Permit V- ® ® ELECTRICAL PERMIT
PERMIT #: ELC2006 -00331
CITY OF TIGAR DEVELOPMENT SERVICES DATE ISSUED: 6/12/2006
° ">` 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S 101 AD -01700
SITE ADDRESS: 12600 SW 68TH AVE ZONING:
SUBDIVISION: PORTLAND HEIGHTS LOT : JURISDICTION: TIG
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: 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:
DOUG KEY MARTIN BROS SIGN INC
11130 SW BARBER BLVD. 3165 COMMERCIAL ST SE
PORTLAND, OR 97 SALEM, OR 97302
Phone: Contact #: PRI 364 -2211
Ste .W,9 `136
FEES
Description Date Amount Reg #: ELE 24 - 23CLS
[ELPRMT] ELC Permit 6/12/2006 $53.40 L[C 64761
[TAX] 8% State Surcharge 6/12/2006 $4.27 SUP 399SIG
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. ^ _1
Issued By: V 6 Permittee Signature: .A
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:
Cali 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.
—
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E lectrical Pe rl 1 - ®n r 1 , k. t ,
Date receive • D Permit n.,•' 2_1V -pd 3 j ,
. 'j'�J`.„ City of Tigard JUN .1. ;� Expire date:
tY g
City ofTigard Address: 13125 SW Hall Blta (I ig r, g�27 P roject/appl.no.: I T ZZ3 Date issued: B : Receipt no.:
�Qj
Phone: (503) 639 -4171 SU t CARL)
Fax: (503) 598 -1960 � DMS'ION Case file no.: Payment 4 - pe:
Land use approval: ! °eYv (v 12 023
1
a TYPE OF P ERMIT _ s . :;:b -, ; f ir;
0 1 & 2 family dwelling or accessory >a.Commercial/industrial 0 Multi- family 0 Tenant improvement
0 New construction 0 Addition/alteration /replacement 0 Other: , 0 Partial
i r ..- . _ JOB SITE N ORM'ATION:: . , i' , `., 3.
Job address: 1 a`� (o 00 SW lo sm.- Aka . Bldg. no.: Suite no.: Tax map /tax lot/account no.:
Lot: 'Block: 'Subdivision:
Project name: ( )iO N 10 I Description and location of work on premises: *E a.....i CAL j & -l "L „,` .
Estimated date of completion/inspection: , , 'LA- bas'¢. 1
CONTRACTOR'APPLICATIOI■i , ', I ,'FEE. SCHEDULE .3 , r ,
Job no: Fee Max .
Business name: *14_4 44 A L Description Qty. (ea.) Total no. insp
New residential - single or multi- family per
Address: 31(os Ciyytyl'LO/L ' I &.,1 , S f... dwelling unit Includes attached garage.
City: a State: a - ZIP: q'7 Service included:
3(,q - doh 1( 3b ./3!S /'` 1000 sq. ft. or less _ 4
Phone: F� : E-mail: Email: ? r Each additional 500 sq. ft. or portion thereof __ 4
CCB no.: • b , . Elec. bus. lie. no: ay_ eZ3 C(- S Limited energy, residential ___ 2
City /metro 1'C no - Limited energy, non - residential ___ 2
/--I / I ( Each manufactured home or modular dwelling Mill
Signature • • .ervising electrician (required) Date Service and/or feeder 2
Sup. elect. name (print): .L ) E_ 4_ S License no: 3 ' 4' -S144 Services or feeders — installation, II
i PROPERTY OWNER 200 amp sor l essocatton. 2
Name (print): T /V -1-0 201 amps to 400 amps 2
g � U ✓ 31 401 amps to 600 amps 2
Mailin address: 601 amps to 1000 amps 2
City: -} k I S Over 1000 amps or volts IIMIIMII ■ 2
Phone: S13 _5'y(„ _y /S /I Fax: 1E-mail: Reconnect only 1
Owner installation: The installation is being made on property I own Temporary services or feeders -
which is not intended for sale, lease, rent, or exchange according to installation, alteration,orrelocation:
ORS 447, 455, 479, 670, 701. 200 amps or less 2
201 amps to 400 amps 2
Owner's signature: Date: 401 to 600 amps 2
` .; ENGINEER Branch circuits - new alteration,
' or extension per panel:
Name: A. Fee for branch circuits with purchase of
Address: service or feeder fee, each branch circuit 2
City: 'State: 'ZIP: B. Fee for branch circuits without purchase
of service or feeder fee, first branch circuit: 2
Phone: Fax: E -mail:
Each additional branch circuit:
-- „' tPLANIRLVI lease check allthat'2,4POY)' I, „• ,.• ! Misc. (Service or feeder not included):
❑ Service ova 225 amps- commercial ❑ Health -care facility Each pump or irrigation circle 2
❑ Service over 320 amps -rating of 1&2 0 Hazardous location Each signor outline lighting / ,, 53.q/• 2
family dwellings ❑ Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel,
❑ System over 600 volts nominal more residential units in one structure alteration, or extension* 2
❑ Building over three stories 0 Feeders, 400 amps or more *Description:
