Permit IPIII 16 CITY OF TIGARD ELECTRICAL PERMIT
T ' " PERMIT #: ELC2007-00475
COMMUNITY DEVELOPMENT DATE ISSUED: 7/12/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09620 SW WASHINGTON SQUARE RD G -6 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG
PROJECT: MARK'S HALLMARK
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:
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 7/12/2007 $53.40 LIC 64014
[TAX] 8% State Surcharge 7/12/2007 $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, 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: P ermittee Signature: _ .... ,`�
OWNER INSTALLATION ONLY
4
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.
Electrical Per 4 mit Appligon A__ \ FOR OFFICE USE ONLY
�
City of Tigard � " � L Received 7,o f Permit No 6162007_ Dp y7s
■ I II 13125 SW Hall Blvd , Tigard, OR 9722
C Phone: 503.639.4171 Fax. 503.598.1guL 12 2007 Date/By ew Other Permit.
T I G A li D Inspection Line: 503.639.4175 Date Ready/By. Juns. El See Page 2 for
Internet: www.tigard - gov CITy ( 1 " �(j�� Nohfied/Method 776-- Supplemental Information
T � ?G Tii�', i •—", 0is PLAN REVIEW
"�' '� Please check all that apply (submit 2 sets of plans w /items checked below).
❑ New construction ❑ Addition/alteration/replacement
❑ Service or feeder 400 amps or more ❑ Building over three stones
❑ Demolition 0 Other: / deij where the available fault current ❑ Marinas 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
❑ Multi - family Master builder ❑ Other: ❑ Fire pump ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system
❑ Addition of new motor load of ❑ "A ", "E ", "l - ", "l - ",
Job no.: Job site address: 9,g 0 Id IK A (/nS l Ku • 100 HP or occupancy
❑
/ ❑Six or more re a residential units. Recreational vehicle parks
City/State /ZIP: q 12 Z 3 ❑ Health -care facilities ❑ Supply voltage for more than
❑ Hazardous locations 600 volts nominal.
Suite/bldg. /apt. no.: Project name: /44 //mat ( ❑ Service or feeder 600 amps or more
��^� FEE SCHEDULE
Cross street/directions to job site: W i . �2 e / a G, Description I Qty. Fee. I Total •
"` 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 )
/�/1 D nn , c 1 Limited energy, multi - family
,LC (/ l.c(.t_Q t 0 ( 9PY\ L.L) /)l 4 t.) . residential (with above sq ft )
75.00 2
�" !/ 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: / �)A , c� r �/ r 401 amps to 600 amps 160.60 2
//t �/ 601 amps to 1,000 amps 240.60 2
Address: i inCC 422? ,� , ad - Over 1,000 amps or volts 454.65 2
City/State /ZIP: — f — i d Dil` Temporary services or feeders installation, alteration, and /or
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 599 amps 133.75 2
Branch circuits — new, alteration, or extension, per panel
Owner signature: Date: A Fee for branch circuits with
❑ APPLICANT ❑ CONTACT PERSON above service or feeder fee,
each branch circuit 6.65 2
Business name: B Fee for branch circuits
without service or feeder fee, 46.85 2
Contact name: first branch circuit
Address: Each add'l 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 2
/� Signal circuit(s) or limited- /
Business name: �A(11 L/� G, e- energy panel, alteration, or
Address: 5-01-0 / ,. extension. Describe: Page 2 2
/s � 7� �
City/State /ZIP: h ( 9 7 - Z (4' Each additional inspection over allowable in any of the above
( Per inspection 62.50
Phone: (5) 6 Zo U 1 s ZOQ Fax: (03) 6 20-707
Investigation per hour (1 hr min) 62.50
CCB Lic.: (o 4o 14 Electrical L .: 'Z() —1Q( L9 Suprv. Lic.: 3(6. 3-6 6 Industrial plant per hour 73.75
/ �/� f ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: • Subtotal: S3, 5'
Print name: v4 (L y po S Date: 7_ (.- 7 Plan review (25% of permit fee):
f I State surcharge (8% of permit fee): / _ 2 7
Authorized signature: \ 3c I � TOTAL PERMIT FEE: 5'7 _ (,
f �/ p p P This permit application expires if a permit is not obtained within 180 7
Print name: Y C�a tit( g p Date: 7"6 _. 7 days after it has been accepted as complete.
1 • Number of inspections allowed per permit
1 \Building\Permns\ELC- PermitApp doe 05/23/06 440- 4615T(I I /05 /COM/WEB ,
CITY OF TIGARD
•
BUILDING DIVISION PERMIT #: ELC2007 -00475
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/12/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8/13/2007 TIME: 7:01AM PAGE: 36
SITE ADDRESS: 09620 SW WASHINGTON SQUARE RD G - 6 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: MARK'S HALLMARK
DESCRIPTION: Sign lighting. 7/13/07, ADDING (1) SIGN LIGHTNING.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: MEYER SIGN CO OF OREGON PHONE #: 503. 620.8200
Inspection Request Scheduled For: Date: 8/13/2007 - Pour Time:
Code # Inspection Description Con irm • Contact # Message
199 Electrical final 053777 -01 503-620-8200 \ Y
Corrections /Comments / Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: N. 66 LIE Date: -1 3101 Phone #: (503) 718- Z'F'Ft