Permit c' CITY OF TIGARD ELECTRICAL PERMIT il PERMIT #: ELC2007 -00352
: COMMUNITY DEVELOPMENT DATE ISSUED: 5/22/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09685 SW WASHINGTON SQUARE RD C7 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG
PROJECT: LUCKY BRAND JEANS
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 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 5/22/2007 $53.40 LIC 64014
[TAX] 8% State Surcharge 5/22/2007 $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 : i says. , ENTI • • . Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in
OAR 9 - 001 -0010 throu: i AR 9 2-t11-0100. You may obtain copies of these rules or direct questions to OUNC at 03.246.6699 or 1.800.332.2344.
0 i
'
Issue. By: J L . 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.
Electrk l Permit Application FOR OFFICE USE ONLY
City of Tigard Da eBy 3 0 7 Permit No. ,, / /M /tfrZi
• 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
. 0 Phone: 503 639 4171 Fax 503.598 1960 Date/B Other Permit
TI GA R D Ins Line: 503.639.4175 Date Ready /By MI ® See Page 2 for
Internet: www.tigard - or.gov Notified/Method Supplemental Information
TYPE OF WORK PLAN REVIEW
Please check all that apply (submit 2 sets of plans w /stems checked below)
❑ New construction ❑ Addition/alteration/replacement
❑ Service or feeder 400 amps or more ❑ Building over three stories
❑ Demolition Other: . 6, 2...„„/ 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
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump ❑ Installation of 75 KVA or
JOB SITE INFORMATION ND LOCATION ❑ Emergency system larger separately denved system
QQ ❑ Addition of new motor load of ❑ "A ", "E ", "I - 2 ", "I - ",
Job no.: Job site addrtSs IL 5 1V i�t/4001 t Qd 1 . Six or or more occupancy
Wait ❑ Six or more residential units ❑ Recreational vehicle parks
City /State /ZIP: 6 •6 o k _ 9 y Z L--,7 ❑Health-care facilities 0 Supply voltage for more than
/ ❑ Hazardous locations 600 volts nominal.
Suite/bldg. /apt. no.: C' .0 - 7 Project name: 2, C „L._Y fiifqikl 1O S ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Wil„ , K�
49 r MALL_ Description I Qty. I Fee. I Total I •
J 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'l 500 sq. ft or portion 33.40 1
Tax map /parcel no.: Limited energy, residential
DESCRIPTION OF WORK (with above sq ft ) 75 00 2
�+ Limited energy, multi - family
S� (t) rrt C kat cL 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: _ t!GC____ 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: 1-:5-e 5,0 i , a r Over 1,000 amps or volts 454.65 2
City/State /ZIP: ` ; , dR 9 a Temporary services or feeders installation, alteration, and /or
relocation
Phone: (j3 ) (9 3 9 —' ' 6 O 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, 6 65 2
each branch circuit
Business name: ( B. Fee for branch circuits
Contact name: ik Gt (LP W without service feeder fee, 46.85 2
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 ( 53 40 5,. 1 10 2
Business name: `t -L(� �(�4 C ' , /) 0 0 -
/ Signal panel, or limited -
�(� energy panel, alteration, or
Address: /5-.).0 ' extension Describe Page 2 2
City/State /ZIP: 7 R - op I 1 z2'L Each additional inspection over allowable in any of the above
� ) 6 70 4� ( ) Per inspection 62 50
Phone: (
' O� Fax: T,53) — 7637v.: Investigation per hour (I hr min) 62 50
CCB Lie.: (p go ((..I Electrica. c : LO H 40CL5, Suprv. Lic 65/c,__ Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: 1 1 / ° Subtotal: � ?� c�D
Plan review (25% of permit fee):
Print name: PI .I L ,,,, ,„ I, Date S 2-
St a t e surc (8% of permit fee): y 9-
7
Authorized signature: f'\ AN I / TOTAL PERMIT FEE: /� 7. [Q —//
; " / This permit application expires if a permit is not obtained within 780
Print name: `( r ik/ , n j) ( Date: a( 67 days after it has been accepted as complete.
`' _�" ' Number of inspections allowed per permit.
I \Building \Permits \ELC-PermitApp doc 05/23/06 440 -46 15T( t t /05 /COM/WEB
CITY OF TIGARD ,k
- BUILDING DIVISION PERMIT #: ELC2007 -00352
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/22/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 .1t.
INSPECTION WORKSHEET FOR DATE: 6/29/2007 TIME: 7:00AM PAGE: 44
SITE ADDRESS: 09685 SW WASHINGTON SQUARE RD C7 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: LUCKY BRAND JEANS
DESCRIPTION: Sign lighting
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: MEYER SIGN CO OF OREGON ST �� PHONE #: 503
Inspection Request Scheduled For: Date: 6/29/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 0511B4 -03 503- 620 -8200 Y
Corrections /Comments /Instructions:
(i\11
►�� PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G" Date: 6`i-9'01 Phone #: (503) 718- ZiLoo•