Permit q CITY OF TIGARD ELECTRICAL PERMIT
� '' 4 .'- COMMUNITY DEVELOPMENT Permit #: ELC2010 -00025
TI GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Date Issued: 01/15/2010
E, Parcel: 1S1260000300
Jurisdiction: TIGARD
Site address: 9677 SW WASHINGTON SQUARE DR CO5
Subdivision: Lot: 0
Project: Aeropostale
Project. Description: Interior sign lighting
Owner: FEES
PPR WASHINGTON SQUARE LLC Quantity Description Date Amount
2235 FARADAY AVE STE #O
CARLSBAD, CA 92008 1 ea Sign or Outline'Lighting 01/15/2010 $67.84
1 ea 12% State Surcharge - 01/15/2010 $8.14
PHONE: Electrical
Contractor:
MEYER SIGN CO OF OREGON INC
15205 SW 74TH AVE
TIGARD, OR 97224
PHONE: 503 - 620 -8200
FAX:
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 issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -0010 throw• • OAR 952- 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 50 .246.6699 or 1.80' 332.2344.
/, _
Issued By • 4 r Permittee Signature: AAA./ -
J OWNER INSTALLATION ONLY W W
The installation is being made on property l 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 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 Applicati s „ E ,. - FOR OFFICE USE ONLY
City of Tigard o i, •
Date /B -.5 /0 If % Permit No�C'a O/Q � Q
'! 13125 SW Hall Blvd., Tigard, OR 97223 c Plan Revie
,Phone: 503.639.4171 Fax: 503.598.1 1 5 200 Date /B : Other Permit:
TIGARD - Inspection Line: 503.639.4175 Date Ready /By: Juris: ®' See Page 2 for
Internet: vvww.ti and -0r. ov Notified /Method: Su lemental Inf6rmation
g g t CII � T p Y , g O �y F � TIGA a RD
�r r - . p � � *E OF 17tY`+'Cf.'!IN lD1V . �.�. �., , I . .
3 r ,� � � � y3' aPL,�ANkREVIEW --„,- r `, ;
❑ New construction ❑ Addition /alteration /replacement Please:check all that apply (submit2 sets of plans w /iteins'checked below):
ID Service or feeder 400 :amps or more ❑ Building over tliree stories.
❑• Demolition Other: Wall Sign where the available fault current ❑ Marinas and boatyards.
1441 '' i h exceeds 10,000 ant sat 150 volts or ❑Floating buildings. CATEGORY OF GONSTRUCI7ON „ a s j �A..a� i P t, 6 rs
`' "" " `' ' ' " " °`" " less to groynd, or exceeds 14,000 ❑ Commercial -use agricultural
❑ 1- and 2- family dwelling El Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi family ❑ Master builder ❑ Other: 0 Fire pump. ❑ Installation of 75 KVA or
�OS STLl INFORMATIQND LOCA�TLON ` ❑ Emergency system. larger separately derived system.
.,...,. ,,'3 ' ..,. ,., N ,� MA . ri N A <„or. ��..,. ,.. r y _
0 Addition of new motor load of ❑ , „E
Job no.: Job site address: 9677 Washington Square Road fooHE 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.: spaceCO5 Project name: Aeropostale ❑ Service or feeder 600 amps or more
4(
..: I ,,- FEE SCHEDULE_ ' `
Cross street/directions to job site: Washington Square Mall Description I Qty. l Fee. 1 Total I
New residential single or multi - family dwelling,unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. orless 168.54 4
Tax map /parcel no.: Ea. add't 500 sq. It or portion 33.92 1
Limited energy, residential 67:84 2
t :DESCRIPTION OF WO K (with above sq. ft.)
-.fir_, � � ?� -.�u„� �_ x -., F,. K. �, T��.6 .,?' �.... =, < a .
Install (1) illuminated sign for Aeropostale
Limited energy, ( , mu family 67.84 2
( ) it td i
g f A P residential (with above sq. ft.)
. Services or feeders installation, alteration, and /or relocation
200 amps or less 100.70 2
❑fi PROPCRTY� m<,. . ; . «`li Tt✓+NANT= ��, .: = .s P
' " ; 201 amps to 400 amps 133.56 2
Name: 401 amps to 600 amps 200.34 2
601 amps to 1,000..amps 301.04 2
Address: Over 1,000 amps or volts 552.26 2
City /State /ZIP: Temporary services or feeders installation, alteration, and /or
relocation
Phone: ( ) Fax: ( ) 200 amps or less 59.36 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2
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
= AP t N T , g ; � CONT ? above service or feeder fee, 7.42 2
each circuit
Business name: Meyer Sign Company of Oregon B. Fee for branch circuits
Contact name: J.J. Green tvithout.service or feeder fee 56.18 2
first branch circuit
Address: 15205 SW 74- Ave. Each add'I branch. circuit 7.42 2
Miscellaneous (service or feeder not included)
City /State /ZIP: Tigard, OR 97224 Each manufactured or modular 67.84 2
dwelling, service and /or feeder
Phone: (503) 620 - 8200 Fax: : (503) 620 - 7074 Reconnect only 67:84 2
E -mail: jj ®meyersignco.com Pump or irrigation circle 67.84 2
'" _ t` 7 sign or outline lighting 1 67.84 67.84 2
,.�#.�`� ..;` „_^^�* CONTRACTQR '� �.. ,. " .. ,.�` � Fa i i i ig _
Business name: Meyer Sign Company of Oregon Signal ci panel, er or limited -
energy panel, alteration, or
Address: 15205 SW 74 Ave. extension. Describe: Page 2 2
City /State /ZIP: Tigard,:OR 97224 Each additional inspection over allowable in any of the above
Per inspection 66.25
Phone: (503) 620 -8200 Fax: (503) 620 - 7074
Investigation per hour (I br.min) 66.25
CCB Lic.: 64014 Electrical Lic.: 20190CLS Suprv. Lic.: 566 -SIG Industrial plant per hour 78.18
' „ s _ELECTRICAL,P,.ERMIT "# .„'' - "
Suprv. Electrician signature, required: Subtotal: 67.84
Print name: Phil Reynolds Date: 10 - - Plan revi (25 % of permit fee):
State surcharge (12% of permit fee): 8:14
Authorized signature: TOTAL. PERMIT FEE: 75.98
This permit application expires if a permit is not obtained within 180
Print name: J RIL41/NOLFS Date: 1////11 days after it has been accepted as complete.
' / * Number of inspections allowed per permit.
I:\ Building \Permits\ELC- PermitApp.doc 10/01/09 440- 4615T(11/05 /COM/WEB