Permit y CITY OF TIGARD ELECTRICAL PERMIT
° PERMIT #: ELC2008 -00125
COMMUNITY DEVELOPMENT DATE ISSUED: 3/4/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09569 SW WASHINGTON SQUARE RD B04 ZONING: C - G
SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG
PROJECT: TRACK N TRAIL
Project Description: Installing (1) interior electrical 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: 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 3/4/2008 $53.40 LIC 64014
TAX] 12% State Surchar 3/4/2008 $6.41 SUP 566S1G
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 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503. • •.•699 or 1.800 332 2344.
Issued By. ,�. �, ice 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.
Electrical Permit Application FOR OFFICE USE ONLY
7 City of Tigard Date/B 3�0, Jr
Plan ]✓/�� 10. . , d 1
a 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
' C Phone: 503 639.4171 Fax: 503.598.1960 DateB Other Permit
TI G A R D Inspection Line: 503.639.4175 Date Ready/By Juris ® See Page 2 for
Internet: www.tigard - gov Notified/Method Supplemental Information
TYPE OF WORK PLAN REVIEW
❑ New construction ❑ Addition /alteration /replacement Please check all that apply (submit a sets of plans w /items checked below).
❑ Service or feeder 400 amps or more ❑ Building over three stones
❑ Demolition ® Other: Sign 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 agncultural
❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building amps for all other installations buildings
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system
❑ Addition of new motor load of ❑ "A ", "E ", "l- 2 ", "I -3 ",
Job no.: Job site address: 9569 SW Washington Square Rd. IOOHP or more occupancy
❑ Six or more residential units ❑ Recreational vehicle parks
City /State /ZIP: Tigard, OR 97223 ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations 600 volts nominal
Suite/bldg. /apt. no.: 96 Project name: Track & Trail ❑ Service or feeder 600 amps or more
FEE SCHEDULE
Cross street/directions to job site: Washington Square 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 1
Tax map /parcel no.: Limited energy, residential
75.00 2
DESCRIPTION OF WORK (with above sq ft.)
Limited energy, multi - family
Install (1) elect wall sign residential (with above sq ft) 75.00 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
Name: Washington Square, LLC 401 amps to 600 amps 160 60 2
601 amps to 1,000 amps 240.60 2
Address: 9585 SW Washington Square Rd. Over 1,000 amps or volts 454.65 2
City/State /ZIP: Tigard, OR 97223 Temporary services or feeders installation, alteration, and /or
relocation
Phone: (503)639 -8860 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
Owner signature: Date: Branch circuits — new, alteration, or extension, per panel
A Fee for branch circuits with
® APPLICANT I El CONTACT PERSON above service or feeder fee,
each branch circuit 6.65 2
Business name: (Same as contractor) B Fee for branch circuits
without service or feeder fee,
Contact name: 46.85 2
first branch circuit
Address: Each add'I branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City/State /ZIP: Each manufactured or modular 90.90 2
Phone: dwelling, service and/or feeder
( ) Fax: ( ) Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting I 53.40 53.40 2
Business name: Meyer Sign Co. of Oregon, Inc. Signal circuit(s) or limited -
energy panel, alteration, or
Address: 15205 SW 74 Ave. extension. Describe: Page 2 2
City/State /ZIP: Tigard, OR 97224 Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: ((503) 620 -8200 Fax: (503) 620 -7074 Investigation per hour (I hr min) 62.50
CCB Lic.: 64014 Electrical Lic.: 20- 190CLS Suprv. Lic.: SIG566 Industrial plant per hour 73.75
�/�� ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: f�,�r��l' Subtotal: 53.40
Print name: Phil Reynolds Date: 3 -03 -08 Plan review (25% of permit fee):
ilk State surcharge (12% of permit fee): 6 41
Authorized signature: — 4` TOTAL PERMIT FEE: 59.81
This permit application expires if a permit is not obtained within 180
Print name: Steve Murphy Date: 3 - 03 - 08
days after it has been accepted as complete.
• Number of inspections allowed per permit
I \ Building 'Permiis\ELC- PermitApp doe 05/23/06 440 -4615T(I 1 /05 /COM/WEB
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2008 -00125
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/4 /2008
Phone: (503) 639 -4171 Z Inspection Requests (24 Hrs.): (503) 639 - 4175 __
INSPECTION WORKSHEET FOR DATE: 3/11/2008 TIME: 7:00AM PAGE: 45
SITE ADDRESS: 09569 SW WASHINGTON SQUARE RD B04 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: TRACK N TRAIL
DESCRIPTION: Installing (1) interior electrical wall sign.
OWNER: WASHINGTON SQUARE LL.C, PHONE #:
CONTRACTOR: MEYER SIGN CO OF OREGON PHONE #: 503620 - 8200
Inspection Request Scheduled For: Date: 3/11/2008 Pour Time:
Code # Inspection Description Corifirmi Contact # Message
199 Electrical final 066455-0 503 620 -82.00 N
Corrections /Comments /Instructions:
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Iv ()Q11..6 Date: b' it v v Phone #: (503) 718- 1.141fd