Permit '�, Y TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2008 -00334
COMMUNITY DEVELOPMENT DATE ISSUED: 6/11/2008
TIC .11 W' 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S136CD
WE ADDRESS: 11710 SW PACIFIC HWY ZONING: C -G
SUBDIVISION: LOT : JURISDICTION: TIG
PROJECT: CAR TOYS INC #18
Project Description: Installation of (2) sign lightings.
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: 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:
BRETTLER REAL ESTATE INC TUBEART SIGNS
BY CAR TOYS 4243 -A SE INTERNATIONAL WAY
ATTN: ROB JENSON MILWAUKIE, OR 97222
SEATTLE, WA 98121
Phone: Contact #: PRI 503 - 653 -1133
FAX 503 - 659 -9191
FEES
Description Date Amount Reg #: ELE 37- 554CLS
[ELPRMT] ELC Permit 6/11/2008 $106.80 LIC 70956
[TAX] 12% State 6/11/2008 $12.82 SUP 366SIG
Total $119.62 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 ru are se •rt •- •AR 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain copies of these rules or direct questions to OUNC at
503.24 .6699 or 1.80. 332.
Issue By: ` 0 / _.1/i ! / Permittee Signature: 4 i /1 //
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.
Electrical Permit Application FOR OFFICE USE ONLY
City of Tigard Received I�4
Tig g an
, • 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
III
Phone: 503.639.4171 Fax: 503.598.1960 �)
.,2 Date /B - Date /By: 0 Permit No.: ��Lr , AC
I-60
Other Permit:
T I G A R D Inspection Line: 503.639.4175 /' (f //,- Date Ready /By: See Page 2 for
Internet: www.tigard- or.gov
"AA) � NNotified/Method: S Supplemental Information
TYPE OF WORK PLAN REVIEW
E 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: 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 E 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", "I -2 "I -3 ",
100HP or more. occupancy.
Job no.: / Job site address: i D S w t , �.c1 c - ;
fVy35 t wr ❑ Six or more residential units. ❑ Recreational vehicle parks.
Cll /State/ZIP: ❑ Health -care facilities. ❑ Supply voltage for more than
y �. caJ -rJ O �-aa3 ❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: L 7 ❑ Service or feeder 600 amps or more.
" 7 c ' FEE SCHEDULE
Cross street/directions to job site: i,/ Gc.r,,Le_ nT S t,J - p ,, . , . c- u., Description I Qty. 1 Fee. 1 Total 1 .
/ New residential single- or multi - family dwelling unit.
/ < ',d, I :AL 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. 0.) 75.00 2
Limited energy, multi - family 75.00 2
C ; t f a c t - t � t.l Gra k y t ;�-' t + - e - t - b-) t , Q r Ai ` Wu l ( s ;)1.4., 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: /, 401 amps to 600 amps 160.60 2
-a' Z` L
10 S 1 601 amps to 1,000 amps 240.60 2
Address: O 0, S+ 6ru IA.,- S+• Over 1,000 amps or volts 454.65 2
City /State /ZIP: Temporary services or feeders installation, alteration, and/or
S a g A-- W /� l a l/ q 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
Branch circuits - new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
® APPLICANT ® CONTACT PERSON above service or feeder fee, 6.65 2
each branch circuit
Business name: — 1: 4 1, A2. A .4- (11. _ j _, -_ t B. Fee for branch circuits
v ""�7 without service or feeder fee, 46.85 2
Contact name: 2 ( A k � / first branch circuit
t_ 7--,..4.-1-,.. d L Each add'I branch circuit 6.65 2
Address:
/- , ,. -A S E i ' rte'""` ( w^^, Miscellaneous (service or feeder not included)
City /State /ZIP: M l `� / ... ,4 7 6 k 1 0...)."a_ Each manufactured or modular 90.90 2
dwelling, service and/or feeder
Phone: ( ) 6 5-3 -- 1 1133 Fax: : (5 ) 6 s---1_1 Reconnect only 66.85 2
E - mail: Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting J 53.40 4,6 .. 2
Signal circuit(s) or limited -
Business name: I4 /4 r'h 1) . p tifili s energy panel, alteration, or
Address: l a I — A S E Z,��, -'t - 1 01
extension. Describe: Page 2 2
City /State /ZIP: m ,,, k ' �•- e 9.-.. q '")-'.`)--- Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: ( 3) ` c3 _ 1 1 33 Fax: (5- ) e y 'j - 1 / 7 / Investigation per hour (I hr min) 62.50
CCB Lic.: -49 et, Electrical Lic.:3 -55 tl t!LS Suprv. Lic.:3 -S'1Cr Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: \c/ Subtotal: /C l . Print name: 44
Date: G Plan review (25% of permit fee): • 0 •
'
fit.t (� j � a State surcharge (12% of permit fee): 4,1.8.),
Authorized signature' TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: eA h l3, r :, � e _ Date: 6 ' t p f o $ days after it has been accepted as complete.
] * Number of inspections allowed per permit.
1: \ Building \Permits \ELC- PermitApp.doc 05/23/06 440- 4615T(11/05 /COM/WEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELG7008 00334
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/11/2000
Phone: (503) 639 -4171 ir.1I�1
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8111/2008 TIME: 7 :01AM PAGE: 15
SITE ADDRESS: 11710 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: CAR TOYS INC #18
DESCRIPTION: Installation of (2) sign Iightings. OPEN S4G -n1s,
OWNER: E3RE1TLGR REAL. ESTATE INC, PHONE #:
CONTRACTOR: TUE3EARI SIGNS PHONE #: 5036531133
Inspection Request Scheduled For: Date 8/11/2008 Pour Time:
Code # Inspection Description j onfirm -# Contact # Message
140 Sign ind.allation 074007 -01 503. 803.3305 N
Corrections /Comments /Instructions:
�a ►�.. t o -5'. • c.b.NNbi o r D eJ U`T fi!A
O J I�p) L l p .MIl .- ` 4C c.21 (7.t.tAl •
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
A FAIL XCALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: I -► 066 Le Date: O'11• D Phone #: (503) 718 - L4{"'Fb•