Permit CITY OF TIGARD ELECTRICAL PERMIT
N
I COMMUNITY DEVELOPMENT Permit#: ELC2014-00565
T 1C;A 11.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/01/2014
Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9393 SW WASHINGTON SQUARE RD S11
Project: ABERCROMBIE&FITCH Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S
Project Description: Sign lighting for(1)wall sign.
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
1 ea Sign or Outline Lighting 10/01/2014 $67.84
Specifics: 1 ea 12%State Surcharge- 10/01/2014 $8.14
Electrical
Type of Use: COM
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $75.98
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and 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 issu c , or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notifica' wenteri Tho rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy o - or direct questions to OUNC by calling •3.23?.198, r 1.80 .332.2344.
Issued By: �_ �� ) • mittee Signature:
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale,lease or rent.
OWNERS 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 Application FOR OFFICE USE ONI.1
City of Tigard 111 o� (1 i` 13125 SW Hall Blvd.,Tigard,O' x Cli../N Plan Review
� Phone: 503.718.2439 Fax: 503. ': .r , DateB : Other Permit:
Inspection Line: 503.639.4175 OC� 1 2.0 1 Date Ready/By: 67 See Page 2 for
I I G A K lJ Notified/Method: Supplemental Information
Internet: www.tigard-or.gov 1� PP '
TYPE OF PLAN REVIEW
❑ Nr\\ rlmstrurtiun ® AEI liti\m/alt Adtul(repat+ n
please check all that apply(submit 2 sets of plans w/items checked below):
��.!t a �.- ❑Service or feeder 400 amps or more 0 Building over three stories.
❑ I)c no Ilinit ❑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 S RMAAONAND LOCATION ❑Emergency system larger separately derived system.
❑Addition of new motor load of ❑"A","E","1-2","1-3",
100HP or mom. occupancy.
Job no.: Job site address: W Washington Square Rd. ❑Six or more residential units. ❑Recreational vehicle parks.
City/State/ZIP:Portland,OR 97223 ❑Health-care facilities. ❑Supply voltage for more than
❑Hazardous locations. 600 volts nominal.
Suite/bldg./apt.no.: 10972 Project name:Abercrombie and Fitch ❑Sers ice or feeder 600 amps or owe
FEE SCHEDULE
Cross street/directions to job site: Description I Qi . 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
Ea.add'I 500 sq.ft.or portion 33.92 1
Tax map/parcel no.: Limited energy,residential
2
DESCRIPTION OF WORK (with above sq.ft.) 75.00
limited energy,multi-family
75.00 2
Connect I internally illuminated wall sign to existing electrical. residential(with above sq.ft.)
Services or feeders installation,alteration,and/or relocation
200 amps or less 100.70 2
❑ PROPERTY OWNER ® TENANT 201 amps to 400 amps 133.56 2
Name:Abercrombie and Fitch 401 amps to 600 amps 200.34 2
601 amps to 1,000 amps 301.04 2
Address:9585 SW Washington Square Rd, Over 1.000 amps or volts 552.26 2
City/State/ZIP:Portland,OR 97223 Temporary services or feeders installation,alteration,and/or
Y + 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 401 amps to 599 amps 168.54 2
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 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'l 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
Y 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 1 67.84 7,� 2
CONTRACTOR Signal circuit(s)or limited-energy 1 l K
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 9(1.(51/hr
specifical■ listed(r 2 hr min i
CCB Lic.: 64014 Electrical Lic.: 20-190CL Suprv.Lic.: 524 SIG ELECTRICAL PERMIT FEES
Suprv.Electrician signature,requir Subtotal: 0 , ai
Plan review(25%of permit fee):
Print name: Phil Rey • ds Date: \ State surcharge(12%of permit fee): F / if
C ee TOTAL PERMIT FEE: ""/S---,4g
Authorized signatu •: (�� This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: Tony McCormick Date: /W51-
— • Number of inspections allowed per permit.
I:\B \P uilding ermits\Et.C-PermitApp.doc 07/11/10 440-4615T(11/055COMAVEB