Permit fy
CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00551
DEVELOPMENT SERVICES DATE ISSUED: 8/3/2005
• --- 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09309 SW WASHINGTON SQUARE RD ZONING: C -G
•
•
SUBDIVISION: WASHINGTON SQUARE - . - LOT : JURISDICTION: TIG
Project Description: (2) illuminated signs. I
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/ 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 ES & A SIGN & AWNING
BY THE MACERICH COMPANY 1210 OAK PATCH RD
9585 SW WASHINGTON SQUARE RD EUGENE, OR 97402
TIGARD, OR 97223
Phone: Phone: 541 - 485 - 5546
FEES Reg #: LIC 145755
Description Date Amount SUP 20-255
ELE 20- 255CLS
[ELPRMT] ELC Permit 8/3/2005 $106.80
[TAX] 8% State Surcharge 8/3/2005 $8.54 REQUIRED ITEMS AND REPORTS
Total $115.34
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 questions to OUNC at 503 - 246 -6699 or
1- 800 - 332 -2344.
Issued By: - 2 / Z Permittee Signature: c
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.
1
r j 67,1.) 2035- 0 0 Z Z 4- oc a. z5
Electrical Permit Application FOR OFFICE USE ONLY
City of Tigard Date/By 3 D Tel- Permit No t C h - ,a3 - 5 I
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone 503 639.4171 Fax 503.598.1960 i * . f - ,cial /' Date/By. Other Permit
J uri 0 See e 2 for
P a
Inspection Line: 503.639 4175 - Date Ready/By /� g
Internet: www.ci.tigard.or.us Notified/Method: 1/ U Supplemental Information
TYPE OF WORK PLAN REVIEW' _,
❑ New construction ❑ Addition /alteration/replacement Please check all that apply
❑ Demolition Other: 5 - 1 ❑Service over 225 amps, comm'l ['Hazardous location 0 el
❑Service 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
❑ Multi - family Master builder 0 Other: ❑Building over three stories ❑Feeders, 400 amps or more
❑Occupant load over 99 persons ❑Manufactured structures or
JOB SITE INFORMATION AND LOCATION (('' ❑Egress/lighting plan RV park
, 3250 9309 l�aShin 4 U� ❑Hea -care faclhty ['Other
Job no.: Job site address:
Submit 2 sets of plans with any of the above
City /State /ZIP: / (r01./ / ek q7 The above are not applicable to temporary construction service •
Suite/bldg. /apt. no.: Project name: Oa Ma ff -12 FEE* SCHEDULE ;' "
Description I Qty. I Fee. I Total
Cross street/directions to job site: !'ORI fl /4 vg ` New residential single- or multi - family dwelling unit.
Includes attached garage.
MAW o 1,000 sq. ft or less 145.15 4
Subdivision: Lot no.: Ea add'l 500 sq. ft or portion 33.40 I
Tax map /parcel no.: Limited energy, residential 75.00 2
Limited energy, non - residential 75.00 2
- DESCRIPTION OF WORK Each manufactured or modular
In riz 1 / '// ;n a C /s �� dwelling, service and /or feeder 90 90 2
Q� {� Services or feeders installation, alteration, and /or relocation
200 amps or less 80.30 2
PROPERTY OWNER Al TENANT 201 amps to 400 amps 106 85 2
�� ���, 1111 401 amps to 600 amps 160 60 2
Name: 1 �I t ChteSer■ efDrik 601 amps to 1,000 amps 240 60 2
Address: 4301 Wa shv/y Over 1,000 amps or volts 454.65 2
Reconnect only 66 85 2
City/State /ZIP: a4 D Temporary services or feeders installation, alteration, and /or
Phone: ( ) ` v Fax: ( ) relocation
200 amps or less 66.85 1
Owner installation: This installation is being made on property that 1 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 1 ' ❑ CONTACT 'PERSON A Fee for branch circuits with
_ A V r ,A 'n Co • branch circuit feeder fee, each 6 65 2
Business name: mil' �' Q branch circuit
Contact name: (AIL V jef" U B without servi a or feeder fee,
� D � / each branch circuit 46.85 2
Address: ! / G i Each add'l branch circuit 6.65 2
City /State /ZIP: p
ory-la.4d. DR.. 47z2-6 _ Miscellaneous (service or feeder not included)
Phone: 50) ,� , I(19 Fax: : (6,5,57/ - p7 0_5" Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 lOb• 8p 2
E -mail: ( l f�s �a� Q� . G Signal circuit(s) or limited -
V CO r C TOR energy panel, alteration, or
6 As 69piI(r� extension. Describe: Page 2 2
mi
Business name: �"��� L
Address: Each additional inspection over allowable In any of the above
Per inspection 62.50
City /State/ZIP: Investigation per hour (1 hr min) 62.50
Industrial plant per hour 73 75
Phone: ( ) Fax: ( )
/� 7� Electrical Lic.e$ _ , y Suprv. 64 S/ ELTCT PERMIT FEES*
CCB Lic.: Subtot b
• � ` / ' '�/ ^ � 1 rv. Lic.: � b.seD
Suprv. Electrician signature, required: Plan review (25% of permit fee)
Print name: S--/e44,, V 5 Date: '7 / /A /D S State surcharge (8% of permit fee) 5 ir
( c l TOTAL PERMIT FEE I /5
Authorized signatur This permit application expires if a permit is not obtained within 180
/ days after it has been accepted as complete
Print namevD S /G Date: 77/f/ • Fee methodology set by Tn- County Building Industry Service Board
!!! M/
•• Number of inspections per permit allowed
` i \Building\Pernuts\ELC- PermitApp doe 12/0 440.4615T(10/02/COWEB
1
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2005 -00551
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/3/2005 ,
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 - 4175
INSPECTION WORKSHEET FOR DATE: 11/8/2005 TIME: 7 :00AM PAGE: 92
SITE ADDRESS: 09309 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: CHEESECAKE FACTORY
DESCRIPTION: (2) illuminated signs.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: ES & A SIGN & AWNING PHONE #: 541 -485 -5546
Inspection Request Scheduled For: Date: 11/8/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 02 574 -01 541- 485 -5546
Corrections/Comments/Instructions:
•
•
NI PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: CT-*Ct NO) Date: 1/ Phone #: (503) 718- ZitI