Permit CITY OF TIGARD ELECTRICAL PERMIT
1111 q
•. COMMUNITY DEVELOPMENT Permit#: ELC2014-00043
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/10/2014
Tit'A K O g Parcel: 1 S 1260000300
Jurisdiction: Tigard
Site address: 9767 SW WASHINGTON SQUARE RD D07
Project: AMERICAN EAGLE OUTFITTERS Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S
Project Description: (4)sign lightings
Contractor: MEYER SIGN CO OF OREGON Owner: PPR WASHINGTON SQUARE LLC
15205 SW 74TH AVE PO BOX 847
TIGARD,OR 97224 CARLSBAD, CA 92018
PHONE: 503-620-8200 PHONE:
FAX: 503-620-7074
FEES
Quantity Description Date Amount
4 ea Sign or Outline Lighting 02/10/2014 $271.36
Specifics:
1 ea 12%State Surcharge- 02/10/2014 $32.56
Electrical
Type of Use: COM
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $303.92
Required Items and Reports(Conditions)
•
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes . d all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issua •r if work is suspended for more the 180
days. AT ' ION: Or-:•n law r-quires you to follow the rules adopted by the Oregon Utility Notification Gen •r. . hose rules are set forth in OAR
952-001-r 910 through OAR • ••1-009 You may obtain a cop of the rules or direct questions to OUNC by calling 503 2.1*:7•./.800.332 44.
Issued = : / Permittee Signature: _ 9 777 e‘7
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' Date:
LICENSE NO.
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
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 Applicar FOR OFFICE USE ONLY Received
City of Tigard Date/By: 3 /C� k.,-6 Permit No.: fk'�7 Q�l/3
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.5 60 Date/By: Other Permit:
I I CARD Inspection Line: 503.639.4175 3 2014 Date Ready/By: Juris ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TI A D PLAN REVIEW
0 New construction 14 AdditiggiumNGepisliadON Please check all that apply(submit a 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.
CA'I'EV' Y. ' gOIMMIVGIXON 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 sin INFQIIIMATI4N AND LOCATION ❑Emergency system. larger separately derived system.
❑Addition of new motor load of ❑"A","E","I-2" "I-3"
Job no.: Job site address:9767 S.W.Washington Square Rd
100H0 or more. occupancy.
❑Six or more residential units. ❑Recreational vehicle parks.
City/State/ZIP:Tigard,Or 97223 ❑Health-care facilities. ❑Supply voltage for more than
❑Hazardous locations. 600 volts nominal.
Suite/bldg./apt.no.: Project name:Aerie ❑Service or feeder 600 amps or more
FEE SCHEDULE
Cross street/directions to job site:
Description I Qty. T Fee. I Total i
New residential single-or multi-family dwelling unit.
Includes attached garage.
Subdivision: Lot no 1,000 sq.ft.or less 168.54 4
Ea.add'l 500 sq.fl.or portion 33.92 1
Tax map/parcel no.:
Limited energy,residential
75.00 2
T c'- DESCRIPTION OF WORK (with above sq.ft.)
Limited energy,multi-family 75.00 2
ConnectA Individually Illuminated Wall signs to existing electrical I residential(with above sq.ft.)
Services or feeders installation,alteration,and/or relocation
200 amps or less 100.70 _ 2
PROPERTY'OWNER I TENANT 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
Name:American Eagle Outfitters#2056-Washington Square
601 amps to 1,000 amps 301.04 2
Address:9767 Washington Square Rd.Space#D07 Over 1.000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
City/State/ZIP:Tigard,Or 97223 relocation
Phone:( ) Fax:( ) 200 amps or less 59.36 I
201 amps to 400 amps 125.08 2
Owner installation:This installation is being made on property that I own which is not
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps 168.54 2
Branch circuits–new,alteration,or extension,per panel
Owner signature: Date: A.Fee for branch circuits with
El APPLICANT I • 0 CONTACT PERSON above service or feeder fee, 7 42 2
each branch circuit
Business name:Meyer Sign Co B.Fee for branch circuits without
. service or feeder fee,first 56.18 2
Contact name:Tony McCormick branch circuit
Each add'I branch circuit 7.42 2
Address: 15205 SW 74th Ave Miscellaneous(service or feeder not ncluded)
City/State/ZIP:Tigard,OR 97224 Each manufactured or modular IA 67.84 2
dwelling,service and/or feeder
Phone:(503)620-8200 Fax: :(503)620-7074 Reconnect only ��} 67.84 2
Pump or irrigation circl `tY 67.84 +1 i.9W 2
E-mail: permits @meyersignco.com
Sign or outline lighting iis y ot 67.84 O . 2
CONTRACTOR Signal circuit(s)or limited-energy
Business name:Meyer Sign Co panel,alteration,or extension. Page 2 _ _ 2
Each additional inspection over allowable in any of the above
Address: 15205 SW 74th Additional inspection(I hr min) 66.25/hr
City/State/ZIP:Tigard,OR 97224 Investigation(1 hr min) 66.25/hr
Industrial plant(I hr min) 78.18/hr
Phone:(503)620-8200 Fax:(503)620-7074 Inspections for which no fee is 90.00/hr
specifically listed('/2 hr min)
CCB Lic.: 64014 Electrical Lic.: 20-190CL Suprv.Lic.: 566-SIG ELECTRICAL PERMIT FEES ;',`
Subtotal: a2r'� Y
Suprv.Electrician signature,requi d: ^1 __,71
r Plan review(25%of permit fee):
Print name: Phil Reynol r I a— c�`Ds 6.te: State surcharge(12%of permit fee): m-1",-,J A
AA 6V
Authorized signature:
J7)761 TOTAL PERMIT FEE: I
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete. CI 2"
Print name: Tony McCormick Date: //:,77/y • Number of inspections allowed per permit. ��(( �e •
1.\BuitdingTermits1ELC-PermitApp.doc 07/01/10 440-4615 COM/WEB �QIAL�
Electrical Permit Application FOR OFFICE USE ONLY
City of Tigard Received
Date/By: - /D / Permit No Z!er —C)Ce 3
lig 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
s. Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
T 1 c A R Inspection Line: 503.639.4175 Date Ready/By: .orris: Fa See Page 2 for
Internet: www.tigard-or.gov Notified/Method' Supplemental Information
TYPE OF WORK PLAN REVIEW
® New 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.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings.
