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Permit pa I � +�, ELECTRICAL PERMIT _ :� CITY OF TIGAR® y COMMUNITY DEVELOPMENT PERMIT #: ELC200700536 DATE ISSUED: 8/1/2007 aa�eM��«a . 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 102AA -04700 SITE ADDRESS: 08900 SW COMMERCIAL ST ZONING: CBD SUBDIVISION: MORINS ADDITION LOT : JURISDICTION: TIG PROJECT: BALLROOM DANCE STUDIO 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: LIMITED ENERGY: 401 - 600 amp: SIGNAL /PANEL: 1 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: KATHLEEN E. PAGE GARRETT SIGN COMPANY 7122 SE MILWAUKIE AVE 811 HARNEY STREET PORTLAND, OR 97202 VANCOUVER, WA 98660 Phone: 503 - 639 -4861 Contact #: PRI 360- 693 -9081 FAX 360- 693 -5948 FEES Description Date Amount Reg #: ELE 66826 [ELPRMT] ELC Permit 8/1/2007 $53.40 LIC 37 -2ICLS [TAX] 8% State Surcharge 8/1/2007 $4.27 SUP 276SIG 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: gai Permittee Signature: X ' V ie 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. U n 6 _: ' 7 1 " ` 4 °' /'41/ Electrical. Permit Applicatio''` l `�' " 7jawr �;� 1, �' FOR O FF IC E USE ONL s n; I�E�C-ax :`-t2 - 4 )_' ✓_ d ,, .i '3 , 4::: . tis r ..fir ...+„gi":.'�, %74, j , � I .. ,i AUG, 1 / �� J / Receive f / as . . ;' 7 , �� I o CI ty a-Tiga 7 Permit No.' YI, ll( n 13125 SW Hall Blvd., Tigard, OR 97223 .. `'t Plan Re vie 0 Phone: 503.639.4171 Fax 503 .5gR 1960 t a Other Permit: 1C�� "i .. i .:.; ft :l� Date /By: T 1 G n i'. D' ; Inspection Line: 503.639.4175 Date Ready /By: tuE� El See Page 2 for at) lt:. + a Internet: www.tigard - or.gov Notified/Method: Supplemental Information TYPE!.OF WORK PI AN 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: Arceti '.. 7°/ 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 - ", "1 - ", 1 Job no.: Job site address: 9 /� 1'l� (})/ J � T ' i or more residential essit dential units. ❑ occupancy. eati ❑ Siz or Recreational vehicle parks. City/State /ZIP: ' ; © R q 7c9 9 ' ❑ Health -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: e „, v (' 69 , ❑ Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: / 1 4 A 1 ..... 5 - 71 - : `7( / 2x ji Description 1 Qty, 1 Fee I Total. 1 • New residential single- or multi- family dwelling c9 eatilMle -t: Includes attached garage. Subdivision: Lot no.: i /op 1,000 sq. ft. or less 145.15 4 Ea. add'I 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: �' � /Q,� /4-4 � 760 Limited energy, residential DESCRIPTION: OF WORK (with above sq. ft.) 75:00 2 Limited energy, multi - family T L I , T7LjiL►% ” 4 .40 "41°_ residential (with above sq. ft.) 75.00 2 Services or feeders installation, alteration, art /or relocation 200 amps or less 80.30 2 , 1 PROPERTY, OWNER ❑ `TENANT 201 amps to 400 amps 106.85 2 Name: 01 /.[-C ,. /<,;97 kjty 5, p, 401 amps to 600 amps • 160.60 2 601 amps to 1,000 amps 240.60 2 Address: -2.1,2 5, c -- , ,l/4zj9/L� Over 1,000 amps or volts 454.65 2 City /State /ZIP: )1g / oil q 7?-92 Temporary services or feeders installation, alteration, and/or relocation • Phone: (5O3 ) 61 ZC 1 - !�9 6/ 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 Branch circuits - new, alteration, or extension, Per panel Owner signature: Date: A. Fee for branch circuits with ❑ APPLICANT - ❑. CONTACT PERS • above service or feeder fee, each branch circuit 6.65 2 Business name: C4.ZiZe.17---5:� tom../ �O , B. Fee for branch circuits • Contact name: �T 7 _ �'- e /411)/0 without branch circuit , or feeder fee, 46.85 2 / first branch circuit Address: / ,�/ -r Each add'lbranch circuit 6.65 2 `' `' ` , e Miscellaneous (service or feeder not included) City/State /ZIP: V �I�C ve z W q(J Each manufactured or modular 90.90 2 /t dwelling, service and/or feeder Phone: (160 ) b9 Z �� ?9 l Fax:: ( ) % % - 91,S1) Reconnect only 66.85 2 E -mail: Pump or irrigation circle 53:40 2 CONTRACTOR , . Sign or outline lighting / 53.40 2 Business name: 6017 �� 61_49 t Signal circuit(s) er ration, d- energy panel, alteration, or -1- - - Address: D `Z / '/ / e � / . extension. Describe: Page 2 2 City/State /ZIP: u V z u/19- g /(�� Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: (3 ) Kit -(t / I Fax: O) 6y 3 )q 9 j Investigationper hour (l hr min) 62:50 CCB Lic.: 66vL Electrical Lic.37 ( Suprv. Lic.776 Industrial plant per hour 73.75 AL PERMIT t o y �/r (Of( /b7/0 ELECTRPERMIT FEES Suprv. Electrician signature, r 15 °O Subtotal: �3� Vi) Plan review (25% of permit fee): Print name: Date: State surcharge (8% of permit fee): i Al Authorized signatur ' 4 ./ 1 � j1 TOTAL PERMIT FEE: c T de � / T his permit application expires if a permit is not obtained within 180 Print name: Q�/ Date: 'g — ,'/ 7 days after it has been accepted as complete: Vv" / • Number of inspections allowed per permit. s1, i / 1 :\ Building \Permits\ELC- PermitApp.doc 05/23/06 440- 4615T(11/05/COM /WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: I °RESIDENTIAJ WORI r';ONLY: Fee for all residential systems combined ... $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage 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 -263) Check Type of Work Involved: ❑ Audio and Stereo Systems n Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation n 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: \ BuildingWermits \ELC- PermitApp.doc 03/23/06 CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007- 00636 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8,t112007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 12127/2007 TIME: 7 :00Am PAGE: 60 SITE ADDRESS: 089(10 SW COMMERCIAL sT CLASS OF WORK: SUBDIVISION: MORINS ADDITION LOT #: TYPE OF USE: PROJECT NAME: BALLROOM DANr STUDIO DESCRIPTION: Sign lighting. OWNER: PAGE, KATHLEEN PHONE #: 503_639.4M CONTRACTOR: GARRET SIGN COMPANY PHONE #: 36Q- 69.3.9O81 Inspection Request Scheduled For: Date: 12/27/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 1f.19 Electrical final 062167 -01 360693-90B1 N Corrections /Comments/ Instructions: PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS - • ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: 1T' Date: IVO V q Phone #: (503) 718- *AO