Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00232
" DEVELOPMENT SERVICES DATE ISSUED: 5/1/2006
All, 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09393 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG
Project Description: 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 VANCOUVER SIGN COMPANY, INC
BY THE MACERICH COMPANY 6615 SW HWY 99
9585 SW WASHINGTON SQUARE RD VANCOUVER, WA 98665
TIGARD, OR 97223 •
Phone: Contact #: PRI 360- 693 -4773
FEES
Description Date Amount Reg #: ELE 37 -46CLS
[ELPRMT] Permit 5/1/2006 $53.40 LIC 63951
[TAX] 8% State Surcharge 5/1/2006 $4.27 SUP 525SIG
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 questions to OUNC at 503 - 246 -6699 or
1- 800 - 332 - 2344. r
Issued By: /i Permittee Signature) VG._
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 Per 1 : A.1, 1catio 1 FOR OFI'ICI: LSI- ()NI
= _ ! FP. 2
Receive
C1 O Tigard l _ Date/BY: zAlo A� PermitN � e l
13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie Other Permit:
Phone: 503.639.4171 Fax: 503 44 ''�t I! I . h D
Inspection Line: 503.639.4175 I`'IHI ! 1 2006 a {4. .• 1 J— Date Ready/By: 3 WI See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information
CI
TI X ' kiirPla', b' 1 - K di PLAN, REYIEW� •
❑ New construction, 91 , l ] ti ilttl d4��7 placement P
n, V lease check all that apply:
DService over 225 amps, comm'I DHazardous location
❑ Demolition ( Older: 111 VntrA }Lp S■ cyN ❑Service over 320 amps — rating DBuildng 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
Other ❑Building over three stories ['Feeders, 400 amps or more
❑ Multi- family ❑ Master builder
111�CVNR�c-f) S ow ['Occupant load over 99 persons ['Manufactured structures or
' JOB SITE INFORMATION AND LOCATION E essni plan RV park
•
❑ Br P
❑Health -care facility ['Other
Job no.: Job site address:VJAcL Sk&IL .Q'
( 9' 93 Submit 2 sets of plans with any of the above.
City/ State/ZIP: 1 y A( b e 0k a71J3 The above are not applicable to temporary construction service.
FEE* SCHEDULE -
Suite/bldg. /apt. no.: S 11 Project name: A n _
mcf at nfii e -K► S _ nescriptiOn I Qty. 1 Foe. I Total I "
Cross street/directions to job site: WA$11'IN�} ON S Gvii([� t New residential single - or multi -family dwelling unit.
�l Includes attached garage.
1,000 sq. ft. or less 145.15 4
r
Subdivision: Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1
' .. — Limited energy, residential 75.00 2
Tax map /parcel no.: Limited energy, non - residential 75.00 2
DESCRIPTION OF WORK _ Each manufactured or modular
\ 0 s kO M gut 0 k `1> t tI V „ ,,, , A c b S 1 h� v dwelling, service and/or feeder 90.90 2
��u C Services or feeders installation, alteration, and/or relocation
A I it — cry t o 200 amps or less 80.30 2
❑ PROPERTY OWNER I ' : TENANT 201 amps to 400 amps 106.85 2
I � 401 amps to 600 amps 160.60 2 •
Name: �� e ( L( t r 41 a 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
tif APPLICANT I M CONTACT PERSON A. Fee for branch circuits with
service or feeder fee, each 6.65 2
Business name: V AN co tr vej S t yN G0. I NL • branch circuit
I B. Fee for branch circuits
Contact name: 1 i k QA 1 ( e f without service or feeder fee, 46.85 2
Address: r f ` each branch circuit
�� 7 N R �1�'`� �� Each add'I branch circuit 6.65 2
City/State /ZIP: VA Ncovou Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone: ( 360 ) C ell- y113 Fax: : ( ) GM...2191
E -mail: Sign or outline lighting ( 53.40 2
Signal circuit(s) or limited -
CONTRACTOR ' . . . energy panel, alteration, or
extension. Describe: Page 2 2
Business name: V n IVC OVV t:/ } 1 N C.-O.
