Permit CITY OF TIGARD ELECTRICAL PERMIT
74
COMMUNITY DEVELOPMENT PERMIT #: ELC2007-00657
DATE ISSUED: 9/21/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09779 SW WASHINGTON SQUARE RD D -11 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG
PROJECT: CHAMPS
Project Description: 2 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: 2
LIMITED ENERGY: 401 - 600 amp: SIGNAUPANEL:
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
[ELPRMTI ELC Permit 9/21/2007 $106.80 LIC 64014
[TAX] 8% State Surcharge 9/21/2007 $8.54
SUP 566SIG
Total $115.34 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: `�,`�,,� J w�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.
electrical Permit Application FOR OFFICE USE ONLY
City of Tigard . S EC E I V E D RDate/B eceived ' L ? : t PermitNo.: ,,, —c6 / I
13125 SW Hall Blvd., Tigard, OR 9 Plan Review
' e Phone: 503.639.4171 Fax. 503.598.1960 Date/B . Other Permit
1
TIGARD
2001 Inspection Line: 503.639.4175 � !�yy t t ` 'i Date Read /B ® See Page 2 for
Internet: www.tigard - or.gov "d' — Notified/Method Supplemental Information
TYPE OF w -CITY OF TIGARD PLAN REVIEW
Add
❑ �'UIvION
ma ne Please check all that apply (submit 2 sets of plans w /items checked below).
New construction ition/alte d c
❑ Service or feeder 400 amps or more ❑ Building over three stones
❑ Demolition ❑ Other: 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 ", "I -2 ", "I -3 ",
Job no.: Job site addrV777 Sw Washington SQ rd 100H or or more oceupa
❑ Six or more residential units. ❑ Recreational vehicle parks
City/State/ZIP: Tigard, OR 97224 ❑ Health -care facilities ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Dl l Project name: Champs Sports ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Wash Sq mall. I✓CK+ 4, Y3 Description I Qty. I Fee. I Total I •
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
DESCRIPTION OF WORK (with above sq. ft.) 75.00 2
Limited energy, multi - family 75.00 2
install (2) two wall signs residential (with above sq. ft )
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: Macerich 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: 401 Wilshire Boulevard Over 1,000 amps or volts 454.65 2
City/State/ZIP: Santa Monica, CA 90401 Temporary services or feeders installation, alteration, and/or
relocation
Phone: ((310))394 - 6000 Fax: ( ) 200 amps or less 66.85 I
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 I ❑ CONTACT PERSON above service or feeder fee, 6.65 2
Business nrt�i�Si n Company of Oregon Fee or branch circuit
g P Y g B. Fee for branch circuits
Contact name: Scott Stambaugh without service or feeder fee, 46.85 2
first branch circuit
Address: 15205 sw 74 ave Each add'I branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City/State/ZIP: Tigard OR 97224 Each manufactured or modular 90.90 2
dwelling,
Phone: (503) 620 - 8200 Fax: : (503) 620 - 7074 Reconnect t o service and/or feeder
only Reconnect only 66.85 2
E -mail: permits @meyersignco.com Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting Z 53.40 2
Business name: Mayer ign Company of Oregon Signal panel, er or t on , or
energy panel, alteration, or
Address: 15205 sw 74 ave extension. Describe: Page 2 2
City/State/ZIP: Tigard, OR 97224 Each additional inspection over allowable in any of the above
Per
Phone: (503) 620 - 8200 Fax: (503) 620 - 7074 inspection 62.50
per hour (I hr mm) 62.50
CCB Lic.: 64014 Electrical Lic.: - 190cig Suprv. Lic.: 566 - SIG Industrial plant per hour 73.75
Suprv. Electrician signature, required: �/ ELECTRICAL PERMIT FEES
Su
P Subtotal: / 00 •70
Print name: Phil Renyolds ,, Date: 09/21/07 Plan review (25 % of permit fee):
State surcharge (8% of permit fee): jsil
Authorized signature: TOTAL PERMIT FEE: / 11 - 3
i This permit application expires if a permit is not obtained within 18
Print name: Scott S augh Date: 09/21/07 days after it has been accepted as complete.
• Number of inspections allowed per permit.
I:\ Building \Permits\ELC- PermitApp doe 0523/06 440-46 1 5T( 1 I /05 /COM/WEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00657
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/21/2007
Phone: (503) 639 -4171 Aj +�
Inspection Requests (24 Hrs.): (503) 639 -4175 I
INSPECTION WORKSHEET FOR DATE: 9/24/2007 TIME: 7:00AM PAGE: 60
SITE ADDRESS: 09779 SW WASHINGTON SQUARE RD D CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: CHAMPS
DESCRIPTION: 2 sign lighting
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: MEYER SIGN CO OF OREGON PHONE #: 503-620 -8200
Inspection Request Scheduled For: Date: 9/24/2007 Pour Time:
Code # Inspection Description Confi mr Contact # Message
199 Electrical final 056137 -01 50: -620 -8200 N
Corrections/Comments/Instructions:
\-\_), 1
i ■ ∎ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FA ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: GT . Iv be L Date: 9` 2-1 J aJ Phone #: (503) 718- 01J