Permit C ITY OF TIGARD ELECTRICAL PERMIT
!` PERMIT #: ELC2006 -00046
,its 4, DEVELOPMENT SERVICES DATE ISSUED: 1/23/2006
II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171
PARCEL: 1S12600
SITE ADDRESS: 09641 SW WASHINGTON SQUARE RD FC -7 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG
Project Description: (3) signs.
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: 3
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: WISERVICE 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 SECURITY SIGNS INC
BY THE MACERICH COMPANY 2424 SE HOLGATE BLVD
9585 SW WASHINGTON SQUARE RD . PORTLAND, OR 97214
TIGARD, OR 97223
Phone: 503 - 639 -8865 Contact #: PRI 503 - 232 -4172
FAX 503 - 230 -1861
FEES
Description Date Amount Reg #: LIC 122809
[ELPRMT] ELC Permit 1/23/2006 $160.20 ELE 26- 560CLS
[TAX] 8% State Surcharge 1/23/2006 $12.82
Total $173.02 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 - 246 -6699 or
1- 800 - 332 -2344.
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.
CEIV bU
Electrical Permit ADD 'cation FOR OFFICI USE ONLY '
Cit o f • T i g a rd JAN 2 3 2006 nee /B ^6 Permit No av
` 13125 SW Hall Blvd., Tigard, OR rry
Phone. 503.639.4171 Fax: 503.598.11RO°' OF p VASI� , s < i, , , Plan
Other Permit
Insp Line: 503.639.4175 BUILDING J J . ' I � Date Ready/By: MI ® See Page 2 for
Internet: www.ci.tigard.or us Notified/Method 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 OHazardous 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
❑ 1 - 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 RV
❑Egress/lightingD park
Job no.: Job site address: 6J WA-SA/kit Il { ' ❑Healthcare facility ❑Other:
qS
Submit 2 sets of plans with any of the above.
City/State/ZIP: q( The above are not applicable to temporary construction service.
Suite/bldg. /apt. no.: Project name: 4.� _ DA / / y � C FEE* SCHEDULE ..
"� -.Vi1/ ����xY � ) Description 1 Qty. I Fee. I Total l
Cross street/directions to job site: New residential single- or multi- family dwelling unit.
Includes attached garage.
1,000 sq. B. or less 145.15 4
Subdivision: Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential 75.00 2
Limited energy, non - residential 75.00 2
DESCRIPTION OF WORK Each manufactured or modular
dwelling, service and/or feeder 90.90 2
S — )1, (A k "( Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
• ❑ PROPERTY OWNER I ❑ 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 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 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: branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee, 46.85 2
Address: each branch circuit
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: ( ) Fax:: ( )
Sign or outline lighting 3 53.40 /�7 2. 02 E - mail: Signal circuit(s) or limited- ✓
' CONTRACTOR energy panel, alteration, or
extension. Describe: Page 2 2
Business name: G( )0---1 - Th- S 1 La S
Address:` . L4... 1. ��. V . L�9 Each additional inspection over allowable in any of the above
Al l Per inspection 62 50
City/State/ZIP: (9? ...__ , ,,,fbk. I 9 / ..)\0__ Investigation per hour (1 hr mm) 62.50
Phone: (65?) 2- Z ( ( -2 Z ,I , Fax: (AN 2 3 o i g, I Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES*
CCB Lic.C21,gbIl Electrical Lic.: 7 erZ,06.45uprv. Lic. . `'" Subtotal / fa 0
Suprv. Electrician signature, required: Plan review (25% of permit fee)
Print name: VMAct z � G A 1 t''› L S 3 Z State surcharge (8% of permit fee) %�_
TOTAL PERMIT FEE , 7✓ OZ
Authorized signature: - This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete
Print name / LAD )..1. (3 'i : 1 , Z'S , Fee methodology set by Tn -County Building Industry Service Board
Number of inspections per pemut allowed.
i \ Building\Permits\EL.C- PermitApp doc 12/03 440- 4615T(10 /02/COM/WEB
Electrical Permit Application - City of Tigard
c
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
( 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*
❑ Other:
COMMERCIAL WO - 1
Fee for each commercial system. $75.00
(SEE OAR 918- 260 -260)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ 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 \Building\Pennits\ELC- PennitApp doe 04/03
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006•0 016
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1123 1200€;
Phone: (503) 639-4171 1 t1.t,
Inspection Requests (24 Hrs.): (503) 639 -4175 .'!'i °7 11:.
INSPECTION WORKSHEET FOR DATE: 4 /19/2006 TIME: 7:02AM PAGE: 63
SITE ADDRESS: 0964 SW WASHINGTON SQUARE RD FC-7 CLASS OF WORK:
SUBDIVISION: WASH ', GTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: PANDA 'RESS
DESCRIPTION: (3) signs.
OWNER: WASHINGTON S :WARE LLC, PHONE #: 504639 -8865
CONTRACTOR: SECURITY SIGNS C PHONE #: 503 -232 -4172
Inspection Request Scheduled For: Date: 4/19/2006 Pour Time: •
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 128267 -02 503- 516.7114 N
Corrections /Comments /Instructions:
PR2041 "... Co N>• N S i N �'
"ok■
•
PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
X, CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: GIN , O Date: 4 11 q` t Phone #: (503) 718- 20=f
i
CITY OF TIGARD
BUILDING DIVISION PERMIT #: EI-C200& 00046
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/23/21)06
Phone: (503) 639- 41710
Inspection Requests (24 Hrs.): (503) 639 -4175 4 1 :_..
INSPECTION WORKSHEET FOR DATE: 4119/ 2006 TIME: 7:02AM PAGE: €4
SITE ADDRESS: 09641 SW WASHINGTON SQUARE RD Ff -7 CLASS OF WORK: '
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: PANDA EXPRESS
DESCRIPTION: (3) signs.
OWNER: WASHINGTON SQUARE t.LC, PHONE #: 503.639
CONTRACTOR: SECURITY SIGNS INC PHONE #: 60i 232 - '1172
Inspection Request Scheduled For: Date: 4/19/2006 Pour Time:
Code # • Inspection Description Confirm # Contact # Message
140 Sign installation 028267 -01 503 -546 -6711 N
Corrections/Comments/Instructions:
•
cA atic.l tzt Nt oN s i cp
E cz.e=.0 sic .
❑,c PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
• j FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: � p N o Date: 4 (t q.l '[Phone #: (503) 718- Z -"f' 0
. 1