Permit CITY OF T I G A R D ELECTRICAL PERMIT
PERMIT #: ELC2000 -00417
A DEVELOPMENT SERVICES DATE ISSUED: 7/24/00
" I 13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639 -4171
PARCEL: 1 S126C0 -01107
SITE ADDRESS: 09473 SW WASHINGTON SQUARE RD A -8
SUBDIVISION: WASHINGTON SQUARE ZONING: C -G
BLOCK: LOT : JURISDICTION: TIG
Project Description: Sign or outline lighting.
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 �fl
Phone: Phone: 285 -7918
Reg #: LIC 104219
SUP 319SIG
ELE 26- 695CLS
FEES Required Inspections
Type By Date Amount Receipt
Elect'l Final
PRMT BLD 7/24/00 $42.75 0003938
5PCT BLD 7/24/00 $3.42 0003938
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 through OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -1987.
PERMITTEE'S SIGNATURE /... ISSUED BY:
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
CITY ®F TIGARD Plan Check #
13125 SW HALL BLVD. Electrical Permit Application Rec'd By M,/L.
TIGARD OR 97223 Date Rec'd -7/470--d RECEIVED 1 Date to P.E. -
Phone (503) 639 -4171, x304 D t DST
Inspection (503) 639 -4175 Print of Tye 1 8 2000 Permit # tccanD -61r/y /7
Fax (503) 598 - 1960 Incomplete or illegible will not be accented Called
CQMppTY ELOPNII:IYt
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development WASH I NGT(iN SQIIARE Number of Inspections per permit allowed
Name (or name of business) JAMBA JU I rE Service included: Items Cost Sum 4 '
Address 9473 WASHINGTON SQUARE RD 1 9 - g 4a. Residential - per unit
City/State /Zip TIGARD , OR. Each additional less $ 117.75 4
sq. ft or
portion thereof $ 26.25 1
CommerciaP(M X 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 CMR /COI UMR T A T NC 200 amps or less $ 64.25 2
Address 1u20 E BU RN S i DE 201 amps to 400 amps $ 85.50 2
401 amps to 600 amps $ 128.50 2
City PORTLAND , - State OR Zip 97214 601 amps to 1000 amps $ 192.50 2
Phone No. 232 -8153 Over 1000 amps or volts $ 363.75 2
Job No. Reconnect only $ 53.50 2
Elec. Cont. Lice. No. Ex .Date 1 -21 -01
26- P 4c. Temporary Services or Feeders
OR State CCB Reg. No. U ' 4 � Exp.Date 10 -1 -00 Installation, alteration, or relocation
COT Business Tax or Metro No. Lti 1 `E Exp.Date ti -UU 200 amps or less $ 53.50 2
201 amps to 400 amps $ 80.25 2
Signature of Supr. Elec'n
/Q__E 401 amps to 600 amps $ 107.00 2
Over 600 amps to 1000 volts,
see "b" above.
License No. 319SIG Exp.Date 11 -01
Phone 4d. Branch Circuits
hone No.
232 -8153 New, alteration or extension per panel ,REtt
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
o
Owner's Signature Each sign or outline ga lighting / $ 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) $ t$i .QIT
Please check appropriate item and enter fee in section 5B. 4f. Each additional inspection over hoD
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: l ��/
5a. Enter total of above fees $ r I?.. 25 ...."
* Submit 2 sets of plans with application where any of the above apply. f �.5% Surcharge (4)5X total fees) $ ` T�
Not required for temporary construction services. Subtotal .t $ {
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 $ C. )
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