inspection Description Co irm # Contact # Message 199 Electrical final 0224:: 01 503 -281 -3083 N Corrections /Comments / Instructions: • • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED o Inspector: �`" ® `S �—� Date: II "Z 'c6 Phone #: (503) 718-2-4410 CITY OF TIGARD BUILDING DIVISION PERMIT #: ELta2005`00880 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/10/2005 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 11/29/2005 TIME: 7:05AM PAGE: 37 SITE ADDRESS: 09302 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: FRAGRANZA • DESCRIPTION: 1 sign lighting. OWNER: WASHINGTON SQUARE LLC, • PHONE #: 503-639-8865 CONTRACTOR. MULTI -LIGHT SIGN CO. PHONE #: 503- 281 -3083 • Inspection Request Scheduled For: Date: 11/29/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 140 Sign installation 02257401 503.490 -0976 N Corrections /Comments /Instructions: • • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: N 6 6 I'. Date: 1 L Phone #: (503) 718- Z-�`L