Permit CITY OF TIGARD E
PERMIT
PERMIT #: CAL P RMIT 6
bEVELOPMENT SERVICES
DATE ISSUED: 11/1/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09374 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG
Project Description: Sign lighting for (1) sign.
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: 1
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 SQUARE LLC HIGHLIGHT SIGN CORP
BY THE MACERICH COMPANY PO BOX 23667
9585 SW WASHINGTON SQUARE RD TIGARD, OR 97281 -3667
TIGARD, OR 97223
Phone: 503- 639 -8865 Phone: 503 - 620 -8205
FEES Reg #: LIC 104599
tion Date Amount SUP 3
Description -660
p ELE 37- G60CLS
[ELPRMT] ELC Permit 11/1/2005 $53.40
[TAX] 8% State Surcharge 11/1/2005 $4.27 REQUIRED ITEMS AND REPORTS
Total $57.67
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 :e •ays of i nuance, or if work is
suspen• _ : • • - - 180 d- . ATTENTION: Oregon law requires you to follow rules adopted • e Oregon Uf ' • -ti•,• - - - •se
rule : are set forth in OAR • .01 -0010 ough OAR 952 - 001 -0100. You may obtain copies oft ese rules or dir -ct question , . OUNC at
5s.:- 246 -6699 •r 1- 800 -332 Oc
Is ued By: ,)• ` .f, // / Permittee Signature: - no.,
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.
1 1 i
�,,.. `R Electrical Permit App ication j . , ,
Date received: So Permit no.: e e
Y) ti City of Tigard �`
Pr o�ect/appl no : Ex ire date:
City n 1', and Add 13125 SW Hall BI i • j , u - .GEZOV ® ,���
y / g Phone: (503) 639 4171 Date issued. Receipt no.:
Fax: (503) 598 -1960 NOV 1 1 2005 Case file no.: Payment type: 1
Land use approval: ! I
• :■
I
s` 11 PE OF- PERMIT. „ -
O I & 2 family dwelling or accessory ■ Commercial / 0 Multi - family O Tenant improvement
0 New construction 0 Addition/alteration /replacement 0 Other: 0 Partial
. ' JOB SITE INFORMATIONr li ;':''''.' ''' , ''' s. ..`
Job address: 93_ ' S 1 Bldg. no.: Suite no.: Tax map /tax lot/account no.:
Lot: Block: (Subdivision:
Project name I C.O so kp I Description and location of work on prcmis .: � 01..S, 4EGLe.12
Estimated date of completion/ inspection: • j - ■ ,
:': CONTRACTOR APPLICATION FEE SCHE y` '
Job no: Fee ' : Max '
Business name: 1,416, „
, (4T S \� — ... 1 Description Qty. (ea.) Tota: no. insp
��. im New residential -single multi-family per
Address: l
dwelling unit. Includes atlache nachedgarage. ■
City: - I State ZIP: " ��z, Serticeincluded:
Phone: ?O , '' 2 ax: I E -mail ..) 1000 sq. ft. or less 4
CCB no.: /0 Lt. '� Elec. bus. tic. no: 3 �;�i%�.C�re+� Each additional 500 sq ft or portion thereof
^ Limited energy, residential 2
Cif tro ic. no.: C7 Limited energy, non- residential 2
f� � � ( // i / / C Each manufactured home or modular dwelling
Signature of supervising electrician (requir • D Service and/or feeder 2
Sup. elect. name (print): lit, fEii , , pi/ -A ense no 51 Services orfeeders — installation,
alteration or relocation:
, to' ( N I / \' ( - .. , : 200 amps or less
2
Name (print): 201 amps to 400 amps 2
Mailing address: 401 amps to 600 amps 2
601 amps to 1000 amps 2
City: I State: I ZIP: Over 1000 amps or volts 2
Phone: I Fax: I E -mail: Reconnect only I
Owner installation: The installation is being made on property I own Temporary servicesorfeeders -
which is not intended for sale, lease, rent, or exchange according to installation ,alteration,orrelocation:
ORS 447, 455, 479, 670, 701. 200 amps or less 2
201 amps to 400 amps 2
Owner's signature: Date: 401 to 600 amps 2
„ .; . ?.. ': ENGINEER'.:,-:.. 1 . Branch circuits - new alteration, .
1 ' ' • or extension per panel:
Name. F A Fee for branch circuits with purchase of I i.
Address: service or feeder fee, each branch circuit t 2
1 City: I State: I ZIP: B Fee for branch circuits without purchase
I Phone: Fax: E -mail: of service or feeder fee, first branch circuit 2
Each additional branch circuit
PLAN REVIEW. (Please check all that app1,1111111111 Misc .(Service feeder not included): —
U Service over 225 amps - commercial U Health -care facility Each pump or irrigation circle . / 2
U Service over 320 amps - rating of 1&2 0 Hazardous location Each signor outline lighting I ' 70 2
' fantilydwellings 0 Building over 10,000 squire feet four or Signal circuit(s) or a limited energy panel,
O System over 600 volts nominal more residential units in one structure alteration, or extension* 2
U Building over three stones U Feeders, 400 amps or more •Descnption:
U Occupant load over 99 persons U Manufactured structures or RV park Each additional inspection over the allowable in any of the above:
Cl Egress/lightingplan U Other I I I I
Per inspection
Submit sets of plans with any of the above. Investigation fee ••
The above are not applicable to temporary construction service. Other ,/
Not all Jurisdictions accept credit cants as
, please call runsdm
ictn for more information Notice: This permit application
Permit fee $ l 7a Jurisdictions
U Visa U MasterCard expires i f a permit is not obtained Plan review (at _ %) $
Credit cord number / / within 180 days atter it has been State surcharge (8 %)
Expires
Name of cardholder as shown on credit card accepted as complete. TOTAL $ +r 2
$
Cardholder signature Amount
.1411.41,1S ih'lXVCON11
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELG2005 00856
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 11/1/2005
Phone: (503) 639 - 4171 , 1,1�
Inspection Requests (24 Hrs.): (503) 639 -4175 !� 47 I��
INSPECTION WORKSHEET FOR DATE: 11/8/2005 TIME: 7:00AM PAGE: 14
SITE ADDRESS: 09374 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: PAPYRUS
DESCRIPTION: Sign lighting for (1) sign.
• OWNER: WASHINGTON SQUARE LLC, PHONE #: 503 - 639.8865
CONTRACTOR: HIGHLIGHT SIGN CORP PHONE #: 503- 620 -8205
Inspection Request Scheduled For: Date: 11/8/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199N Electrical final 020613-02 360-907-0718 Y
Corrections /Comments /Instructions:
c r ,
f.P:i--/
)‹. PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector:
/2 / _ Date: O Phone #: (503) 718 -