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Permit CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2007 - 00700 COMMUNITY DEVELOPMENT DATE ISSUED: 10/10/2007 TIGARD 13125 WHall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S112AD SITE ADDRESS: 66660 SW BONITA RD ' ZONING: I -P SUBDIVISION: PAUL SCHATZ FURNITURE LOT : 001 JURISDICTION: TIG PROJECT: THOMASVILLE Project Description: (2) sign lightings. 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: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: PAUL SCHATZ RAMSAY SIGNS 6650 SW BONITA RD 9160 SE 74TH AVE TIGARD, OR 97223 PORTLAND, OR 97206 Phone: 503 - 620 -6600 Contact #: PRI 777 -4555 FEES Description Date Amount Reg #: ELE 26- 106CLS [ELPRMT] ELC. Permit 10/10/200" $106.80 LIC 63422 [TAX] 8% State Surcharge 10/101200' $8.54 SUP 493 SIG 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 th. • :1 days. • • ENTION: • -gon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR t 2- 001 -0010 through'QAR : 2 -011 -0 i!.. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344. • Iss ed By: / 0/ �� Permittee Signatur _ - � 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. SC,KIaoo7 - oc-)l7G d co I - 7 co Electrical Permit Application FOR OFFICE USE ONLY City of Tigard Received p 7 �p 7� Y g Date By. Permit No � y� IN q 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 Date /B Other Permit TIGARD Inspection Line: 503.639.4175 Date Ready /By. See Page 2 for Internet: www.tigard or.gov Notified /Method: Mill Supplemental Information 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 14.00 ❑ Commercial -use agricultural ❑ 1- and 2- family dwelling 2 ❑ 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 load of ❑ "A °E ' I -2 . "I -3". 1001-IP or more. occupancy. Job no.: Job site address: 66, 5 �h y t • IL es t { 0 Six or more residential units. ❑ Recreational vehicle parks. City/State/ZIP: —1 � ❑ Health -care facilities. ❑ Supply voltage for more than I s a r.1 © ❑ Hazardous locations. 600 volts nominal. Suite/bldg/apt. no.: Project name: ❑ Service or feeder 600 amps or more. c FEE SCHEDULE Cross street/directions to job site: c , et ' ] T 6 , g._ A A j__ — Description I Qty. I Fee. I Total I * 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 75.00 2 DESCRIPTION OF" WORK (with above sq. ft.) Limited energy, multi - family 75.00 2 t . �44„ , &.6 Q r c . Z ,J � . - residential (with above sq. ft.) �I�GCS/ Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 PROPERTY 'OWNER ' ° ❑ TENANT 201 amps to 400 amps 106.85 2 Name: t� 401 amps to 600 amps 160.60 2 Q I/ 1 5 L.11 /.t I- Z 7 601 amps to 1,000 amps 240.60 2 Address: ( & 50 5 L.,), n t i Gt , Over 1,000 amps or volts 454.65 2 /State /ZIP: �� Temporary services or feeders installation, alteration, and/or Cit Y -Tl relocation Phone: (S 03) 4 p -- (0Ip 0 0 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, per panel Owner signature: A- Date: A. Fee for branch circuits with APPLICANT ❑ CONTACT PERSON above service or feeder fee, 6.65 2 each branch circuit Business name: RiYj?Sa,41 Se ns B. Fee for branch circuits without service or feeder fee, 46.85 2 Contact name: S 't- e v e (A/p, i �� first branch circuit Each add'' branch circuit 6.65 2 Address: C7 b ° _.5 E -- 7 1 1 2 - ' - 2/E Miscellaneous (service or feeder not included) City /State /ZIP:'Fa f Og Each manufactured or modular 90.90 2 dwelling, service and /or feeder Phone: ( t om 0 - 3) 777_ t/55 S ( 4 - 0 3 ) 7 7 Fax: : •77 - ___ 0 Z 2 © Reconnect only 66.85 2 E -mail: Pump or inigation circle 53.40 2 CONTRACTOR Sign or outline lighting 53.40 /O6.&') 2 Signal circuit(s) or limited - Business name: R o � ,„ . I r7 , -� _ energy panel, alteration, or ` Address: A- WI e, extension. Describe: Page 2 2 City /State /ZIP: 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.: k 3 c./ Z 7_, Electrical Lic.: 26 /06 els Suprv. Lic.: i_/ 3 SX G1 Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES Suprv. Electrician signature, require Subtotal: Plan review (25% of permit fee): Print name: e Date: 1 f 5 ri t 2 f C State surcharge (8% of permit fee): 8 S Authorized signature: --ZeO/�e�_ TOTAL PERMIT FEE: t j �L This permit application expires it' a permit is not obtained within ISO Print name: 5 -f--e V p IAA Date: D/ 0 days after it has been accepted as complete. * Number of inspections allowed per permit. 1 PermitApp doe 05/23/06 -140-4615r/11/05/C01,1/WEB CITY OF TIGARD BUILDING DIVISION #: ELC2007..00700 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 10/10/2007 Phone: (503) 639 -4171 elf � (11 Inspection Requests (24 Hrs.): (503) 639 -4175 AA 11. INSPECTION WORKSHEET FOR DATE: 1/22/2008 TIME: 7:01AM PAGE: 71 SITE ADDRESS: 06650 Slit BONITA R[) CLASS OF WORK: SUBDIVISION: PAUL SCHATZ. FURNITURE LOT #: 001 TYPE OF USE: PROJECT NAME: THOMASVILLE FURNITURE DESCRIPTION: (2) sign lightings. OWNER: PAUL SCHATZ, PHONE #: 50 :3- 620 -6600 CONTRACTOR: RAMSAY SIGNS PHONE #: 777 - 4555 Inspection Request Scheduled For: : - te: x/22/ 2000 Pour Time: Code # Inspection Description Confirm Contact # Message 140 nation 063571 -01 503-777-4565 N Y F log e recti o ns /Comments /I uctions: r d PASS ❑ PARTIAL APPROVAL ❑ CANCEL fl NO ACCESS ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: �( N6 g Date: 1 " 'Z Phone #: (503) 718 - -