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Permit C ITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2007 -00225 ° COMMUNITY DEVELOPMENT DATE ISSUED: 4/13/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S102AB - 03100 SITE ADDRESS: 12425 SW MAIN ST ZONING: CBD SUBDIVISION: ELECTRIC ADD. TO TIGARDVILLE 2 LOT : 4 -3 JURISDICTION: TIG PROJECT: SHERRIES JEWELRY BOX Project Description: (2) 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: 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: SVCIFDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: RICHARD /HEATHER CHRISTMAN SIGNCRAFT LLC 940 UPPER DEVON LN. 9033 SW BURNHAM LAKE OSWEGO, OR 97034 TIGARD, OR 97223 Phone: Contact #: PRI 503 - 639 -4910 FAX 503 - 639 -4999 FEES Description Date Amount Reg #: ELE 34- 674CLS [ELPRMT] ELC Permit 4/13/2007 $106.80 LIC 155420 [TAX] 8% State Surcharge 4/13/2007 $8.54 SUP 75SIG 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 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. /I Issued By: Permittee Signature: 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 Applic FOR OFFICE USE ONLY city of Tigard CEIVED Received Date/B : , i / l d O 1 • 1 a i e a' 13125 SW Hall Blvd., Tigard, OR 97223 Plan Revi -�� �� -40 S Phone: 503.639.4171 Fax: 503.5110(160-1 U Date/By: Other Permit: $44.1 243V 1-- T I G A R p Inspection Line: 503.639.4175 • 2007 Date•ReadyBy: Juri ® See Page 2 for . Internet: www.tigard-orgov CITY OF TIGARD Notified/Method: Supplemental Information TYPEMLBORN DIVISION PLAN REVIEW ' Please check all that apply (submit 2 sets of plans w /items checked below): ❑ New construction ❑ Addition/alteration/replacement �) � ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition [' Other: $ t e yk) LT,,t9 k 0 r 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 ❑ 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 ", "1 -2 ", "1 -3 ", Job no.: Job site address: 1001 -IP or more. occupancy. a 4 tx.S 641 MAI i) ❑ Six or more residential units. ❑ Recreational vehicle parks. City/State /ZIP: '" A (LA " Q p 7 3 r ❑ Health -care facilities. ❑ Supply voltage for more than El Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: Sherc. ` es S eldQ r A , , ❑ Service or feeder 600 amps or more. Cross street/directions to job site: `'`"� Description FEE SCHEDULE Qty. I Fee. I Total New residential single- or multi- family dwelling unit. 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 2' • DESCRIPTION OF WORK _ .(with above sq. ft.) Limited energy, multi-family 75.00 ' 2 _7-1 `1 4 t ' ,' Of n d_ p L J residential (with above sq. ft.) ¢ 7 - L Services or feeders installation, alteration, and/or relocatio 'To C.l eA 't L p. L " (` Lla C. t_ 200 amps or less 80.30 2 ❑ PROPER � N� EER I ❑ TENANT 201 amps to 400 amps 106.85 2 Name: �� /� J '� J - 1t�t�..� (e.„al2 _ 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: 64/2,1X--• Over 1,000'amps or volts 454.65 2 t% City/State /ZIP: , q 7.0 9Z Temporary services or feeders installation, alteration, and/or relocation ' Phone: ( ) I 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, er panel Owner signature: Date: - A. Fee for branch circuits with ❑ APPLICANT I ❑ CONTACT PERSON above service or feeder fee, each branch circuit- 6.65 2 ' Business name: � irl. C , ta ,-, 1. A 1 U , B. Fee for branch circuits . without. serviee or feeder fee, 46.85 2 Contact name: ""ro��[,E� K�- � first branch circuit • Address: Ck ru3?a .Q.39`1 Q...-. Each add'I branch circuit • 6.65 . 