Permit CITY TI G ELECTRICAL PERMIT
,,I� PERMIT #: ELC2000 -00500
DEVELOPMENT SERVICES DATE ISSUED: 8/22/00
- ' - J 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 1S126C0-01107
SITE ADDRESS: 09619 SW WASHINGTON SQUARE RD L -4
SUBDIVISION: WASHINGTON SQUARE ZONING: C -G
BLOCK: LOT : JURISDICTION: TIG
Project Description: Installation of three sign lightings.
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: 3
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 MULTI -LIGHT SIGN CO.
BY THE MACERICH COMPANY 3255 NE BROADWAY
ATTN: JANET FISHER, ASSET MGNT PORTLAND, OR 97213
SANTA MONICA, CA 90407
Phone: - Phone: 281 -3083
Reg #: LIC 00064107
SUP 343SIG
ELE 26 -90CLS
FEES Required Inspections
Type By Date Amount Receipt
Elect'l Service
PRMT DEB 8/22/00 $128.25 0004653 Elect'l Final
5PCT DEB 8/22/00 $10.26 0004653
Total $138.51
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws.
All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is
suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080. You may obtain copie - - es or direct questions to OUNC at (503)
246 -1987.
PERMITTEE'S SIGNATURE ISSU : D BY: ' /�_ /
f/ efi
OWNER INSTALLATION ONL -
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INST TION ONLY
SIGNATURE OF SUP . FLES'N:: ( V DATE: —�
LICENSE NO: 3J ( C
Call 639 -4175 by 7:00pm for an inspection the next business day
I
1
, CITY OF TIGARD Electrical Permit Application Plan Ch .)
1'3175 W HALL BLVD. Rec'd ti�-
Date Recd Sr - a'--06 1
TIGARD OR 97223
Phone (503) 639 -4171, x304 Date to P.E.
Date to DST
Inspection (503) 639 -4175 Print of Type Permit # iL 2tx i -t SZY
Fax (503) 598 - 1960 Incomplete or illegible will not be accepted Called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Number of Inspections per permit allowed
Name (or name of business) Service included: Items Cost Sum
Add e / 9 e 5,11 , 1, t$, gQ . I) j 4a. Residential - per unit
City/State /Zip --�°; d V 1000 sq ft. or less $ 117.75 4
1 Each additional 500 sq ft. or •
portion thereof $ 26 25 1
Commercial 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 tr j,. 1 Imo i,.. g t e „J 200 amps or less $ 64 25 2
Addrgks "3? �•S tl J . C. (30..OA 41 201 amps to 400 amps $ 85.50 2
401 amps to 600 amps $ 128.50 2
City t 6&riyn4, j-L� State B pc Zip 00'132 601 amps to 1000 amps $ 192 50 2
Phone No. 2$ I. • 3n s3 Over 1000 amps or volts $ 363.75 2
Job No. Reconnect only $ 53.50 2
Elec. Cont. Lice. No. a1ct- COC.L5 Exp.Date 4c. Temporary Services or Feeders
OR State CCB Reg. No. (.0 4 Exp.Date Installation, alteration, or relocation
COT Business Tax or Metro No. Exp.Date 200 amps or less $ 53.50 2
201 amps to 400 amps $ 80.25 2
p �� 401 amps to 600 amps $ 107.00 2
Signature of Supr. Elec'n c 9 Over 600 amps to 1000 volts,
see "b" above.
License No.'3t{1.5i( Exp.Date 4d. Branch Circuits
Phone No. 211 - S3 New, alteration or extension per panel
a) The fee for branch circuits
2b. For owner installations: with purchase of service or
feeder fee.
Pnnt 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
Owner's Signature Each sign or outline lighting 3 $ 42.75
Signal circuit(s) or a limited energy
panel, alteration or extension $ 60 00
3. Plan Review section (if required):* ,
Minor Labels bels (10) $ �.GZ.Aa
Please check appropriate item and enter fee in section 5B. 4f. Each additional inspection over &V
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.0 Chapter 5 5. Fees: 2.5 f
5a. Enter total of above fees $ 17_2, ,,,_
* Submit 2 sets of plans with application where any of the above apply. ��v b9'o Surcharge (.0X t fees) $ —1-0----
�
Not required for temporary construction services. Subtotal $
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 # 5 I
AT ANY TIME AFTER WORK IS COMMENCED. Total balance Due $ ' ng
d
is \dsts \forms \electric doc
CITY OF TIGARD BUILDING INSPECTION DIVISION MST •
24 -Hour Inspection Line: 639 -4175 . Business Line: 639 -4171
BUP
-_ Date Requested F /40 AM PM BLD
Locat 7 A.)lCs 7`" Sc Suite MEC
�
Contact Person PLM
Contractor MO / f' l LL Al
Ph .3 a8 3 SWR
BUILDING Tenant/Owner 41;10. 060-0 Z -06'
Retaining Wall ELR
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 /_ e,
Susp'd Ceiling yvc f
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
e rvi ce
Rough In // S
. UG /Slab /d
Low Voltage 4 ^,�/'c
Fire Alarm
CMS
4 - t v
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 fo reinspection RE: • [ ] Unable to inspect - no access
ADA •
Approach/Sidewalk
Other Date Inspector Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.