Permit CITY O F ' 'GAR ® ELECTRICAL PERMIT
PERMIT #: ELC2000 -00537
DEVELOPMENT SERVICES DATE ISSUED: 9/11/00
- 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
PARCEL: 1 S 126C0 -01107
SITE ADDRESS: 09459 SW WASHINGTON SQUARE RD A -14
SUBDIVISION: WASHINGTON SQUARE ZONING: C -G
BLOCK: LOT : JURISDICTION: TIG
Project Description: Electrical permit for lighting for one sign.
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 CMR SIGN SYSTEMS
BY THE MACERICH COMPANY 1820 E BURNSIDE
ATTN: JANET FISHER, ASSET MGNT PORTLAND, OR 97214
SANTA MONICA, CA 90407
Phone: Phone: 285 -7918
Reg #: LIC 104219
SUP 319SIG
ELE 26- 695CLS
FEES Required Inspections
Type By Date Amount Receipt Elect'I Service
PRMT CTR 9/11/00 $53.40 2720000000( Elect'l Final
5PCT CTR 9/11/00 $4.27 2720000000(
Total $57.67
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 da s. ATTENTION: Oregon law requires you to follow rules adopted by the Oreg • •-Utility Notification Center. Those
rules are set forth in 0 2 -001 -0 rough OAR 952 - 001 -0080. You may obtain copies of these rules or % irect questions to OUNC at (503)
246 -1987.
PERMITTEE'S GNATURE I •I ' / dub • ISSUED BY: y (_ /
• WNER 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: / 9S/
Call 639 -4175 by 7:00pm for an inspection the next business day
CITY F TIGARD Plan
Electrical Permit Application t 13 125 SW HALL BLVD. Rec' n
TIGARD OR 97223 Date Recd Cq/
Date to P E
Phone (503) 639 -4171, x 304 Date to DST -
Inspection (503) 639 -4175 Print of Type Permit # E c - '537
Fax (503) 598 - 1960 Incomplete or illegible will not be accepted Called
1. Job Address: n 4. Complete Fee Schedule Below:
Name of Development ( - , a'X ( 7 i jJ Number of Inspections per permit allowed
Name (or name of bu iness�) ,Ti L C o 0 T 0 C- C 2 Service included: Items Cost Sum l'
Address J /Y 1e_a..774_ 4a. Residential - per unit
City/State /Zip 7-1 9 3 n.,, -� [lam- 1000 sq ft. or less $ 117.75 4
Each additional 500 sq ft or
/ portion thereof $ 26 75 1
Commercial -8 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 Con r (.. _ _l� 4 200 amps or less $ 64 25 2
Address .:) b — , I � � n / � 201 amps to 400 amps $ 85.50 2
City 7 a(_ State 2)t'' Zip ' ' `7 ' /(r
401 amps to 600 amps $ 128 50 2
// / 1
601 amps to 1000 amps $ 192.50 2
Phone No. _.3_3L -- .P . / 5 Over 1000 amps or volts $ 363 75 2
Job No. , c Reconnect only $ 53 50 2
Elec. Cont. Lice. No. ...3t: C -' Exp.Date ___/i - U O 4c. Temporary Services or Feeders
OR State CCB Reg. No. - 0 _>/ 2 Exp.Date / - Q r Installation, alteration, or relocation
COT Business Tax or Metro No. a 2/ ( Exp.Date A —D / 200 amps or less $ 53 50 2
/I 201 amps to 400 amps $ 80.25 2
Signature of Supr. Elec'n ,/{� 401 amps to 600 amps $ 100.00 2
Over 600 amps to 1000 volts,
License No. _31 / ( Exp.Date // see "b" above.
q (' � U
Phone No. -> .P--,/)(..r3 4d. Branch Circuits
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 -/ $ 42-75 ,. 3 . VU
Signal circuit(s) or a limited energy
3. Plan Review section (if required):*
panel, alteration or extension $ 60.00
Minor Labels bels (10) $ 100.00
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: /
5a. Enter total of above fees $ 53' yv
* Submit 2 sets of plans with application where any of the above apply. 8% Surcharge (.08 X total fees) $ I/. ,9 `7
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 $ 5 f°7
•
i \dsts\forms\clectric doc
`' 'CITY OF TIGARD BUILDING INSPECTION DIVISION
240-lour Inspection Line: 639 -4175 • Business Line: 63 • MST .
- BUP •
_ Date Requested / 3 AM PM 1 • BLD •
•
Location b Li /9 5 61/ 4xG , 4 -3 4 G7., / Ic %Suite 4 1 e/ MEC
Contact Person = ' ''°-• - IPh '2k4' ° 7z) ). PLM
- Ph e x t V/ , �� �` 0 c5 /
Contractor
� � SWR
BUILDING ;: Tenant/Owner
/ ELC 0 - OW 4f y 7
Retaining Wall / , ELR� Z° t - c " 05- 39
Footing �r •- r:2° S �! \r;'�'r� r�;{!� :14•� l ::�
: .�� �.; •:,' - t �. i1 ,},+r�r
, ; . .l �l v � � o .
, FPS .
Foundation «�� ° J;�t� - k b - v - - . L ,•xi " ..3 * 17i ' - Pr '}.tin ';- a `:. _ :+
Ftg Drain ,_ 1 � t t ...r. s , Nye) : '+- ,,,',),..4.n. . ; s ,.4- _ :k..: " .�, 7:+ ?7 =, SGN
Crawl Drain Inspection Notes: '
Slab ,! CR., 2) __ , _ / SIT
Post & Bea /
Ext Sheath /Shear. S
Int Sheath /Shear .
Framing E w e.. A - C P)_ S`/ e
Insulation -'
Drywall Nailing f . • .e`
F / 4-' • ` '• - " °' ` 7 `
Fire Sprinkler / 4 '2 •
Fire Alarm v
Susp'd Ceiling ----= •
-
Roof . , ,
Mist: (0 p - f
Final r-
'PASS . PART . FAIL
PLUMBING -_ _ _
Lr ? � °° I mo ' s :- `
Post- &.Beam •
Under Slab "'
Top Out . /�
Water Service . �jl�s , �,2� .
Sanitary Sewer
Rain Drains - I
Final /�e�
PASS PART FAIL
MECHANICAL
Post & Beam -
Rough In -
Gas Line - .
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL -_
Service
Rough In
• UG /Slab .
lalk Voltage
Fire Alarm '
Fin�ah -
N. PASS ART FAIL -
SITE
Backfill /Grading _ i
Sanitary Sewer ' "
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin .
[ ] Please call for reinspection RE: • / %, [ ]•Unable to inspect - no access
Fire Supply Line _ Inn _ s=
Approach /Sidewalk
Other Date / 3 n Inspector _� Ext
Final
PASS PART FAIL DO OT REMOVE this inspection record from the job site.