Permit C ITY OF,TIiARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00407
DEVELOPMENT SERVICES DATE ISSUED: 7/26/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S12600 - 00300
SITE ADDRESS: 09633 SW WASHINGTON SQUARE RD FC -4 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG
Project Description: (1) sign circuit.
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 RAMSAY SIGNS
BY THE MACERICH COMPANY 9160 SE 74TH AVE
9585 SW WASHINGTON SQUARE RD PORTLAND, OR 97206
TIGARD, OR 97223
Phone: Contact #: PRI 777 -4555
FEES
Description Date Amount Reg #: ELE 26- 106CLS
[ELPRMT] ELC Permit 7/26/2006 $53.40 LIC 63422
[TAX] 8% State Surcharge 7/26/2006 $4.27 SUP 493SIG
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 Notifi tion 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 questio o OUNC at 50 - 246 -6699 or
1- 800 - 332 -2344. a
Issued By: /mot� Permittee Signature:
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.
electrical Permit Application • FOR OFFICE USE ONLY
City of Tigard DEC EIVED 4 Date /B ;_ — 6 so P etmitNo: L�e d - zp e.4 7
13125 SW Hall Blvd., Tigard, OR 9 Plan Review
Phone: 503.639.4171 Fax. 503.598.1960 Date /By Other Permit•
Inspection Line: 503.639.4175 JUL 2 6' 2006 s. „IL Date Ready /By: tans 10 See Page 2 for
Internet. www ci tigard.or.us Notified/Method �/ V- Supplemental Information
CITY OF TIGARD
ARID INGNO `I ION PLAN REVIEW
❑ New construction Addition/alteration/replacement Please check all that apply:
❑ Demolition ❑ Other: ['Service 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
❑ Multi family ❑Master builder ❑Other: ❑Building over three stories ❑Feeders, 400 amps or more
['Occupant load over 99 persons ['Manufactured structures or
JOB SITE INFORMATION AND LOCATION ❑Egress /lighting plan RV park
Job no.: 3 y� Job site address: SWJ W P S 0 1 �t DHealth-care facility ❑Other•
SW t ` Submit 2 sets of plans with any of the above
City /State /ZIP: ( L C� b rk`r ` Q�� �, 2 /)(3.7 The above are not applicable to temporary construction service.
Suite /bldg. /apt. no.: P rojectt name:
l (� �� FEE* SCHEDULE
,I �y Description I Qty. I Fee. I Total I **
Cross street/directions to job site: ..V 1A/•� l �r�--�46 New residential single - or multi family dwelling unit.
'/�/� �` ��((//�� WW V 1 Includes attached garage.
S� C ►J�/ � 1,000 sq. ft. or less 145.15 4
Subdivision: r Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
Tax map /parcel no.: Limited energy, non - residential 75.00 - 2
DESCRIPTION OF WORK Each manufactured or modular '"
I — S-1)k Ck 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 TENANT 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
Name: coot) iO L / k b O 7 601 amps to 1,000 amps 240.60 2
Address: ( �
C� !')(((�CC��� /// /t / 4- 4 / _ Over 1;000 amps or volts 454.65 2
Reconnect only 66.85 2
City /State /ZIP:
�v/ v) ( V'` q ? ( /a � i��` Temporary services or feeders installation, alteration, and /or
Phone: ( ) Fax: ( ) relocation
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
PPLICANT I NTACT PERSON A Fee for branch circuits with
service or feeder fee, each 6.65 2
Business name: • 4441 •" , ` /` branch circuit
Contact name: �, j B Fee for` branch circuits
fi without service or feeder fee, 46.85 2
e 0 7 j ` // each branch circuit
fee
Address: S /(�/ �1 ���777 Each add'l branch circuit 6.65 2
City /State /ZIP: � C{Oi 0f2- D• / ,yr�L, Miscellaneous (service or feeder not included)
Phone: ( ) Fax:: ( ) / 2 a Zo Pump or irrigation circle 53.40 2
/� �` 7 ��' 0-sr— I �/ / Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited -
CONTRACTOR
TO f � energy panel, alteration, or
Business name: S �LU !� //' / / \ T 1 extension. Describe: Page 2 2
Address: Each additional inspection over allowable in any of the above
Per inspection 62.50
City/State /ZIP: Investigation per hour ( I hr nun) 62 50
Phone: ( ) I Fax: ( ) Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES*
CCB Lic.: `A W_ Electrical Lic.' 40 i Suprv. Lie.: 6725/6 Subtotal
Suprv. Electrician signature, required: 0 Plan review (25% of permit fee)
' � u isr � .
P I !! State surcharge (8% of permit fee)
Print name:
1 � I/ � M Date: 7 //Z7
TOTAL PERMIT FEE -1 6 7
Authorized signature: A'I / t.k / This permit application expires if a permit is not obtained within 180
`, iii - - �.Y days after it has been accepted as complete
Print name: . I/ ` /%'// Date: [/ +. Fee methodology set by Tn -County Building Industry S
Service Board
Number of inspections per permit allowed.
I \Building \Pennus \ELC- PemotApp doe 12/03 440.461 5T( l 0 /02 /COM /WEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006.0W107
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/2b12005
Phone: (503) 639-4171 i° t
Inspection Requests (24 Hrs.): (503) 639 -4175 , ' I I..
INSPECTION WORKSHEET FOR DATE: 8/17/2006 TIME: 7 :01AM PAGE:
SITE ADDRESS:. 09633 SW WASHINGTON SQUARE RD FC -4 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: GOOD DOG BAD DOG
DESCRIPTION: (1) sign circuit. ,
OWNER: WASHINGTON SQUARE I-LC, PHONE #:
CONTRACTOR: RAMSAY SIGNS .. ? w e PHONE #: 777-4
Inspection Request Scheduled For: Date: 8/17/2006 Pour Time:
- - • Inspection Description Confirm # Contact # Message
199 Electrical final 03516102 503 -777 -4555 'r
Corrections : ents /Instructions:
' • 41 0 .I- A N. lb ;41:-..o■ ■ k , % ■A* - I
4 4 ki 1 RE S 111611 1 M. I k= Kg I L
. \ lik . N ■ N
•
40 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
Flt ALL FOR INSPECTION ❑ . ADDITIONAL FEES ASSESSED
Inspector: elk (1 a (..•‘/ Date: 0 '61. 1 - 66 Phone #: (503) 718- 20)
CITY OF TIGARD
BUILDING DIVISION & PERMIT #: ELC2006- 004(1/
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/2£420t)6
Phone: (503) 639- 4171'
Inspection Requests (24 Hrs.): (503) 639 -4175 .
INSPECTION WORKSHEET FOR DATE: 8/17/2006 TIME: 7 :01AM PAGE: 3
SITE ADDRESS: 09633 SW WASHINGTON SQUARE RD FC-4 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: GOOD DOG BAD DOG
DESCRIPTION: (1) sign circuit.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: RAMSAY SIGNS PHONE #: 777
Inspection Request Scheduled For: Date: 8/17 /2006 Pour Time:
• see # Inspection Description Confirm # Contact # Message
140 • Sign installation 035162 -01 503777 -4555 Y
Corrections /Comments/ Instructions:
•
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
�
u c _
Inspector: '66 !; ✓ D Date: v 1 Phone #: (503) 718- 7 l bil e
1