❑ Occupant load over 99 persons 0 Manufactured structures or RV park • Each additional inspection over the allowable in any of the above:
❑ Egress/Iightingplan ❑ Other: Per inspection 1
Submit _ sets of plans with any of the above. Investigation fee
The above are not applicable to temporary construction service. Other
Not all jurisdictions accept credit cards, please call jurisdiction for more information. Notice: This permit application
Permit fee $ 3. y0
O Visa 0 MasterCard expires if a permit is not obtained Plan review (at %) $ . Q
Credit card number: / / within 180 days after it has been State surcharge (8 %) „
Ex ires t! 7
p accepted as complete. TOT AL $ 6
Name of cardholder as shown on credit card
$
Cardholder signature Amount 440-4615 (6/00 /COM)
i
Electrical Permit Fees: Limited Energy Fees: - -
TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
. Coiriplete Fee.Schedule Below: Restricted Energy Fee $75.00
Number of Inspections per permit allowed (FOR ALL SYSTEMS)
Service included: Items Cost Total
Check Type of Work Involved:
Residential - per unit
1000 sq. ft. or less $145.15 4 n Audio and Stereo Systems
Each additional 500 sq. ft. or
• portion thereof $33.40 1 n Burglar Alarm
Limited Energy ' $75.00
Each Manufd Home or Modular ❑ Garage Door Opener Dwelling Service or Feeder $90.90 2
Services or Feeders n Heating, Ventilation and Air Conditioning System*
Installation, alteration, or relocation
200 amps or less $80.30 • 2
201 amps to 400 amps $106.85 2 ❑ Vacuum Systems
401 amps to 600 amps $160.60 2 ' ,
601 amps to 1000 amps $240.60 2 n Other "
Over 1000 amps or volts $454.65 2
Reconnect only '$66.85 2
Temporary Services or Feeders TYPE OF WORK INVOLVED - COMMERCIAL ONLY
Installation, alteration, or relocation Fee for each system $75.00
200 amps or less $66.85 2 (SEE OAR 918- 260 -260)
201 amps to 400 amps $100.30 2
401 amps to 600 amps $133.75 2 Check Type of Work Involved:"
•
Over 600 amps to 1000 volts,
see "b" above. n Audio and Stereo Systems
Branch Circuits
New, alteration or extension per panel n B Controls
a) The fee for branch circuits . '
with purchase of service or - n Clock Systems -
feeder fee. '
Each branch circuit $6.65 2 n Data Telecommunication Installation
b) The fee for branch circuits •
without purchase of service n Fire Alarm Installation
or feeder fee. ,
First branch circuit $46.85
Each additional branch circuit $6.65 n HVAC
Miscellaneous ❑ Instrumentation .
(Service or feeder not included) • .
Each pump or irrigation circle $�
Each sign or outline lighting k- 53.40 n Intercom and Paging Systems
Signal circuit(s) or a limited energy
panel, alteration or extension $75.00 ❑ Landscape Irrigation Control
Minor Labels (10) $125.00
Each additional inspection over n Medical •
the allowable in any of the above
Per inspection $62.50 p, Nurse Calls
Per hour $62.50
In Plant $73.75 ❑ Outdoor Landscape Lighting
Fees: n Protective Signaling
Enter total of above fees $ n Other
8% State Surcharge $ Number of Systems
25% Plan Review Fee .
See "Plan Review" section on $ * No licenses are required. Licenses are required for all other installations
front of application.
Fees:
Total Balance Due $ .- - -
Enter total of above fees $
❑ Trust Account # 8% State Surcharge $
. Total Balance Due $
i:\dsts \forms\elc- fees.doc 10/09/00
CITY OF TIGARD .:rr z
BUILDING DIVISION PERMIT #: ELC200€ 0CYi31
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6i12.0006
Phone: (503) 639 -4171 4 p � 1
Inspection Requests (24 Hrs.): (503) 639 - 4175 -!±+i
INSPECTION WORKSHEET FOR DATE: 8/24/2006 TIME: 6 : 5 9AM PAGE: 36
SITE ADDRESS: 12.600 SW G8TH AVE • CLASS OF WORK:
SUBDIVISION: PORTLAND HEIGHTS LOT #: TYPE OF USE:
PROJECT NAME: OFFICE PRODUCTS NW
DESCRIPTION: Sign lighting.
OWNER: KEY, DOUG PHONE #:
CONTRACTOR: MARTIN BROS SIGN INC PHONE #: 3E42211
Inspection Request Scheduled For: Date: 8/24/2006 Pour Time:
Code - -; - . • I escription Confirm # Contact # Message
Electrical final 035486 -01 503 -36'1 -2211 N
• - •• ; - s /Instructions:
C_
,2 PASS El PARTIAL APPROVAL n CANCEL NO ACCESS
,,
FAIL I I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: v V" Ise L Date: / s 2.4'V'b Phone #: (503) 718- milt