Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2000 -00314
A DEVELOPMENT SERVICES DATE ISSUED: 6/8/00
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S126C0-01107
SITE ADDRESS: 09469 SW WASHINGTON SQUARE RDA
SUBDIVISION: ZONING: C -G
BLOCK: LOT : JURISDICTION: TIG
Project Description: Installation of outline lighting in existing commercial building.
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:
PPR WASHINGTON SQUARE LLC MEYER SIGN CO OF OREGON
BY THE MACERICH COMPANY 7340 SW LANDMARK LN
ATTN: JANET FISHER, ASSET MGNT TIGARD, OR 97223
SANTA MONICA, CA 90407
Phone: Phone: 620 -8200 ., i 1 \III A L
Reg #: LIC 00064014
SUP 5695IG
ELE 20 -190CL
FEES Required Inspections
Type By Date Amount Receipt
Elect'l Service
PRMT KJP 6/8/00 $42.75 0002805 Elect'l Final
5PCT KJP 6/8/00 $3.42 0002805
Total $46.17
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 throu• h 0 ' R 952 -001 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -1987.
PERMITTEE'S SIGNATUR ISSUED BY: r
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: S6 F Si `J
Call 639 - 4175 by 7:00pm for an inspection the next business day
r
CITY OF TIGARD Electrical Permit Application Plan Check #
1312 SW HALL BLVD. Rec'd By
� ' Date Rec'd
TIGARD OR 97223
Date to P.E.
Phone (503) 639 -4171, x304
Date to DST
Inspection (503) 639 -4175 Print of Type Permit #F LC 2�100 no3 /c. j
Fax (503) 598 - 1960 Incomplete or illegible will not be accepted Called
1. Job Address: 96/6. 61-)Y±2 4 4. Complete Fee Schedule Below:
Name of Development y�� Number of Inspections per permit allowed
Name (or name of business)C�em,ctr•i,\ \Vy -Vr 1 Oh C ltr Service included: Items Cost Sum
Address \ b,4 \4.v ,acpy, ' 0vAv? %6,* ewc'Q, -A -10 4a. Residential - per unit
J \` 1000 sq. ft or less $ 117.75 4
City /State /Zip \ %O�(� , t7L S'1.3A I Each additional 500 sq ft. or
vv portion thereof $ 26.25 1
Commercial Residential ❑ Limited Energy $ 60.00
Each Manufd Home or Modular
2a. Contractor installation only: Dwelling Service or Feeder $ 72.75 2
(Prior to permit issuance, applicants must provide contractor license 4b. Services or Feeders
information for COT data base). Installation, alteration, or relocation
Electrical Contractor\N� Q . Kit. gyp. , 010..• 11x6• 200 amps or less $ 64 25 2
Address \ l4 S W 4vtnakAu. 4N) 201 amps to 400 amps $ 85.50 2
401 amps to 600 amps $ 128.50 2
City *c v K State O (1_ Zip `\"1 'ka,3 601 amps to 1000 amps $ 192.50 2
Phone No. 5 D.- 0.O 4 0.60 Over 1000 amps or volts $ 363.75 2
Job No. Reconnect only $ 53.50 2
Elec. Cont. Lice. No. �d ---‘c1 D CL-S Exp.Date 10 - 01 0 0 t i t ) 4c. Temporary Services or Feeders
OR State CCB Reg. No. 6itIl 119( Exp.Date 01 Installation, alteration, or relocation
COT Business Tax or Metro No. 1 `1`\ Exp.Date 10 -1- 00 200 amps or less $ 53.50 2
201 amps to 400 amps $ 80.25 2
•
Signature of Supr. Elec 401 amps to 600 amps $ 107.00 2
Over 600 amps to 1000 volts,
S C-
License No. ..S" l Exp.Date .1 p- 0a, co
- o see "b" above.
� 4d. Branch Circuits
Phone No. SO \ bi�t> / a,0 New, alteration or extension per panel
a) The fee for branch circuits
2b. For owner installations: with purchase of service or
feeder fee.
Print Owner's Name Each branch circuit $ 5.35 . 2
Address b) The fee for branch circuits
without purchase of service •
City State Zip or feeder fee. •
Phone No. First branch circuit $ 37.50
Each additional branch circuit $ 5.35
The installation is being made on property I own which is not 4e. Miscellaneous
intended for sale, lease or rent. (Service or feeder not included)
Each pump or irrigation circle $ 42.75
Owner's Signature Each sign or outline lighting _1_ $ 42 75
Signal circuit(s) or a limited energy
3. Plan Review section (if required):*
panel, alteration or extension $ 60.00
Minor Labels bels (10) $ 107.00
Please check appropriate item and enter fee in section 5B. 4f. Each additional inspection over
4 or more residential units in one structure the allowable in any of the above
Service and feeder 225 amps or more Per inspection $ 50.00
Per hour $ 50 00
System over 600 volts nominal In Plant , $ 59.00
Classified area or structure containing special occupancy as
described in N.E.C. Chapter 5 5. Fees: /
A
5a. Enter total of above fees $ �-, 7 J
* Submit 2 sets of plans with application where any of the above apply. Ofp4 Surcharge (.05 X total fees) $ J 2-
Not required for temporary construction services. Subtotal $
5b. Enter 25% of line 5a for
NOTICE Plan Review if required (Sec. 3) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $
IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account #
AT ANY TIME AFTER WORK IS COMMENCED. Total balance Due $ 1 /c• ( 7
i. \dsts \forms \electric doc
C ITY OF TIGARD BUILDING.INSPECTION DIVISION
MST
• 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
/ BUP
Date Requested (4 /V� AM a X PM BLD
Location 11( LI'J wCCS� u Qd Gt� Suite MEC
Contact Person TP Ph ?,S3 yOS — QS * R PLM
•
Contractor Ph SWR ,r,,�.
BUILDING Tenant/Owner 6/kg- ELC 2 -000 -OD 31 y
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear •
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Fire Sprinkler ,�
Fire Sprinkle •
Fire Alarm
Susp'd Ceiling
Roof C.?
Misc:
Final •
PASS PART FAIL
PLUMBING
" Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL '
MECHANICAL
Post & Beam
Rough In -
Gas Line
Smoke Dampers
Final
PASS 'NIT FAIL
E CTRICy11
Service
Rough In
UG /Slab
Low Voltage
Fire
4 0/0 "2" PART FAIL
Backfill /Grading
•
Sanitary' Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach/Sidewalk Date 6/S0 Inspector '" C
Other Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.