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Permit
CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2008-00027 COMMUNITY DEVELOPMENT " DATE ISSUED: 1/11/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 112 DA -00300 SITE ADDRESS: 15230 SW SEQUOIA PKWY 100 ZONING: I -P SUBDIVISION: PACIFIC CORPORATE CENTER LOT : JURISDICTION: TIG PROJECT: A COMMON THREAD Project Description: (2) 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: 2 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: PAC TRUST BEAVERTON NEON 15350 SW SEQUOIA PKWY, ST. 300 17250 SW AUGUSTA LN. PORTLAND, OR 97224 BEAVERTON, OR 97006 Phone: 503 - 624 - 6300 Contact #: PRI 503 - 649 -1544 FAX 503 - 848 -6278 FEES Description Date Amount Reg #: ELE 34- 273CLS IELPTJ ELC Permit 1/11/2008 $106.80 LIC 65961 RM FAX] 12% State Surchar 1/11/2008 $12.80 Total $119.60 REQUIRED ITEMS AND REPORTS This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 throygh OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344. Issued By: 4(1, Permittee Signature: Ard / OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. ..r • • siki 2-4k, Electrical Pern t U 1 ? E \ �, fFOR OFFICE,IISE ONLY 1 _ Ate.,40_,*.ca.. ,6,,.%44.0.10. ..,:„, A.,-;; p 3 Receiv / /(/ /� • I ,yf ;? City of j r 1 • _ ,.r Date/By: ! l (( /ffi5 �� Permit No.�U 1' 7 lig n 13125 Sir'" i., Tigard, OR 97223 Plan Revie C_ Ph- 171 Fax: 50119!0 Date/By: 111 Other Permit. 2U08 ® See Page 2 for 503.639.4175 Date Ready/By: Jur s: TICA'KL � .. .I ab t� a. tigard 15 F• ` Notified/Method: Supplemental Information Li t A , s VI: PLAN' REVIEW t I viii .. � . ,. [t�New consti ❑Addition /a$era ion re ' la . j' `� ` 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 A ❑ Emergency system. larger separately derived system. ❑ Addition of new motor load of ❑ "A ", "E ", "I- 2 ", "I -3 ", Job no.: Job site address: /3 Q 100HP or more. occupancy. 3 S, W , ,0,o, fl it ❑ Six or more residential units. ❑ Recreational vehicle parks. City/State /ZIP: P6,..41 AN / 1 1 7 2 Z ( ❑ Health -care facilities. ❑ Supply voltage for more than dl U 2 ❑ Hazardous locations. 600 volts nominal. Suite /bldg. /apt. no.: /0 0 Project name: 4 1!0fr.+w. 0 ,., 11 eeei„4 ❑ Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Description 1 Qty. 1 Fee. 1 Total 1 • New residential single- or multi- family dwelling unit. 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 DESCRIPTION OF WORK (with above sq. ft.) 75.00 2 Limited energy, multi - family 75.00 2 2 --(-e,,rt'O -' F/ ol S h MO lntn- /Ve.o n Clan me, / sr�gn S residential (with above sq. ft.) _J 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: Pi, c -i-. } 401 amps to 600 amps 160.60 2 L 601 amps to 1,000 amps 240.60 2 Address: /535 - O 5. (4, 5eyuoia PKuua, j J,lt +e 3o0 Over 1,000 amps or volts 454.65 2 Z y Temporary services or feeders installation, alteration, and/or City/State /ZIP: ( pc, i f (Aid , £ g % relocation Phone: (j-V 3 ) ‘2 H - d 3o 0 Fax: (5 6 Z V - 77s-s- 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 Branch circuits - new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with E APPLICANT 12 PERSON . above 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 G �q W R l a v►, S first branch circuit Address: J Each add] branch circuit 6.65 2 7 Z SU 5 W . L +f fiuH e Miscellaneous (service or feeder not included) City/State /ZIP: VPOIt/Qf_60 / 1„. 7O 0 (o Each manufactured or modular 90.90 2 dwelling, service and/or feeder Phone: (coy 649 _ y Fax: : (5 ) $y8 6 2 7g Reconnect only 66.85 2 E -mail: beA h - n ea ..-% Q ve r r'20.1 ,14 e{- Pump or irrigation circle 53.40 2 CONTRACTOR Sign or outline lighting X 53.40 m(p•so 2 Business name: r� Signal circuit(s) or limited - L5PA f`'f ✓e -O .- Neo energy panel, alteration, or extension. Describe: Page 2 2 Address: / 71Sp 3, W , A-r�a u s i -A" e City/State /ZIP: ' e vet. t3 N og JJ 17O Q Each additional inspection over allowable in any of the above / Per inspection 62.50 Phone: (5 ) ` - /may Fax: CST 3 ) Sin - 6 2 - 7g Investigation per hour (1 hr min) 62.50 CCB Lic.: .6 5 (, / Electrical Lic.: 39 -273 GL.S Suprv. Lic.: 6 3 6 -S= ra Industrial plant per hour 73.75 9 ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: � _ Subtotal: 1 0 Date: Plan review (25% of permit fee): - © — Print name: G ree / y1 1%tl i /l 7 S / - �� - / 9— State surcharge permit fee) Authorized signature: _. TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 Print name: 6,, 44 , W; it q 0 , S Date: / — a — ir days after it has been accepted as complete. / 7 * N of inspections allowed per permit. q° I:\ Building \Permits\ELC- PermitApp.doc 05/23/06 440- 46I5T( I 1 /05 /COM/WEB Electrical Permit Application - City of Tigard .. Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: FRESIDENTIAL:WORK ONLY: Fee for all residential systems combined ... $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm n Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: COMMERCIAL WORKONLY: Fee for each commercial $75.00 system (SEE OAR 918- 309 -0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls n Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation n HVAC n Instrumentation ❑ Intercom and Paging Systems n Landscape Irrigation Control* n Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* • n Protective Signaling ❑ Other Total number of commercial systems: *■o licenses are required. Licenses are required • for all other installations • 1:\Building\Permits\ELC- PermitApp.doc 03/23/06 CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2008 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/'1112008 Phone: (503) 639- 4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 3/18/2008 TIME: 7:00AlMi PAGE: 41 SITE ADDRESS: ' 15230 SW SEQUOIA PKWY 100 • CLASS OF WORK: SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE: .PROJECT NAME: A COMMON DESCRIPTION: (2) sign lighting: OWNER: pAc. TRUST, PHONE #: 603-624-63110 CONTRACTOR: BEAVERTON NEON PHONE #: 503 , Inspection Request Scheduled For: Date: 3/10/2008 Pour Time: Code # Inspection Description Confirm # 'Contact # Message • 109 Elcr!rical final 066829-01 \ 503649-1544 N Corrections /Comments / Instructions: • • • v • • • \ • %PASS , ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: N /U) LIC Date: .6. MO) Phone #: (503) 718- 2,114(0_