Permit •
CITY OF TIGARD ELECTRICAL PERMIT
" PERMIT #: ELC2007 -00415
' COMMUNITY DEVELOPMENT DATE ISSUED: 6/18/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09502 SW WASHINGTON SQUARE RD J -3 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG
PROJECT: CINGULAR WIRELESS /AT &T
Project Description: Electrical 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 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 6/18/2007 $53.40 LIC 64014
[TAX] 8% State Surcharge 6/18/2007 $4.27 SUP 566SIG
Total $57.67 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 503 746.6699 or 1.800.332.2344.
,0* ,
Issued By: Permittee Signature: _ A"
OWNER INSTALLATION ONLY 4
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: en/ 'AL 7e/9 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 Perm tnWiataftiMI V a 1 -' FOR OFFICE USE ONLY
-
•
Other Permi
City Received Permit No
tY of Tigard � N 1 8 2007 DDate/By � — C'�oo7 yv
13125 SW Hall Blvd., Tigard, OR 972 plan Review
t'
e Phone: 503.639.4171 Fax: 5 131960 i n "'•1'. 1 ' Date/By: 6(o(OO4o - 4053
Inspection Line: 503.639.417 Y O 11ET� . ' t. . '� 1.. Date Ready/By funs El Sec Page 2 for
Internet: www.tigard -or.g Notified/Method Supplemental information
.
PLAN REVIEW
❑ New construction ❑ Addition/alteration/replacement Please check all that apply: .
v r ❑Service over 225 amps, comm'l ['Hazardous location
El Demolition they: �G�tl ❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. R.,
' CATEGORY OF ' CONSTRUCTION' - _ of I- and 2- family dwellings 4 or more new residential
❑ I - and 2 family dwelling ❑ Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑Building over three stories ❑Feeders, 400 amps or more
❑ Multi - family El Master builder ❑ Other:
❑Occupant load over 99 persons ❑Manufactured structures or
'; _ -: = JOB SITE INFORMATION - AND L OCATION DEgress/lighting plan RV park
❑Health -care facility ['Other:
Job no.: I Job site address: CIS D SW WR-S}iIN6Ta SQ..
Submit 2 sets of plans with any of the above.
City / State/ZIP: -t'l 6f c,.__, b 912 The above are not applicable to temporary construction service.
FEEl . SCHEDULE
Suite/bldg. /apt. no.: A- 02 I Project name: ° 6 t tJ(L(AR D
ii-T4� Fee. I Qty. I Feee I Total
Cross street/directions to job site: New residential single- or multi - family dwelling unit.
Includes attached garage.
Lo1f9 -t i tJ 6T S C u & -F pia, 1,000 sq. ft. or less 145.15 4
Subdivision: Lot no.: Ea. add'I 500 sq. ft. 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 1
dwelling, service and/or feeder 90.90 2
/Ai S T4 / Oro 6 ( / ) 5 /6/v Services or feeders installation, alteration, and /or relocation
200 amps or less 80.30 2
''PROPERTY OWNER : I - - ❑ TENANT 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
Name: (y1 AtZE(Z 10.4 L o.M P 0.N y 601 amps to 1,000 amps 240.60 2
Address: I (oN 9 5 )1/ E y + "_ .5-T- Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2 ,
City / State/ZIP: T2 - " ( c ) Ni 1) WP CI YrOS 2 Temporary services or feeders installation, alteration, and /or 1
Phone: (S 5 ) '3SZ - $s'8 200 y I Fax: ) relocation 0 amps
or 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 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: ( 5frin e i1 Lc,N1 cr i) branch circuit
B. Fee for branch circuits
Contact name: 5c OTr '5Tt}y4 - u b/ without service or feeder fee, 46.85 2
first branch circuit
Address: •
Each ad branch circuit 6.65 2
City /State/ZIP: Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone: ( ) I Fax: : ( ) r
Sign or outline lighting 1 53.40 5"3, yd 2
E - mail: putt , Tr p Meye v NW+Ada • [ ,v1 Signal circuit(s) or limited- 1
CONTRACTOR energy panel, alteration, or
. extension. Describe: Page 2 2
Business name: MrL y Eia S/6 N Coh'PyrN 6 (5 ,2,- 6 ,6c..,0 vG
Each additional inspection over allowable in any of the above
Address: IS' Zo S SW 7 L/P-- Gv,
Per inspection 62
50
City /State/ZIP: 1 /G,4 112D O2 e - 7ZZr{ Investigation per hour (1 hr min) 6250
Phone: ( Sb3 ) (,2,,.— ?Lao I Fax: (Sp ) 6_ - 70751 Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES*
CCB Lic.: (../ 61 4 Electrical L... Z j9 6
ac Suprv. Lic.: E_�i Subtotal �3,'/ )
Suprv. Electrician signature, required. / �/ 7 l Plan review (25% of permit fee)
/ State surcharge (8% of permit fee) /' a 7
Print name: p L erLi � ''CC c (,/l j Date: 6_ 01_07
TOTAL PERMIT FEE 57• 6,7 Authorized signature: / /`� This permit application expires if a permit is not obtained Nithin 180
days after it has been accepted as complete
Print name: S T% S .,(S/1,/6r' Date: 6-,,,_, 7 - • Fee methodology set by Tn- County Building Industry Ser%ice Board
• • Number of inspections per permit allowed
no[1,!diadPcm,ravitC -rcro, 5o; doc 12/30105 4l -46 t5Tftnm?/CO\VNTn
CITY OF TIGARD
A ,
BUILDING DIVISION PERMIT #: ELC2007 -00415
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/10/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 ' - ° L
INSPECTION WORKSHEET FOR DATE: 8/7/2007 TIME: 7:03AM PAGE: 49
SITE ADDRESS: 09502 SW WASHINGTON SQUARE RD �I.3 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: CINGULAR WIRELESS/AT&T
DESCRIPTION: Electrical for (1) sign.
OWNER: WASHINGTON SQUARE LLC. PHONE #:
CONTRACTOR: MEYER SIGN CO OF OREGON PHONE #: 503-620.820t0
Inspection Request Scheduled For: Date: 8/7/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 053522 -01 503-620-8200 N
Corrections /Comments /Instructions:
K.
Y1
�` PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
' Inspector: - C NOES Date: 1'1 61 Phone #: (503) 718 - Wi
I I (,-L '