Permit n
-4 CITY OF TI�ARD ELECTRICAL PERMIT
UPI ? ° PERMIT #: E1.C2007 -00056
COMMUNITY DEVELOPMENT DATE ISSUED: 1/24/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 101 AA - 09700
SITE ADDRESS: 12585 SW 68TH AVE ZONING: MUE
SUBDIVISION: PP1996 - 024 LOT : 001 JURISDICTION: TIG
Project Description: ACCURATE PAYROLL 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:
PARAGON PROPERTIES BEAVERTON NEON
12585SW 68TH 17250 SW AUGUSTA LN.
TIGARD, OR 97224 BEAVERTON, OR 97006
Phone: Contact #: PRI 503 - 649 - 1544
na FAX 503 - 848 -6278
FEES
Description Date Amount Reg #: ELE 34- 273CLS
[ELPRMT] ELC Permit 1/24/2007 $53.40 LIC 65961
[TAX] 8% State Surcharge 1/24/2007 $4.27
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.
Issued By: gip ij, / , ■ A ir P ermittee Signature: 4..f, Of,
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 An ie . t � . g , FOR OFFICE USE. ONLY
City of Tigard ti Date Received 1 Permit N.. 2..a0 7 /„
13125 SW Hall Blvd., Tigard, OR 97223 1' nn q� Plan Revie w '
Phone: 503.639.4171 Fax: 503.598.196V N 2 4 2007 12 " ~ � t :: ' '• Pl a 1 e /B , Other Pemut: 11•4, i Inspection Line: 503.639.4175 _ �. '-' . �„ Date Ready/By: ® See Page 2 for
Internet: www.tigard - or.gov CITY Or iGARD Notified/Method: UM Supplemental Information
BUILDIN 3 Dil /IVOr
TYPE OF WORK PLAN REVIEW
ErNew construction ❑ Addition/alteration/replacement Please check all that apply:
❑ Demolition ❑ Other: ❑Service over 225 amps, comm'I ['Hazardous location
['Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft.,
CATEGOUY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential
❑ 1 and 2 family dwelling 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 load over 99 persons ['Manufactured structures or
JOB SITE INFORMATION AND LOCATION ❑Egress/lighting plan RV park
Job no.: Job site address: /2 SQ5 S', W . (o it.6 A .<c " ❑Health -care facility DOther:
Submit 2 sets of plans with any of the above.
City/ State/ZIP: 7 ' n „� G a 5722-it The above are not applicable to temporary construction service.
J cGttra�c a '° /(/ FEE* SCHEDULE
Suite/bldg. /apt. no.: Project name: � f ,
o, /191 p i f nCS 3erfrt /Q S Description I 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'l 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
_t f
_. ►k.J�{l- dwelling, service and/or feeder _ 90.90 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
❑ PROPERTY OWNER 1 ❑ TENANT 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
Name: 601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2 -
Reconnect only 66.85 2
City /State/ZIP: Temporary services or feeders installation, alteration, and /or
Phone: ( ) Fax: ( ) relocation _
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 600 amps 133.75 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
Q'APPLICANT 1 [CONTACT PERSON A. Fee for branch circuits with
service or feeder fee, each 6.65 2
Business name: geA✓ P t N N vt branch circuit _
B. Fee for branch circuits
Contact name:
Gre,, � 4 • W i /1 • to S without service or feeder fee, 46.85 2
Address: J first branch circuit
7 z s-o S • W = atq tt 5.4 Lou.. G Each add'I branch circuit 6.65 2
City/State/ZIP: tge4 v h , JO Gi 7o 0 6 Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 f�''; 2
Phone: (5v3) ( yei - /S-v y I Fax: : (5D3 ) 8 L g - 6 2 7 $ Sign or outline lighting 53.40 S. yD 2
E -mail: Signal circuit(s) or limited -
CONTRACTOR energy panel, alteration, or
Business name: ea n`e U extension. Describe: Page 2 2
.veri -,3, ,Y /
Address: /72 r6 / ' I Each additional inspection over allowable in any of the above
S . w` �-�t i 'l - 4- r% ''°`� 0 Per inspection 62.50
City /State/ZIP: geAver 0 h / a 9 70 6 C o ` Investigation per hour (1 hr min) 62.50
Phone: ( F ax: 7 _ ` Industrial plant per hour 73.75
3 ) 6 y 9 - �� yy �> '" b Z� ELECTRICAL PERMIT FEES*
CCB Lic. 6 5" 16 . i1 / Electrical Lic.: 3y -277 ,uprv. Lic.: 636 .5iTG Subtotal 53
Suprv. Electrician si , r fi red: Plan review (25% of permit fee)
Print name: 6. Ai P
Date: State surcharge (8 %of permit fee) [ i - a,'
/ — Z g n7 TOTAL PERMIT FEE 61. 6'7
Authorized This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete
Print name: • ' Date: • Fee methodology set by Tri- County Building Industry Service Board
— •• Number of inspections per permit allowed.
I:\ Building \Pennits\ELC- PennitApp.doc 12/30/05 440.4615T(10/02/COM/WEB
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
El Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning
System*
El Vacuum Systems*
❑ Other:
COMMERCIAL WORK ONLY:
Fee for each commercial system $75.00
(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
El. Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
El 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\Pennits \ELC- PermitApp.doc 12/30/05
CITY 11111P'
BUILDING DIVISION PERMIT #: ELC2007 -00056
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: '1/24/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 W 1 L .
INSPECTION WORKSHEET FOR DATE: 3/6/2G07 TIME: 7 : 00AM PAGE: 55
SITE ADDRESS: 125135 SW 68TH AVE CLASS OF WORK:
SUBDIVISION: PP1996 -024 LOT #: 001 TYPE OF USE:
PROJECT NAME: ACCURATE PAYROLL
DESCRIPTION: ACCURATE PAYROLL Sign lighting
OWNER: PARAGON PROPERTIES, PHONE #:
CONTRACTOR: 1315 INIAitiAlftlIi/TIES, PHONE #: 603.6419 - 1544
pAPAr4 t t PPflPFPTIF'�
Inspection Request Scheduled For: Date: 3/6/2007 Pour Time:
Code # Inspection Description • • ' •I # Contact # essage
199 Electrical final 044359-01 503-649-1544 Y
Corrections /Comments /Instructions: L& '
N.Nt- 5 0 off: ; c. ppki\ls0
'V
..,PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Cr N be Lia Date: 3( 6(Y I Phone #: (503) 718- 1-41%