Permit a' : CITY OF TIGARD
ELECTRICAL PERMIT
CI
PERMIT #: ELC2008 -00332
° COMMUNITY DEVELOPMENT DATE ISSUED: 6/11/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S12600-00300
SrrE ADDRESS: 09567 SW WASHINGTON SQUARE RD B03 B ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG
PROJECT: FRED MEYER JEWELERS
Project Description: (2) sign lightings.
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: 2
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 6/11/2008 $106.80 LIC 64014
[TAX] 12% State 6/11/2008 $12.82 SUP 566SIG
Total $119.62 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 rf 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
503 246.669 • • :10.332 2344
Issued By: 1 : - ��%, , ` • 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
City of Tigard Date /B ( //' 0 =Aj Permit No ,,dog- o0 339-
gi 13125 SW Hall Blvd , Tigard, OR 97223
g Plan Review
III . Phone 503 639 4171 Fax 503 598 1960 Date/By Other Permit
T I G A R D Inspection Line 503.639 4175 Date Ready /By 0 See Page 2 for
Internet www tigard- or.gov Notified/Method / (� Supplemental Information
" TYPE OF WORK .T . ,. - PLAN. REVIEW- ,
❑New construction ❑ Addition /alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked below)
❑ Service or feeder 400 amps or more ❑ Building over three stories
❑ Demolition to Other: S 1 4,(0 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
❑ 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
_ - ,, I ❑ Addition of new motor load of ❑ "A ", "E ", "I -2 ", "I -3 ",
Job no.: Job site address: 9 SW IJASNIAO &TO/\I SQ. RO Six or more more occupancy.
❑
❑ Six or more residential units Recreational vehicle parks
City/State /ZIP: ❑ Health -care facilities ❑ Supply voltage for more than
Tt ( 6 n D D 97 223 ❑ Hazardous locations 600 volts nominal
Suite/bldg. /apt. no.: Project name: f QEp M eYgK Sa a L E I S _ ❑ Service or feeder 600 amps or more
FEE SCHEDULE
Cross street/directions to job site: tim 2_17) &ger)-1 gU(Z(, A Description I Qty. I Fee. I rota' I •
New residential single- or multi- family dwelling unit.
Se HO LLS F2 K ( Includes attached garage.
Subdivision: Lot no.: 1,000 sq ft or less 145 15 4
Tax map /parcel no.: Ea add'I 500 sq. ft or portion 33.40 I
Limited energy, residential 75 00 2
DESCRIPTION OF WORK (with above sq ft )
Limited energy, multi -family
( ZO5/ s t1, e 5 -II , /2 i ` fA SC IA cA(31NGTS i 6W)1'i ii(Iyi ANDO)j.fixl3., residential (with above sq B)
7500 2
Services or feeders installation, alteration, and/or relocation
1,.0 ( 0 C OJC L S 4 200 amps or less 80 30 2
I rPROPERTY- OWNER , ❑ TENANT 201 amps to 400 amps 106 85 2
Name: 1, , jit l/n. - ,) � � 401 amps to 600 amps 160 60 2
b1l ,J 601 amps to 1,000 amps 240.60 2
Address: 9 30E) .5k jJ' • Over 1,000 amps or volts 454 65 2
City/State /ZIP: ^L� (3-‘2___ q 7 2-2 Temporary services or feeders installation, alteration, and/or
relocation
Phone: (3 ,) b 39 ' a 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
. O. APPLICANT . ❑ CONTACT PERSON above service or feeder fee, 6 65 2
each branch circuit
Business name: MEel E R St 6N (0. C) O 1RG &O..) B Fee for branch circuits
Contact name: without service or feeder fee, 46 85 2
t c\I E K U (' ' first branch circuit
Each add'l branch circuit 6 65 2
Address: (I S 2OS S v%) 7 A JL , Miscellaneous (service or feeder not included)
City/State /ZIP: r GA RD ,6 R. 9 7S211 Each manufactured or modular 90 90 2
50 ) 6 $' 200 Fax: (5 ) 6 ZO -7071 dwelling, service and/or feeder
