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Permit
CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2006 -00154 DEVELOPMENT SERVICES DATE ISSUED: 2/24/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S126C0 -01403 SITE ADDRESS: 09300 SW WASHINGTON SQUARE RD ZONING: C -G SUBDIVISION: LOT : JURISDICTION: TIG Project Description: (8) replacement 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: 8 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: MEYER SIGN CO OF OREGON 15205 SW 74TH AVE TIGARD, OR 97223 Phone: Contact #: PRI 620 - 8200 FEES Description Date Amount Reg #: LIC 64014 [ELPRMT] ELC Permit 2/24/2006 $427.20 ELE 20- I90CLS [TAX] 8% State Surcharge 2/24/2006 $34.18 Total $461.38 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 •UIVC•gt 503 - 246 -6699 or 1- 800 - 332 -2344. Issued By: Permittee Signature: _ 7�Wa J ) 4 I 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. 5674Zs:::11. - uoo 39 3- Z "Electrical Permit Application FOR OFFICE USE ONLY Received / Electrical _ . Date/By:�� 7 - G ,// 0 Permit No.:6 C �Q 6 IJQI Planning Approval Sign City of Tigard - Date/By: Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 Date/By: ' Permit No.: Phone: 503- 639 -4171 Fax: 503 -598 -1960. +� Post - Review Land Use MI i Contact Case No.: Internet: www.ci.tigard.or.us `- .. 4„ 6• t': J I Contact Juris.: ® See Page 2 for 24 -hour Inspection Request: 503- 639 -4175 Name/Method: -r1 fr- _ Supplemental Information. l . ' -. TYPE OF WORK • - • • : 2 - PLAN REVIEW ' lease check all that a. ∎ 1 ' :: - . . ❑ New construction ❑ Demolition ❑ Service over 225 amps- • Health -care facility commercial ❑ Hazardous location ❑ Addition/alteration/replacement ® Other: ,G//5 ❑ Service over 320 amps- rating of ❑ Building over 10,000 square feet, ∎: . 'CATEGORY OF.CONSTRUCTION -; - • r'.. 1 & 2 family dwellings four or more residential units in ❑ 1 & 2- Family dwelling IM Commercial/Industrial ❑ System over 600 volts nominal one structure ❑ Building over three stories ❑ Feeders, 400 amps or more ❑ Accessory Building ❑ Multi- Family i 0 Occupant load over 99 persons ❑ Manufactured structures or RV park ❑ Master Builder ❑ Other: ❑ Egress/lighting plan ❑ Other: - -•JOB SITE INFORMATION and LOCA ON' Submit _ sets of plans with any of the above. The above are not applicable to temporary construction service. Job site address: ?AlD 54a �-, Sd� , u • • . ., E ' FEE* SCHEDULE' ' 't -• ?`;��' Suite #: B ldg. /Apt. #: Number of inspections per permit allowed u ,C Description Qty Fee (ea.) Total Project Name: / New residential- single or multi - family per Cross street/Directions to job site: dwelling unit. Includes attached garage. -,,q r e 4� ( y 1 1 / S7 Nc , (I/ Service included: yj/J , N d/ ` "/ ` (/ 1000 sq. ft. or less 145.15 4 Each additional 500 sq. ft. or portion thereof 33.40 1 Limited energy, residential 75.00 2 Subdivision: I Lot #: Limited energy, non residential 75.00 2 Tax map /parcel #: Each manufactured home or modular dwelling `DESCRIPTION OF WORK- ;+- - - , service and/or feeder 90.90 2 Services or feeders - Installation, .S i 0) ,41 p js ( - 7) e alteration or relocation: " 0 200 amps or less 80.30 2 201 amps to 400 amps 106.85 2 401 am.s to 600 amps 160.60 2 ` PROPERTY OWNER . 1 ❑ TENANT .'`-' ' ' ' - 601 amps to 1000 amps 240.60 2 1^ � Over 1000 amps or volts 454.65 2 Name: -• (( Reconnect only 66.85 2 Address: c 30 o cw ail} .- .-‘;2_ AA - Temporary services or feeders - installation, aeao, olation: City /Sta a /Zip: -- • {L1, c 2 . , Q 7 2 Z 200 lt rata o r l r ess re 66.85 1 F ax: 201 amps to 400 amps oc 100.30 2 Phone: $!) 