Permit CITY OF TIGARD ELECTRICAL PERMIT
II .1
PERMIT #: ELC2007 -00177
COMMUNITY DEVELOPMENT DATE ISSUED: 3/22/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S12600
SITE ADDRESS: 09757 SW WASHINGTON SQUARE RD D - ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG
PROJECT: NA HOKU
Project Description: (1) 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 3/22/2007 $53.40 LIC 64014
[TAX] 8% State Surcharge 3/22/2007 $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
susp d for mope than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center.
T e rules are set fort .'in 0 ' 952- 001 -0010 through OAR 952 -001 -0100. You may obtain copies of these rules or direct questions to OUNC at
5 3.246.6699 or 1.800.3 . 3
I ued By: J 4 J Permittee Signa re: / _ � J � /
INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or ren
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.
lectrical Permit Application FOR OFFICE USE ONLY .
City of Tigard Date/B , ! ! i 1 /C •i 7Z°/7 Permit No.:
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review . '
?ei Other Permit.
Phone: 503.639.4171 Fax: 503.598.1960 f f;' I • Date/By.
Inspection Line: 503.639.4175 _ _ _ '� I' Date Ready/By t����s 0 See Page 2 for
Internet: www.tigard- or.gov Notified/Method. 1 (y Supplemental Information
TYPE OF WORK PLAN REVIEW • I
❑ New construction ❑ Addition/alteration/replacement Please check all that apply:
/ ❑Service over 225 amps, comm'I ['Hazardous location
❑ Demolition El Other: J
OService over 320 amps — rating ❑ Buildng over 10,000 sq. ft.,
CATEGORY OF CONSTRUCTION of 1 -and 2- family dwellings 4 or more new residential
❑ I - and 2- family dwelling I -Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑ Multi - family ❑Master builder
El Building over three stories ['Feeders, 400 amps or more
❑ Other: ❑Occupant load over 99 persons ❑Manufactured structures or
JOB SITE INFORMATION AND LOCATION ❑Egress/lighting RV park
Job no.: Job site address: db�/} ,, — O V ❑Health care facility ❑Other:
Submit 2 sets of plans with any of the above.
City /State/ZIP: `--r 6_ ) al. c' 1 - z_ 2 ---') The above are not applicable to temporary construction service.
•
Suite/bldg. /apt. no.: b 0 / t{/. Project name: g/ (' !7 I / FE SCHEDULE
' v A Description I Qty. I Fee. I Total I ..
Cross street/directions to job site: , , ‹$? , m New residential single- or multi - family dwelling unit.
/ Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: 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
.) /f�- 0) P -( e e r �" �� / /� d ` 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 I ❑ TENANT 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
Name: wiL 2 / LLc 601 amps to 1,000 amps 240.60 2
Address: ffe,c 0A) OA , Gil • Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City /State/ZIP: 7 611 , - 9 7 z Z 3 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 600 amps 133.75 2
Owner signature: Date: Branch circuits — new, alteration, or extension, per panel
❑ APPLICANT I ❑ CONTACT PERSON A. Fec for branch circuits with
service or feeder fee, each 6.65 2
Business name: branch circuit
B. Fcc for branch circuits
Contact name: without service or feeder fee,
first branch circuit 46.85 2
Address:
Each add branch circuit 6.65 2
City /State/ZIP: Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone: ( ) Fax: : ( )
Sign or outline lighting / 53.40 2 I
E - mail: Signal circuit(s) or limited- (
CONTRACTOR energy panel, alteration, or
1 extension. Describe: Page 2 2
Business name: At (r -a_ Sec 6 V 62 , [� C •
Address: `5-�5� 7 e • Each additional inspection over allowable in any of the above
Per inspection 62.50
City / State/ZIP: 7 / 7 Z'2)J Investigation per hour (I hr min) 62.50
fp ) 6 71:x .4 'zoo Fax: (,cb 7.) 7(x . / Industrial plant per hour 73.75
Phone: (
�° )' ELECTRICAL PERMIT FEES*
CCB Lie.: le g 0 I 4 Electrical L' .: Zo_iemeLC Suprv. ' .. 5 & 5/G- Subtotal 3, i
Suprv. Electrician signature, required: Plan review (25 %of permit fee)
II1 State surcharge (8% of permit fee) a7
Print name: ,P U.�( k, �D , J w Date: -� _
1
I TOTAL PERMIT FEE '7 6 7
Authorized signature: t V4010 This permit application expires if a permit is not obtained within I80
V.
days after it has been accepted as complete
Print name: < 3 kv �` }i ('t 1 1I Date: 'b — 'L 7 _ • Fee methodology set by Tri- County Building Industry Service Board
Y ( •• Number of inspections per permit allowed
1 \4n /j r:\r ern l' rl C- P ^••-"''r • i'—• 12 /'n'n, 4 10.I .IST(,oln'i /r'n \14I'rn
CIITY OF TIGARD -
BUILDING IIVISION PERMIT #: ELC2007-00177
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3122/2007
Phone: (503) 639 -4171 A
Inspection Requests (24 Hrs.): (503) 639 -4175 ., ' I —.,
INSPECTION WORKSHEET FOR DATE: 3/29/2007 TIME: 7:00AM PAGE: 57
SITE ADDRESS: 09757 SW WASHINGTON SQUARE RD D
CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: NA HOKU
DESCRIPTION: (1) sign lighting.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: MEYER SIGN CO OF OREGON PHONE #: 503 - 620.8200
Inspection Request Scheduled For: Date: 3/29/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
140 Sign installation 045629-01 360-601-7929 N
l ( iNAL
Corrections ommen s uctions:
i l i /
A PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: • N06 L Date: 3- VI' orl Phone #: (503) 718 -1- `%b