Permit ` q CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: 12 7/2 ELC2007-00826
COMMUNITY DEVELOPMENT
DATE ISSUED: 12/7/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09607 SW WASHINGTON SQUARE RD L01 B ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG
PROJECT: FAST FIX JEWELRY
Project Description: Sign lighting for (1) 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:
WASHINGTON SQUARE LLC MEYER SIGN CO OF OREGON
BY THE MACERICH COMPANY 15205 SW 74TH AVE
9585 SW WASHINGTON SQUARE RD TIGARD, OR 97223
TIGARD, OR 97223
Phone: Contact #: PRI 503 - 620 -8200
FAX 503 - 620 -7074
FEES
Description Date Amount Reg #: ELE 20- 190CLS
[ELPRMT] ELC Permit 12/7/2007 $53.40 LIC 64014
)TAX] 8% State Surcharge 12/7/2007 $4.27 SUP 566SIG
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, Artwork is suspended for
more tha TTENTION. Oregon law requires you to follow rules adopted by the Oregon Utility Notification Cen • Those rules are set forth in
OAR 2- 001 -0010 thro .h O • 95 -801 -0100. You may obtain copies of these rules or direct questions to OUNC at 514 246.6699 or 1.800 332 2344
Is ued By: , / /44.0//j . A / Permittee Signature: `4„,,,, ki
OWNER INSTALLATION ONLY 116
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CO RACTOR INSTAL •• TION ONLY
��
SIGNATURE OF SUPR. ELEC'N: u �/�„ ��'L�/� 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.
Electical:�ermit Application FOR OFFICE USE ONLY
Cit y g of Tigard Received i EtE IMI Permit No
Date/B ( x .0/0
lil
a 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
C . Phone: 503.639.4171 Fax. 503.598.1960 Date/B Other Permit
TI G A R D Inspection Line: 503 639 Date Ready /By El See Page 2 for
Internet: www.tigard - or.gov Notified/Method Supplemental Information
TYPE OF WORK PLAN REVIEW
❑ New construction ❑ Addition /alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories
❑ Demolition ® Other: Sign where the available fault current ❑ Mannas and boatyards
CATEGORY OF CONSTRUCTION exceeds 10.000 amps at 150 volts or ❑ Floating buildings
less to ground. or exceeds 14.000 ❑ Commercial -use agricultural
❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building amps for all other installations buildings
❑ u i- family ❑ Master builder ❑ Other: ❑ Fire pump ❑ Installation of 75 KVA or
(Q ❑ Emergency system larger separately derived system
7 J OB SITE INFORMATION AND LOCATION ❑ Addition of new motor load of ❑ "A ". "E ". "I -2 ". "I -3 ",
Job no.: Job site address:9585SW Washington Sq. Rd. 100HP or more occupancy
❑ Six or more residential units ❑ Recreational vehicle parks
City /State/ZIP: Tigard, OR 97223 ❑ Health -care facilities ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal
Suite/bldg. /apt. no.: L -01B Project name: Fast Fix Jewelry Repair ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Washington Sq. Mall Description I Qty. I Fee. I Total I •
New residential single or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq ft. or less 145.15 4
Ea add'I 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential
75.00 2
DESCRIPTION OF WORK (with above sq. ft.)
Install (1) Limited energy, multi - family 75 00 2
() elec. wall sign residential (with above sq ft )
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
® PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106 85 2
Name: Westcor 401 amps to 600 amps 160 60 2
601 amps to 1,000 amps 240 60 2
Address: 11411 N. Tatum Blvd. Over 1,000 amps or volts 454.65 2
City /State /ZIP: Phoenix, AZ 85028 Temporary services or feeders installation, alteration, and/or
relocation
Phone: (602)953 -6211 Fax: (602)953 -6449 200 amps or less 66.85 I
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 599 amps 133.75 2
Owner signature: Date: Branch circuits — new, alteration, or extension, per panel
A Fee for branch circuits with
® APPLICANT ® CONTACT PERSON above service or feeder fee, 6.65
Z
each branch circuit
Business name: (Same as contractor) B. Fee for branch circuits •
without service or feeder fee, 46.85 2
Contact name: Steve Murphy first branch circuit
Address: Each add'I branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City /State/ZIP: Each manufactured or modular
dwelling, service and/or feeder 90.90 2
Phone: ( ) Fax: : ( ) Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting I 53.40 53 40 2
Business name: Meyer Sign Co. of Oregon, Inc. Signal circuit(s) or limited -
energy panel, alteration, or
Address: 15202 SW 74' Ave. extension. Descnbe• Page 2 2
City /State /ZIP: Tigard, OR 97224 Each additional inspection over allowable in any of the above
Per inspection 62 50
Phone: (503) 620 -8200 Fax: (503) 620 -7074 Investigation per hour (1 hr trop) 62.50
CCB Lic.: 64014 Electrical Lic.: 20 -190CL Suprv. Lic.: SIG566 Industrial plant per hour 73 75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: Subtotal: 53.40
Print name: Phill Reynolds ..-•--. Date: 12 -07 -07 Plan review (25% of permit fee):
State surcharge (8% of permit fee): 4 27
Authorized signature: TOTAL PERMIT FEE: 57.67
This permit application expires if a permit is not obtained within 180
Print name: Steve Murphy Date: 12 -07 -07 days after it has been accepted as complete.
• Number of inspections allowed per permit
I \ Budding \Permits\ELC- PermitApp doe 05 /23/06 440- 4615T(I I /115 /COM/WI :II
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007•00825
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 121712007
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175 _..
INSPECTION WORKSHEET FOR DATE: / 2/26/2007 TIME: 7 :06AM PAGE: 13
SITE ADDRESS: 09607 SW WASHINGTON SQUARE RD L.01 B CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: FAST FIX ,JEWELRY
DESCRIPTION: Sign lighting for (1) sign.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: MEYER SIGN CO OF OREGON PHONE #: 503 - 620 - 8200
Inspection Request Scheduled For: Date: 12/26/2007 Pour Time:
Code # Inspection Description Confirm-. Contact # Message
199 Electrical final 062112 -01 503 -504 -3508 N
Corrections /Comments /Instructions: ,; G-(2 - 751-3 -
NZ 1 51( f cF-
PASS ❑ PARTIAL APPROVAL ❑ CANCEL El NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: C.3 c% Date: / In Phone #: (503) 718-