Phone:
( 3 3 Reconnect only 66 85 2
E -mail: Pt2M tt5 C /1e'j 7LSi GNCC - <OM Pump or irrigation circle 53 40 2
. CONTRACTOR' Sign or outline lighting ,. 53 40 Ma) 2
Business name: M Ey eg $ G1) CO. O F ORt6ON Signal pane a) e r limited- on, or
energy panel, alteration, or
extension Describe Page 2 2
Address: 15 SIN 71 -i "AVE,
City/State /ZIP: --I & A L? C , OK 4 72 Z9 Each additional inspection over allowable in any of the above
5'03 6 g Fax: S 0 ) ( 2 0 -- 7 C 7 / Per inspection 62 50
Phone:
( ) 2 O - ZOO ( 3 I Investigation per hour (I hr mm) 62 50
CCB Lic.: / r (,I Electrical Lic.: ip..-190eL5 Suprv. Lic.: 61 61,0 Industrial plant per hour 73 75
ELECTRICAL PERMIT. FEES
Suprv. Electrician signature, required: -- Subtotal. fn(o. lib
Print name: f1 Date: to _ I ( —6-2 Plan review (25% of peimit fee)
2 State surcharge (Jl%b of permit fee) /'a ig2—
Authorized signature. III, ,.....1110 - -- TOTAL PERMIT FEE I I q. to L-,
1 - This permit application expires if a permit is not obtained within 180
Print name: '� _ I • Date: C _17/ days after it has been accepted as complete.
Number of inspections allowed per permit
I \Building\Permits\ELC- PermiApp doc 05/23/06 440 -4615T(1 I /05 /COM/WEB
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK ONLY:
Fee for all residential systems combined ... $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
❑ Vacuum Systems*
El Other:
COMMERCIAL WORK ONLY:
Fee for each commercial $75.00
system
(SEE OAR 918- 260 -260)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
n Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
El Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I \Bmlding\Permns\ELC- PermiApp doc 03/23/06
CITY OF TIGARD ,
BUILDING DIVISION PERMIT #: ELC2008.00332
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/11/2000
Phone: (503) 639-4171 71:1111(1
Inspection Requests (24 Hrs.): (503) 639 -4175 ,.',
. INSPECTION WORKSHEET FOR DATE: . 7/11/2008 TIME: 7:00AM PAGE: 20
SITE ADDRESS: ®i67 SW WASHINGTON SQUARE RD 803 B CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: ,
PROJECT NAME: FRED MEYER JEWELERS
DESCRIPTION: (2) sign lightings.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: MEYER SIGN CO 'OF OREGON PHONE #: 503 620 - 0200
Inspection Request Scheduled For: Date: .- W-1- 1/2008 Pour Time:
Code # Inspection Description . Confirm # Contact # Message
199 Electrical final 072516-01 503.620 -8200 Y
Corrections/Comments/Instructions:
•
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FA PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
IN FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Q W `1 VL.a L' Date:. 1 ul O Phone #: (503) 718 mi-16-
. , , ,
CITY OF TIGARD •
BUILDING DIVISION PERMIT #: ELC2008 00332
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6111/2008
Phone: (503) 639 -4171 +�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/27/2008 TIME: 7:01AM PAGE: 29
SITE ADDRESS: 09567 SW WASHINGTON SQUARE RD 603:B CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: FRED MEYER JEWELERS
DESCRIPTION: (2) sign lightings.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: MEYER SIGN CO OF OREGON PHONE #: 503. 620 -8200
Inspection Request Scheduled For: Date: 6/27/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
14() Sign installation 071916 -01 330.352-9863 N
Corrections /Comments/ Instructions:
A PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 1.1 Inspector: v `�" Date: t/2/(61 Phone #: (503) 718- /1/713