6 ^$$© 401 r to 600 n amps 133.75 2 CONTACT PERSON - �PPL C T .:' Branch circuits - new, alteration, or Name: :_ �ja�nto an ( cyn Y extension per panel: A. Fee for branch circuits with purchase of Address: service or feeder fee, each branch circuit 6.65 2 City /State /Zip: B. Fee for branch circuits without purchase of service or feeder fee, first branch circuit 46.85 2 Phone: I Fax: Each additional branch circuit 6.65 2 E -mail: Misc.(Service or feeder not included): CONTRACTOR .. Each pump or irrigation circle 53.40 2 Each sign or outline lighting ,? - 53.40 y "7 L 2 Job No: Signal circuit(s) or a limited energy panel, alteration, or extension Page 2 2 Business Name: , ( i ' c 1 2_ 6� Ca- ch e),e 1 Description: Address: /6 % SW 75 /e - Each additional inspection over the allowable in any of the above: City /State /Zip: - tjG4-(2.,h `!9 . q' 7_2_4 . Per inspection per hour (min. I hour) 62.50 Phone: 55 , p • Fax: So (020— O . , - Investigation fee: Other: CCB Lic. #: G i Lic. 20 L S Electrical Permit Fees* ' Supervising electri i i d Subtotal $ (.417 L n si • ature re • uired: hi I I , - Plan Review (25% of Permit Fee) $ � Print Name: ' „'. v 1pi _ ► Lic. #: SCt , — Stat Surc :e 8% of Permit Fee $ 3 i / a Authorized . I � / Notice: This permit a TOTAL PERMIT FEE �� . application expires If a permit is not obtained within Signature: ..;.�,M170� Date: /— . 3 `� 180 days after it has been accepted as complete. ' *Fee methodology set by Tri- County Building Industry Service Board. 377 4-F; ithaiR (Please print name) i:\Dsts\Permit Forms \ElcPermitApp.doc 01/03 Electrical Permit Application - City 'of Tigard V ; .• Page 2 - Supplemental Information ■ •. _ - • . -- . - . : . LIMITED ENERGY PERMIT FEES: . . . . RESIDENTIAL WORK ONLY: ' . Fee for all systems- $75.00 • Check Type of Work Involved: - 0 Audio and Stereo Systems . . El Burglar Alarm . . El Garage Door Opener - . . .. . 0 Heating, V and Air Conditioning System* V • k , . . . • El Vacuum Systems ' . . . , 0 Other . .. . . COMMERCIAL WORK ONLY: . Fee for each system $75.00 (SEE OAR 918-260-260) , . Check Type of Work Involved: ' . . Audio and Stereo Systems , • . • . . 0 Boiler Controls . V . . . 0 Clock Systems - , . . . EV Data Telecommunication Installation . ' . El Fire Alarm Installation 1, 0 KV AC • . . 0 Instrumentation .0 Intercom and Paging Systems . . • . . . .- . . . .. . . 0 Landscape Irrigation Control . ILI Medical . - . . . 0 Nurse Calls . , • . . .. A . 0 ' Outdoor Landscape Lighting - . . . , . ri. . Protective Signaling • • , . . . 1 Other - ' . Number of Systems • * No licenses are required. Licenses are required for all . , other installations V . . . . . . . . . , . . . . . . , . .; . . . i:\Dsts \Pemiit Forms\ElcPemiitAppPg2.doc 01/03 . - . . , . .. . . . . , . . . . . . . . . . CITY OF TIGARD . BUILDING DIVISION PERMIT #: ELG200C�00154 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 2!24/2005 Phone: (503) 639 -4171 AN. l l . Inspection Requests (24 Hrs.): (503) 639 -4175 .�'—� °'I — INSPECTION WORKSHEET FOR DATE: 2/7/2007 TIME: 7 :01AM PAGE: 64 SITE ADDRESS: 09300 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: MACY'S DESCRIPTION: (8) replacement signs. OWNER: PHONE #: CONTRACTOR: MEYER SIGN CO OF OREGON -- tM\6 \L F 0)0)-E4..._ PHONE #: 620 -8200 Inspection Request Scheduled For: Date: 21712007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 043044 -01 503- 620 -8200 Y Corrections /Comments /Instructions: q(■s; 62 :7019 • \-7 1) PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Glvt N 66 Date: 9-I-Oi Phone #: (503) 718- 9—tillti)