Permit CITY OF TI GARD ELECTRICAL PERMIT
PERMIT #: ELC2000 -00189
** DEVELOPMENT SERVICES DATE ISSUED: 4/19/00
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S126C0 -01107
• SITE ADDRESS: 09534 SW WASHINGTON SQUARE RD
SUBDIVISION: ZONING: C -G
BLOCK: LOT : JURISDICTION: TIG
Project Description: Installation of sign lighting. Job No. 20139.
RESIDENTIAL UNIT TEMP SRVC /FEEDE 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 HMI 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 HIGHLIGHT SIGN CORP
BY THE MACERICH COMPANY 8200 SW HUNZIKER
ATTN: JANET FISHER, ASSET MGNT TIGARD, OR 97223
SANTA MONICA, CA 90407
Phone: Phone: 503 - 620 -8205
Reg #: LIC 00104599
SUP sig517
ELE 26- 888CLS
FEES Required - Inspections
-- -
Type By Date Amount Receipt
Elect'l Service
PRMT DEB 4/19/00 $42.75 0001555 Elect'l Final
5PCT DEB 4/19/00 $3.42 0001555
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 copie ese r es or direct questions to OUNC at (503)
246 -1987.
PERMITTEE'S SIGNATURE ISSU D BY: k
OWNER INSTALLATION ON
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATU -. =- DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: -Q.2_ . 44 / 7 - CT 5 iv DATE:
LICENSE NO: A 6 6/ 7
Call 639 -4175 by 7:00pm for an inspection the next business day
CI'tY OF TIGARD Electrical Permit Application Plan C
13125 SW HALL BLVD. Rec'd I C ir ig
TIGARD OR 97223 Date Rec'd '�'/Q1
Date to P.E.
Phone (503) 639 -4171, x 304 Date to DST � rrn -
Inspection (503) 639 -4175 Print or Type Permit # &4 Ur47
Fax (503) 684 -7297 Incomplete or illegible will not be accepted Called
1. Job Address: \ 4. Complete Fee Schedule Below:
Name of Development Number of Inspections per permit allowed
Name (or na gQf u siness).t �.� Service included: Items Cost Sum
Address S 6 .- -
' ,_ 4a. Residential - per unit
City /State /Zip . I 1. r�C �. . ' Each additional 500 sq. ft. or $110.00 4
portion thereof $25.00 1
Commercial CO Residential ❑ Limited Energy $25.00
Each Manuf'd Home or Modular
Dwelling Service or Feeder $68.00 2
2a. Contractor installation only:
(Attach copy of all current license 4b. Services or Feeders
Electrical Contractor ' . , •• • _ in'_... r� Installation, alteration, or relocation
Address . ._ •v. '�.'ill!':�f��,C!_1*- -f��': 200 amps or le ss $60.00 2
201 amps to 400 amps $80.00 2 -
City lei , . s .. :. State rii Zip r.... 3 401 amps to 600 amps $120.00 2
Phone N. € 5 .ri-, tan - 8 a d 601 amps to 1000 amps $180.00 2
Job No. Over 1000 amps or volts $340.00 2
Elec. Cont. Lice. No. 1 ( 4 --WR 0A5 Exp.Date 0 SW c--c
Reconnect only $50.00 2
OR State CCB Reg. No. ID 46M Exp.Date ,71E7 0 a 4c. Temporary Services or Feeders
COT Business Tax or Metro No. • ' E • s - - P.' Installation, alteration, or relocation
y� �� 200 amps or less $50.00 2
Ar-___, 201 amps to 400 amps $75.00 2
Signature of Supr. Elec'n M'Q / __ _ .. / 401 amps to 600 amps $100.00 2
Over 600 amps to 1000 volts,
License No. cS I » 5 (4 Exp.D. e irala see "b" above.
Phone No. ( 5" 6 . L 5'- b3L 4 2 '
4d. Branch Circuits
New, alteration or extension per panel
2b. For owner installations: a) The fee for branch circuits with
purchase of service or
Print Owner's Name feeder fee.
Address Each branch cir $5.00 2
City State Zip b) The fee for branch circuits
ty p without purchase of
Phone No. service or feeder tee.
First branch circuit $35.00 2
The installation is being made on property I own which is not Each additional branch circuit $5.00 2
intended for sale, lease or rent. 4e. Miscellaneous
(Service or feeder not included)
Owner's Signature Each pump or irrigation circle $40.00 2
Each sign or outline lighting 1 $40.00 2
3. Plan Review section (if required):* Signal circuit(s) or a limited energy A. . 7 -
panel, alteration or extension $40.00 2
Minor Labels (10) $100.00
Please check appropriate item and enter fee in section 5B.
4 or more residential units in one structure 4f. Each additional inspection over
Service and feeder 225 amps or more the allowable in any of the above
System over 600 volts nominal Per inspection $35.00
Classified area or structure containing special occupancy Per hour $55.00
as described in N.E.C. Chapter 5 In Plant $55.00 ,
* Submit 2 sets of plans with application where any of the above apply. S. Fees: 7A. 75 -
Not required for temporary construction services. 5a. Enter total of above fees $ - , 3, 4/"
5% Surcharge (.05 X total fees) $ .yam, A .
NOTICE Subtotal $
5b. Enter 25% of line 5a for '
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required (Sec.3) $
NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK Subtotal $
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY
TIME AFTER WORK IS COMMENCED. ❑ Trust Account #
Total balance Due $ �/ 7
- ,,c y
I7 <r l
I• \DSTS \ELC96 APP Rev 9/96 534
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested AM PM BLD
Location O 95 V Sw &IAA, Sf L4 . 4 4 C&c/4, Suite / / Z- MEC
Contact Person / Ph /C PLM
Contractor ■ j Ll S'17 ( „, SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR — U ° / / e�
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
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
• 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 PART FAIL
ELECTRICAL
ervice
Rough In
UG /Slab
Low Voltage
Fi
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 einspection RE: / J'[ ] Unable to inspect - no access
ADA /
Approach /Sidewalk /
Other Date �. � Inspector Ext
Final
PASS PART FAIL 0 NOT REMOVE this inspection record from the job site.