Permit CITY OF TIGARD PERMIT
PERMIT #: ELC2001 -00496
.I DEVELOPMENT H PME r SSERVICES 2 � 639 -4171 DATE ISSUED: 10 /9/01
PARCEL: 1 S126C0 -01107
SITE ADDRESS: 09426 SW WASHINGTON SQUARE RD K -4
SUBDIVISION: WASHINGTON SQUARE ZONING: C -G
BLOCK: LOT : JURISDICTION: TIG
Project Description: Sign lighting for 2 signs inside Washington Square Mall at "FYE ", formerly known as Camelot Music.
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:
PPR WASHINGTON SQUARE LLC FORESS SIGN & MANUFACTURING
P.O.BOX 21545 30255 HIGHWAY 34
SEATTLE, WA 98111 ALBANY, OR 97321
Phone: Phone: 541 - 928 -5858
Reg #: LIC 144386
9 ELE 22 -50CLS
SUP 57SIG
r
FEES Required Inspections
Type By Date Amount Receipt Elect'I Final
PRMT CTR 10/9/01 $106.80 2720010000( EXPIRE"
5PCT CTR 10/9/01 $8.54 2720010000( 1C C/O 3 ri.14
Total $115.34 ei.J
r"
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 0
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 -0080. You may obtain copies of these rules or direct questions j? - -1 /
Permit Signature: _ _ " Issued By: `��; 6 V � �-
0
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:
I.
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 639 -4175 by 7:00pm for an inspection the next business day
BUP - Building Permit ELC - Electrical Permit
11 Inspection Description _ Date Passed By -41 Inspection Description Date Passed I By
Footing /Setback Underground cover 1
Foundation walls _ Wall cover _ r
Footing drain Ceiling cover
Waterproof bsmt walls Electrical rough -in
Slab _ Electrical service
Crawl drain _ Electrical final
Underfloor insulation
Post/beam structural
Shear walls /anchors ELR - Restricted Energy Permit
Roof nailing 4 Inspection Description Date Passed By
Firewall Low voltage
Tilt -up panel _ Electrical final
Masonry/Reinforcement
Framing
MFG - Structure set -up _ MEC - Mechanical Permit
Insulation - 4 Inspection Description Date Passed By
Drywall nailing — Post /beam mechanical
Suspended ceiling _ Gas line
Engineered soils _ Mechanical rough -in
Welding Lab Final Fire damper
Concrete Lab Final _ Duct work
Bolting Lab Final Smoke detector
Structural observation Mechanical final
Fireproofing Lab Final
• I Final_ inspection
PLM - Plumbing Permit
• Inspection Description Date Passed By
BUP — Fire Protection System Permit
Plumbing underslab —
Inspection Description Date Passed By Crawl drain
Sprinkler underfloor /slab Post/beam plumbing
Sprinkler rough -in Plumbing top -out
Sprinkler final RP /backflow preventer
Fire alarm final Rain drain
Storm drain
Water service
SIT - Site Permit Sanitary sewer
4 Inspection Description Date Passed By Culvert/catch basin
Footings _ Pump /fill septic tank
Foundation walls Plumbing final
Sprinkler supply lines
Sprinkler underfloor /slab
Catch basin/Manhole SWR - Sewer Permit
Engineered soils T Inspection Description Date Passed By
Engineering acceptance Sanitary sewer
Final inspection Final inspection
Inspection Record - BUP, PLM, SWR, ELC, ELR, MEC, SIT Permits
1: \dsts \forms \InspRecordBUP.doc 04/17/01
CITY OF TI CARD ELECTRICAL PERMIT
PERMIT #: ELC2001 -00496
`' i B
i4, DEVELOPMEN S SERVICES ) 639-4171
DATE ISSUED: 10/9/01
PARCEL: 1 S126C0 -01107
SITE ADDRESS: 09426 SW WASHINGTON SQUARE RD K -4
SUBDIVISION: WASHINGTON SQUARE ZONING: C -G
BLOCK: LOT : JURISDICTION: TIG
Project Description: Sign lighting for 2 signs inside Washington Square Mall at "FYE ", formerly known as Camelot Music.
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:
PPR WASHINGTON SQUARE LLC FORESS SIGN & MANUFACTURING
P.O.BOX 21545 30255 HIGHWAY 34
SEATTLE, WA 98111 ALBANY, OR 97321
Phone: Phone: 541 - 928 -5858
Reg #: LIC 144386
ELE 22 -50CLS
SUP 57SIG
FEES Required Inspections
Type By Date Amount Receipt Elect'l Final
PRMT CTR 10/9/01 $106.80 2720010000(
5PCT CTR 10/9/01 $8.54 2720010000(
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 -0080. You may obtain copies of these rules or direct questions to
Permit Signature. " % ` Issued By: _K
\ � 1
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 639 -4175 by 7:00pm for an inspection the next business day
10;'05.2001 09:51 FAX 5035981960 CITY OF TIGARD gl 002
._
4,. Electrical Application
Dalereceived: /Q tf O / permit no. -dO 96
i, - ' :i I .. City of Tigard Projeedappl.no.: Expire date:
CfrynfTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Dace issued: By:,� Receipt no.:
Phone; (503) 639 -4171
Fax: (503) 598.1960 Case file no.: Payment type:
Land use approval: -
`'' . '1'1Yk. lil'.`1LH1111 . .'' .F'.
