Permit CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELC2008
DATE ISSUED: 7/23/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09561 SW WASHINGTON SQUARE RD B01 ZONING: C -
SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG
PROJECT: STRIDE RITE
Project Description: Installing sign lighting for wall 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 7/23/2008 $53.40 LIC 64014
[TAX] 12% State Surchar 7/23/2008 $6.41 SUP 566SIG
Total $59.81 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 throw,. •AR 952 - 001 -0100 You ma obtain copies of these rules or direct questions to OUNC at 503.246 6699 or 1 800 332 2344
Issued By _ •ermittee Signature:
111
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
O FOR OFFICE USE ONLY
` City of Tigard Received Date /B Permit No
_ _ a , i
,All '" 13125 SW Hall Blvd . Tigard, OR ti Plan Review
I t:.: Phone 503 639 4171 Fax 503 Date/By Other Permit
Inspection Line 503 639 4175 p �� Date Ready /By ® See Page 2 for
TIGARD Internet www tigard -or gov ,v� y 1. Notified /Method J e Supplemental Information
TYPE OF WORK IV F�\G14 ` <pN PLAN REVIEW
❑ New construction ❑Addition /alteran o ® d (t(I
'(� O ` ` Please check all that apply (submit 2 sets of plans w /items checked below)
l� ❑ Service or feeder 400 amps or more ❑ Building over three stories
E l Demolition .they: 6, 4 �`�O \�V`+ where the available fault current ❑ Mannas and boatyards
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ I- and 2- family dwelling ,0'Commercial /industrial ❑ Accessory building amps for all other installations buildings
❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump ❑ Installation of 75 KVA of
❑ Emergency system larger separately derived system
JOB SITE INFORMATION AND LOCATION ❑ Addition of new motor load of ❑ "A ", "E",' 1 -2 ", "I -3",
�� I00HP or more occupancy
Job no.. Job site address. I "4, i ‘CA-) g'14/ S r 4- ❑ Six or more residential units ❑ Recreational vehicle parks
J ❑ 1 lealth -care facilities ❑ Supply voltage for more than
City /State /ZIP: 1 - ( 2 -A , ❑ Hazardous locations 600 volts nominal
Suite /bldg. /apt. no.: ` \ Project name: 6724.V-.. n kt- 1: Service or feeder 600 amps or more
�` FEE SCHEDULE
1 u t ,(1
Cross street /directions to job site: . / f /Alti -aye— Description I Qty. I Fee I Total I "
� New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot no 1,000 sq ft. or less 145 15 4
Ea add'I 500 sq ft or portion 33 40 I
Tax map /parcel no.: Limited energy, residential
75.00 2
DESCRIPTION OF WORK ( w q ) dh above s ft
JAM l ( J Ow C Iva �
Limited
(with above sq R ) ed energy, mule- family 75 00 2
residential
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
Name: / 401 amps to 600 amps 160 60 2
•M)t-Q, 601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454 65 2
City /State /ZIP: q y l 2 , ') Temporary services or feeders installation, alteration, and /or
7 L 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 599 amps 133.75 2
Branch circuits - new, alteration, or extension, per panel
Owner signature: Date A Fee for branch circuits with
Q APPLICANT 0 CONTACT PERSON above service or feeder fee, 6.65 2
each branch circuit
Business name: r( �m a 13 Fcc for branch circuits
without service or feeder fee,
\ \\ � 46 85 2
Contact name' first branch circuit
Each addl branch circuit 6 65 2
Address:
Miscellaneous (service or feeder not included)
City /State /ZIP: Each manufactured or modular 90 90 2
dwelling, service and /or feeder
Phone: ( ) Fax' . ( ) Reconnect only 66 85 2
E -mail: Pump or Irrigation circle 53 40 2
CONTRACTOR Sign or outline lighting / 53 40 73 2
1 „ Signal circuit(s) d (s) or limited -
Business name: 1 L L h- (9 - r b -, ,(((///� /�,, G • energy panel, alteration, or
Address: �Jly °” I(' �' "� 7i .
extension Describe Page 2 2
/SAS .�w
City /State /ZIP: -r—C c1-1 t�R, , / Iii)- Each additional inspection over allowable in any of the above
Per Inspection 62 50
Phone: ( 5b) � 6 ZO . Q 'GDO Fax: ( 555) 6 10- 70 7CI ' Investigation per hour (I hr mm) 62 50
CCB Llc. r i O Electrical Lie.: z o . gt D , Suprv. Lic.. j , Industrial plant per hour 73 75
(D ELECTRICAL PERMIT FEES
Suprv. Electrician signature. required: Subtotal ,4'
c Dat Plan review (25% of permit fee).
Print name: 1 _ �t
��,�, l5�( J / Z2 —09 State surcharge (12% of permit fee) S if(
Authorized signature' li TOTAL PERMIT FEE
a
%
This permit application expires if a permit is not obtained within 180
Print name • 6 i u Q Date: 7,22 _ days after it has been accepted as complete.
* Number of inspections allowed per permit
I \Budding \Permits \ELC- PermaApp doc 05/23/06 440 -461 ST( I I /05 /COM/\EB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2008-00420
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/23/2008
Phone: (503) 639 -4171 �'�►
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/24/2008 TIME: 7:00AM PAGE: 2
SITE ADDRESS: 09561 SW WASHINGTON SQUARE RD B01 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: STRIDE RITE
DESCRIPTION: Installing sign lighting for wall sign.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: MEYER SIGN CO OF OREGON PHONE #: 601620 - 6200
Inspection Request Scheduled For: Date: 7/24/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
140 Sign in. tallation 073164 -01 503 - 620 -8200 N
Corrections /Comments /Instructions: •
N
N
•
*,/ i
4
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Gm N1:3 LC Date: 'L Phone #: (503) 718- 1_9 L1 t