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Permit 4 ITY O F T I GAR D PERMIT #: ELC2006 -10064 i • 'DEVELOPMENT SERVICES DATE ISSUED: 3/23/2006 �� II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S12600-00300 SITE ADDRESS: 09364 SW WASHINGTON SQUARE RD ZONING: C -G 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 MEYER SIGN CO OF OREGON BY THE MACERICH COMPANY 15205 SW 74TH AVE 9585 SW WASHINGTON SQUARE RD TIGARD, OR 97223 TIGARD, OR 97223 Phone: Contact #: PRI 503 - 620 -8200 FAX 503 - 620 -7074 FEES Description Date Amount Reg #: ELE 20 I90CLS [ELPRMT] ELC Permit 4/5/2006 $53.40 LIC 64014 [TAX] 8% State Surcharge 4/5/2006 $4.28 Total $57.68 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 - in . ' R 95 -001 : e1 0 through OAR 952 - 001 -0100. You may obtain copies of thes es or direct questions t• OUNC at 503 - 246 -6• • 9 or 1 -800 -0 -2 4 Issued = L �� .1, 1 Permittee Signat e: :ril/' /& • 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 Application FOR OFFICE USE ONLY . Received / Electrical e, to o o / - /2 /_ � ,/ - Date/By: : 3 — a3 _off Permit No : L9 CG Planning Approval Sign City of Tigard Date/By Permit No 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 Date/By: . Permit No.: Phone: 503- 639 -4171 Fax: 503 -598 -1960 A, t Post - Review Land Use Internet: www.ci.tigard.or.us '^ a �� i: ` i' I I ; Date/B Case No • Contact J�c;s' El See Page 2 for 24 -hour Inspection Request: 503- 639 -4175 -" Name /Method: / r r/• Supplemental Information. TYPE OF WORK - . PLAN REVIEW (Please check -all that apply) . ❑ New construction ❑ Demolition ❑ Service over 225 amps- ❑ Health -care facility commercial ❑ Hazardous location ❑ Addition /alteration/replacement 2 Other: 5 GAf ❑ Service over 320 amps - rating of ❑ Building over 10,000 square feet, CATEGORY OF CONSTRUCTION 1 & 2 family dwellings four or more residential units in ❑ 1 & 2- Family dwelling E Commercial/Industrial ❑ System over 600 volts nominal one structure ❑ Building over three stones ❑ Feeders, 400 amps or more ❑ Accessory Building ❑ Multi- Family ❑ Occupant load over 99 persons ❑ Manufactured structures or RV park ❑ Master Builder ❑ Other: ❑ Egress/lighting plan ❑ Other: q3 62y JOB SITE INFORMATION and LOCATION ° Submit _ sets of plans with any of the above. The above are not applicable to temporary construction service. Yob site address: • —.,q 5 )t1i¢Sf Jt..77JiJ — , - FEE* SCHEDULE Suite #: R D 1 Bldg. /Apt. #: Number of inspections per permit allowed Project Name: 1 a S6 L 4 - Description Qty Fee (ea.) Total 1 ©�� /� Z / u New residential- single or multi - family per Cross street/Directions to job site: , unit. Includes attached garage. 4 ,ir4��r j( / T t3 , , Service included: v 1000 sq ft. or less 145.15 4 Each additional 500 sq. ft. or portion thereof 33.40 I Limited energy, residential 75.00 2 Subdivision: I Lot #: Limited energy, non residential 75 00 2 Tax map /parcel #: Each manufactured home or modular dwelling DESCRIPTION OF WORK- , : • - - . - , service and/or feeder 90 90 2 /fi - ` / It / ' 5i � Services or feeders - installation, \L 7L— l (/l ace �c - l ( i° ''lei/" alteration ion or relocation: _ / 200 amps or less 80.30 2 r e (). � �� 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 -[ - PROPERTY OWNER I ❑ TENANT =- 601 amps to 1000 amps 