Permit CITY OF TIGARD ELECTRICAL PERMIT
.' COMMUNITY DEVELOPME
PERMIT #: ELC2008 00315
DATE ISSUED: 6/19/2008
T1GARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 102C B - 03200
SITE ADDRESS: 09975 SW FREWING ST ZONING: C -
SUBDIVISION: MASSIH OFFICE BLDG LOT : 021 JURISDICTION: TIG
PROJECT: PACIFIC PARK PLAZA BUILDING
Project Description: Sign lighting for monument sign.
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:
MASSIH, LLC SECURITY SIGNS INC
PO BOX 108 2424 SE HOLGATE BLVD
BEAVERTON, OR 97075 PORTLAND, OR 97214
Phone: 503 - 544 - 9944 Contact #: PRI 503 - 546 - 7114
FAX 503 - 230 -1861
FEES
Description Date Amount Reg #: ELE 26- 560CLS
[ELPRMT] ELC Permit 6/19/2008 $53.40 LIC 122809
[TAX] 12% State Surchar 6/19/2008 $6.41 SUP 383 SIG
Total $59.81 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 0 NC -t 503.246..:.99 or 1.800.332.2344.
Issued By: Permittee Signature: A I/
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.
--;Cox( a-co cull 'f
Electrical Permit Application \f FOR OFFICE USE ONL -,,..,,,,,,1- n a''
Cl of Ti and Received / L ' 1
11111 Yr'::' City g Plan Re . C ' 13 / 0 Permit No.:,j tz D O S
13125 SW Hall Blvd., Tigard, OR 9,72e 1 ,
Plan Review 1
. Phone: 503.639.4171 Fax: 503. '. 1. DateB : Other Permit: / `�
T I CA I ►- Inspection Line: 503.639.4175 \ �\ fi . D.te Ready /By: Juris: HI See Page 2 for
Internet: www.tigard-or.gov \� \v S` ��` S ` \, ified/Method: Supplemental Information
TYPE Or WORK .. Q' ' � ! ! � PI AN REVIEW
New construction ❑ Addition /alteratiorian�t� 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.
El Demolition El Other: 1C0 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 g 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 ❑ Addition system. larger separately
derived system. • ' ' ' ❑ Addition of new motor load of ❑ "A" "E" "1 - 2" "I - 3"
Job no.: I Job site address: / 7S' ;.fGV ,C�•ecv I Six or or more. occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parks.
City/State /ZIP: / Q�, On - 9 7.2 .7 _7 ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: ( Project name: / , 2 c k t e i , , 4 /4 �� ❑ Service or feeder 600 amps or more.
! FEE SCHEDULE
Cross street/directions to job site: Description 1 Qty. I 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
- DES CRIPTION OF -WORK' (with above sq. fl.) 75.00 2
� Limited energy, multi - family 75.00 2
AgG),. /,Gl e./7T rip-- residential (with above sq. ft.)
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
` 12 PROPERTY OWNER . ❑` TENANT TENAN 201 amps to 400 amps 106.85 2
Name: 4 sr�� 401 amps to 600 amps 160.60 2.
