Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00693
.,,11i1 DEVELOPMENT SERVICES DATE ISSUED: 9/19/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S12600 -00300
SITE ADDRESS: 09512 SW WASHINGTON SQUARE RD H -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 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 -8865 Phone: 503 - 281 -3083
FEES Reg #: LIC 64107
tion Date Amount SUP 26
Description ELE 26 -90CLS
•
[ELPRMT] ELC Permit 9/19/2005 $53.40
[TAX] 8% State Surcharge 9/19/2005 $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. Speaalty 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 -80 2- .
Issued By: Permittee Signature:
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.
ical Permit DS VED • FOR OFFICE USE ONLY
ity of Tigard Receive 9
`J g 9725EP 16 Date/B : /9 D . A Permit No i - 0 0 ..- 0V 0
13125 SW Hall Blvd ,Tigard, OR 972 2005 Plan Review Other Permit
Phone 503 63
Fax 503.598 1960 ----_ ;TIM e� "� ��9 I � ` Date/B
Inspection Line: 503.639 4175 CITY OF TIGARD L Date Ready /By lan / El See Page 2 for
Internet www ci.tigard.or US BUILDING DIVISION Notified/Method ��v 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 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
❑ 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 DEgress/lighting plan RV park
❑Health -care facility ❑Other
Job no.: Job site address: 767z Washington Square RD
Submit 2 sets of plans with any of the above
City/State /ZIP: Tigard, Or The above are not applicable to temporary construction service
Suite/bldg. /apt. no.: H2 Project name: Lids FEE* SCHEDULE
Description I Qty. I Fee. I Total I .*
Cross street/directions to job site: Washington Square 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'I 500 sq ft or portion 33 40 I
Tax map /parcel no.: Limited energy, residential 75.00 2
Limited energy, non - residential 75.00 2
DESCRIPTION OF WORK Each manufactured or modular
hooh up electrical to one sign dwelling, service and/or feeder 9090 2
Services or feeders installation, alteration, and /or relocation
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 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: Multi -Light Sign branch circuit
B Fee for branch circuits
Contact name: Vicki without service or feeder fee,
each branch circuit 46 85 2
Address: 809 NE Lombard
Each add] branch circuit 6.65 2
City/State /ZIP: Pdx 97211 Miscellaneous (service or feeder not included)
Pump or irrigation circle 53 40 2
Phone: (503) 281 -3083 Fax: : (503-280-9624)
Sign or outline lighting / 53 40 2
E -mail: Signal circuit(s) or limned -
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: pdx 97211 Investigation per hour (I hi min) 62.50
Phone: (503) 281 -3083 Fax: (503 -280 -9624) Industrial plant per hour 73 75
ELECTRICAL PERMIT FEES*
CCB Lie.: 64107 Electrical Lie.: 2690c1s Suprv. Lic.: 343 -si l Subtotal , } - 3 iv
Suprv. Electrician signature, Fee u' �� a 6 / Plan review (25 % of permit fee)
Print name: 0 ,, .� Date: 9/6/05 State surcharge (8% of permit fee) 7=
rPL �^"'— N TOT PERM FEE �r
� y X6
Authorized si ature / This permit application expires if a permit is not obtained within 180
� .../ days after it has been accepted as complete
Print name: • I L t ( /�� Date: 9/6/05 • • Fee methodology set by Tri- County Building Industry Service Board
V` Number of Inspections per permit allowed
i \Building\Permits\ELC- PermuApp doc 12103 440-4615T110 /021COMM'EB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC200S -00693
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/19/2006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639-4175 ,_.r it
INSPECTION WORKSHEET FOR DATE: 10/3/2005 TIME: 7:07AM PAGE: 76
1
SITE ADDRESS: 09612 SW WASHINGTON SQUARE RD H -2 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: LIDS
DESCRIPTION: Sign lighting.
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503-639-8865
CONTRACTOR: MULTI -LIGHT SIGN CO. PHONE #: 503. 281 -3083
Inspection Request Scheduled For: Date: 10/3/2005 Pour Time:
n C # Inspection Description Confirm # Contact # Message
199 Electrical final 017175.01 503-655 -0834 N
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS '
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G• 1V e5 LC Date: , ON ? d Phone #: (503) 718- 2.4 (Co