❑ I & 2 family dwelling or accessory 1: Commercial/industrial ❑ Multi- family ❑ Tenant improvement
U New construction ❑ Addition/alteration/replacement ❑ Other: ❑ Partial
JOIJSITE NIOftMATJOV'
V. 2 1 Job address, a _ , 71 S UJ9 ^ Sc 11,_k Bldg, no.; Suite no.; Tax map/tax lot/account no.:
C Y
L.ot. Block: jSubdivision: C rF7Ht o cy &9E[
11ar itiS' /G )
Project name: Description and rotation o on remises: c J
Estimated date of com.letion/inspection: 4 l — 0
1,' ;(()1rRk'cro APPLICATION I fair SCHEDULE r '- :- '..
L Job no: Fee Mme
Description Qty. (en.) Teter! no. irup
Business name: ca arc , (pt.) vo- Newraidattial- sirgleortanlei- feaWyper 'I
Address: '3 ca^ i; r ` , 3,t 1 ' .. dwelllggun #.Ltclades attachedgarage.
Gry: AL�Ft� State:0 1 -; t.1�L I 9er+iceindtrdtt
I Phone: Czg-- f Fax: 'Ai 5, 9nEft E-mail: IOWsq - ft. or less 4
c Each additional 500 sq. ft. or portion thereof
CCB no.: L
\t.t : , �(0 5 26 D lea bu s- tic- no: „2 oZ — 54 / ,� [S umi�det+er gy.rasidentiat 2
�CityJitletro lie, n .: vU�� 66.7 /O // ^^ G 2-- Limacdcrxrgy, non- residcnUd 2
1 , E,th m.u1u(AClwed home or modular dwelling
1 Service aruflorfceder 2
• gesture of supervising electrician (require lyat! / / ��
I--
p e name (pnnt) 44 t ,� o 4 Lircnscrm s' -
alteration or feeders- Installation, I
'1 1 E11IT)' C)1V Ei alteration orret lion.
;- • i. , t 200 amps or less
l ,,
Name (print): iN A �`nlwe� � �<. .,..a4. P 201 amps to 400 amps 2 I
,
401 amps to 600 amps _ 2
1-Mailing address: ek !: !: 5; W . A%V,.' ‘,.,... C, 1IL3t , 601 amps tc 1000 amps _ _
2
I CttY: "I' i ZoA ft 0 I State: O \ ZIP: l - ). \ Over 1000 amps or volts r 2
rPhone :-. Fax: k3' % E - mail: Reconnect only
Owner installation: The installation is being made on property I own [emperarysrrrloesorfeedees-
wh ich is not intended for sale, lease. rent, or exchange according to inrteslalian,sdterafion orrolotstie °' i
=tamps
ORS 447, 455, 479, 670, 701. 201 canna or less 2
s to 400 amps j 2
Owners signature: Date: 401 to600amps 2
L,tiG IVLLIt,:
Branch circtdie • new alteration, !
or extension per panel:
Name: A. Fae for branch cireuita with purchase of
Address: service or feeder fee, each branch Circuit 2
O . S[S IC: ZIP: B. Fes for branch circuits without purchase
, � of service or feeder fee, fist branch circuit: 2
I
t Phone: Fax: E -mail:
Each neditional breech circuit:
'; PL 1 R Ll'11LL11 (Plea eked ill tlt.it tpph')' Misc. (Service or feeder not included);
p Service over 22S amps -cori m :viol CI Health -care facility Each pump or iaigation circle I 2
❑ Service over 320 amps -rating of 1 &2 0 Hazardous location Each sign or outline ilg,hting Z ` 2
family dwellings ❑ Building over 10,000 square feet four or Signal circuit(t) or a limited energy penal.
Q System over 600 voltsnominnl more residential units in one suuuure aiteration.orextension' 7
❑ Building over three statics ❑ Feeders. 400 amps or more •neseription: _
Ci Occupant iced over 95 persons ❑ Manufauurcd art uctutus or P.V pule E additional inspection over the allowable la any or nit aborer
r1 Egress/lighting ❑ Otlrr. Per inspection 1 ---
Submit — sets of plaits with any of the above. Investigation fee
The above are not applicable to temporary construction service. Other
Permit fee $ /06 , PD
r �Not ail junadterions accept. outfit card:, please call jurisdiction for more Worm:Mon, Notice: This permit application
0 visa 0 Mastercard expires if a permit is not obtained Plan review (at _ Co) $
Credit curd number / ,' within 180 days after It has been Srdte surcharge (8%) .... $ ?, 5g,
Expires accepted its complete. TOTAL $ / / 5 . 3
L Nan.e or caedbot&e as ahovm on train cad f
S
m
Cdtetder aigaatate Amoam 440.46:5 (t.OUICOM)
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