Permit r- .
ELECTRICAL PERMIT
CITY OF TIGARD
COMMUNITY DEVELOPMENT PERMIT #: ELC2007-00221
DATE ISSUED: 4/10/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09647 SW WASHINGTON SQUARE RD FC - ZONING: C -
SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG
PROJECT: BOMBAY EXPRESS
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/ 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 SECURITY SIGNS INC
BY THE MACERICH COMPANY 2424 SE HOLGATE BLVD
9585 SW WASHINGTON SQUARE RD PORTLAND, OR 97214
TIGARD, OR 97223
Phone: Contact #: PRI 503 - 232 -4172
FAX 503 - 230 -1861
FEES
Description Date Amount Reg #: ELE 26- 560CLS
[ELPRMT] ELC Permit 4/10/2007 $53.40 LIC 122809
[TAX] 8% State Surcharge 4/10/2007 $4.27
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 questions to OUNC at 503.246.6699 or 1.800.332.2344
Issued By: &M t eaNAI 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 Application FOR OFF Ice t SE O \ LY
City of Tigard ECEIVED
Date/B v 10 O Permit No ' ,�` (rfJ�
13125 SW Hall Blvd., Tigard, OR 97 Plan Revi
/ / —
Phone: 503.639.4171 Fax: 503.598.1 60 -'` Other Permit Date/B . P - � J i
Inspection Line: 503.639.4175 A w. PR 1 0 2007
'1 i t Date Ready/By IIIM ® See Page 2 for
Internet: www ci.tigard.or.us CITY OF TIAARD Notified/Method Supplemental Information
oRVSlON PLAN REVIEW - - -
❑ New construction Addition /alteration/replacement Please check all that apply
❑ Demolition gOther: ❑Service over 225 amps, comm'l ❑Hazardous location
❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft.,
CATEGORY OF CONSTRUCTION , of I- and 2- family dwellings 4 or more new residential
❑ I - and 2- family dwelling A Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑ Multi - family ❑Master builder ❑Other: ❑Budding over three stories ❑Feeders, 400 amps or more
❑Occupant load over 99 persons ❑Manufactured structures or
JOB SITE INFORMATION AND LOCATION ❑Egress/lighting plan RV park
. Job no.: Job site address: E V / ) ( ) ❑Health -care facility ❑Other.
Submit 2 sets of plans with any of the above.
City /State/ZIP: % y 7 _ "V wi The above are not applicable to temporary construction service.
Suite/bldg./apt. no.: Project name: 11( -� FEE* SCHEDULE
, �1 ^Q� �� Descn I Qty. 1 Fee I Total I ..
Cross street/directions to job site: New residential single - or multi- family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: I Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 I
Limited energy, residential 75.00 2
Tax map /parcel no.: Limited energy, non - residential 75 00 2
DESCRIPTION OF WORK Each manufactured or modular
d C9 dwelling, service and/or feeder 90 90 2
�'\\ �� ��`v` 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
p1 a iW C � S 1,000 am 401 amps to 600 amps 140 60 2
Name: 601 amps to 1,000 amps 240 60 2
• Address: `�'�,\ a r y n � Reconnect nett amps or volts 454.65 2
V �� `''�s{t �` f Reconnect only 66.85 2
City / State/ZIP: � (` n t d Temporary services or feeders installation, alteration, and /or
� \ `�1J (mot 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 600 amps 133 75 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
❑ APPLICANT I ❑ CONTACT PERSON A. Fee for branch circuits with
service or feeder fee, each 6.65 2
Business name: epri r 9 branch circuit
vtI tics 0 service B Fee for branch circuits
Contact name: lc( - without servicic fe e or feeder fee,
each branch circuit 46 85 2
Address:
Each add'! branch circuit 6.65 _ 2
City /State/ZIP: Miscellaneous (service or feeder not included)
Phone: r.2467 I Fax :: ��`� 7 � ) L �l{ J /„f Pump or irrigation circle 53 40 2
Sign or outline lighting 53 40 2
E -mail: �j( (Y
�)i? a/1 . cr2 Signal circuit(s) or limited-
((�� CONTRACTO ✓J energy panel, alteration, or
extension Describe Page 2 2
Business name: e \ r
Address: 2 264 ' I" v' Each additional inspection over allowable in any of the above
Per inspection 62 50
-F�f�� Ole City / State/Z - � Investigation per hour (I hr min) 62.50
Phone. (Sy t ll -7 fit Fax: (.QP- T> !yz/� tt� /�(2 j Industrial plant per hour - 73 75
T �( il ELECTRICAL PERMIT FEES*
CCB Lie.: tZ2KCP Electrical Lie.: � S Suprv. Lie.: f 5 IC, Subtotal
Suprv. Electrician signature, required: Plan review (25% of permit fee)
State surcharge (8% of permit fee) W. ' 1
Print name: � aro, C I Date: S?. /I
' ^- TOTAL PERMIT FEE tZ '
Authorized signature This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete
Print name: ,l ti ii`�'� Pi) Date: • Fee methodoloy' set by Tn- County Building Industry Service Board
� ' � •• Number of inspections per permit allowed ^
i \Bwidmg\Permits ELC•PermnApp doe 12/03 410- 1615T(I0/02ICOM/WEB / . �2
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00221
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/10/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/23/2007 TIME: 7:00AM PAGE: 60
SITE ADDRESS: 09647 SW WASHINGTON SQUARE RD FC-9 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: BOMBAY EXPRESS
• DESCRIPTION: Sign lighting
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: SECURITY SIGNS INC PHONE #: 503 - 2314172
Inspection Request Scheduled For: Date: 4/23/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 046937 -0� 360 -624 -7026 N
Corrections /Comments /Instructions:
N
N
\\\
\ ff\ /
\
V V
t )?_ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ,bi Date: f- 2 -3I b1 Phone #: (503) 718- -1-441
CITY OF TIGARD APR-
BUILDING DIVISION PERMIT #: ELC2007 -00211
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/6/2001
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/26/2007 TIME: 7:OOAM PAGE: 48
SITE ADDRESS: 09600 SW OAK ST 540 CLASS OF WORK:
SUBDIVISION: PLAZA WEST LOT #: 005 TYPE OF USE:
PROJECT NAME: ASHMEAD COLLEGE
DESCRIPTION: 4 branch circuit for receptacles.
OWNER: ASA PROPERTIES, INC, PHONE #:
CONTRACTOR: OREGON ELECTRIC GROUP - PHONE #: 503 - 234 '3900
Inspection Request Scheduled For: Date: 4/26/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 047182-02 503 - 849.2594 N
Corrections /Comments /Instructions:
O[s $c7
CJ►t 1Q �
•
n PASS 1 1 PARTIAL APPROVAL n CANCEL NO ACCESS
FAIL Jt CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: C"'. 1v(1) LE Date: di Phone #: (503) 718. I- f' )
J