Permit r� 1
CITY OF TIGARD ELECTRICAL PERMIT
h ° PERMIT #: ELC2008 -00616
COMMUNITY DEVELOPMENT DATE ISSUED: 11/3/2008
T1GAU 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S1 10 D C -02200
VIE ADDRESS: 15660 SW PACIFIC HWY A -5 ZONING: C -G
SUBDIVISION: TIGARD PROMENADE LOT : 011 JURISDICTION: TIG
PROJECT: ANNA'S DELI
Project Description: One 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: 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:
TERRAMAR RETAIL CENTER MEYER SIGN CO OF OREGON
5973 AVENIDA ENCINAS 300 15205 SW 74TH AVE
CARLSBAD, CA 97008 TIGARD, OR 97223
Phone: 760- 804 -8600 Contact #: PRI 503 - 620 -8200
FAX 503 - 620 -7074
FEES
Description Date Amount Reg #: ELE 20- 190CIS
IELPRMT] ELC Permit 11/3/2008 $53.40 LIC 64014
[TAX] 12% State 11/3/2008 $6.41 SUP 566SIG
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 • -- • - in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is
suspend . for more th. 180 d- . ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center.
Those r les are set forth in • • - x11 -0010 through OAR 952 -001 -0100. You may obtain copies of these rules or •• -ct •7i est`ns to OUNC at
503.2- - ..6699 o 1.800.33 At •
Issue • By: • 4" P ermittee Signature: r
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.
~. S6,0 o g — UO� 3
' Electrical Permit Application FOR OFFICE USE ONLY
y d DatefB : // 3 �� f4C /s-flo d b
Permit No.:
II
q Cit 13125 SW of Hall Tigar Bl vd., Tigard, OR 97223 Plan Review
C .• Phone: 503.639.4171 Fax: 503.598.1960 DateB Other Permit.
TIGARD Inspection Line: 503.639.4175 Date Ready /By: 10 See Page 2 for
Internet: www.tigard - or.gov Notified /Method: fLL It1 • Supplemental Information
TYPE OF WORK PLAN 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: Sign 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 ", "I -2 ", "I -3 ",
Job no.: Job site address: 15660 SW Pacific Hwy. l or more. occupancy.
❑ Six x o or r more residential units. ❑ Recreational vehicle parks.
City /State /ZIP: Tigard, OR 97224 ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: A -5 Project name: Anna's Deli ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: SW Pacific Hwy. & SW Roylaty Pkwy. - Description 1 Qty. 1 Fee. 1 Total 1
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Tigard Promenade Lot no.: 1,000 sq. ft. or less 145.15 4
Ea. add'! 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential 75.00 2
DESCRIPTION OF WORK (with above sq. ft.)
Limited energy, multi - family 75.00 2
Install (1) elect wall sign residential (with above sq. ft.)
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: Terramar Retail Centers 401 amps to 600 amps 160.60 2
. 601 amps to 1,000 amps 240.60 2
Address: 5973 Avenido Encinas, Ste. 300 Over 1,000 amps or volts 454.65 2
City /State /ZIP: Carlsbad, CA 92008 Temporary services or feeders installation, alteration, and /or
relocation
Phone: (760)804 -8600 Fax: (760)804 -8641 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
► 4 CONTACT PERSON above service or feeder fee,
® APPLICANT 6.65 2
each branch circuit
Business name: (Same as Contractor) B. Fee for branch circuits
Contact name: without service or feeder fee, 46.85 2
first branch circuit
Address: Each add'! branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City /State /ZIP: Each manufactured or modular 90.90 2
dwelling, service and /or feeder
Phone: ( ) Fax: : ( ) Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 1 53.40 53.40 2
Meyer Sign Co. of Oregon, Inc. Signal panel, or alteration, limited-
Business name: g g energy panel, alteration, or
Address: 15205 SW 74 Ave. extension. Describe: Page 2 2
City/State /ZIP: Tigard, OR 97224 Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: (503) 620 -8200 Fax: (503) 620 -7074 Investigation per hour (1 hr min) 62.50
CCB Lic.: 64014 Electrical Lic.: 20- 190CLS Suprv. Lic.: 566S1G Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: Subtotal: 53.40
Print name: Phil Reynolds Date: 10 -31 -08 Plan review (25% of permit fee):
State surcharge (12% of permit fee): 6.41
Authorized signature: ...--1,41„ �
TOTAL PERMIT FEE: 59.81
rte.t.,
This permit application expires if a permit is not obtained within 180
Print name: Steve Murphy Date: 10 - - 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(1 I/05 /COM/WEB
CITY OF TIGARD
BUILDING DIVISION
PERMIT #: ELC2008.00616
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: -11/3/20M:
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 ,_-, ---
INSPECTION WORKSHEET FOR DATE: 1/2/2009 TIME: 7 PAGE:
SITE ADDRESS: 15660 SW PACIFIC fiWY A - 5 CLASS OF WORK:
SUBDIVISION: TIGARD PROMENADE LOT #: 01i TYPE OF USE:
PROJECT NAME: ANNA'S DELI
DESCRIPTION: One sign lighting.
OWNER: TERRAMAR RETAIL CENTER, PHONE #: '760.804m00
CONTRACTOR: MEYER SIGN CO OF OREGON PHONE #: 603-620-8200
Inspection Request Scheduled For: Date: 1/2/2009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final (\0793214
503-718-2446
Corrections/Comments/Instructions:
PASS PARTIAL APPROVAL CANCEL NO ACCESS
FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: Cr N'tS Ls' Date: 1' 1/ Phone #: (503) 718-