Permit • ,
,,. CITY OF TIGARD ELECTRICAL PERMIT
N,..., PERMIT #: ELC2007 -00076
COMMUNITY DEVELOPMENT
DATE ISSUED: 1/30/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09730 SW WASHINGTON SQUARE RD F - 8 ZONING: C - G
SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG
Project Description: LENS CRAFTERS 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
[ELPRMT] ELC Permit 1/30/2007 $53.40 LIC 64107
[TAX] 8% State Surcharge 1/30/2007 $4.27 SUP 343SIG
Total $57.67 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: ( q
p
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.
P L , `
Y
Electrical Permit Application _ FOR OFFILE IJSh: ONLY
City of Tigard ��� t, i` ' r''', , , Received 0 a
t , Date/B Q • / Permit No If /./ - / / 0
. V 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone. 503.639.4171 - Fax: 503 598 1960 Date/By: Other Permit
Inspection Line: 503.639.4175 JAN 3 0 2007 Date Ready/By kris H See Page 2 for
T I G A It I7 Notified/Method 1 Supplemental Information
Internet. www tigard-or.gov
TYPE OF , WORKr , li-,,i _ ttUC<+i 1,7: - PLAN REVIEW
❑ New construction ErAdditioiilliMiiOiiheplaCenierii Please check all that apply (submit 2 sets of plans whtems 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
❑ Emergency system larger separately derived system
JOB SITE INFORMATION AND LOCATION ❑ Addition of new motor load of ❑ "A ", "E ", "1 - ", "1 - ",
I or more occupancy
Job no.: Job site address: 91 (AS rt t o �) n Si IZd ❑ Six ix or or more residential units ❑ R ecreational vehicle parks
City/State/ZIP: ,p 2 ! ❑ Health -care facilities. ❑ Supply voltage for more than
ty T \ a �� a, ) �/ s 9 7 C .2. 3 ❑ Hazardous locations 600 volts nominal
Suite/bldg. /apt. no.: 033 $ Project name: L Q_,ln s e_rQ' -.{-e.rS ❑ Service or feeder 600 amps or more
FEE SCHEDULE
Cross street/directions to job site: WA Sk1 n .) h St All dr.[ 1 Description I Qtr- I Fee. I Total I •
New residential single - or multi- family dwelling unit.
— E-4•1 S 1 d -e.... 1/YLCt,1 I 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 75.00 2
, _„. 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
' 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
Temporary services or feeders installation, alteration, and/or
City/State /ZIP: relocation
Phone: ( ) Fax: ( ) 200 amps or less 66.85 1
201 amps to 400 amps 100.30 2
Owner installation: This installation is being made on property that I own which is not 401 amps to 599 amps 133.75 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701.
Branch circuits — new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
Er APPLICANT - I ❑ CONTACT PERSON above service or feeder fee, 6 65 2
each branch circuit
Business name: /V( U / f- L/ 9. h+- i' qr Co B. Fee for branch circuits
7 without service or feeder fee, 46.85 2
Contact name: — P.-CAP 14)a / J (e4 ' first branch circuit
Address: 2 pc L04,1 hater„ I S i--, Each add'I branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City/State /ZIP: 0 �^y- �Q , 7 2/ l Each manufactured or modular 90.90 2
4 ' � x dwelling, service and/or feeder
Phone: (5 Z A I- 30 s3 Fax: : (5 2 d o 0-/ A 6 Z 9 Reconnect only 66.85 2
E -mail: l e i ^ 4 4 i l-_- 4 7 1 /7 r 7,' 9 t17 ", S In • co Pump or tmgation circle r 5 3.40
CONTRACTOR Sign or outline lighting 55;0
2
'n Signal circuit(s) or limited -
Business name: / V I U ( 1 I L; 1,11-- 1,11-- 1 c 7 t n energy panel, alteration, or
Address: 80 N Lo r�l Y✓�✓' d s -i-
extension. Describe. Page 2 2
City /State /ZIP: ,o1 1- e) X . 9 7 2 r 1 Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: (50 3) z- g,' _ 3 0 s 3 Fax: (5 91) Z 80 — c aci 2-- Investigation per hour (1 hr min) 62.50
CCB Lic.: &C./ f 0 7 Electrical Lic.:,y 3 5T Suprv. Lic.:3 y 3 5]&, _ Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES
Suprv..Electrician signature, required: - Subtotal•
Plan review (25% of permit fee)
Print name: e e r y r 1.0 ri Date: / y J Q 7 State surcharge (8% of permit fee): q 2 7
« �� ��
Authorized signature: � � [ TOTAL PERMIT FEE: 5 7, 4, 7
IAA) / 1 This permit application expires if a permit is not obtained within 180
Print name: S .j- e v W A 1 i.(.-e"{" Date: 1 j 2' ` 0 , days after it has been accepted as complete.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00076
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/30/2007
Phone: (503) 639 -4171 ��,�• A
Inspection Requests (24 Hrs.): (503) 639 -4175 I �!.
INSPECTION WORKSHEET FOR DATE: 3/2212007 TIME: 7:00Atvi PAGE: 71
SITE ADDRESS: 09730 SW WASHINGTON SQUARE RD F -8 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: LENS CRAFTERS S
DESCRIPTION: LENS CRAFTERS Sign lighting.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: MULTI -LIGHT SIGN CO. PHONE #: 503281 -3083
Inspection Request Scheduled For: Date: 3/22/2007 Pour Time:
Code # Inspection Description Contact # Message
140 Sign installation 0452'12 -01 503 -281 -3083 N
• . - en s nstructions:
•
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION • ❑ ADDITIONAL FEES ASSESSED
Inspector: G • IA 6Es Date: 3 -2- Phone #: (503) 718 -1-Vilo