Permit CI TY OF TIG w RD ELECTRICAL PERMIT
VH PERMIT #: ELC2006 -00199
DEVELOPMENT SERVICES DATE ISSUED: 4/13/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09377 SW WASHINGTON SQUARE RD ZONING: C -
SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG
Project Description: (2) wall signs, (1) exterior, (1) interior.
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 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] ELC Permit 4/13/2006 $106.80 LIC 63951
[TAX] 8% State Surcharge 4/13/2006 $8.54 SUP 525SIG
Total $115.34 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.
Issued By: A ir Permiftee Signature: " 4 1 4 0.-. )7
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 r(Illi orrlch: List: ()Ni.)
City of Tigard oate/B -y7 ‘ ME Permit No.6 L CJ6 a)
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503 639.4171 Fax: 503.598 1960 4 !a,' � dl, } i f ° Date1B Other Permit:
Inspection Line: 503.639.4175 ,; ='� I Date Ready/By EN11 HI See Paget for
Internet: www.tigard or.gov Notified/Method Supplemental Information
TYPE OF WORK PLAN REVIEW
❑ New construction ❑ Addition/alteration/replacement Please check all that apply:
❑ Demolition Other: 0) ` I`tVI�1t✓A l¢D S IN ❑Service over 225 amps, comet ❑Hazardous location
❑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
El Multi- family ❑Building over three stories OFeeders, 400 amps or more
❑ Ma ster builder ® Oth er: S� MS
y ❑Occupant load over 99 persons ❑Manufactured structures or
JOB SITE INFORMATION AND LOCATION DEgress/lighting plan RV park
Job no.: Job site address:\ , ❑Health -care facility ❑der:
WA S(jvAt c 5()1 Submit 2 sets of plans with any of the above.
City /State/ZIP: VOI Ni \AN, Ok (1-71j3 9S 7 7 The above are not applicable to temporary construction service.
Suite/bldg. /apt.no.: 50-1 Project name: A ' % k_ ` (C� pf„\�I� k FEE* SCHEDULE
Description I Qty. I Fee I Told 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 Each manufactured or modular
AIiAk1()N 0k 1<<�n1NAki: \,/ I S N5 dwelling, service and/or feeder 90.90 _ 2
NS�
Al \\ y Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
❑ PROPERTY OWNER I M TENANT 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
Name: r or" (Sic 4. Ft tC.X_. 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/Z1P: 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
b APPLICANT I i CONTACT PERSON A. Fee for branch circuits with • service or feeder fee, each 6.65 2
Business name: V ANLbuv e S t'N CO INC. branch circuit
i- I B. Fee for branch circuits
Contact name: 1 `(,, P ce, k e, t without service or feeder fee, 46.85 2
LL ` "'y � first branch circuit
Address:
'5 N C'�‘� Each add'I branch circuit 6.65 2
City/State/ZIP: ,i G Miscellaneous (service or feeder not included)
y V A NC bu vet I Pump or irrigation circle 53 40 2
Phone: (37() ) 6C‘3 -11 Fax:: (36 6 ) (A - 7 41 Sign or outline lighting .L 53.40 /0( ..%0 2
E -mail: t Q“tk U �, VAN51( . G ur'\ Signal circuit(s) or limited -
CONTRACTOR energy panel, alteration, or
extension. Describe: Page 2 2
Business name: V pJNCOUV U SO V CV. INC—
Address: Gl; k5 N (may ot Oft Each additional inspection over allowable in any of the above
Per inspection 62.50
City /State/ZIP: V ANC O C/ I k-.. /A `1$(c Investigation per hour (I hr min) 62.50
Phone: (3() 6013_ C- 3 Fax: (Y.,p ) c co ...;.7q7 Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES*
CCB Lic.: 6 ;CN5 t Electrical Lic.: 3-1. Suprv. Lic.: 513 - sr6 Subtotal `,9 74)
Suprv. Electrician signature, required: 1 •- Plan review (25 %ofpermit fee)
' 41° (� State surcharge (8% of permit fee) y..5 7
Print name: ....)0(.....- S: , -ilna�t : .. Date: _1/ 3/ 0 G TOTAL PERMIT FEE g'c/
signature: �� r ai /
Authorized si
gn This permit application expires if a permit is not obtained within 180
--- UU days after it has been accepted as complete
Print name: \ ( r.., ill 4 e t ` e( ' Date: li / 1/ U C • Fee methodology set by Tn- County Building Industry Service Board
+ •• Number of inspections per permit allowed.
1 \Buddding\Pemnits\ELC- PennutApp doe 12/30/05 440.4615TO0 /02/COM/WEB
•
Electrical Permit Application - City of Tigard '
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK ONLY:
Fee for all residential systems combined $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning
System*
❑ Vacuum Systems*
❑ Other:
COMMERCIAL WORK ONLY:
Fee for each commercial system $75.00
(SEE OAR 918- 260 -260)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I:\Building\Pemits\ELC- PemitApp doc 12/30/05
CITY OF TIGARD .
1
1
BUILDING DIVISION PERMIT #: ELC2006 -00199
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4 /'f3 /'1_(10'
Phone: (503) 639 -4171 �w I C I
Inspection Requests (24 Hrs.): (503) 639 -4175 - °_
INSPECTION WORKSHEET FOR DATE: 5/2/200G TIME: 7:01AM PAGE: 59
SITE ADDRESS: 09377 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: AI3ERCROMBIE & FITCH
DESCRIPTION: (2) wall signs, (1) exterior, (1) interior.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: VANCOUVER SIGN COMPANY, INC PHONE #: 360 693 -4773
Inspection Request Scheduled For: Date: 517J2006 Pour Time:
•ode # Inspection Description Confirm # Contact # Message
Ila Electrical final 029080 -02 3G0 -693 -4773 Y
,--
Corrections /Comments /Instructions:
•
•
•
Y PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: (2/ 0 W Date:S b Phone #: (503) 718- -1-414
CITY OF TIGARD
A
BUILDING DIVISION PERMIT #: ELC2006.00199
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/13/200;
Phone: (503) 639 -4171 4 •
Inspection Requests (24 Hrs.): (503) 639 -4175 R: —
INSPECTION WORKSHEET FOR DATE: 5/ 2/2006 TIME: 7:01AM PAGE: 60
SITE ADDRESS: 09377 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: ABERCROMBIE & FITCH
DESCRIPTION: (2) wall signs, (1) exterior, (1) interior.
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 029080-01 360 - 6934773 Y
Corrections /Comments/ Instructions:
1p PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: v N ( Isei LE Date: 51 L t- I 0b Phone #: (503) 718 -1 4 '