Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00276
DEVELOPMENT SERVICES DATE ISSUED: 5/17/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09354 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG
Project Description: (1) 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 FOR: 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 HIGHLIGHT SIGN CORP
BY THE MACERICH COMPANY PO BOX 23667
9585 SW WASHINGTON SQUARE RD TIGARD, OR 97281 -3667
TIGARD, OR 97223
Phone: Contact #: PRI 503 - 620 - 8205
FAX 503- 624 -3725
FEES
Description Date Amount Reg #: ELE 37- 660CLS
[ELPRMT] ELC Permit 5/17/2006 $53.40 LIC 104599
[TAX] 8% State Surcharge 5/17/2006 $4.27 SUP 517SIG
Total $57.67 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 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 qu stio� ns to OUNC at .03- 246 -6699 or
1- 800 - 332 -2344.
Issued By: . _pz - Permittee Signal e. �,�. A ,
OWNER INSTALLATION ONL .,
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.
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Electrical Permit Are c WAIVED ,. FoR OFF I(E tisF ONi i ;':;
City of Tigard y Permit No & C �V
13125 SW I fall Blvd , 1 Tani, OR 9722 ii4A1 - 1 7 2006
Phone 503 639 4171 fax 503 598" 1960 lliimip 1E� P I)a la t n dKclf� . re ++
Other Permit
I 'I
Inspection Lute 503 639 4175 .44: ' '' � Date Hcadynt ■ 121 See Page 2 for
Internet www cm trgard - us CITY OF TIGARD Notdlcd /Mellio(I Supplemental Information
BUILDING DI\ /ISInN
TYPE OF WORK PLAN REVIEW
❑ New construction Addition /alteration /replacement Please check all that apply
❑ Demolition ❑Other. ['Service over 225 amps, comm'l ['Hazardous l ocation
['Service over 320 amps — rating ❑ Buildng over 10,000 sq ft ,
CATEGORY OF CONSTRUCTION of I - and 2- family dwellings 4 or more new residential
❑ I - and 2- family dwelling ['} /industrial ❑ Accessory building ['System over 600 volts nominal units in one structure
❑ Multi - family ❑Master builder ❑Other. ❑Building over three stones ['Feeders, 400 amps or more
❑Occupant load over 99 persons ❑Manufactured structures or
JOB SITE INFORMAT 1 N AND LOCATION ❑Egress/lighting plan RV park
a
❑Health -care facility ❑Other
Job no.: Job site address: 46,5 t 6�t/ / J� Submit 2 sets of plans with any of the above
City/State/ZIP: ...r ♦ C l ism + The above are not applicable to temporary construction service
Suite /bldg. /apt. no.: / Project name- FEE* SCHEDULE
' e /_ _I A Description l Qty. I Fee. I Total I ''
Cross street/directions to job site: New residential single- or multi - family dwelling unit.
Includes attached garage.
9 ,Y 5 1,000 sq ft. or less 145.15 4
Subdivision: I 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
I ESCRIPTION OF WORK Each manufactured or modular
/ �• ��� t I dwelling, service and/or feeder 90 - 90 2
e _ it I 1 I •• ' ■ _ A • Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
❑ ' ' OPERTY OWNER I TENANT 201 amps to 400 amps 106.85 2
Name: S i_i
401 amps to 600 amps 160.60 2
+ ` 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
Phone: ( ) I Fax: ( ) relocation
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 ) CONTACT PERSON A. Fee for branch circuits ma, ` service or feeder fee, each
Business name: `` branch circuit 6.65 2
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 /ZIP: Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone:
( ) I Fax::( )
Sign or outline lighting I 53 40 , b 2
E - mail: Signal circuit(s) or limited -
CONTRACTOR energy panel, alteration, or
extension Descnbe Page 2 2
Qo Business name:
Q HIGHLIt7n rt SIGN Each additional inspection over allowable in any of the above
i Address: CORP.
V"` P.O. BOX 73007 Per inspection 62.50
City /State /ZIP: TIGARD, OR 97281 - 3667 Investigation per hour (I hr min) 62 "50
l Phone)` °?D l Pr--3)) () , Fa,�Cu ( G o 1 ) 6 Q� ~1 � .$ Industrial plant per hour 73 75
C.
w � � 7 , ELECTRICAL PERMIT FEES*
C Lic.:/ � V5 Electrical Lie.: Suprv. 1.1c . Subtotal , 14O
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X Suprv. Electrician signature, required: Plan review (25% of permit fee)
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Print name: Dale: State surcharge (8% of permit fee) '
j � _ s _ 1 /I L 5_ " 7 J /'
Ar , Authorized signature
AV, I his permit application evp(res if a pet nut 1s not obtained w Ilhin w I180 �_ — day• after it ha. been accepted as complete
Print na -- Date. • I cc methodology set by I n- County Budding Indus(' v Scn'lti 14u.ud
— J - - - --- "--" •• Num of insix:ciions pm persist .dlosked
I xl \1'„11,11,. \I I ( I's ,,,,I S,,, „,, 1 ` /lit I lll” II.I S I (111 /0J('OSIIW'I -Ii
CITY OF TIGARD
A
BUILDING DIVISION PERMIT #: ELC2006.00276
13125 SW Hall Blvd., Tigard, OR 97223 . D ATE ISSUED:
5J17/2°°6
Phone: (503) 639 -4171 / p ,�t 1
Inspection Requests (24 Hrs.): (503) 639 -4175 ''I �.. •
INSPECTION WORKSHEET FOR DATE: 7/7/2006 - TIME: 7:02AM PAGE: 5 C
.i1
SITE ADDRESS: 09354 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON LOT #: TYPE OF USE:
PROJECT NAME: THE WALKING CO
DESCRIPTION: (1) sign -
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: HIGHLIGHT SIGN CORP PHONE #: 503 - 6208206
Inspection Request Scheduled For: , Date: 7/7/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
Sign installation 032773-01 503-620 -8205 N
Yq 0 1 V%iw■ I--
Correc ' s /Comments /Instructions:
Q)-- N. .
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tgt PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: N aLL Date: N1 1 ' 06 Phone #: (503) 718- 2