240.60 2 Over 1000 amps or volts 454.65 2 Name: SUM- , Li---C___ Reconnect only 66.85 2 n f Temporary services or feeders - installation, Address: t'S8S acv (NO /� c` alteration, or relocation: City /State /Zip: 7/ i.721) 02 • P1 Z 2 3 200 amps or less 66.85 1 201 a mps to 400 amps 100.30 2 Phone: gs'� o Fax: 133.75 2 /0 3 401 to 600 amps ❑ APPLICANT ❑ CONTACT PERSON Branch circuits - new, alteration, or Name: extension per panel: A. Fee for branch circuits with purchase of Address: service or feeder fee, each branch circuit 6.65 2 City /State /Zip: B. Fee for branch circuits without purchase of service or feeder fee, first branch circuit 46.85 2 Phone: Fax: Each additional branch circuit 6 -65 2 E -mail: Misc (Service or feeder not included) Each pump or irrigation circle / 53.40 2 CONTRACTOR Each sign or outline lighting 53.40 2 Job No: Signal circuit(s) or a limited energy panel, U� alteration, or extension Page 2 2 Business Name: �� ( ^ft 51 � 4 �o �� a . Q < Description. Address: /5 2 0 Sc,.. 7`f % aA.,.s_ - — — Each additional inspection o the :iiluwaLle in .,i;y of the abo Cit /State /Zi e : (: - OR - 91 2 2.77 Per inspection per hour (mm. I hour) 62 50 1 v c D Fax: 6, z - 7o 7 V — - Investigation fee Phone: C� 70 - �? Other: CCB Lic. #: (P (ID ( C Lic. #: o ^ no c -. Electrical Permit Fees* Supervising electrician I , Subtotal $ si: ature re uired: Plan Review (25% of Permit Fee) $ /'t�t��;� . ic. #: 5/ G S L X, State Surcharge (8% of Permit Fee) $ Print Name: L. 5��..li ,� Authorized lift AP ' _ TOTAL PERMIT FEE S Notice: • 11115 pu nil/ appii........ expires if a permit is not obtained within Signature: ! __ Date. 3 -22 - DC , 180 days after it has been accepted as complete. *Fee methodology set by Tri- County Building industry Service Board. (Please pnnt name) i. \Dsts\Permit Forms \ElcPermitApp.doc 01/03 Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for all systems $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems Burglar Alarm Garage Door Opener I I Heating, Ventilation and Air Conditioning System l l Vacuum Systems Other • COMMERCIAL WORK ONLY: Fee for each system $75.00 (SEE OAR 918- 260 -260) Check Type of Work Involved: n Audio and Stereo Systems El Boiler Controls n Clock Systems 0 Data Telecommunication Installation 0 Fire Alarm Installation HVAC n Instrumentation n Intercom and Paging Systems ▪ Landscape Irrigation Control n Medical Nurse Calls ❑ Outdoor Landscape Lighting ❑ Protective Signaling n Other Number of Systems * No licenses are required. Licenses are required for all other installations i:\Dsts\Permit Forms\ElcPermitAppPg2.doc 01/03 CITY OF TIGARD BUILDING DIVISION ct #: ELC200( -10064 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/23/2006 Phone: (503) 639 - 4171 +.0 Inspection Requests (24 Hrs.): (503) 639 -4175 eh!. INSPECTION WORKSHEET FOR DATE: 7/20/2007 TIME: 7 :03AM PAGE: 72 SITE ADDRESS: 09364 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: OCCHIALI DA SOLE DESCRIPTION: (1) SIGN LIGHTING OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: MEYER SIGN CO OF OREGON S c PHONE #: 503-620-8200 Inspection Request Scheduled For: Date: 7/20/ ?007 Pour Time: Code # Inspection Description Gopfirm # Contact # Message 199 Electrical final 052340- 10 503 -620 -8200 ' Y Corrections /Comments /Instructions: 01/4 ttEs • CAA_ flak le0I0Tenet I fc---.N\ 11 ? 