Permit I
.- ,: CITY OF TIGARD ELECTRICAL PERMIT
III ° PERMIT #: ELC2009 00051
° COMMUNITY DEVELOPMENT DATE ISSUED: 2/6/2009
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09348 SW WASHINGTON SQUARE RD W14 ZONING: MUC
SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG
PROJECT: GAP KIDS /BABY GAP
Project Description: (4) sign lighting installations.
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:
WASHINGTON SQUARE LLC MEYER SIGN CO OF OREGON
BY THE MACERICH COMPANY 15205 SW 74TH AVE
9585 SW WASHINGTON SQUARE RD 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 2/4/2009 $213.60 LIC 64014
[TAX] 12% State Surchar 2/4/2009 $25.63 SUP 566SIG
Total $239.23 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable laws All
work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuanc= , o, work is suspended for
more than 180 days. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Ce -r. Tho• - rules are set forth in
OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 5'3. 46.669' or 1 800.332.2344.
Issued By: �JQ.$ Permittee Signature: \ �l �•MS 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.
• , E1'tctrical Permit Applicatio FOR OFFICE USE ONLY
Received ED R d n q owl G' A hC 04(2,5-
City of Tigard ECEN Date/B p ( Permit No C r. 7 -,
13125 SW Hall Blvd , Tigard, OR 9722 r p Plan Review
' Phone' 503 639.4171 Fax. 503 598 1 4 2009 Date/B Other Permit
T IGARD Inspection Line. 503 639 4175 Date Ready /By WM ® See Page 2 for
Internet www tigard - gov �a CITY OF TIGARD Notified /Method Supplemental Information
TYPE OFBililtir1NGDIVI PLAN REVIEW
El 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
El Demolition ® Other: Sign where the available fault current ❑ Marinas and boatyards
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ 1 - and 2- family dwelling ® Commercial /industrial ❑ Accessory building amps for all other installations buildings
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump ❑ Installation of 75 KVA or
❑ Emergency system, larger separately derived system
JOB SITE INFORMATION AND LOCATION ❑ Addition of new motor load of ❑ "A' , "E ", "I -2 ", '1 -3 ",
Job no.: Job site address:9671 W Washington Sq. Rd. IOOHP or more occupancy
F.39£5 ❑ Six or more residential units ❑ Recreational vehicle parks
City /State /ZIP: Tigard, OR 97223 /.339 Q ❑ I lealth -care facilities ❑ Supply voltage for more than
❑ Hazardous locations 600 volts nominal
Suite /bldg. /apt. no.: W -I4 Project name: GAP \ t b 5 ❑ Service or feeder 600 amps or more
FEE SCHEDULE
Cross street/directions to job site: Washington Sq. Mall Description I Qt 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 add] 500 sq. ft or portion 33.40 1
Tax map /parcel no.: Limited energy, residential
DESCRIPTION OF WORK (with above sq ft) 75 00 2
Limited energy, multi- family 75.00 2
Install (4) elec. wall signs residential (with above sq ft )
Services or feeders installation, alteration, and /or relocation
200 amps or less 80 30 2
® PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106 85 2
Name: Washington Sq., LLC 401 amps to 600 amps 160 60 2
601 amps to 1,000 amps 240 60 2
Address: 9300 SW Washington Sq. Rd. Over 1,000 amps or volts 454 65 2
City /State /ZIP: Tigard, OR 97223 Temporary services or feeders installation, alteration, and /or
relocation
Phone: (503)639 -8860 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
tEl APPLICANT ® CONTACT PERSON above service or feeder fee, 6 65 2
each branch circuit
Business name: (Same as Contractor) B Fee for branch circuits
Contact name: wtlhour 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 90.90 2
dwelling, service and /or feeder
Phone: ( ) Fax: : ( ) Reconnect only 66 85 2
E -mail: Pump or irrigation circle 53 40 2
CONTRACTOR Sign or outline lighting 4 53.40 213 60 2
Meyer Sign Co. of Oregon, Inc. Signal panel, or limited -
Business name: g g 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 62 50
Phone: (503) 620 - 8200 Fax: (503) 620 - 7074 Investigation per hour (I hr min) 62 50
CCB Lic.: 64014 Electrical Lic.: 20 -190CL Supry Lic.: 566SIG Industrial plant per hour 73 75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: Subtotal. 213 60
Print name: Phil Reynolds Date 2 Plan review (25 % of permit fee).
State surcharge (12% of permit fee) 25 63
Authorized signature: �� ►�� TOTAL PERMIT FEE 239.23
This permit application expires if a permit is not obtained within 180
Print name: Steve Murphy i ■ ate 2 -04 -09 days after it has been accepted as complete.
• Number of inspections allowed per permit
i \ Budding \ Permits \ELC- PermitApp doe 05/23/06 440 - 461ST( I I /05/COM/WEB