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Permit , CITY OF TIGARD , ELECTRICAL PERMIT i PERMIT #: ELC2008 -00620 COMMUNITY DEVELOPMENT DATE ISSUED: 11/4/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S12600-00300 SITE ADDRESS: 09653 SW WASHINGTON SQUARE RD MO2 A ZONING: MUC SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG PROJECT: SANRIO Project Description: Sign installation. 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 ENERGY TECHNOLOGY BY THE MACERICH COMPANY 9801 ST HELENS AVE. 9585 SW WASHINGTON SQUARE RD VANCOUVER, WA 98664 TIGARD, OR 97223 Phone: Contact #: PRI 503 - 903 -5056 FEES Description Date Amount Reg #: ELE 37 -863C [ELPRMT] ELC Permit 11/4/2008 $53.40 LIC 138643 [TAX] 12% State Surchar 11/4/2008 $6.41 SUP 4543S 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 thro e • OAR 952 - 001 -0100. You • •': of these rules or direct questions to OUNC at 503 246.6699 or 1.800.332.2344. Issued By a ,,, / / % Permittee Signature: P44 - S ' A-"-t- L - ' 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 Ft►u Ol.1 -1(.1� 1.,s1. ON 11 III Cl of Ti AC(� , DaRecteived •eimit No.: • 13125 SW Hall Blvd., Tigard, OR 97 , .. Plan Review 0 Phone: 503.639.4171 Fax: 503.59 i) t „ , Date/By Other Permit' T l G A I D w Inspection Line: 503.639.4175 `1 k) 4 t Date Ready/By rutig RI See Page 2 for Internet: ww.tigard - or.gov 0 kw,i ■ otified/Method. Supplemental Information TYPE OF WORK 0 0` IS PLAN REVIEW New construction ❑ Addition/alteratio • " t ® Please check all that apply (submit 2 sets of plans w /items checked below) ❑Demolition ❑Other: ��, ❑ Service or feeder 400 amps or more ❑ Building over three stories �� where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at ISO 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 ❑ Addition of new motor load of ❑ "A" "E" "1 -2" "1 -3" Job no.: Job site address: I_ I Si — 0 it 100HP or more. occupancy. (�AS`' 1 I 01.54061 t s v4 ee 461 It— (..4., - ❑ Six or more residential units. ❑ Recreational vehicle parks. City/State /ZIP: (4i , ©e, q 2,7- - ❑ Health - care facilities ❑ Supply voltage for more than ❑ Hazardous locations 600 volts nominal Suite/bldg. /apt. no.: (/V1 O q Project name: xi- K tZ T 0 ❑ Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Description I Qty. I Fee. I Total I • New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: 1 Lot no.: 1,000 sq. ft. or less 145.15 4 Ea. add'l 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 75.00 2 t l 9 Tut S (( residential (with above sq ft) 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 Name: 401 amps to 600 amps 160.60 2 2r 0 601 amps to 1,000 amps 240.60 2 Address: 95 S. S CO Li) !•4-S A i v94 frk. s,4_ d -71 _ 0 ei Over 1,000 amps or volts 454.65 2 City/State /ZIP: 6Q/t4 ifl t_ 0 i Q7 2-3 Temporary services or feeders installation, alteration, and/or relocation Phone: ( ) I 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, i • r panel A. Fee for branch circuits with ❑ APPLICANT I ❑ CONTACT PERSON above service or feeder fee, each branch circuit 6.65 2 Business name: B. Fee for branch circuits Contact name: without service or feeder fee, 46.85 2 first branch circuit Address: Each add'l branch circuit 6.65 2 Miscellaneous (service or feeder not included) City/State /ZIP: Each manufactured or modular dwelling, service and/or feeder 90.90 2 Phone: ( ) Fax: : ( ) Reconnect only 66.85 2 E -mail: 4■2.41$ • .• ° .1 - n J Pump or irrigation circle 53.40 2 CONT)1ACT Sign or outline lighting f 53.40 51, ?c) 2 Signal circuit(s) or limited - Business name -j,, �'� At% 2 J energy C � panel, alteration, or Address: 9 �� 1 extension Describe: Page 2 2 City/State/ZIP: v qM t� (,U ' A, VVi/ 1 C C(icl4� Each additional inspection over allowable in any of the above Phone:: � (j J) 10 Z 5 ® t Fax: Per inspection 62.50 ( ) Investigation per hour (I hr min) 62.50 CCB Lic.: ' .� Electrical Li m ' . t �' %. Lic. I . `f �� Industrial plant per hour 73.75 =NS `-� ELECTRICAL PERMIT FEES Suprv. Electrician signature, require : • 4 -- Subtotal: .41) Print name: - ` f) `�j, Plan review (25 permit fee): ` I ,. C State surcharge (12 /o of permit fee): C, , If Authorized signature . • TOTAL PERMIT FEE: J ! , 37 - - r r !. ao This permit application expires if a permit is not obta ned within 180 f Print name: Date: 1( t O days after it has been accepted as complete. • Number of Inspections allowed per permit. I \Budding\Permits\ELC- PertmtApp doc 05/23/06 440- 4615T( 1/05 /COM/WEB CITY OF TIGARD 'R BUILDING DIVISION w PERMIT #: EL.C2008 -00620 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/412OOl Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 ..'=� I . INSPECTION WORKSHEET FOR DATE: 11/6/2006 TIME: 7:00AM PAGE: 54 SITE ADDRESS: 09653 SW WASHINGTON SQUARE RD MO2 A CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: SANRIO DESCRIPTION: Sign installation. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: ENERGY TECHNOLOGY PHONE #: 503- 903 - 5056 Inspection Request Scheduled For: Date: 11/6/2006 Pour Time: Code # Inspection Description Co firm` #� Contact # Message 199 Electrical final 077663-01 503 - 516 -3419 N .-I Corrections /Comments/ Instructions: \ I\ N\ , 7 14 3 AS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G' N(\031. V►3 l. Date: i\ 6(V D Phone #: (503) 718- 3.4q