6 ri PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS Ykrm46 3g1, CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector:- Vr.' Date: 1 l 1u (S Phone #: (503) 718- v16 • CITY OR TIGARD ; ,r BUILDING DIVISION PERMIT #: EL.G2006• 100 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/23/2006 Phone: (503) 639 -4171 l Inspection Requests (24 Hrs.): (503) 639 -4175 -' `� - "I�i`j --- INSPECTION WORKSHEET FOR DATE: 5/3/2006 TIME: 7:Ut3AiVI PAGE: 60 SITE ADDRESS: 09364 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: OCCHIALI DA SOLE DESCRIPTION: (1) SIGN L IGtiTING OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: MLYER SIGN CO OF OREGON PHONE #: !;03620 -8200 Inspection Request Scheduled For: Date: 5/3/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Herirical finn_I 0291 76.01 603-620 ¥ Corrections /Comments /Instructions: ( SlDL S1a. . - P1?-0 - 44 4 C) isn'l ZCpviRI.5 V IN AL vt$pR.00L. 1 . ation- defects -noted e on this report shall be corrected and %. 1! 1 ' . I _ calendar days per OAR 918 -271 -0030 1/ # • ( 70J ° c'1!). "12_1, forl 6--t% 04 I., ig,,PAS \ ❑ PARTIAL AP OVAL ❑ CANCEL ❑ NO ACCESS FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 'e l-e Date: 5 Phone #: (503) 718 -? CITY OF TIGARD BUILDING DIVISION PERMIT #: EL.C2006 -1O0,4 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/23/2(106 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5/3/2006 TIME: 7:00AM PAGE: 60 SITE ADDRESS: 08361 SW WASHINGTON SQUARE RD ' CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: OCCIIIALI DA SOLE DESCRIPTION: (1) SIGN LIGHTING OWNER: WASHINGTON SQUARE LLC, PHONE #:. CONTRACTOR: MEYER SIGN CO OF OREGON PHONE #: 503-620-8200 Inspection Request Scheduled For: Date: 5/3/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 029'175.01 503-620-8200, Y Corrections /Comments /Instructions: CS \YE- SIB. - Pg 4 �� ccsNr� ZCO►,v1R -c 5 ViiNAL Aee.ovAL I. The electrical installation dofocts noted on this report shall be corrected and an in-tlon request made within 20 calendar days per OAR 918- 271 -0030 ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ACALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: N Dater 5"'-'3-1 ) Phone #: (503) 718 - Z Case Activity Listing 11/28/2007 \ �'`„� CCEL �. . Case #: ELC2006 -10064 2:53:42PM Assigned Done Updated • Activity Description Date 1 Date 2 Date 3 Hold Disp To By By Notes ELC1010 Application received 3/23/2006 None RECD DEB 4/4/2006 DEB ELC1020 Permit created 3/23/2006 None DONE DEB 4/4/2006 DEB ELC1030 Check for parcel tags 4/4/2006 None DONE DEB 4/4/2006 DEB ELC1250 ELC signature on 4/4/2006 None DONE DEB 4/4/2006 application DEB ELC1270 Ready to issue permit 4/4/2006 None REDY DEB 4/4/2006 DEB ELC1280 Issue permit 3/23/2006 None DONE DEB 4/5/2006 DEB ELC2199 Electrical final 5/2/2006 5/3/2006 5/3/2006 None FAIL GN 5/3/2006 029175 - 01 — 503 - 620 - 8200... VM - GN Y ELC2199 Electrical final 7/18/2007 7/20/2007 7/20/2007 None FAIL GN 7/20/2007 052340 - 01 — 503 620 - 8200 VM - STI Y — X80 ELC1290 Reprint permit 11/26/2007 None DONE GN 11/26/2007 GN ELC2199 Electrical final 11/26/2007 None DONE GN 11/26/2007 Final be review. No FLS issues. GN ELC1740 Case finaled 11/26/2007 None DONE GN 11/26/2007 GN Page 1 of 1 CaseActivity. rpt