Permit CITY OF TIGARD ELECTRICAL PERMIT
3 ° PERMIT #: ELC2007 -00414
' ' COMMUNITY DEVELOPMENT DATE ISSUED: 6/18/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09469 SW WASHINGTON SQUARE RD A10 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG
PROJECT: MAGGIE MOO'S /AUNTIE ANNE'S
Project Description: Electrical for (2) signs.
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 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- 190CLS
[ELPRMT] ELC Permit 6/18/2007 $106.80 LIC 64014
[TAX] 8% State Surcharge 6/18/2007 $8.54 SUP 566SIG
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 6. 6.6699 or 1.800.332.2344.
Issued By: P ermittee S ignature: - : a ___ � , ►` _
1 s
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: OA/ A- /'//0 /C977' ' 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 Perml r l • . 1, ',`
' : 9 1 FOR OFFICE USE ONLY • t,
f City of Tigard Received 6�/,V0 7 it. Permit No - �� ,,,2 7 eay /y
8 -
i 13125 SW Hall Blvd., Tigard, OR 9722311 ` 1 V 2001 Plan Rev
Phone: 503.639.4171 Fax: 503.598.1 ,,, ,-.., I I ' Date/By Perm y /1/0,70
Inspection Line: 503.639.4175 r /� '' I„ Date Ready/By I Si See Page 2 for
Internet: www.tigard - or.gov r1''"`i OF 110Aii
` V' Notified/Method Supplemental Information
13I r i E IIWICO ' 1 S 1 ON - PLAN REVIEW
❑ New construction ❑ Addition/alteration/replacement Please check all that apply: '
❑Service over 225 amps, comm'I ❑Hazardous location
❑ Demolition Other: S /GA./ /4 G E ❑ Service over 320 amps - rating ❑ Buildn over 10,000 sq. ft.,
CATEGORY OF CONSTRUCTION of I- and 2- family dwellings 4 or more new residential
❑ 1- and 2 family dwelling Commercial /industrial ❑ Accessory building CI System over 600 volts nominal units in one structure
❑Building over three stories ❑Feeders, 400 amps or more
❑ Multi family ❑ Master builder ❑ Other:
❑Occupant load over 99 persons ❑Manufactured structures or
JOB SITE INFORMATION AND LOCATION ❑Egress/lighting plan RV park
Job no.: I Job site address: 9y (, SW Wk IN67bI/ $Q ❑Health -care facility ❑Other:
I H Submit 2 sets of plans with any of the above.
City / State/ZIP: The above are not applicable to temporary construction service.
10 Project name: /`1/9E=G% /'1005/
FEE* SCHEDULE
Suite/bldg. /apt. no.:
14(tN�'it? /TNNQ.S Description I Qry• I Fee. I To" I .' I
Cross street/directions to job site: New residential single - or multi- fami ly dwelling unit.
Includes attached garage.
WASH 1 N orb N S' o. d4_c Jt'I CL. ( ( 1,000 sq ft. or less 145.15 4
Subdivision: -. I 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
6 nl dwelling, service and/or feeder 90.90 2
Jet.' r4- C- ON S 1
@) Services or feeders installation, alteration, and/or relocation
� 200 amps or less 80.30 2
Ltd PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
Name: Macey 1cN 601 amps to 1,000 amps 240.60 2
Address: 615 85 sW L pcsH t 6 Te, oi S Ooaar e 2..44. Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City / State/ZIP: ¶t 6A - 0 (2- C - 1223 Temporary services or feeders installation, alteration, and /or
relocation
Phone: (st 3 ) 3 5 _ g 6 -4 I Fax: ( yam 3 ) (,'Z o -3 /7_
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 I ❑ CONTACT PERSON A. Fee for branch circuits with
service or feeder fee, each 6.65 2
Business name: (SA+vt Z A Cc ruTz - ra f. branch circuit
B Fee for branch circuits
Contact name: Sr -o77 57».ei tgre (.,r.( without service or feeder fee,
first branch circuit 46.85 2
Address:
Each add'I branch circuit 6.65 2
City /State/ZIP: Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2 j
Phone:( ) I Fax::( )
Sign or outline lighting gt, 53.40 /4 f it 2
E - mail: Signal circuit(s) or limited -
CONTRACTOR energy panel, alteration, or
q extension. Describe: Page 2 2
Business name: M V E IER SIGN COMPA-UY OF ORE66/1) IN1. _
Each additional inspection over allowable in any of the above
Address: 15'205 Sty y 44 a U _ Per inspection 62.50
-
City /State/ZIP: - 1 - 16A - 12.2D D 012 6 172 Z[.( Investigation per hour (I hr min) 62.50
Phone: ( S03 ) 422..c) -s52 op I Fax: (s'03 ) 62 - 0 - 7b -15/ Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES*
CCB Lie.: 6141 I y Electri - - , i' - . • Suprv. Lie.: 5 - 3 IC Subtotal /Dt , Fo
Suprv. Electrician signature, req 'red: • IFIFL Plan review (25% of permit fee)
Print name: P�i 1, e_ mad Date: 6 -i 4 - off State surcharge (8 % of permit fee) p,..57/ . / TOTAL PERMIT FEE //,5 'j(
Authorized signature: �/ This permit application expires if a permit is not obtained within 1 0
days after it has been accepted as complete
Print name: S rj Sr.¢v,, 4,4-,,,,s.-/ Date: 6- i v- c 7 • Fee methodology set by Tn County Building Industry Service Board
Number of inspections per permit allowed
I \Ruddn ernuty \FLC -Perms Opp doc 12/10 /OS 4 1r)_46 I ST( 10 /0? /CO \1/WFR
CITY OF TIGARD _
BUILDING DIVISION PERMIT #: ELC2007 -00414
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/18/2007
Phone: (503) 639 -4171 r
Inspection Requests (24 Hrs.): (503) 639 -4175 ^'! �!
INSPECTION WORKSHEET FOR DATE: 7/11/2007 TIME: 7:01AM PAGE: 38
SITE ADDRESS: 09469 SW WASHINGTON SQUARE RD A10 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: MAGGIE_MOO'S/AUNTIE ANNE'S
DESCRIPTION: Electrical for (2) signs.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: MEYER SIGN CO OF OREGON PHONE #: 503.620 -8200
Inspection Request Scheduled For: Date: 7/11/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 051802 -01 503 -820 -8200 N
Corrections /Comments /Instructions:
C P SS El PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
1 IL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
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Inspector: .lv Date: LI En Phone #: (503) 718- ALA
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007- 00414
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/18/2007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/9/2007 TIME: 7:02AM PAGE: 52
SITE ADDRESS: 09469 SW WASHINGTON SQUARE RD A10 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: MAGGIE MOO'S/AUNTIE ANNE'S
DESCRIPTION: Electrical for (2) signs.
OWNER: WASHINGTON SQUARE LLC. PHONE #:
CONTRACTOR: MEYER SIGN CO OF OREGON PHONE #: 503-620-8200
•
Inspection Request Scheduled For: Date: 7/9/2007 Pour Time:
Code # Inspection Description nfirm # Contact # Message
199 Electrical final 051621 -01 503 -481 -4057 • N
Corrections /Comments /Instructions:
LETS SAN �� �r
C�.
•
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
X FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: �Y', N d) L • , Date: 1 ' • 61 Phone #: (503) 718- 2"r 4
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