2 - Miscellaneous (service or feeder not included). City/State /ZIP: —VS (4 A p 49 Q 43" 3 Each manufactured or modular 90.90 2 1 503 / 3ci'L/q�el Reconnect only and/or feeder Phone: 62J 39— �( I 0 Fax:: ) L� Recoonnee ct t on only y 66.85 ,L ID 2 E -mail: Pump or irrigation circle 53.40 VP - _ 2 CONTRACTOR Sign or outline lighting. ■;__ 53.40 2 Signal circuit(s) or limited- ' Business name: _ :in a _ — 1 . • - / i energy panel, alteration, or ■ Address: • eh Qg, uew S ' , • - extension. Describe: Page 2 2 • City /State /ZIP: o a 9922_, , Each additional inspection over allowable in any of the above Per. inspection 62.50 Phone: ( ) Fax: ( ) Investigation per hour (I hr min) . 62.50 CCB Lic.: ` - 3 Electrical Lic., 3t/ / 7 / Supry. Lic.: , :� Industrial plant per hour 73.75 ✓ -' L • ELECTRICAL PERMIT FEES Suprv. Electrician signature „required L z._ -'1., Subtotal: Print name: Date: a Plan'review (25% of permit fee): n State.surcharge :(8% of permit fee): I )j Authorized signature: TOTAL PERMIT FEE: / J Print name: Date: This permit application expires if a permit is not obtained within tau - days after it has been accepted as complete. "f 1/5”. 3 • Nu of inspections allowed per permit. J / C\Building\ Permits \ELC- PermitApp.doc.05/23 /06 094 440- 4615T(11 /05 /COM/WEB - 10 1 1 UUU th ff 7 3.01 • 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 $75.00 system (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 0 Landscape Irrigation Control* ,O Medical ❑ Nurse Calls • r • ❑ 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 03/23/06 , I • • • 04/16/2007 16:41 5036209568 SIGNCRAFT ELECTRICAL PAGE 02 CITY OF TIGARD °. COMMUNITY DEVELOPMENT TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 Electrical Signature Form IMPORTANT PERMIT NOTICE SIGNCRAFT LLC 9033 SW BURNHAM TIGARD, OR 97223 • • Permit #: ELC2007 -00225 Date Issued: 4/13/2007 Parcel: 2S 102AB -03100 Site Address: 12425 SW MAIN ST Subdivision: ELECTRIC ADD. TO TIGARDVILLE 2 Lot: 4 -3 Jurisdiction: TIG Zoning: CBD Project Name: SHERRIES JEWELRY BOX Description: (2) Sign lighting Your company has been indicated as the electrical contractor for the permit referenced above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of the work. Please mail the form to: City of Tigard, Building Division, 13125 SW Hall Blvd., Tigard, OR 97223, or you may fax the form to: 503.624.3681. If you have any questions please call 503.718.2433. No electrical inspections will be authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR: RICHARD /HEATHER CHRISTMAN • SIGNCRAFT LLC 940 UPPER DEVON LN. 9033 SW BURNHAM LAKE OSWEGO, OR 97034 • TIGARD, OR 97223 Phone #: Phone #: 503 - 639 -4910 Reg #: ELE 34- 674CLS LIC 155420 SUP 75SIG AN INK SIGNATURE IS REQUIRED ON THIS FORM • X #ei/ r> „)c — 224 - 5/0 Sign re of Supe ising Electrician Name (printed) SUP LIC# • • . CITY OF TIGARD - BUILDING DIVISION PERMIT #: ELC2007 -00226 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/13/2007 Phone: (503) 639 -4171 , t. Inspection Requests (24 Hrs.): (503) 639 -4175 s `__ INSPECTION WORKSHEET FOR DATE: 51112007 TIME: 7:00AM PAGE: 40 SITE ADDRESS: 12425 SW MAIN ST CLASS OF WORK: SUBDIVISION: ELECTRIC ADD. TO TIGARDVILLE 2 LOT #: 4 -3 TYPE OF USE: PROJECT NAME: SHERRIES JEWELRY BOX DESCRIPTION: (2) Sign lighting OWNER: CHRISTMAN, RICHARD/HEATHER PHONE #: CONTRACTOR: SIGNCRAFT LLC PHONE #: 503-639.4910 Inspection Request Scheduled For: Date: 5/1 /2007 Pour Time: Code # Inspection Description , ��Confir-m,# Contact # Message 140 Sign installation 0473930/ 503- 639.4910 N Corrections /Comments /Instructions: __,� .) O ikt:SN b I( L tIEZ El i.10 (m • u L OR. drivVi(L 'IN 6 ":00vaS I•sa\ Atocz LSI ;N A €.0 1 • AZI, 660.3 p AC . t 0t .4 lug v..1 d : Pkwior Ka. 4©,v► 04) ; (,) ft(LiA ❑ PASS - ❑ PARTIAL APPROVAL CANCEL 1 1 NO ACCESS A FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G"---. 0, ( 'UL -� Date: 511 J 1�'{ al Phone #: (503) 718- 1