Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT D: 10 9/2 ELC2007-00694
COMMUNITY DEVELOPMENT
DATE ISSUED: 10/9/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09302 SW WASHINGTON SQUARE RD V05 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG
PROJECT: LUCY
Project Description: (2) 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: 2
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 SQ LLC MEYER SIGN CO OF OREGON
9585 SW WASHINGTON SQ. RD. 15205 SW 74TH AVE
TIGARD, OR 97223 TIGARD, OR 97223
Phone: Contact #: PRI 503 - 620 - 8200
FAX 503 - 620 -7074
FEES
Description Date Amount Reg #: ELE 20- 190CLS
[ELPRMT] ELC Permit 10/9/2007 $106.80 LIC 64014
[TAX] 8% State Surcharge 10/9/2007 $8.55 SUP 566SIG
Total $115.35 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codesand1 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. T ose 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•503.2 •.6699 or 1.800 332.2344.
Issued By: All_ / , � Permittee Signature: damp
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 OFFICE USE ONLY
`J g
Cl of Tigard EC E I E " Date/By Received I. 9 /01 - t Permit No /f � Q7 � 0 6 /� V 13125 SW Hall Blvd , Tigard, OR 97223 Plan Revie
' C . Phone 503 639 4171 Fax 503 598 1960{ r ' 2001 Date /By Other Permit
Inspection Line 503 639 4175 "` ' I 1 Date Ready /By Juns ® See Page 2 for
T I GA It p Internet www.tigard -or gov CITY OF TIGARD Notified/Method Supplemental Information
TYPE OF vat DING DIVISION PLAN- REVIEW
❑ 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 "VtI1Cr: �� /� where the available fault current ❑ Marinas and boatyards
CATEGORY OF CONSTRUCTION'. exceeds 10,000 amps at 150 volts or 0 Floating buildings
.' less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ 1- and 2- family dwelling ,Brommercial /industrial ❑ Accessory building amps for all other installations buildings
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump ❑ Installation of75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system
/ ❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "I -3 ",
Job no.: Job site address: cial / V e, b X6 Q j • 100HP or more occupancy
t �1/' c-c[ 7 i J'� • ❑ Six or more residential units 0 Recreational vehicle parks
City/State /ZIP: C/ 7 7 J ❑ Health -care facilities ❑ Supply voltage for more than
l ' t�� L 1 7 /i ❑Hazardous locations 600 volts nominal
Suite /bldg. /apt. no.: 7 --_,/ Project name: Li.(C ❑ Service or feeder 600 amps or more
FEE SCHEDULE
Cross street/directions to job site: tog ,..(� , �1 Description I Qty. I Fee. I Total I •
111 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'l 500 sq ft or portion 33 40 1
Tax map /parcel no.: Limited energy, residential
75 00 2
/ DESCRIPTION OF WORK (with above sq ft.)
/ (r ' - (a) / • ,, r1 e edd pN// � Limited energy, y /J�yi► � vl / � residential (with th above sq sq 0 fl ) 75.00 2
Services or feeders installation, alteration, and/or relocation
� 200 amps or less 80 30 2
. TE
❑ PROPERTY OWNER NANT 201 amps to 400 amps 106 85 2
Name: ^ 11 401 amps to 600 amps 160 60 2
✓' 601 amps to 1,000 amps 240 60 2
Address:
KeZ91'‘ Q2 2b C 1 ver 1,000 amps or volts 454.65 2
City/State /ZIP: J Temporary services or feeders installation, alteration, and/or
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
•d - P-PLICANT . 121 PERSON above service or feeder fee, 6 65 2
each branch circuit
Business name: (3 C tir ei _) B Fee for branch circuits
Contact name: without service or feeder fee, 46 85 2
first branch circuit
Address: Each add] branch circuit 6 65 2
Miscellaneous (service or feeder not included)
City/State /ZIP: Each manufactured or modular
dwelling, service and/or feeder 90 90 2
Phone: ( ) Fax: : ( ) Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53 40 2
CONTRACTOR ' Sign or outline lighting ( 9 \ 53 40 2
��))
l , / n Signal circuit(s) or limited -
Business name:
`U1 l <1GN a o alp energy panel, alteration, or
f
Address: 45-020E _ extension. Describe. Page 2 2
City/State /ZIP: 776 - . 9 - L 7 / Each additional inspection over allowable in any of the above
/ Per inspection 62 50
Phone: ( 5 6,104 160 Fax: ($53) 620= 7 V Investigation per hour (I hr min) 62.50
CCB Lic.: / Electrical Lic.: I JS . Suprv. Lic.: ii6 k Industrial plant per hour 73 75
I ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: Subtotal. / J. 0
Print name: / Date Plan review (25% of permit fee) f f/
�3 ' — /a �� State surcharge (8% of permit fee) $ /?
Authorized signature: -.0 aF . • TOTAL PERMIT FEE / /5% 35
This permit application expires if a permit is not obtained within 180
5 ^-;
Print name: 7� awl? Date: i p _9 7 days after it has been accepted as complete.
6 " Number of inspections allowed per permit
1 \ Building Tomas \ELC- PermitApp doc 05/23/06 440- 4615T(I1/05 /COM/WEB
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information,
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL 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*
❑ Other:
COMMERCIAL WORK ONLY:
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
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
E l Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial systems:
. *No 'licenses are required. Licenses are required
for all other installations
1 \BuddmgWermrts\ELC- PermitApp doc 03/23/06
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00694
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/9/2007
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 3/11/2008 TIME: 7: 00AM PAGE: 46
SITE ADDRESS: 09302 SW WASHINGTON SQUARE RD V05 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: LUCY
DESCRIPTION: (2) Sign lighting.
OWNER: WASHINGTON SQ. LLC, PHONE #:
CONTRACTOR: MEYER SIGN CO OF OREGON PHONE #: 503-620-0200
Inspection Request Scheduled For: Date: 3/11/2008 Pour Time:
Code # Inspection Description ' \on ir-►# Contact # Message
199 EIectiical final 66455 -01 503 - 620.8200 N
s -\
Corrections /Comments/ Instructions:
•
•
•
pi..41 PAS ❑ PARTIAL APPROVAL El CANCEL ❑ NO ACCESS
L ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G�� N (W) 1..1*""
Date: �J a' Phone #: (503) 718- VILA,