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Permit CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2006 - 00206 DEVELOPMENT SERVICES DATE ISSUED: 4/18/2006 .'f 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S112AA -00600 SITE ADDRESS: 06777 SW BONITA RD 100 ZONING: I -L SUBDIVISION: NELSON BUSINESS CENTER LOT : C_D JURISDICTION: TIG Project Description: (1) 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: MULTI - LIGHT SIGN CO. 809 NE LOMBARD ST PORTLAND, OR 97211 Phone: Contact #: FAX 503 - 280 -9624 PRI 503 - 281 -3083 FEES Description Date Amount Reg #: ELE 26 -90CLS [ELPRMT] ELC Permit 4/18/2006 $53.40 LIC 64107 [TAX] 8% State Surcharge 4/18/2006 $4.27 SUP 672SIG 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 di ct questions to OUNC at 503 - 246 -6699 or 1- 800 - 332 -2344. Issued By: �T� E �1 Permittee Signature: �i�i % i ce - 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. S i. do 6 7 - E lectrical Permit A t''d � . ' �i °� ' ."I BIZ il:I icl� us 't `_ City of Tigard R ecei ./ ' Pe rmit No.: � � D ved y 7srv6 �y G A 13125 SW Hall Blvd., Tigard, OR 97223 () 2f1t1 UUUU � Plan Review Phone: 503.639.4171 Fax: 503.598.1960 R r., Other Permit: AP U I Date/By. Inspection Line: 503.639.4175 t „ , �,�� D ate Ready/By: 3uris: P ® See Page 2 for Internet: www.ci.tigard.or.us ,� `I a V f .1‘161- __ Notified/Method: / f Supplemental Informat i 1 0: 10.::+. �a, � OTWORKT a PLAN REVIEW • IR New construction ©Additton7alteration/replacement Please check all that apply: • ID Demolition 12 Other: ['Service over 225 amps, comm'I ❑ Hazardous location ['Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft., C ATEGORY OF CONSTRUCTION • of 1- and 2- family dwellings 4 or more new residential ❑ 1 - and 2 family dwelling R. Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure ❑ Multi - family ❑Master builder ❑ Other: ['Building over three stories ['Feeders, 400 amps or more ['Occupant Toad over 99 persons ❑Manufactured structures or JOB SITE INFORMATION AND LOCATION - DEgress/lighting plan RV park • Job site address: \ ❑ Health -care f acility ['Other: Job no.: � ' s �' �� IT b - Ito Submit 2 sets of plans with any of the above. City /State/ZIP: ` 1 �/s 0 62, . el r izz 4 The above are not applicable to temporary construction service. Suite/bldg. /apt. no.: �I Project name: C3�pL�E 0 ts -- Tg1 S FEE* SCHEDULE Description j Qty. I Fee. I Total I ** Cross street/directions to job site: New residential single- or multi - family dwelling unit. Includes attached garage. 1,000 sq. ft. or less 145.15 4 Subdivision: Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential 75.00 2 Limited energy, non - residential 75.00 2 DESCRIPTION OF WORK Each manufactured or modular ff AA, ^ , `` dwelling, service and/or feeder 90.90 2 Y"kr4 U A C� �E +- I � �L•-L- } 0 -ON Ki E Ct 5 «;)/J Services or feeders installation, alteration, and /or relocatio 200 amps or less 80.30 2 ❑ PROPERTY -OWNER I _. TENANT 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 Name: ZgAAN D IS .11& t 601 amps to 1,000 amps 240.60 2 Address: (0,77 7 S(!6 t gD.J 1T,la _ >- `ez3o Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City /State /ZIP: Tt _O e_. a ? 72- Temporary services or feeders installation, alteration, and /or relocation Phone: (S3 ) 6 ?(08 — 1 701 3 Fax: ( ) cj't -7 1 2-/ 200 amps or less 66.85 I Owner installation: This installation is being made on property that 1 own which is not 201 amps to400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2 Owner signature: • Date: Branch circuits - new, alteration, or extension, per panel • ❑ APPLICANT s CONTACT PERSON A. Fee for branch circuits with service or feeder fee, each 6.65 2 Business name: I` UL:C\ _ L1 {'f' k L Co • branch circuit B. Fee for branch circuits Contact name: \ e N 0 Kk 1 . p e, Q go in)O ` S 1 without service or feeder fee, 46.85 2 gg 10 & LL) Ml each branch branch it Address: Q �A �T ' Each add'I branch circuit 6.65 2 City/State/ZIP: Miscellaneous (service or feeder not included y 2� r� �� Ct' Z- i I ( included) • Phone: (563 )2_81 _ 30, 2� Fax: : (i 5 )2o - �2`-/ Pump r irrigation L circle 53.40 2 Sign or outline lighting f 53.40 2 E - mail: 8.42.Y•0 (o ti It qt,.* 6><c' • ' Cp w. • Signal circuit(s) or limited- - - - CMITRACTOR - energy panel, alteration, or extension. Describe: Page 2 2 Business name: M ti--n _ Lk 61-4? . 3166 e r0 . Address: �� E LC) M > ST Each additional inspection over allowable in any of the above Per inspection 62.50 City /State /ZIP: PD 9.... D i`72_ I Investigation per hour (1 hr min) 62.50 3) 7 Fax: (Sp ) Industrial plant per hour 73.75 Phone: ( 1 3( 7Q 3 O b / .. ELECTRICAL PERMIT FEES* ' CCB Lic.: (oy. l 07 Electrical Lic.: 3 43_b Suprv. Lic.: Subtotal if tU Suprv. Electrician signature, requi „_ _ ��_ Plan review (25 %ofpermit fee) `j1 State surcharge (8% of permit fee) ( / 2 - 7 Print name: er t ' r �f a W Date: 4 _ if _ D t, y\ TOTAL PERMIT FEE J , d / 7 Authorized signature: ) G gn ( / ,L�.1 This permit application expires if a permit is not obtained within 180 � l Witl.,Ottzgll days after it has been accepted as complete Print name: V e o S . D9 e, ) LSD 1 Date: 4,.. l _Oa, • Fee methodology set by Tri- County Building Industry Service Board •• Number of inspections per permit allowed. i ".\ Building \Pennits\ELC- PermitApp.doc 12/03 440-4615 T(10/02/COM/W EB Electrical Permit Application - City of,Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: ( RESIDENTIAL:WORK ONLY: Fee for all residential systems combined .. $75.00 • Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: COMMERCIAL ' WORK ONLY Fee for each commercial system 575.00 (SEE OAR 918- 260 -260) • Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ 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 04/03 CITY OF TIGARD BUILDING DIVISION PERMIT #:a(V)0310- ()02.0:, 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: Phone: (503) 639 -4171 Zilit Inspection Requests (24 Hrs.): (503) 639 -4175 .. INSPECTION WORKSHEET FOR DATE: —) . I $ - c) TIME: EXP ED 1 1 SITE ADDRESS: DTI r) S lr 5 O t %61 A -4 ' I O) CLASS OF WORK: .- SUBDIVISION: LOT#F TYPE OF USE: PROJECT NAME: DESCRIPTION: S 1 Dv) OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message Corrections /Comments /Instructions: • PASS I PARTIAL APPROVAL n CANCEL n NO ACCESS FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: ` 'v Date: l c t 0 Phone #: (503) 718-