Permit CITY OF TIGARD ELECTRICAL PERMIT
V PERMIT #: ELC2005 -00881
� i�l DEVELOPMENT SERVICES DATE ISSUED: 11/10/2005
c=-' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09396 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG
Project Description: 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: 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 MULTI -LIGHT SIGN CO
BY THE MACERICH COMPANY 809 NE LOMBARD ST
9585 SW WASHINGTON SQUARE RD PORTLAND, OR 97211
TIGARD, OR 97223
Phone: 503 - 639 -8860 Phone: 503 - 281 -3083
FEES Reg #: LIC 64107
SUP 672S1G
Description Date Amount ELE 26 - 90CLS
[ELPRMT] ELC Permit 11/10/200' $53.40
[TAX] 8% State Surcharge II/10/200: $4.27 REQUIRED ITEMS AND REPORTS
Total $57.67 EINEM
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all oth: applicable laws.
All work will be done in accordance with approved plans. This permit will expire if work is not started'wthin 180 days of issua' . -, or if work is
suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Uttkty •tific - enter Those
rules are set forth in OA' 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules - direc estio :;to'J ( 'at
503- 246 -6699 or 1 - : :. 332 -2/ 4. /
Issued By: , Permittee Signatur • • /
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 App Ica o vim OFFICE usr o ° °Ly QQ
City of Tigard NOV �} X005 Date/By I / /96 Permit ��Q?00 I
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review h,,,,„
Phone: 503.639 4171 Fax: 503.598.1960 w f'lk Date/By Other Permit
Inspection Line: 503.639 4175 CITY OF T I G A R D "' I Date Ready/By RI See Page 2 for
Internet: www.ci.tigard.or.us BUILDING DIVISION Notified/Method r;J --cam Supplemental Information
TYPE OF WORK PLAN REVIEW
® New construction ❑ Addition/alteration/replacement Please check all that apply:
❑ Demolition ❑ Other: ['Service over 225 amps, comm'l ['Hazardous location
❑Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft.,
. CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential
❑ 1- and 2- family dwelling ® Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
El Multi - family ❑Master builder ❑Other: ['Building over three stories ['Feeders, 400 amps or more
['Occupant load over 99 persons ❑Manufactured structures or
JOB SITE INFORMATION AND LOCATION ❑Egress/lighting plan RV park
❑Health -care facility ['Other: Job no.: Job site address: 9345 SW Washington Sq Rd R -11
Submit 2 sets of plans with any of the above
City/State /ZIP: Tigard The above are not applicable to temporary construction service.
Suite/bldg. /apt. no.: r -11 Project name: GiGi's FEE* SCHEDULE
Description I Qty. I Fee. I Total I ..
Cross street/directions to job site: New residential single- or multi- family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: Lot no.: Ea. add'l 500 sq It. or portion 33.40 1
Limited energy, residential 75 00 2
Tax map /parcel no.: Limited energy, non - residential 75.00 2
DESCRIPTION OF WORK Each manufactured or modular
HooK up electric to one sign dwelling, service and/or feeder 90.90 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
❑ PR OPERTY OWNER I ❑ TENANT 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
Name: 601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City/State /ZIP: 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 600 amps 133.75 2
Owner signature: Date: Branch circuits — new, alteration, or extension, per panel
. ❑ APPLICANT I ❑ CONTACT PERSON - A. Fee for branch circuits with
service or feeder fee, each 6.65 2
Business name: branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee, 46 85 2
Address: each branch circuit
Each add'I branch circuit 6.65 2
City/State /ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) Fax:: ( ) Pump or irrigation circle 53.40 2
Sign or outline lighting ' 53.40 2
E -mail: Signal circuit(s) or limited-
, • CONTRACTOR energy panel, alteration, or
extension. Describe: Page 2 2
Business name: Multi -Light Sign
Address: 809 NE Lombard Each additional inspection over allowable in any of the above
Per inspection 62.50
City/State/ZIP: Port, or
Investigation per hour (I hr mm) 62.50
Phone: (503) 281 -3083 Fax: : 80 -9624) Industrial plant per hour 73.75 -
ELECTRICAL PERMIT FEES*
CCB Lic.: 64107 Electrical Lic.: ■-60cls Suprv. L 343 -sig Subtotal . 53 W
- Suprv. Electrician signature, require' .
IPPPr .—.1411L =�` Plan review (25% of permit fee)
Print name: _ Da e: 1/08/05 State surcharge (8% of permit fee) / 7
zO �Ch I TOTAL PERMIT FEE / 7
Authorized signature: This permit application expires if a permit is not oht '7 /„ within 180
/ / r
Print name: / / � days after it has been accepted as complete
Date: 11/08/05 • Fee methodology cet by Tri- Cnnnty Rnildinv Intim -Iry Service Rnarrii
/.� ' f /geA1 IS
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC200 &00881
13125 SW Hall Blvd., Tigard, OR 97223 La DATE ISSUED: 11/10/2005
Phone: (503) 639 -4171 ' � i ..
Inspection Requests (24 Hrs.): (503) 639-4175
IL-
INSPECTION WORKSHEET FOR DATE: 11/16/2005 TIME: 7:03AM PAGE: 31
SITE ADDRESS: 09396 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTl SQUARE LOT #: TYPE OF USE:
PROJECT NAME: ( SPA
DESCRIPTION: Sign lighting.
OWNER: WASHINGTON SOU RE LLC, PHONE #: 503-639-8860
• CONTRACTOR: MULTI -LIGHT SIGN C. PHONE #: 503.281 -3063
Inspection Request Scheduled For: Date: 11/16/2005 Pour Time:
Code # Inspection Description onfirm # Contact # Message
140 . ^ 0. 442 -01 503-- 317 -0255 N
Corre 'ins/Co : s:
r: a v t A G L S$ (® 1 (ZA N 6 16(24N9t. FCSfL-
iN6i /\ , en_ .
rs) 0 1 -k &l.A t P-A .• €KV a N S \- 1 .
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
• FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1 v 6 eJ !- Date: A • I" ' Phone #: (503) 7181 -4