Permit CITY OF TI^AR® ELECTRICAL PERMIT
vm ° { `y 1 � PERMIT #: ELC2007 -00180
COMMUNITY DEVELOPMENT DATE ISSUED: 3/23/2007
T 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S101 BB 01400
SITE ADDRESS: 12010 SW GARDEN PL BLDG ZONING: C -G
SUBDIVISION: PARK 217 LOT : 002 JURISDICTION: TIG
PROJECT: BMW MOTORCYCLES /TIGARD
Project Description: Install sign lighting for (2) wall signs.
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 HMI 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:
CALWEST INDUSTRIAL HOLDINGS LLC SALEM SIGN CO INC
720 SW WASHINGTON ST SUITE 630 1825 FRONT ST NE
PORTLAND, OR 97205 SALEM, OR 97301
Phone: Contact #: PRI 503 - 371 -6362
FAX 503 - 371 -0901
FEES
Description Date Amount Reg #: ELE 24- I25CLS
[ELPRMT] ELC Permit 3/23/2007 $106.80 LIC 65297
[TAX] 8% State Surcharge 3/23/2007 $8.54 SUP 394SIG
Total $115.34 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 wil : - •one in - - ..rdance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is
suspen• -d for more than 186 d. s. •TTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center.
Thos: rules are set forth in O''' 952 -00 -.010 through OAR 952 -001 -0100. You may obtain cop/ =: • these rules or direct questions to OUNC at
503 /46.6699 or 1.800.332. • `` / �� .
Iss ed By: ii _f>�.• , / � J 1 Permittee Si • • �� , � , � i,�
j /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 A lica iai F . ' ')F ( e 1 �" '
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` Receive
„, j: City of Tigard a2(p `x.10 Permit No. gc.c 7 -Do/ g0
(A % D 6 Date/By: 13125 SW Hall Blvd., Tigard, OR 97223 2 0 Plan Review
1 9 2 Phone: 503.639.4171 Fax: 503 598.1960 Date/By: Other Permit:
Inspection Line: 503.639.4175 i..E 1't :1i 1 ' s��1 Date Ready /By: lulls' ' ® See Page 2 for
T .:' , . 8 �Ifj r1t ° ..^ Notified/Method: L Supplemental Information
_.. - Internet: www.tigard-or.gov t.,l j,tii�� � PP
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: 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 114 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 Toad of ❑ "A", "E ", ' 1 - ", "I - 3 ",
100HP or more. occupancy.
Job no.: Job site address:/20/0 54 j �A- ,¢o� -/ •42.• ❑ Six or more residential units. ❑ Recreational vehicle parks.
City /State /ZIP: ❑ Health -care facilities. ❑ Supply voltage for more than
% vl� - /, �2 / ❑ Hazardous locations. 600 volts nominal.
Suite /bldg. /apt. no.: Project name: e M 44 j ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site5, 6-1,Z/,C7../ i c;:e Description 1 Qty. 1 Fee. 1 Total 1 •
New residential single- or multi- family dwelling unit.
0 c-/ O e Alvile /, /7E7e5cZ pAte t /f/wy/ Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less . 145.15 4
Ea. add'l 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential
DESCRIPTION OF WORK (with above sq. ft.) 75.00 2
Limited energy, multi - family 75.00 2
/._STi9'IGL � J 1 / //0/•-4/ Z I, (AZ) residential (with above sq. ft.)
- Services or feeders installation, alteration, and/or relocation
5° f Z� /�-i s 200 amps or less 80.30 2
❑ PROPERTY OWNER 1 ❑ TENANT 201 amps to 400 amps 106.85 2
Name: to fe/E" T /' .//u5 )92 4-C. /7e.-e- 6,/45 C !L 401 amps to 600 amps 160.60 2
1 �5 601 amps to 1,000 amps 240.60 2
Address: 72 � !'( i ✓ i ziottii, ST �'' - /j am C Over 1,000 amps or volts 454.65 2
!!! Temporary services or feeders installation, alteration, and /or
City/State/ZIP:
/Z-�/?jc�/] ( , e 9 72o 5 relocation
Phone: ( ) Fax: ( ) 200 amps or less 66.85 1
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
,APPLICANT 1 ❑ CONTACT PERSON above service or feeder fee, 6.65 2
each branch circuit
Business name: B. Fee for branch circuits
Contact name: without service or feeder fee, 46.85 2
See) Ss �L t= first branch circuit
Address: /20/0 ..5-1,..) c'+' Z 0 E�/ � G Each add'I branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City/State /ZIP: 77 ti.,44-4,:-.) 02 q 7 Z23 Each manufactured or modular 90.90 2
dwelling, service and/or feeder
_ _ Phone: (5'Y//) 3 8 02 t, 9 Fax • (IV I - 33 0 0270 Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 2._ 53.40 /06g0 2
A t/ / Signal circuit(s) or limited -
Business name:
54.. L6-',4 5/6 ti) - //�/ C! . energy panel, alteration, or
Address: / 925-- T cS T �c./ C extension. Describe: Page 2 2
City/State /ZIP: 0 e g -73 / Each additional inspection over allowable in any of the above
1 Per inspection 62.50
Phone: (5-52)) a 63 U 2 Fax: ( 03) 31 i 0'i 0 1 Investigation per hour (1 hr min) 62.50
CCB Lic.: s ✓ I i Electrical Lic.:2L j_) 5 JS Suprv. Lic.: 3114 S C Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES
� 7^ ---IC Sli---431145- v
Suprv. Electrician signature, required: Subtotal: I0 ( 80
Date: _ Z �O Plan review (25% of permit fee):
Print name:
RA D Spr� ll y 7 State surcharge (8% of permit fee): g Sy
Authorized signature: TOTAL PERMIT FEE: //6 34 •
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
• Number of inspections allowed per permit.
:\ Building \Permits\ELC- PermitApp.doc 05/23 /06 440- 1615T( I I/05 /COM/WEB