Loading...
Permit ,-, r 0 A CITY OF TIGARD, ELECTRICAL PERMIT PERMIT #: ELC2005 -00255 i DEVELOPMENT SERVICES DATE ISSUED: 4/13/2005 cif Jl 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S12600-00300 SITE ADDRESS: 09463 SW WASHINGTON SQUARE RD Al2 ZONING: C -G SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG 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 SQUARE LLC MULTI -LIGHT SIGN CO BY THE MACERICH COMPANY 809 N E LOMBARD 9585 SW WASHINGTON SQUARE RD PORTLAND, OR 97211 TIGARD, OR 97223 Phone: Phone: 281 -3083 FEES Reg #: LIC 64107 SUP 343SIG Description Date Amount ELE 26 - 90CLS [ELPRMT] ELC Permit 4/13/2005 $106.80 [TAX] 8% State Surcharge 4/13/2005 $8.54 REQUIRED ITEMS AND REPORTS Total $115.34 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Spe01 Codes and al •ther applicable laws All work will be done in accordance with approved plans This permit will expire if work is not started w in 180 days of i : ance, or if work is suspended for more than 180 days ATTENTION. Oregon law requires you to follow rules adopt;0 by the Omo on Uti.1 y cation Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100 You may obtain copies of se r s or 21ir ct • -sti"ons to OUNC at 503 - 246 -6699 or 1 -8p-332- 344 _ ; Issued By: j:. -_ , _ ; s -J / Permittee Signature` a 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. Etectrlcal P rmkri 4CtE D FOR OFFICE USE ONLY 1 V L R eLerved Date/By - � /3/0 5 , Pen ult � r , �SS �I 13125 SW Hall Blvd , Tigard, OR 97 0R r l Plan Rei eis Phone 503 639 4171 Fax 503 598A 966 1 e7 2005 Date,B,. Other Permit Inspection Line 503 639 4175 GAR® r f II City of Tigard Date Ready B ■ fulls See Pale 2 mr Internet www ci tigard or us CITY O TIGARD N'otilied Method ( ! 8 6i Supplemental Inlurmanun BUILDI DIVI$1\° PLAN REVIEW' TYPE OF V lee construction ❑ Addition /alteration /replacement Please check all that apply ❑ Service over 225 amps, comm•i 0 1 location ❑ Demolition ❑ Other ❑Service osier 320 amps - rating ❑Buddng user 10,000 sq R . CATEGORY OF CONSTRUCTION of I - and 2-tamily dtsellings 4 or more nett residential 111 I- and 2 family dwelling Commercial/industrial ❑ Accessory building ❑Systzm ot 600 volts nominal units in one structure ❑Building over three stories ❑Feeders, 400 amps or mole ❑ Multi family ❑ ! stet builder ❑ Other ❑Occupant load over 99 persons ❑ Manufactui ed structures or JOB SITE INFORMATION AND LOCATION ❑Egress /lighting plan RV park ❑ Health -care facility ❑Other Job no Job site address q3 SN jf Submit _ sets of plans with any of the above City /State /ZIP. / Al The above are not applicable to temporary eonsuuvtrn set t tee _ Suite /bldg. /apt no.: Project — � � � -, �, Description Qts Fee I Iota) Cross street/directions to job site. New residential single - or multi-family dwelling unit. Includes attached garage. 1,000 sq. It or less 145 15 i 4 Subdivision: Lot no Ea add'I 500 sq ft or portion 33 40 I Limited energy, residential 75 00 Tax map /parcel no. Limited energy, non - residential 75 00 , DESCRIPTION OF WORK Each manufactured or modular Service, and/or ['cede! 90 90 ' D � j Services or r feeders installation, abet a[ion, and/or relocation I 0,::c _ 200 amps or less 80 30 I I 2 ❑ PROPERTY OWNER 201 amps to 400 amps 106 85 2 ❑ TENANT 401 amps to 600 amps 160 60 1 2 Name' 601 amps to 1,000 amps 240 60 2 Address Osier 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 of less 66 85 I Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100 30 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 ❑ CONTACT PERSON A Fee for branch circuits with service or feeder fee, each 6 65 Business name branch circuit B Fee for branch circuits Contact name without service or feeder tee, 4685 2 Address: each branch circuit Each add'l branch circuit 6 65 I 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- 1 CONTRACTOR ener panel, alteration, or �� ) extension Describe Page 2 Business name. /. /�il /. .. / I l Address `� - / Each additional inspection over allowable in any of the abuse /,4' / Per inspection 62 50 City /State /ZIP Ogl /r .� OJ O a _ / Imestigauun per hour (I hr min) 62 50 �. Industrial plant pet hoot 73 75 Phone( 0 - 3D�3 Fax 1573 y' G��� ELECTRICAL PERMIT FEES* CCB Lic. / y/Q /7 Electrical Lic..a/j90cLs Supry Lie 3� - 5!! Subtotal /Olv Supry Electrician signature, requtred �' Plan ref refs (25% t o1 permit fee) State surcharge (8% of permit fee) 1 U.. �, �,( Print name ° � J L Date At/1020s— I ) / / 1 tF ,� TOTAL PERMIT FEE G' 6 JlJ Authorized signature / /�/ n n 'AX ` Thts permit application expires if a permit is not obtained ',Dion .'U `, L �� X/ Y- Sass after it has been accepted as complete • Print name ) L t � �� A n l Date / `L -(� Fee methodology set by Trt- County Belding Indu,tn Sec ice Ito.ud 9, ` •• Number of nbpeetions per penult allotted 1 Budding` Permits` ELC- PermitApp dot 12.03 aao.ar 15Tt to o' cost ■■ L14 Electrical Permit Application - City of Tigard . Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for all residential systems combined ... S75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm n Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning • System* n Vacuum Systems* n Other: COMMERCIAL WORK ONLY: Fee for each commercial system $75.00 • (SEE OAR 918- 260 -260) Check Type of Work Involved: n Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems Ti Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* n Medical Ti Nurse Calls n Outdoor Landscape Lighting* ❑ Protective Signaling n Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations \©udding,Pemtns \ELC PermnApp doc 04'03 CITY OF TIGARD B UILDING D I V ISI O N O PERMIT #: ELC2005 -00255 125 SW Hall Blvd Tigard R 97223 DATE ISSUED: 4/13/2005 • " Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 .L INSPECTION WORKSHEET FOR DATE: 6/8/2005 ' TIME: 7:12AM PAGE: 78 SITE ADDRESS: 09463 SW WASHINGTON SQUARE RD Al2 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE - LOT #: TYPE OF USE: PROJECT NAME: SUNGLASS HUT DESCRIPTION: 2 sign lighting. • OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: MULTI - LIGHT SIGN CO. PHONE #: 281 -3083 Inspection Request Scheduled For: Date: 6/8/2005 Pour Time: • Code # Inspection Description Confirm # Contact # Message 199 Electrical final 008682 -01 503-281 -3083 N Corrections/Comments/Instructions: 4 /L • • • • • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: � 61--(Af Date: 6 Phone #: (503) 718-