Permit CITY OF TIGARD ELECTRICAL PERMIT
1111 PERMIT #: ELC2007 - 00577
- COMMUNITY DEVELOPMENT DATE ISSUED: 8/16/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S12600-00300
SITE ADDRESS: 09689 SW WASHINGTON SQUARE RD C -8 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG
PROJECT: COACH
Project Description: Sign lighting
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 MULTI -LIGHT SIGN CO
BY THE MACERICH COMPANY 809 NE LOMBARD ST
9585 SW WASHINGTON SQUARE RD PORTLAND, OR 97211
TIGARD, OR 97223
Phone: Contact #: PRI 503 - 281 - 3083
FAX 503 - 280 -9624
FEES
Description Date Amount Reg #: ELE 26 -90CLS
[TAX] 8% State Surcharge 8/16/2007 $4.27 LIC 64107
IELPRMT] ELC Permit 8/16/2007 $53 30 SUP 343SIG
Total $57.57 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 1 332 2344.
Issued By: Permittee Signature: k'
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 Appl>I =Q1, I „,t,:_,:__,_.. - ; .:FOR OFFICE USE -ONLY _- - - - - -- - - -
Receive. I
City of Tigard lo /0 Bg Permit Noa - 7 -0057
1 a 13125 SW Hall Blvd , Tigard, OR 972 J �' 1 2007 Plan Review
C Phone 503 639 4171 Fax 503 598 0
Date/By Other Permit
TI G A R D Inspection Line. 503 639 417r j ' [ Y f � F I W ARD Date Ready/By. Juns ® See Page 2 for
Internet www tigard -or gov v }�” ° 1 V (� Notified/Method Supplemental Information
' T L 'I P -'YYf) kTG DIVISION 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 ❑ Other: where the available fault current ❑ Marinas 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 denved system
❑ Addition of new motor load of ❑ "A ", "E ", "I -2 ", "I -3 ",
Job no.: Job site address: '_ / 100HP or more. occupancy
SAS ) � IZ j, S/�. ❑ Six or more residential units. ❑ Recreational vehicle parks
City /State /ZIP: U ❑ Health -care facilities ❑ Supply voltage for more than
�t �/�,� � � ❑ Hazardous locations 600 volts nominal
Suite/bldg. /apt. no.: Project name: Co r. I ❑ Service or feeder 600 amps or more
�^ FEE SCHEDULE
Cross street/directions to job site: VN�sin cA � 1 ( Description I Qty. I Fee. I Total I •
' ^ New residential single- or multi- family dwelling unit.
��,l 7 C2--e Includes attached garage.
Subdivision: 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
DESCRIP'T'ION OF WORK . (with above sq ft )
Limited energy, multi - family 75 00 2
^ ,.. residential (with above sq ft )
—" lJ X _ 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
601 amps to 1,000 amps 240 60 2
Address: Over 1,000 amps or volts 454 65 2
City /State /ZIP: Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) Fax: ( ) 200 amps or less 66 85 I
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 ❑CONTACT PERSON a bove service or feeder fee, 6 65 2
each branch circuit
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: Pump or irrigation circle 53 40 2
CONTRACTOR _ Sign or outline lighting 4 53 40 53 11O 2
n • Signal circuit(s) or limited -
Business name:
∎ CA , energy panel, alteration, or
Address: �� A) f1 L a r" �R r S-�- extension Describe Page 2• 2
City/State /ZIP: , Y ,t- D It-- Each additional inspection over allowable in any of the above
iii"' I Per inspection 62 50
Phone: (5 -7 7 7 _ 5-5— Fax: ( ) Investigation per hour (1 hr mm) 62 50
CCB Lic.: (O / ? 7 Electrical Lic.:2 -9 0 CLS Suprv. Lic.: 32.t s Industnal plant per hour 73 75
ELECTRICAL - PERMIT FEES
Suprv. Electrician signature, required: h Subtotal:
Plan review (25% of permit fee)'
Print name: r e e r y f 0 w Date: gl 61 b State surcharge (8% of permit fee) 41,x1
Authorized signature: --1 /'t� ' � 1 l I' TOTAL PERMIT FEE "2, S /
. Wet 1 - 'K er f , ( r (0 I IT a This permit application as bs if a permit is not obtained within 180
.3T e
Print name: Date:
days after er it it has been accepted as complete.
mplete.
• Number of inspections allowed per permit
1 \Buildmg\Permns\ELC- PermitApp doe 05/23/06 440- 4615T(I1/05 /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*
❑ B urglar Alarm
❑ G arage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
❑ Vacuum Systems*
❑ 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
❑ 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\Permtts\ELC- PertnitApp dot 03/23/06
CITY OF TIGARD
BUILDING DIVISION PERMIT #: El C2007..00577
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8116/2007 Phone: (503) 639 -4171 , 4pgp1'
Inspection Requests (24 Hrs.): (503) 639 -4175 '!`� ' I..
INSPECTION WORKSHEET FOR DATE: 10/3/2007 TIME: 7:02AM PAGE: 67
SITE ADDRESS: 09689 SW WASHINGTON SQUARE RD G8 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: COACH
DESCRIPTION: Sign lighting
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: MULTI -LIGHT SIGN CO. PHONE #: 503-281 -3083
Inspection Request Scheduled For: Date: 10/3/2.007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
140 Sign installation 056796 -01 503-777-4555 N
Corrections /Comments /Instructions:
•
I I
■
•
j PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: CT ' Date: 10 0 Phone #: (503) 718- MIL_
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007.00577
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: a ►16/200'7
Phone: (503) 639 -4171 Vilil.
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/3/2007 TIME: 7:02AM PAGE: 60
SITE ADDRESS: 09689 SW WASHINGTON SQUARE RD 4. CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: COACH
DESCRIPTION: Sign lighting
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: MULTI-LIGHT SIGN CO. PHONE #, 503.281 -3083
Inspection Request Scheduled For: Date: 10/3/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 056823-01 503281 -3083 N
Corrections /Comments /Instructions:
•
X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: C. t" 6 Date: 101 . lori Phone #: (503) 718- 1-g 10
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