/ L C 601 amps to 1,000 amps 240.60 2
Address: i' /Ud Over 1,000 amps or volts 454.65 2
City/State /ZIP: ,,,, - . ,,,,, e q - 7� Temporary services or feeders installation, alteration, and/or
relocation
Phone: (SW) ,S _, y y I Fax: ( ) 200 amps or less 66.85 I
Owner installation: This installation is being made on property that 1 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
.. f : APPLICANT' .. • 1 - . E '- CONTACT, PERSON , above service or feeder fee,
each branch circuit 6.65 2
Business name: �� !, - B. Fee for branch circuits
Contact name: ...S7 without service or feeder fee,
46.85 2
�faJ €7,, �¢ � first branch circuit
Address: „24/.2y fC � gQ� ,d1 � Each add'I branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City/State /ZIP: A„ / d,,e -7.26 2 Each manufactured or modular
i dwelling, service and/or feeder 90.90 2
Phone: ($ ? .7 Z f z- z// 7 2 Fax: : (5 270 J 1' l / Reconnect only 66.85 2
E -mail: / ,/.e . / <- (p -�- e'c[.t/'� S' cry Pump or irrigation circle 53.40 2
Y CONTRACTO >CSign or outline lighting / 53.40 aw Y 2
r Signal circuit(s) or limited -
Business name: , j • Gct ,- / 72, 4 / energy panel, alteration, or
Address: extension. Describe: Page 2 2
�y.2 c }44 /' /vim
City/State /ZIP: �a�7--/`� O/L .v' 7 .2 2 Each additional inspection over allowable in any of the above
/ Per inspection 62.50
Phone: f'"L7) 2 , y / .7 Z I Fax: (s,7) 2 iv'- lei6 / Investigation per hour (1 hr min) 62.50
CCB Lic.: /2 z e r e , I Electrical Lic.:yFj7f' /__ Suprv. Lic.: Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: AI �� J , :, j
`7, Subtotal: 573,14 (J
�� / L Plan review (25% of permit fee):
Print name: �j�� D ate: O
�1 .7 /„!.< State surcharge (12% of permit fee): 6 , G f I
Authorized signature: � � �Q�� TOTAL PERMIT FEE:
Print name:
TCZr / , 9 7_
Date: / Z /7 / This permit application expires if a permit is not obtained within 18
days after it has been accepted as complete.
" Number of inspections allowed per permit.
1:\ Building \ Permits \ELC- Permit App .doc 05/23/06 440- 4615T(1t /05 /COM/WEB
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL ONLY:
Fee for all residential systems combined $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
n 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- 309 -0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
n 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 \Permits\ELC- PermitApp.doc 03/23/06
CITY OF TIGARD
BUILDING DIVISION 1 PERMIT #: ELC200B 00316
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/19/20011
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: F3/22/2008 TIME: 7:01AM PAGE: 30
SITE ADDRESS: 09975 SW FREIMNG ST CLASS OF WORK:
SUBDIVISION: MASSIH OFFICE BLDG LOT #: 021 TYPE OF USE:
PROJECT NAME: PACIFIC PARI< PLAZA BUILDING
DESCRIPTION: Sign lighting fur monument sign.
OWNER: EFTA S:SIH, LLC, PHONE #: 503-51E1-9944
CONTRACTOR: SECURITY SIGNS INC PHONE #: 503 - 546.7114
Inspection Request Scheduled For: Date: B/22/2008 Pour Time:
Code # Inspection Description # Contact # Message
199 Electrical final 074504 02 36G-607-1620 Y
Corrections/Comments/Instructions:
Q t \ �
o F.-4z.cz,m,►- ST► of 6r p Ll
\J\ V
PASS I I PARTIAL APPROVAL fl CANCEL n NO ACCESS
n CALL FOR INSPECTION [ I ADDITIONAL FEES ASSESSED
Inspector: Cr Date: < Ls' i- i Phone #: (503) 718- 1,94
CITY OF TIGARD
BUILDING DIVISION j PERMIT #: ELC2008•0f)315
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/1912008
Phone: (503) 639 - 4171 ° °,���.� .1 ,
Inspection Requests (24 Hrs.): (503) 639 -4175 _W
INSPECTION WORKSHEET FOR DATE: 7117/2008 TIME: 7:00AM PAGE: 66
SITE ADDRESS: 09916 SW FREWING ST CLASS OF WORK:
SUBDIVISION: MASSIH OFFICE BLDG LOT #: 021 TYPE OF USE:
PROJECT NAME: PACIFIC PARK PLAZA BUILDING
DESCRIPTION: Sign lighting for monument sign.
OWNER: MASSIH, LLC, PHONE #: 603-644-9944
CONTRACTOR: SECURITY SIGNS INC PHONE #: 503 -546 -7114
Inspection Request Scheduled For: Date: 7/17/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
- 1 ( 072759 -01 503 -64C1 7115 Y
\ os • o))0 � 4, 'i' oa 1Z \< S39 b 1 2--
Corrections /Comments /Instr ctions: L
IV Y\
X
PASS n PARTIAL APPROVAL ❑CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Ovbb Date: 1 ([11 v d Phone #: (503) 718-140