Permit •
CITY OF TIGARD ELECTRICAL PERMIT
PERMIT ISSUE : 10 ELC2007-00714
COMMUNITY DEVELOPMENT
DATE ISSUED: 10/18/2007
%T(GARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09402 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG
PROJECT: DICK'S SPORTING GOODS
Project Description: Sign lighting for (3) walls signs.
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: 3
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 YOUNG ELECTRIC SIGN CO
BY THE MACERICH COMPANY 20100 SW 112TH AVE
9585 SW WASHINGTON SQUARE RD TUALATIN, OR 97062
TIGARD, OR 97223
Phone: Contact #: PRI 503 - 612 -6672
FAX 503 - 612 -0914
FEES
Description Date Amount Reg #: ELE 37 -5I CLS
(ELPRMT) ELC Permit 10/18/200' $160.20 LIC 69308
!TAX) 8 State Surcharge 10/18/200' $12.82 SUP 661SIG
%
Total $173.02 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 susp ed for
more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. •.se rules ar et forth in
OAR 952 -001 -0010 thr..:gh OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC a - •699 or 1. .32.2344.
Issued By: .._ / 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 Applica,tiop r - FOR OFFICE USE ONLY
City of Tigard Received / Q Permit NUJ J��yr�,/�
`� g Date /By: D / r 6 �a a/" i
n 13125 SW Hall Blvd., Tigard, OR 97223" \:" r >-t WV Plan Review
3 • Phone: 503.639.4171 Fax: 503.598.19&x" I = ` � Date /B : Other Permit:
TIGARD Inspection Line: 503.639.4175 ,, Date Ready /By: luris: 0 See Page 2 for
Internet: www.tigard- or.gov \a -�'= ` ' u .• _Jd -`�.1 \� otified/Method: Supplemental Information
'N.PI,f�E.JVORIG a :.r: t }-s,;; , UI PLAN REVIEW
a 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
❑ 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 INFORA7ATION AND LOCATION ❑ Emergency system. larger separately derived system.
❑ Addition of new motor load of ❑ "A ", "E ", "1 - ", "I - ",
Job no.: Job site address:110a SW ��JtS�'►�n I or more residential units. or more. Recreational �. ❑ Six or ❑ Recreational vehicle parks.
City /State /ZIP: Mqa (> , r ❑ a Q Health - care facilities. ❑ Supply voltage for more than
J ❑ Hazardous locations. 600 volts nominal.
Suite /bldg. /apt. no.: Project name:, Se } 6 t S 0 Service or feeder 600 amps or more.
�p t�� FEE SCHEDULE
Cross street/directions to job site: 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'I 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential
DESCRIPTION OF WORK (with above sq. 0.) 75.00 2
t _ Limited energy, multi - family
* .' 4x11 3- 'I1(. Wall S I 503 residential (with above sq. 0.) 75.00 2
Services or feeders installation, alteration, and /or relocation
200 amps or Tess 80.30 2
l PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2
Name: '�qq J� IiLC ` 401 amps to 600 amps 160.60 2
(Ai (111-0A L' Q 0 601 amps to 1,000 amps 240.60 2
Address: 94 6 ,, 0 wS t n ft) h Set f a� . Over 1,000 amps or volts 454.65 2
A �\ l� Temporary services or feeders installation, alteration, and /or
City /State /ZIP: `
�1q(Gt �/e relocation
Phone: ( ) Fax: ( ) 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
Branch circuits - new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
A APPLICANT I CONTACT PERSON above service or feeder fee,
Co ach branch circuit 6.65 2
Business name: \ o h `i ie ,irI L S1l i n l • B. Fee for branch circuits
Contact name: 7 J �J without service or feeder fee,
(t r c,..., k � w5 first branch circuit 46.85 2
Each add'I branch circuit 6.65 2
Address:
:).0 (DU StA ). iI A V e„• Miscellaneous (service or feeder not included)
City /State /ZIP: I/ -Q I A f f n 7,p. T 706 . Each manufactured or modular 90.90 2
dwelling, service and /or feeder
Phone: (53) (al9 -6212.70 Fax: : (k3 )1po_ O7) I-{ Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 3 53.40 1( 2
c
Business name: Signal circuit(s) or limited -
Y no 1.�i ec. r I C. J1 5 h O - energy panel, alteration, or
Address: j() f 00 S,. /lath A J e extension. Describe. Page 2 2
Cit /State /ZIP: 7 ! q, to b e. 9 -7b4, a Each additional inspection over allowable in any of the above
/ Per inspection 62.50
Phone: ( 1) / . ( (, ' 7 J Fax: (52' t, l 3 _ 0 Investigation per hour (I hr min) 62.50
CCB Lic.:6(801c Electrical Lic. J -7„51 G t Suprv. Lic.:7 /D s) G Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES
Suprv. Elect required: i'„ " 4" „"" �, Subtotal: 11,20 ; .
