Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00176
DEVELOPMENT SEF(VICES DATE ISSUED: 4/6/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09432 SW WASHINGTON SQUARE RD K -2 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 RAMSAY SIGNS
BY THE MACERICH COMPANY 9160 SE 74TH AVE
9585 SW WASHINGTON SQUARE RD PORTLAND, OR 97206
TIGARD, OR 97223
Phone: Contact #: PRI 777 - 4555
FEES
Description Date Amount Reg #: ELE 26- 106CLS
LIC 63422
SUP 493SIG
Total
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 OUNC at 503 - 246 -6699 or
1- 800 - 332 -2344.
Issued By: / a4 2 A Permittee Signature: `� 1 �, .
OWNER INSTALLATION ONLY , I
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'
Electrical Permit AppartiCEIVED FOR OFFICE USE ONLY
a .
City of Tigard ^ Date ceived /B : y /06 / Permit No.: E 0 0 /7 ,
AP r ( On6
13125 SW Hall Blvd., Tigard, OR 97223 A �i t� 0 A Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 . f>\ Date /Ry: Other Permit:
Inspection Line: 503.639.4175 CITY OF TIGAR A' � ° 111 Date Ready /By: luris: El See Page 2 for
Internet: www.ci.tigard.or.us BUILDING DIVISION Notified/Method: 7'1G Supplemental Information
TYPE OF WORK PLAN REVIEW
❑ New construction 2 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
❑ Multi- family ❑ Master builder ❑ Other: ❑Building over three stories ['Feeders, 400 amps or more
DOccupant load over 99 persons ['Manufactured structures or
JOB SITE INFORMATION AND LOCATION DEgress/lighting plan RV park
❑Health -care facility ❑Other:
Job no.: - 3'3 C .;-- Job site address: q c o i 5 l>J fit/ ,(„ i2�( -
^� Submit 2 sets of plans with any of the above.
City/State /ZIP: T LJ S..-e. -7,...9- -7,...9- 3 The above are not applicable to temporary construction service.
Suite/bldg. /apt. no.: Project name: FEE* SCHEDULE
. J f Description I Qty. I Fee. I Total I ��
Cross street/directions to job site: ��r�� "Inn ��� 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. ft. or portion 33.40 l
Limited energy, residential 75.00 2
Tax map /parcel no.: Limited energy, non - residential 75.00 2
DESCRIPTION OF WORK Each manufactured or modular
' / Q r dwelling, service and/or feeder 90.90 2
1`J - t'a pa��
-t - 1% . L..' ,- `d & /`F 4, Services or feeders installation, alteration, and /or relocation
11 / 200 amps or less 80.30 2
❑ PROPERTY OWNER ❑ 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 l CONTACT PERSON A. Fee for branch circuits with
service or feeder fee, each 6.65 2
Business name: 2 C y branch circuit
d+>til -r� J ti
Contact name: B Fee for branch circuits
G1.u� / e.T� without service or feeder fee, 46.85 2
C each branch circuit
Address:
q 1 C, v S ,- 7 Li 6__J , Each add'I branch circuit 6.65 2
City /State /ZIP: e - N � trp • Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone: (5O3) --) --) u c- S Fax: 5o 7 7 1 0 C
Sign or outline lighting ( 53.40 N
Jr g g g ,33• U 2
E - mail: Signal circuit(s) or limited -
CONTRACTOR energy panel, alteration, or
extension. Describe: Page 2 2
Business name: �CA
J �a
Address: q/ r 1 y 64......)-c Each additional inspection over allowable in any of the above
Per inspection 62.50
City /State /ZIP: C r L C.1 '7 •7.2o b Investigation per hour (I hr min) 62.50
Phone: ( ) Fax: ( ) Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES*
CCB Lic.: (,3 2 s Electrical Lic.: j06C,� ', Suprv. Lic.: Subtotal S3 , 4 0
Suprv. Electrician signature, required: � // f /' 5 + 6 Plan review (25% of permit fee)
p g q ��� `Y ! S 7 r 4 .
Print name: (Pr~ G / (5 ( ` ,Qy Date: State surcharge (8% of permit fee)
IIII TOTAL PERMIT FEE 57 _ /_ 7
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete
Print name: Date: * Fee methodology set by Tri- County Building Industry Service Board
** Number of inspections per permit allowed.
i:\ Building \Permits \ELC- PermitApp.doc 12/03 440- 4615T( I 0 /02 /COM /WEB
CITY OF TIGARD
BUILDING DIVISION : - PERMIT #: E:LC200i 00175
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/&2006
Phone: (503) 639 -4171 "li' t
Inspection Requests (24 Hrs.): (503) 639 -4175 s !+r F'I I• ••
INSPECTION WORKSHEET FOR DATE: 4/20/2000 TIME: 7:04AM PAGE: 70
SITE ADDRESS: 09 SW WASHINGTON SQUARE RD K2 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: SPRINT
DESCRIPTION: SIGN LIGHTING
OWNER: WASe 'NCTON SQUARE LLC, PHONE #:
CONTRACTOR: RAMSA' `'IGNS PHONE #: 777-4550
Inspection Request Scheduled For: Date: 4/20/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
140 Sign installation 0A326-01 503-310-9684 Y
Corrections /Comments/ Instructions:
(
1 § PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G - I% ( VVC. Date: I4 Phone #: (503) 718 2446
CITY OF TIGARD •
BUILDING DIVISION . " PERMIT #: ELC200&•0T176
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/612006
Phone: (503) 639 -4171 lama+ a +�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/20/2096 TIME: 7:04AM PAGE: 78
SITE ADDRESS: 09432 SW WASHINGTON SQUARE RD K.2 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: SPRINT
DESCRIPTION: SIGN LIGHTING
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: RAMSAY SIGNS PHONE #: 711 -4555
Inspection Request Scheduled For: Date: 4/20 /2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 02832 ; -02 5 03 311.0 -96 ?
Corrections /Comments /Instructions:
E 4 v `K .
Y DASS r] PARTIAL APPROVAL • ❑ CANCEL ❑ NO ACCESS
n AIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Nst,1 � Da te:
`� Phone #: (503) 718 - 21�b