less to ground,or exceeds 14,000 ❑Commercial-use agricultural
❑ I-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 "1-2","1-3
Job no.: Job site address:9767 S.W.Washington Square Rd IOO or or more. occupancy.
❑Six or more residential units. ❑Recreational vehicle parks.
City/State/ZIP:Tigard,Or 97223 ❑Health-care facilities. ❑Supply voltage for more than
❑Hazardous locations. 600 volts nominal.
Suite/bldg./apt.no.: Project name:Aerie ❑Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: 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 168.54 4
Tax map/parcel no.: Ea.add]500 sq.ft.or portion 33.92 1
Limited energy,residential 75.00 2
DESCRIPTION OF WORK (with above sq.ft.)
' Limited energy,multi-family 7500 2
Connect I Individually Illuminated Wall sign to existing electrical residential(with above sq.ft.)
/� / J� Services or feeders installation,alteration,and/or relocation
. - b7� r v �C.-e_ j/'-F nn 6 67 200 amps or less 100.70 2
❑ PROPERTY OWNER CO TENANT f 201 amps to 400 amps 133.56 2
Name:American Eagle Outfitters#2056-Washington Square 401 amps to 600 amps 200.34 2
601 amps to 1,000 amps 301.04 2
Address:9767 Washington Square Rd.Space#D07 Over 1,000 amps or volts 552.26 2
City/State/ZIP:Tigard,Or 97223 Temporary services or feeders installation,alteration,and/or
ty g relocation
Phone:( )
Fax:( ) 200 amps or less 59.36 1
201 amps to 400 amps 125.08 2
Owner installation:This installation is being made on property that I own which is not 401 amps to 599 amps 168.54
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701.
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, 7.42
each branch circuit
Business name: Meyer Sign Co B.Fee for branch circuits without
service or feeder fee,first 56.18 2
Contact name:Tony McCormick branch circuit
Each add'I branch circuit 7.42 2
Address:15205 SW 74th Ave Miscellaneous(service or feeder not included)
City/State/ZIP:Tigard,OR 97224 Each manufactured or modular 67.84 2
tY g dwelling,service and/or feeder
Phone:(503)620-8200 Fax: :(503)620-7074 Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
E-mail: permits@meyersignco.com
Sign or outline lighting ilf,2/ 67.84 2
CONTRACTOR Signal circuit(s)or limited-energy
Business name: Meyer Sign Co panel,alteration,or extension. Page 2 2
Each additional inspection over allowable in any of the above
Address: 15205 SW 74th Additional inspection(1 hr min) 66.25/hr
City/State/ZIP:Tigard,OR 97224 Investigation(1 hr min) 66.25/hr
Industrial plant(1 hr min) 78.18/hr
Phone:(503)620-8200 Fax:(503)620-7074 Inspections for which no fee is
90.00/hr
specifically listed(%2 hr min)
CCB Lic.: 64014 Electrical Lic.: 20-190CL Suprv.Lic.: 566-SIG ELECTRICAL PERMIT FEES
Suprv.Electrician signatu •uiredi Subtotal:
_ �L Plan review(25%of permit fee):
Print name: Phil Reyno v fr�/t/ Date: `D /4 State surcharge(12%of permit fee):
V /*�' v TOTAL PERMIT FEE:
Authorized signature: ` This permit application expires if a permit is not obtained within 180
Print name: Tony McCormick Date: *0/4 « dape after a has bepe accepted as complete.
Y • Number of inspections allowed per permit.
i 1:\Building\Permits\ELC-PermitApp.doc 07/01/I' 440-4615T(I1/05/COM/WEB