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Permit CITY OF TIGARD DEVELOPMENT SERVICES ©X ELECTRICAL PERMIT (' ((» PERMIT #: ELC2006 -00449 .� °' �' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 8/11/2006 PARCEL: 1S12600-00300 SITE ADDRESS: 09467 SW WASHINGTON SQUARE RD All ZONING: C -G SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG 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: 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 HIGHLIGHT SIGN CORP BY THE MACERICH COMPANY PO BOX 23667 9585 SW WASHINGTON SQUARE RD TIGARD, OR 97281 -3667 TIGARD, OR 97223 Phone: Contact #: PRI 503- 620 -8205 FAX 503 - 624 -3725 FEES Description Date Amount Reg #: ELE 37- 660CLS [ELPRMT] ELC Permit 8/11/2006 $53.40 LIC 104599 [TAX] 8% State Surcharge 8/11/2006 $4,27 SUP 517SIG 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 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 que tions to OUN .t 503-24. • 99 or 1- 800 - 332 -2344. . ice. Issued By: pj � Permittee Signature: j /! � L � � / / / ' _ 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 rot( owlet: IJSI (1) I.Y • City of Tigard ! • ten Permit No.: .0 ■ - 0 ' 99 il lq ° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review II Phone: 503.639.4171 Fax: 503.598.1960 Date/B . Other Permit: T i - n It I) Inspection Line: 503.639.4175 Date Ready/By. IM El See Page 2 for Internet: www.tigard - or.gov Notified/Method Supplemental Information TYPE OF WORK PLAN REVIEW 11147:construction ❑ Addition / alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. CATEGOR F CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commeraal -use agricultural ❑ 1- and 2- family dwelling ommercial/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 "l -2 ", "1 -3 ", Job no.: I Job site address: srA R $UC4 f a j4 � Six or or more. uP�cY• / � 6 , 1* tom_ ❑ Six or more residential units. ❑ Recreational vehicle parks. City / State/ZIP: 11 7/11210 DA, 9c/ /7 ❑ I lealth -cart facilities. ❑ Supply voltage for more than ['Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: I Project name: -A-e v L'` fcs ❑ Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: uJkN• 541 . 144 'z.. t-- Description I Qty. I Fee. I Total I • ,y. �l New residential single- or multi- family dwelling unit. 14 �� eei /A.)' 1, C4 /4) ft 4ie 511 CUA 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 75.00 2 DESCRIPTION OF WORK (with above sq. ft.) � • 4' s, Limited energy, multi - family 75.00 2 (�(/ - y/`'' ' j fp fi t, / p.,- residential (with above sq. ft.) 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 Name: 44402•5.JL'10 s /w . &OW 50"/ i 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: 4-b ''a. ore- M I III A e h tLt q ft. Over 1,000 amps or volts 454.65 2 City /State/ZIP: lidm,Q ere. • Temporary services or feeders installation, alteration, and/or / relocation Phone: ( ) KO- `gyp- ;311 Fax: () , &141.,-7:18.. 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 Owner signature: Date: Branch circuits - new, alteration, or extension, per panel �� A. Fee for branch circuits with LICANT I Er NTACT PERSON above service or feeder fee, 6.65 2 �.y � �1_ each branch circuit r Business name: , 7,,, 1,,,,,,,,- ' 5 �/°� 7 4j a 1pie y 0. B. Fee for branch circuits ` �r without service or feeder fee, Contact name: 4) MUJitostigio first branch circuit 46.85 2 Address: 8'az:to sa) HoPz -1 JuiC . Z- )( • Each add'I branch circuit - 6.65 2 Miscellaneous (service or feeder not included) City/State/ZIP: . ) ,4R j OA, Each manufactured or modular I dwelling, service and/or feeder 90.90 2 Phone: (moo)) 6' r8 r" Fax: : Grop G 14i 13 7 pc Reconnect only 66.85 2 E -mail: Pump or irrigation circle x.40 2 uof CONTRACTOR Sign or outline lighting 53.40 2 Business name: r► 1, & , 5 /Qo ' e panel, oni or r v�� a /Y` � 7 _ energy panel, alteration, or Address: Q•Il o ,. t 1,. a s )1 l g Ad- extension. Describe: Page 2 2 City / State/ZIP: .'1, 11 40 97 t ?j Each additional inspection over allowable in any of the above Per inspection 62.50 �� Phone: ( g 6,0,4•• 310(r Fax: ( �►) .�'� Investigation per hour (I hr min) 62.50 CCB Lie.: / IrggCf - Electrical Lie.: %I 1 Suprv. Lie.: 31• teltoc..6 Industrial plant per hour - - 73.75 ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: A %�� Subtotal: 3 00) Print name: M ( ', ` . Date: aY/ /D /G�/.O Plan review (25 %ofpermit fee): State surcharge (8% of permit fee): Authorized signature: ll , Ate7/ TOTAL PERMIT FEE: 7 ( I y" This permit application expires if a permit is not obta d within 180 Print name: N ' � L..�i�� Date: m Q days after it has been accepted as complete. ' Number of inspections allowed per permit. I18uilding \Pemrits\ELC- PermitApp.doc 0523/06 440- 4615T(II/05/COM/WLB Electrical Permit Application - City of Tigard Page 2- Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for all residential systems combined ... $75.00 Check Type of Work Involved: Audio and Stereo Systems* 1=1 Burglar Alarm . ..• . 1=1 Garage Door Opener* • El Heating, Ventilation and Air Conditioning System* Vacuum Systems* • • • • • . . . .•, Other _ • . . •. . • . , , COMMERCIAL WORK ONLY: Fee for each commercial $75.00 . , system • • • • (SEE OAR 918-260-260) Check Type of Work Involved: • , • , • • El Audio and Stereo Systems . • . . • . • , . . 1=1 Boiler Controls • . . • , , • • . . •• 1=1 Clock Systems • • • • ▪ Data Telecommunication Installation O Fire Alarm Installation • •. ., • , HVAC . . • . . • 1=1 Instrumentation • • • - . ••• • . . 1=1 Intercom and Paging Systems — • , • . • . , . . 1=1 Landscape Irrigation Control* • • • • - El Medical . . • • . . El Nurse Calls . . . 1=1 Outdoor Landscape Lighting* • • • • I=1 Protective Signaling . • • . . •• ▪ Other _ • , • . . . . • . . , Total number of commercial systems: • . . . . • *No licenses are required. Licenses are required for all other installations . . . . . . , REtuildingWennitsELC-Permiukpp.doc 03/23/06