Permit ' E
• .CITY OF TIGARD ELECTRICAL PERMIT
° PERMIT #: ELC2007 -00029
COMMUNITY DEVELOPMENT DATE ISSUED: 1/11/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD MGMT ZONING: C -G
SUBDIVISION: Clirxr8ANGTON SQUARE LOT : JURISDICTION: TIG
Project Description: (4) sign lightings for BUP2006- 00522, 525, 526 & 527. Job No. 1529
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: 4
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:
MACERICH CUSTOM SIGN CO INC
401 WILSHIRE BLVD #700 TODD PHILLIS INC
SANTA MONICA, CA 97401 9316 SW 12TH DR
PORTLAND, OR 97219 -4204
Phone: 503 - 394 -6000 Contact #: PRI 246 -8324
FEES
Description Date Amount Reg #: ELI 26- 750CLS
[ELPRMT] ELC Permit 1/1 1/2007 $213.60 LIC 72764
[TAX] 8% State Surcharge 1/11/2007 $17.08 SUP 423SIG
Total $230.68 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 th ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in
OA 52- 001 -0010 thr. gh I - - • - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
/ Vi‘W
I sued By: 4 4 14 , , P ermittee 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.
Y
Electrical Permit Application . FOR OFFICE USE ()NI
City of Tigard Received Q • .
: ° 13125 SW HaII Blvd, Tigard, OR 97223 Plan Review / �/ - `/" ✓' —`
Phone: 503.639.4171 Fax: 503.598.1960 DAB Other P .. •t:
T I G A R D Inspection Line: 503.639.4175 Date Ready/By. NEI 65 See Page 2 for
Internet: www tigard- or.gov Notified/ Method: Supplemental Information
_ TYPE OF WORK ., PLAN REVIEW
Please dteck all that apply (submit sets of plans wltems checked below):
❑ New construction ❑ Addition/alteration/replacement
❑ Service or feeder 400 amps or more ❑ Building over three stones
❑ Demolition ❑ Other:
where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION • exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
• El 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building less to ground, a exceeds 14,000 n . ❑ Con dinge. use agricultardl
Y g amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
JOB SITE INFORMATION • AND LOCATION ❑Emergency system. larger separately derived system.
• ❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ",
3 1ST( I Job site address: 0 ‘15033%— SW 51 lool1001{P or more. Recreational Job no.:
�f rL+ylo� Re► ❑ Slx or more residential units ❑ Recreational vehide parks.
City/ State/ZIP• —pcia 4 Ql. `7''� 7-7-3 ❑ Healthcare facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg./apt. no.: I Project name: Q
W L► rt "' ` ' "' C a l ❑ Sam« or feeder 600 amps or more.
. FEE SCHEDULE
Cross street/directions to job site: tv c h," h 54. K_ Description I Qs y. 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 145.15 4
Ea. add9 500 sq. ft. or portion 33.40 I
Tax map /parcel no.: Limited energy, residential
75.00 2
• DESCRIPTION OF WORK (with above sq. ft.)
Limited energy, multi - family 75.00 2
residential (with above sq. ft.)
Services or feeders Installation and/or relocation
200 amps or less 80.30 2
❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2 •
Name: V\ Oi (P If i f . h 401 amps to 600 amps 160.60 2
2, 601 amps to 1,000 amps 240.60 2
Address: Lt0 J; t Ste yc. 1.kUC 4 100 Ova 1,000 amps or volts 454.65 2
City/State/ZIP: h �0 IA r ` ` C a 11401 Temporary services or feeders installation, alteration, and/or
relocation
Phone: (501) 3 till - 6 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 ex tension, p r panel
Owner signature: Date: A. Fee for branch circuits with
❑ APPLICANT I ❑ CONTACT PERSON above service or feeder fee,
each branch circuit 6.65 2
Business name: B. Fee for branch circuits
without service or feeder fee,
Contact name: 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 modular 90.90 2
Phone: dwelling, service and/or feeder
( ) Fax: ( ) Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 1/ 53.40 '1 oho 2
Signal circuit(s) or limited -
Business name: Cu s1•a v n t r„ vl (U L✓1 ()awt y 'V"(. energy panel, alteration, or
Address: (O s W t7) ' — 4 y extension. Describe: Page 2 2
City /State/ZIP: V 1 a v aA O /Gv C1-YU Each additional inspection over allowable In any of the above
Per Phone: (j fi ) V -( Co . Ot 2 Zy.( I Fax: (S627) 2 4 S' _ (4. U- &3 Investigation 62.50
Inve per hour (I hr min) 62.50
CCB Lic.: 71;1 7 (o 4 Electrical Lic.:'Z( 7jj LAS Suprv. Lic.: (( Z3S.L' Industrial plant per hour 73.75
('�', • �f�� ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: \ VKN� Subtotal: f'f , (p !�
Print name: ' d � p l ' �- Date: b(_ ( -01 Plan review (25% of permit fee):
�,.�`� • ,�� ate surcharge (8% of permit fee): / 1. O
Authorized signature: :��C•D ?�,.' �]„ TOTAL PERMIT FEE: 4 2 ?0 , (
Print name: ���� j�(,� l l � I Date: I - (� - CO U� This permit application expires if a permit is not obtained within 180
t days after it has been accepted as complete.
• Number of inspecti allowed per permit
I\&dWingPamro\ELC- PermitAppdoc OS/23/06 44046IST(II/O5/COM/WEB
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
y. RSIDENTIAI WORK,ONLY:
Fee for all residential systems combined ... $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
❑ Vacuum Systems*
El Other.
':COMMERCIAL WORB ONLYe`
Fee for each commercial $75.00
system
(SEE OAR 918 - 260 -260)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
El Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
El Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are requited. Licenses are required
for all other installations
I \&rildin0'6min\ELC- PamnApp doe 0323/06
,-.
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CITY OFTIGARD .
.: BUILDING DIVISION PERMIT #: ELC2007- 00029
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/11/2007
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175 ._': 11.
INSPECTION WORKSHEET FOR DATE: 6/5/2007 TIME: 7 :01AM PAGE: 89
SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD MGMT OFFIC CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: WASHINGTON SQUARE
DESCRIPTION: (4) sign lightings for BUP2006- 00522, 525, 526 & 527. Job No. 1529
OWNER: MACERICH, PHONE #: 503 -394 -6000
CONTRACTOR: CUSTOM SIGN CO INC PHONE #: 246-8324
Inspection Request Scheduled For: Date: 6/5/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 049531 -01 503 - 201 -8469 Y
Corrections /Comments / Instructions:
CST b6
IVG p 6 W t ` rb ® %.1" A F-
SaoIN S
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: ► i\X) Date: Ej " 01 Phone #: (503) 718 - 7,4