Address: (-)G IS 2 f' t,-.1 p1 Each additional inspection over allowable in any of the above
"� c Per inspection 62.50
City/ State/ZIP: V f C 0 c.✓ (f t-. A 9 pl; 6S Investigation per hour (1 hr min) 62.50
Phone: ( 3(0 ) 6 — 417 ( I Fax: (3(.0 ) 6 q) - 17 y 7 Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES*
CCB Lie.: 63 °Is ( I Electrical Lic.: 3 - y CIs Suprv. Lie.: S 13_ ST.6 Subtotal S3. /.Q
Suprv. Electrician signature, required: Plan review (25% of permit fee)
.w RiJ State surcharge (8% of permit fee) `'1 • a',
Print name: -�, S ` k. Date: S/1 1 It
' e r`v TOTAL PERMIT FEE 5', 0-7
Authorized signature: This permit application expires if a permit Is not obtained within 0
' days after It has been accepted as complete
Print name: ---c- ( C ` Cr Date: S/� / v * Fee methodology set by Tri-County Building Industry Service Board
Y •� t I ** Number of inspections per permit allowed.
i•\ Building\Pemits\FL(permitAppdoe 12/03 440-4615T(10/02/COM/WEB
CITY OF TIGARD - ,
BUILDING DIVISION PERMIT #: ELC2006-00232
00232
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/1/2006
Phone: (503) 639 -4171 �,,�11 iii
Inspection Requests (24 Hrs.): (503) 639 -4175 ..&.. RB I I ..
INSPECTION WORKSHEET FOR DATE: 5/2/200f TIME: 7:01AM PAGE: 56
SITE ADDRESS: 09393 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: ABERCROMBIE KIDS
DESCRIPTION: Sign lighting.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: VANCOUVER SIGN COMPANY, INC PHONE #: 360 - 693-4773
Inspection Request Scheduled For: Date: 5/2/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final , 029080-04 • 360.693.4773 Y
Tf+ Wit3e Sib
Corrections /Comments /In ructions:
•
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
i FAIL X CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G v`G I S e �C' Date: t1 ()E 718 Phone #: (503) 718 �
VVV Q '"
CITY OF TIGARD
BUILDING DIVISION PERMIT #: EI_C2006 1)1)2 42
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/1/2006
Phone: (503) 639 -4171 17 g'
Inspection Requests (24 Hrs.): (503) 639 -4175 ° °" I I ..
INSPECTION WORKSHEET FOR DATE: 5/2/2006 TIME: 7:01AM PAGE: 57
° NS I,
SITE ADDRESS: 09393 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: ABERCROMBIE KIDS
DESCRIPTION: Sign lighting.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: VANCOUVER SIGN COMPANY, INC PHONE #: 360 - 693 -4773
Inspection Request Scheduled For: Date: 5/2/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
140 Sign installation 0290130 -03 360-693 4773 Y
to i NI LAT 6
Corrections/Comments/Instructions:
M 7k.61 - I-0 voL-1 t.o& ,r43L- pc_L__.
tom. n •s -
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL E] NO ACCESS
A FAIL ()t CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: v AR, Date: ,"6 Phone #: (503) 718- ti
CITY OF TIGARD ,l
BUILDING DIVISION PERMIT #: ELC2006 -00232
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/1/2006 1006
Phone: (503) 639 -4171 A j II 1
Inspection Requests (24 Hrs.): (503) 639 -4175 , °__
INSPECTION WORKSHEET FOR DATE: 5/5/2006 TIME: 7 :10AM PAGE: 52
SITE ADDRESS: 09393 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: ABERCROMBIE KIDS
DESCRIPTION: Sign lighting.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: VANCOUVER SIGN COMPANY, INC PHONE #: 360 - 69341773
Inspection Request Scheduled For: Date: 5/5/2006 Pour Time:
'"0alb Inspection Description Confirm # Contact # Message
4Ia Flecbic;al final
029338-01 X177.243 6895 N
Corrections /Comments /Instructions:
N c
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: C_. N.Kt.t W.(2) lam. Date: —-- d Phone #: (503) 718- Z44