Permit ELECTRICAL PERMIT
CITY OF TIGARD D PERMIT #: ELC2006 -00319
DEVELOPMENT SERVICES DATE ISSUED: 6/5/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S12600 - 00300
SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD MGMT ZONING: C -G
SUBDIVISION: AA VGTON SQUARE LOT : JURISDICTION: TIG
Project Description: SHARPER IMAGE (1) Exterior sign. (west side south of Starbucks) Job # 1529 -08.
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: SIGNAUPANEL:
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 CUSTOM SIGN CO INC
BY THE MACERICH COMPANY TODD PHILLIS INC
9585 SW WASHINGTON SQUARE RD 9316 SW 12TH DR
TIGARD, OR 97223 PORTLAND, OR 97219 -4204
Phone: Contact #: PRI 246 -8324
FEES
Description Date Amount Reg #: ELE 26- 750CLS
[ELPRMT] ELC Permit 6/5/2006 $53.40 LIP 72764
[TAX] 8% State Surcharge 6/5/2006 $4.27 SUP 423SIG
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 a ,503 -24 -.699 or
1- 800 - 332 -2344. J/l
Issued By: � • � `� _ Permittee Signature: "Or
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:
r
I 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 A 1 t lic • : t 1 , 1 . l ORR OFFICL: USE ONLY
City of Tigard Received
. — I q
, ° 13125 SW Hall Blvd., Tigard, OR 9722 1 n , • 200 Plan Revie
Phone: 503.639.4171 Fax: 503.598.1AM U Date/B . Other Permit:
T I G A R D Inspection Line: 503.639.4175 Date Ready/By. HEE ® See Page 2 for
Internet: www.tigard or.gov err)/ )/ OF lopa Notified/Method Supplemental Information
❑ TYP l P r, T' P JTS1())N PLAN REVIEW
El New construction Addit era tion/re lacement Please check all that apply (submit 2 sets of plans wfitems checked below):
❑ Demolition ❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ 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 derived system.
❑ Addition of new motor load of ❑ "A ", "E "1 -2 ", "1 -3
SZq•/� 1001-1P or more. occupancy.
Job no.:l _1 VV Job site address: �Ok 5 ( Q -- •
U on( &pi ❑ Six or more residential units. ❑Recreational vehicle parks.
City / State/ZIP: Y ❑ Health-care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: kI pe/ e ❑ Service or feeder 600 amps or more.
1'9 FEE SCHEDULE
Cross street/directions to job site: WAvAt ti t it S ((dC41C Description I Qty. I Fee. I Total I •
New residential single- or multi- family dwelling unit.
likAtsa6 - StkAk p 510v burKS " Sttct•pcv t 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 1
Limited energy, residential 75.00 2
DESCRIPTION OF WORK (with above sq. ft.)
Limited energy, multi - family 75.00 2
tuatkii Vox I. elesSietc S/ti i4 residential (with above sq. ft.)
1 Services or feeders installation, alteration, and/or relocation •
200 amps or less 80.30 2
Jt PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 106.85 2
Name: Vi a, 1 Sq fie_ 401 amps to 600 amps 160.60 2
"" 601 amps to 1,000 amps 240.60 2
Address: Gr/�� r S� Urcjs - t v - �"" " g Sc f q1C Over 1,000 amps or volts 454.65 2
\
City /State/ZIP: c ✓ ✓ c jc. ` "� Temporary services or feeders installation, alteration, and/or .
IYt — 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 599 amps 133.75 2
Owner signature: Date: Branch circuits — new, alteration, or extension, per panel
A. Fee for branch circuits with
,13--APPLICANT I ❑ CONTACT PERSON above service or feeder fee,
each branch circuit 6.65 2
Business name: � CVACw. w h 5 et r G � np ,/tt / T e B. Fee for branch circuits
Contact name: T aid QIM t 7 ` r `�' '(� without service or feeder fee 46.85 2
first branch circuit
Address: 15 / - (f Jk Or Each add'l branch circuit 6.65 2
l ! Y s Miscellaneous (service or feeder not included)
City / State/ZIP: A�ue -I Oic G r Each manufactured or modular 90.90 2
Phone: (0 ) Va . 032,C1 Fax :: (SC ..) 2y t" -uQ Reconn t only
) l , o and/or feeder
Rec 66.85 2
E - mail: Pump or irrigation circle • 53.40 2
CONTRACTOR Sign or outline lighting / 53.40 2
Signal circuit(s) or limited-
Business name:
Cucilci eel crt v G wtPpoly 'lieu. energy panel, alteration, or
Address: 131(, 51..0 44 Or. extension. Describe: Page 2 2 •
City /State/ZIP: ('�, /R d d h 7l�(, ' Each additional inspection over allowable in any of the above
Phone: ( ) `vv Per inspection 62.50
( ) Investigation per hour (I hr min) 62.50
CCB Lic.: I'LL ((f Electrical Lic.: Weer Suprv. Lic.: t 1Z3 Az._ Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: 26.710 G1,5 Subtotal:
Print name: (de - watt 1((S I Date: 6 r� S 1 — \. Plan review (25 %ofpermit fee):
. Q l State surcharge (8% of permit fee):
VVVV
Authorized signature: � . . TOTAL PERMIT FEE: S 7, ( 7
Print name: ���� ����IIJJJJ Date •
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
• Number of inspections allowed per permit. •
I:\ Building Termits'ELC- PermitApp.doe 05/23/06 40- 461ST(II /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
El Garage Door Opener* (i11L �.. , �� } uA,ft<A j) t ' )( (. . ; I
JNJ
❑ Heating, Ventilation and Air Conditioning System*
;,�•Wt:{ I .,(� ;; fir•; ��
y r
❑ Vacuum Systems* '.1►�.; �' <� ry. �=;.> 't "
❑ Other. �� .s:�. :f• ' „ ��Jy VA"- - i 7 hl..a � �- s "t \ ` •�
COMMERCIAL WORK ONLY:
Fee for each commercial $75.00
system /y� ".•� l:f y• 1 i t ).ar `'J ) ,,er &.4'J
(SEE OAR 918 - 260 -260)
•
Check Type of Work Involved: '
El Audio and Stereo Systems 1 �'
❑ Boiler Controls , v. :;�j;J ;,*1)
•
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC •' • �, i ;'■ ;;; j \i )) ,e4 es (., f Y i•:) - e‘,).. �
' t f�
❑ Instrumentation /' \ ' q .
• � �'�j \ / . Rte ' : 5
❑ Intercom and Paging Systems r..Jr - l� ^ ' � )j � 1 :•� � •
❑ Landscape Irrigation Control* C r f Y.' f :� � Z1.3 ' b F -P.
❑ Medical
El . ' - ..
N urse Calls • �' V';. �. �; 7:f•,� r; 1 f . y 7 ' ' ti •: ti J •
Outdoor Landscape Lighting* � ' ,�
❑ Protective Signaling
Other • i ' 1 t •
Total number of commercial s y s t e m s : i - :,, )1")1
*No licenses are required. Licenses are required <
for all other installations
1:\ Building \Pcrmits\ELC- PamitApp.doc 03/23/06