Permit CITY OF TIGARD ELECTRICAL PERMIT
° PERMIT #: ELC2008 -00284
COMMUNITY DEVELOPMENT DATE ISSUED: 5/19/2008
Tl cnkt7: 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09646 SW WASHINGTON SQUARE RD G14 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TI
PROJECT: SWAROVSKI
Project Description: 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/ SVCI 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 5/19/2008 $53.40 LIC 64014
[TAX] 12% State Surchar 5/19/2008 $6.41 SUP 566SIG
Total $59.81 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 503.2 s •' • •• • 1.800.332.2344.
Issued By: la) lia . 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 Applicatio C ' -,;� j FOR OFFICE USE ONLY
Cl of Tigard R eceived L.--- /9 0 � � aoo, ooa�y
. ` J g Date /By: Permit No.:
131 SW Hall B lvd., Tigard, OR 97223 P�I :. V t . , plan Review
Phone: 503.639.4171 Fax: 503.598 Date /By: Other Permit
T IGARD Ins Line: 503.639.4175 ei 1 p Date Ready/By: El See Page 2 for
Internet: www.tigard- or.gov 1 * - 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: Sign where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
Tess 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 El Additio of system. larger separately derived system.
Additio
❑ Addition of new motor load of ❑ "A °, "E ", "I -_ 19
100HP or more, occupancy.
Job no.: Job site address: 9585 SW Washington Sq. Rd., ❑ Recreational vehicle
El Six or more residential units. parks.
City /State /ZIP: Tigard, OR 97223 ❑ Health - care facilities. ❑ Supply voltage for more than
❑ Hazardous locations, 600 volts nominal.
Suite /bldg. /apt. no.: G -14 Project name: Swarovski ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street /directions to job site: Washington Sq. Mall Description 1 Qty. 1 Fee. 1 Total 1 *
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'l 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 (1) elec. wall sign 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: Washington Sq., LLC 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: 9585 SW Washington Sq. Rd. Over 1,000 amps or volts 454.65 2
City /State /ZIP: Tigard, OR 97223 Temporary services or feeders installation, alteration, and /or
relocation
Phone: ( ) 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 ® CONTACT PERSON above service or feeder fee,
each branch circuit 6.65 2
Business name: (Same as Contractor) B. Fee for branch circuits
Contact name:
without service or feeder fe 46.85 2
first branch circuit .
Address: Each add'I branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City /State /ZIP: Each manufactured or nodular 90.90 2
dwelling. service and /or feeder
Phone: ( ) Fax: : ( ) Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting I 53.40 53.40 2
Business name: Meyer Sign Co. of Oregon, Inc. Signal circuit(s)
energy panel, alterer limited-
or
Address: 15205 SW 74 Ave. extension. Describe: Page 2 2
City /State /ZIP: Tigard, OR 97223 Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: (503) 620 - 8200 Fax: (503) 620 - 7074 Investigation per hour (1 hr min) 62.50
CCB Lic.: 64014 Electrical Lic.: 20- I90CLS Suprv. Lic.: 566SIG Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature. required: Subtotal: 53.40
Print name: Phil Reynolds Date: 5 -19 -08
Plan review (25% of permit fee):
I
State surcharge (12% of permit fee): 6.41
Authorized signature: � - TOTAL PERMIT FEE: 59.81
Print name: Steve Murphy III Date: 5 -19 -08 This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
* Number of inspections allowed per permit.
I ABuildingVPermits \ELC- PermitApp doc 05123/06 440- 4615T111 /O5/COM /AVEB
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: t_LC2008.002U4
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5.
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 „� ''L
INSPECTION WORKSHEET FOR DATE: 613/2000 TIME: 7:00AM PAGE: 29
SITE ADDRESS: 09€46 SW WASHINGTON SQUARE RD G14 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: SWAROVSKI
DESCRIPTION: Sign lighting.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: MEYER SIGN CO OF OREGON PHONE #: 503- 620 -0200
Inspection Request Scheduled For: Date: 6/3/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 070699-01 503-620-8200 Y
Corrections /Comments /Instructions:
Prn ? i
) PASS ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: N 63 Date: 6- 3 ' Phone #: (503) 718- 1-1