1 O
Print name: v � Date: Plan review (25 % of permit fee):
� r y ia/17/C`1 State surcharge (8% of permit fee): (p.. Y )-
Authorized signature\ (� TOTAL PERMIT FEE: % 13. 0 1-
Print name: rYJ�
�J r� This permit application expires if a permit is not obtained within 180
1,1(o days af ter it has been accepted as complete.
� /� � n Date
Number of inspections allowed per permit.
I:' Building3 Permits\ELC- PermitApp.doc 05/23/06 440- 4615T(t I /05 /COM /WEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: r:.l._C2007.001 I4
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: jtpf ifinoQ7
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639-4175
WORKSHEET FOR DATE: .1 /Afl008 TIME 1:02,AM PAGE: 79
SITE ADDRESS: 0MO2 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: DICK'S SPORTING GOODS
DESCRIPTION: Sign lighting foa (3) walls signs.
OWNER: WASHINGTON SOUAE LLC, PHONE #:
CONTRACTOR: YOUNG ELECTRIC SIGN CO PHONE #: 503 - 612 - 6672
Inspection Request Scheduled For: Date: 1/24/2008 Pour Time:
Code # Inspection Description Confirm Contact # Message
140 Sign installation 063772 -03 503456 -6&46 N
Corrections /Comments/ Instructions:
\\
`} 4 \
V \
X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
A\ �
Inspector: &. N (Y Date: I' 2I' 0 Phone #: (503) 718- 11116
CITY OF TIGARD
BUILDING DIVISION PERMIT #: 1
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: i of i 8/2007
Phone: (503) 639-4171
..._,i i::;1,1/
Inspection Requests (24 Hrs.): (503) 639-4175 1.L.
INSPECTION WORKSHEET FOR DATE: 1/24/2008 TIME: 7:02AIV1 PAGE: 78
SITE ADDRESS: 09402 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHiNGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: DICK'S SPORTING GOODS
DESCRIPTION: Sign lighting for (3) wails signs.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: YOUNG ELECTRIC SIGN CO PHONE #: 503617-G677
Inspection Request Scheduled For: Date: 1/24/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 063772-04 503- 756-6M6 N
Corrections /Comments / Instructions:
r: PASS n PARTIAL APPROVAL D CANCEL n NO ACCESS
n FAIL n CALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED
Inspector: C5 N 6e ce Date: 1 ' 2- ' 01) Phone #: (503) 718- 2-qi-Af
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007••00714
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/ H3/2007
Phone: (503) 639-4171 • �11
Inspection Requests (24 Hrs.): (503) 639 -4175 r 1. .
INSPECTION WORKSHEET FOR DATE: 12JE/2007 TIME: 7 :01AM PAGE: 61
SITE ADDRESS: 0g102 SW WASHINGTON SOUARE:. RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: DICK'S SPORTING GOODS
DESCRIPTION: Sign lighting for (3) avails ;igns.
OWNER: WASHINGTON SQUARE LLC, PHONE #: ,
CONTRACTOR: YOUNG ELECTRIC SIGN CO PHONE #: 503612 -E6672
Inspection Request Scheduled For: Date: 12/50007 Pour Time:
Code # Inspection Description Confirm - #�_ Contact # Message
199 Electrical final 060792 -02 \\ 503-612-6672 \ Y
Corrections /Comments /Instructions: '�` ..__. /`' 1 wA h 5716
5O'S 151,. b &I
ON'ff c.,4,3 t r t.
wc;
n PASS PARTIAL APPROVAL n CANCEL n NO ACCESS
►' FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: G'""h F •v 4v L Date: 11- 0? Phone #: (503) 718- Z1111k'