Permit 11 CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00469
iftt
DEVELOPMENT SERVICES DATE ISSUED: 8/22/2006
l,l °- 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09589 SW WASHINGTON SQUARE RD B9 ZONING: C - G
SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG
Project Description: Sign 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:
WASHINGTON SQUARE LLC VANCOUVER SIGN COMPANY, INC
BY THE MACERICH COMPANY 6615 SW HWY 99
9585 SW WASHINGTON SQUARE RD VANCOUVER, WA 98665
TIGARD, OR 97223
Phone: 503 - 639 -8865 Contact #: PRI 360- 693 -4773
FAX 360 - 693 -2747
FEES
Description Date Amount Reg #: ELE 37 -46CLS
[ELPRMT] ELC Permit 8/22/2006 $53.40 LIC 63951
[TAX] 8% State Surcharge 8/22/2006 $4.27 SUP 525S1G
Total $57.67 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 - 246 -6699 or
1- 800 - 332 -2344.
Issued By: / I / Permittee Signature: �V�►.
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 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.
:E Permit Applicatio FoR OFFICE USE ONLY
City of Tigard �� , �' Received o T, r ���_
DateB : • �— ._ 0t7 SW Hall Blvd., Tigard, OR 97223 ��' Pemut h p7�f(�J J
Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 AUG y "" y1 1i ' `I
' Date/By: Other Permit.
Inspection Line: 503.639.4175 ell � Date Ready/By. ®
y. Jus See Page 2 for ,, Internet: www.ci.tigard.or.us Jill CITY - . Notified/Method: Supplemental Information
TYPE OF W !DING DIVISION
PLAN REVIEW
❑ New construction 1 ❑ Addition /alteration/replacement Please check all that apply.
ID Demolition trl Other: g N \ �� Ally +1[�l`' ❑ ['Hazardous over 225 amps, comm'l Hazardous location
°� ❑Service over 320 amps — rating ❑ Buildng over 10,000 sq ft.,
- CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential
❑ 1- and 2 - family dwelling ❑ Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
Other: N kA ,t ❑Building over three stories ['Feeders, 400 amps or more
❑ Multi family ❑Master builder
❑Occupant load over 99 persons ❑Manufactured structures or
JOB SITE INFORMATION' AND LOCATION 0 Egress/lighting plan RV park
� 5 , SW W 1 • ❑ Health -care fac ility ❑Other
Job no.: Job site address: ASh%N kON -"NI.
Submit 2 sets of plans with any of the above.
City/State/ZIP: t \ t.� A 4 I) V k C\1 5, a 3 The above are not applicable to temporary construction service.
1 t c FEE* SCHEDULE
Suite/bldg. /apt. no.: Project name: M A f∎ I kl Uie.
Description I Qty. I Fee. I Total I **
Cross street/directions to job site: New residential single- or multi - family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145 15 ' 4
Subdivision: Ea. add'I 500 sq. ft. or portion 33.40 I
W �SL‘ ,} U L-A4 Lot no.: Limited energy, residential 75.00 2
Tax map/parcel no.: Limited energy, non - residential 75 00 2
DESCRIPTION OF WORK Each manufactured or modular • 'NS��lIA V G ) \I`Vf \Na1 S ‘�N dwelling, service and/or feeder 90.90 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
❑ PROPERTY OWNER I TENANT 201 amps to 400 amps 106.85 2
(�� 401 amps to 600 amps 160.60 2
Name: 1\/\ ON Die, (Q- t w 601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City/State /ZIP: `
... A't) �\ J � Temporary services or feeders installation, alteration, and/or
� J t relocation
Phone: ( ) Fax: ( )
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 Di CONTACT PERSON - A Fee for branch circuits with
service or feeder fee, each 6.65 2
• Business name:• VI\ NCO tfVQ,r St, 514/ Ct. t 1Ni L — branch circuit
B. Fee for branch circuits
Contact name: i ; sk e 1 N Q,' without service or feeder fee, 46.85 2
first branch circuit
Address: G65 Ng- t\' y c ' (: \ Each add'I branch circuit 6.65 2
City/State /ZIP: V A N� 0 t/ Vey \••• A \ S C.65 Miscellaneous (service or feeder not included)
r ,� t Pump or irrigation circle 53.40 2
Phone: (3(.,p) G (_ 7 7 7 Fax:: (360) 6 21 y
u ` J 13 ' 7 Sign or outline lighting 1 53.40 2
E -mail: Signal circuit(s) or limited -
CONTRACTOR energy panel, alteration, or
extension. Describe Page 2 2
Business name: VANG1tvv4i S% (11..) C—tj , tNC
Address: 6 . ; 1c 1\1¢ u Each additional inspection over allowable in any of the above
`�`� G \ / 1 �I 1 Per inspection 62 50
City / State/ZIP: V ANc t,V c f ` \-� Investigation per hour (1 hr nun) 62.50
Phone: (3G0 ) 6 013 _ co- Fax: (36o 6 5 3 . ). - 7 y f Industrial plant per hour 73.75
ELECTRICAL , PERMIT FEES*
CCB Lic.: G3c Electrical Lic.: ti Cc v s Suprv. Lic.: 5i3- f6 Subtotal
Suprv. Electrician s aftt }r,9 wired: `, \ I%lail Plan review (25% of permit fee)
Print name: (� ,� Date: State surcharge (8% of permit fee) (� a ..7
W — • �' �� TOTAL PERMIT FEE I ''' . l
Authorized signature: ��%1A� l' This permit application expires if a permit is not obtirterwithin 180
e days after it has been accepted as complete
Print name: k l h 4 e %; Qt• Date: SS/17 /a 0 5 6 • Fee methodology set by Tri -County Building Industry Service Board ....1 r ( •* Number of inspections per permit allowed. / w
i
r\Bwldmg \ Permas \ ELC- Permrt4ppdoc 12/03 4404615T(10/02/COM/WEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006•00469
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/22/2006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639 -4175 , ':� ° I..
INSPECTION WORKSHEET FOR DATE: 8/29/2006 TIME: 7:01AM PAGE: 36
SITE ADDRESS: 09589 SW WASHINGTON SQUARE RD B9 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: MADE IN OREGON
DESCRIPTION: Sign lighting.
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503-639 -8865
CONTRACTOR: VANCOUVER SIGN COMPANY, INC PHONE #: 360-6334773
Inspection Request Scheduled For: Date: 8/29/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
99 Electrical final 035722 -01 360 - 693 -4773 N
Corrections /Comments /Instructions:
'V
VA PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ' w OB 1--'y Date: S. 29 -06 Phone #: (503) 718- Z—