Permit CITY OF TIGARD ELECTRICAL PERMIT
i : _
'Pq PERMIT #: ELC2007 00176
COMMUNITY DEVELOPMENT DATE ISSUED: 3/22/2007
TIGARD 1 31 25 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09534 SW WASHINGTON SQUARE RD H -12A ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG
PROJECT: BARE ESCENTUALS
Project Description: (1) 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: SIGNAUPANEL:
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 3/22/2007 $53.40 LIC 64014
[TAX] 8% State Surcharge 3/22/2007 $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 a set fo h in 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain copies f. these rules or direct questions to OUNC at
503.246.6 99 or 1.80) L_/,21A4 ,. 414J .2344. .
Issued B Permittee Signat re ;y!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.
Electrical Permit Application FOR OFFICE USE ONLY -
v_ - C
City of Tigard Deed �d ,/ Permit No: ui7"�j 7., 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
. Phone: 503.639.4171 Fax: 503.598.1960 ` "4•q:'' I I ' • Date/By. Other Permit
Inspection Line: 503.639.4175 - ..-...01 'I J - , Date Ready/By. , M See Page 2 for
Internet: www.tigard- or.gov Notified/Method. ' / Supplemental Information
TYPE OF WORK - PLAN REVIEW
❑ New construction ❑ Addition/alteration/replacement Please check all that apply:
❑ Dem011tlOn( ❑Service over 225 amps, comet ❑Hazardous location
Other: ❑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 ❑S over 600 volts nominal units in one structure
❑ Multi - family
El Building over three stories ❑Feeders, 400 amps or more
❑ Master builder ❑ Other:
❑Occupant load over 99 persons ❑Manufactured structures or
JOB SITE INFORMATION AND LOCATION ❑Egress/lighting plan RV park
Job no.: Job site address: n nn ❑Health - care facility ❑Other:
�` ' - • K� Submit 2 sets of plans with any of the above.
City /State/ZIP: 77 a N , tan _ 9 7 Z Z The above are not applicable to temporary construction service.
Suite/bldg. /apt. no.: J7 V I Project name: F3� s'/v7—LC 4 (, S FEE* SCHEDULE I ..
Deseriplioo Qty. Fee. MI"
Cross street/directions to job site: 1,4/A , < M a IA New residential single- or multi - family dwelling unit.
�/ Includes attached garage.
1,000 sq ft. or less 145.15 4 1
Subdivision: I Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 1 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
e144.6 _ / Q r' (1\ — _ '�C' ` ML �l a r dwelling, service and/or feeder 90.90 2 � l x �2C y� Services or feeders installation, alteration, and/or relocation
I, 200 amps or less 80.30 2
Lam. PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 106.85 2
/ / 401 amps to 600 amps 160.60 2
Name: (4J T , (.39 (� - d — 601 amps to 1,000 amps 240.60 2
Address:
/,
A U� I7
Over 1,000 amps or volts 454.65 2
-- Reconnect only 66.85 2
City /State/ZIP: / ' 6,G`, , 6 /2. _ q/ Z Z 3 Temporary services or feeders installation, alteration, and/or
Phone: ( ) I Fax: ( ) relocation
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 I
Business name: branch circuit 6.65 2
B. Fee for branch circuits
Contact name: without service or feeder fee,
first branch circuit 46.85 2
Address: Each add'l branch circuit 6.65 2
City /State/ZIP: Miscellaneous (service or feeder not included) '
Pump or irrigation circle 53.40 2
Phone:( ) I Fax::( )
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: ,/,( of w-g_ , f & � G 6 Oa , 0 ,
Address: s / " w (f G7 `'� / Each additional inspection over allowable in any of the above
Per inspection 62.50
City /State/ZIP: r/ (O c4A ( � , tf -7 Z Investigation per hour (I hr min) 62.50
i Industrial plant per hour 73.75
Phone: (S9 3 G 2, 2 .0O Fax: (s ) -70 ELECTRICAL PERMIT FEES*
CCB Lic.: lD 4o ( 4 I Electrical 'c.: poe_LSI Suprv. Lie.- G 5tts Subtotal 53
Suprv. Electrician signature, required: Plan review (25% of permit fee)
Print name: 4 � I / L J �, I Date- 3- 2-Z -c�7 Statesurcharge(8 %of permit fee) �7
TOTAL PERMIT FEE 'S7_ 7
i I Authorized signature: ■\ ��;` This permit application expires if a permit is not obtained within 180
'—� days after it has been accepted as complete
Print name: \'S i ' V G 1,,u.(L I 41 Date: 3 - 22 -07 • Fee methodology set by Tri- County Building Industry Service Board
• • Number of Inspections per permit allowed.
I muldrm`Pcmuw`.f_L -Perm itA pp doc 12/30/Ot 440- 46IS /02 /COMAV
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: E1.C2007 -00176
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/2712007
Phone: (503) 639 -4171 Ake
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/5/2007 TIME: 7:03AM PAGE: 43
SITE ADDRESS: 09534 SW WASHINGTON SQUARE RD H - 12A CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: BARE ESCENTUALS
DESCRIPTION: (1) sign lighting.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: MEYER SIGN CO OF OREGON PHONE #: 503.620.6200
Inspection Request Scheduled For: Date: 4/5/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 046030-01 925.457 -3410 N
Corrections /Comments/ Instructions:
•
P El PARTIAL APPROVAL ❑ CANCEL El NO ACCESS
❑ IL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: r Date: 4 6 O Phone #: (503) 718- Z41-k
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00176
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3122/2007
Phone: (503) 639 -4171 ill
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/4/2007 TIME: 7:01AM PAGE: 46
SITE ADDRESS: 09534 SW WASHINGTON SQUARE RD H -12A CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: BARE ESCENTUALS
DESCRIPTION: (1) sign lighting.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: MEYER SIGN CO OF OREGON PHONE #: 503-620-8200
Inspection Request Scheduled For: Date: 4/4/2007 Pour Time:
Code # Inspection Description nf m # Contact # Message
199 Electrical final 045 -01 925 -457 -3410 N
.- (53x41
Corrections /Comments /Instructions:
sCD 1 aL- Q aatlN c u o f 4is Aw k&
C )• U 2 Ueis
ti CG P(LP k 1 b . ► $ ? WcarNANs(Vi6'.
❑ PASS XPARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: - Iv 6 ® L Date: 4 F 4 Phone #: (503) 718 -1-444,
CITY OF TIGARD
BUILDING DIVISION r PERMIT #: ELC2007 -00176
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/22/2007
Phone: (503) 639 -4171 ifi�l
Inspection Requests (24 Hrs.): (503) 639 -4175 s' "-
INSPECTION WORKSHEET FOR DATE: 4/4/2007 TIME: 7:01AM PAGE: 47
SITE ADDRESS: 09534 SW WASHINGTON SQUARE RD H -12A CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: BARE ESCENTUALS
DESCRIPTION: (1) sign lighting.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: MEYER SIGN CO OF OREGON PHONE #: 503.620 -8200
Inspection Request Scheduled For: Date: 4/4/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
140 Sign installation 045961 -01 925-457-3410 N
Corrections /Comments /Instructions:
- S� F N AL.,
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
( r
Inspector: ��� `'" Date: � Phone #: (503) 9 (J