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Permit • C ITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2005 -00833 4)i DEVELOPMENT SERVICES DATE ISSUED: 10/25/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171 PARCEL: 2S101 DA - 00101 SITE ADDRESS: 13190 SW 68TH PKWY ZONING: C -P SUBDIVISION: TRIANGLE CORPORATE PARK LOT : 003 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: SIGNAUPANEL: 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: PACIFIC NW PROPERTIES RAMSAY SIGNS 6600 SW 105TH 9160 SE 74TH AVE BEAVERTON, OR 97007 PORTLAND, OR 97206 Phone: 503 - 626 -3500 Phone: 777 -4555 FEES Reg #: LIC 63422 ELE 26- 106CLS Description Date Amount SUP 493SIG [ELPRMT] ELC Permit 10/25/200' $53.40 [TAX] 8% State Surcharge 10/25/200: $4.28 REQUIRED ITEMS AND REPORTS Total $57.68 • 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 -80 2- Issued By: ctr� / ��.Gfi Permittee Signature' :0 / `s �J /l/�i !� 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. ,d L 6.5 - 3 •Elect Permit R YE FOR OFFICE USE ONLY City of Tigard Received t, Date/By: I O/ 85/o'j 8j I6 � uW Permit No._A 05 _ G 5 13125 SW Hall Blvd., Tigard, OR 97N3 T 2 d 2005 Plan Review G l Phone: 503.639.4171 Fax: 503.598.1960 Gyr,�,et�rJ,i; �'h Date /By: Other Permit: Inspection Line: 503.639.4175 ^'I I Date Ready /By: ta.ds�' See Page 2 for Internet: www.ci.tigard.or.us CITY OF TIGARD Notified/Method: / Supplemental Information Rllil DING DIVISION TYPE OF WORK PLAN REVIEW ❑ New construction 0 Addition/alteration /replacement Please check all that apply: ❑ Demolition 0 Other: ['Service over 225 amps, comm'I ❑Hazardous location ['Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft., CATEGORY 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: ❑Buildin 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.:3S 7 3 Job site address: 1/90 � !/� /_gam ,'X� v ['Health-care facility ['Other: (J� Submit 2 sets of plans with any of the above. City/State /ZIP: - Z ' 7 D 77Z0 3 The above are not applicable to temporary construction service. FEE* SCHEDULE Suite/bldg. /apt. no.: Project name: w 5 Z �Z� Descri ption I Qty. I Fee. 1 Total I ** Cross s to job site: / / New residential single or multi - family dwelling unit. // �n9f '' / Y �O 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 Limited energy, residential 75.00 2 Tax map /parcel no.: Limited energy, non - residential 75.00 2 DESCRIPTION OF WORK Each manufactured or modular / dwelling, dwelling, service and/or feeder 90.90 2 , G(C I Services or feeders installation, alteration, and /or relocation 200 amps or less 80.30 2 )c(PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 106.85 2 - 401 amps to 600 amps 160.60 2 Name: 7/./ 9/ ? ?77 601 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: ( ) ax: ( ) relocation 200 amps or less 66.85 1 Owner installation: This installation ' . g made n . o p - - - 4 7 at I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or a ange, according . ORS 44 , 449, 670, and 701. 401 amps to 600 amps _ 133.75 2 Owner signatur • Date: Branch circuits — new, alteration, or extension, per panel APPLICANT 1 CONTACT PERSON A. Fee for branch circuits with service or feeder fee, each Business name: X/9//75#)/576A/ ` """--- G branch circuit 6.65 2 Gg�� /% ��/ TY /� B. Fee for b ut service cir e or fee Contact name: G(� f' �CC without fee er fee, 46.85 2 / each branch circuit Address: 9 /Cl� G N�v - Each add'I branch circuit 6.65 2 City/State/ZIP: !'/� e7 -- /t � )7777....%9 v7' 97�D, Miscellaneous (service or feeder not included) Phone: ) 777 si Fax: :IV )7777....%9 Pump or irrigation circle 53.40 2 Sign or outline lighting I 53.40 0 -1,1.10 2 E -mail: Signal circuit(s) or limited - CONTRACTOR energy panel, alteration, or /4.... / �� ! Business name: extension. Describe: Page 2 2 �� %%� ,04717e Address: Each additional inspection over allowable in any of the above Per inspection 62.50 City/State /ZIP: Investigation per hour (1 hr min) 62.50 Phone: ( ) Fax: ( ) Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES * 12 • 0 CCB Lic • Electrical Lic. , /i Suprv. Lic.: J Subtotal • Suprv. Electrician signature, required: `i, / %/� Plan review (25% of permit fee) t� Print name: �i� � '�d � , Date: /, State surcharge (8% of permit fee) r n -,/� TOTAL PERMIT F d lo Authorized signature/ / /.7f /L // This permit application expires if a permit is not obta within 180 �� ` days after it has been accepted as complete Print name: Z / ZL%� Date %� /�� Fee methodology set by Tri- County Building Industry Service Board YYY •* Number of inspections per permit allowed. i:\Bui !ding \Permits \ELC- PermitApp.doc 12/03 440- 4615T(10/02 /COM/WEB CITY OF TIGARD _ ._. BUILDING DIVISION PERMIT #: EI_G2005 00833 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/25/2005 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 : INSPECTION WORKSHEET FOR DATE: 12/16/2005 TIME: 7 :06AM PAGE: 89 SITE ADDRESS: 13190 SW 68TH PKWY CLASS OF WORK: SUBDIVISION: TRIANGLE CORPORATE PARK LOT #: 003 TYPE OF USE: ' PROJECT NAME: BUSINESS OBJECTS DESCRIPTION: Sign lighting. OWNER: PACIFIC NW PROPERTIES, PHONE #: 503- 626 -3500 CONTRACTOR: RAMSAY SIGNS PHONE #: 777-4555 Inspection Request Scheduled For: Date: 12/16/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 023564 -02 503-777-4555 Y Corrections /Comments/ Instructions: • L i /...------ ,, PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED iir Inspector: ilite- Date:, , 4 4 Phone #: (503) 718- Y// C CITY OF TIGARD .. ■_ BUILDING DIVISION t PERMIT #: ELC2005 -00833 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/25/2005 Phone: (503) 639 -4171 40001 I Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 12/16/2005 TIME: 7:06AM PAGE: 90 SITE ADDRESS: 13190 SW 68TH PKWY CLASS OF WORK: SUBDIVISION: TRIANGLE CORPORATE PARK LOT #: 003 TYPE OF USE: PROJECT NAME: BUSINESS OBJECTS DESCRIPTION: Sign lighting. OWNER: PACIFIC NW PROPERTIES, PHONE #: 5036203500 CONTRACTOR: RAMSAY SIGNS PHONE #: 777'4555 Inspection Request Scheduled For: Date: 12/16/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 140 Sign installation 023564 -011 503- 777 -4555 Y Corrections /Comments /Instructions: Ci i ti 0 S 1 4 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: L.4.4/ Date: k Phone #: (503) 718 - 1/4/lo