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Permit CITY O 1 TIGARD ELECTRICAL PERMIT PERMIT #: ELC2008 -00451 .� COMMUNITY DEVELOPMENT DATE ISSUED: 8/6/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 25101 DA -01500 SITE ADDRESS: 07150 SW FIR LP ZONING: C -P SUBDIVISION: 72ND BUSINESS CTR -VARNS PARK LOT : 005 JURISDICTION: TIG PROJECT: HALSTEAD WEST Project Description: Sign 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: DHS, LLC MEYER SIGN CO OF OREGON 15 OAKWOOD AVE 15205 SW 74TH AVE NORWALK, CT 06850 TIGARD, OR 97223 Phone: Contact #: PRI 503 - 620 - 8200 FAX 503 - 620 -7074 FEES Description Date Amount Reg #: ELE 20- 190CLS [ELPRMT] ELC Permit 8/6/2008 $53 40 LIC 64014 [TAX] 12% State Surchar 8/6/2008 $6.41 SUP 566SIG Total $59.81 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: Permittee Signature: J —/ 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. t Electrical Permit Application E f j E, FOR OFFICE USE ONLY Received A _ Date /B 1111 Permit No EL( .e.)6) I —00` 5 " 11.‘ " 1 13125 City SW of Hall Tigard Blvd , Tigard, OR 97223 vU Plan Review Q Other Permit N ao©, _ , _ I Phone 503.639 4171 Fax 503 598 ID�� �� Date /B �G Inspection Line 503.639 4175 J TIGA� Date Ready /By ions H See Page 2 for TIGARD �1,�� +,Q Notified/Method www tigard-or gov 9 DIR1r'e flp` /; Supplemental Information '•G_- - `°vr^T I1! �I% :` 1 c4t,,: 3..,sP '�,.'�'. �Tl'PEI� F WORK'' '', t . � . , ;- .,,,« , :.r,.�. , ,- ...�r, ,. ,.f ..,... El New construction ❑ Addition /alteration /replacement Please check all that apply (submit 2 sets of plans w /stems checked below) ❑ Service of feeder 400 amps of mote ❑ Building over three stories ❑ Demolition ® Other. Sign where the available fault current ❑ Marinas and boatyards il ' ' ;r CATEGORY' OGONSTRUCTION - ti , e 2 ' -' ' ,' ° , 4 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 maps for all other installations buildings ❑ Multi- family ❑ Master builder ❑ Other ❑ Fire pump ❑ Installation of 75 KVA or 0 Emergency system larger separately derived system ' .. JOB SITE: iNFORMATION `AND n /t,.,, , ❑ Addition of new motor load of ❑ "A ", "E ", i- 2 ", "I -3", Job no.: Job site address. 7150 SW Fir Loop I or more occupancy ❑ Six x o or r more residential units ❑ Recreational vehicle parks City /State /ZIP Tigard, OR 97223 ❑ Health -care facilities ❑ Supply voltage for more than ❑ Hazardous locations 600 volts nominal Suite /bldg /apt. no • Project name: Halstead West ❑ Service or feeder 600 amps or more Y , ' = ,K ,tea;.: -:FEE SCHEDU, - '` rf; ;; ,., Cross street /directions to job site SW 72 "' Ave. & SW Fir Loop Description I 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'I 500 sq ft or portion 33.40 1 Tax map /parcel no : Limited energy, residential 75 00 2 . RK ;, u, 'i 'i",1,3., (with above sq ft ) _:. ; ,,, '<;..., , � . ,-DE3CRIPThON�, �� Limited energy, multi- family 75 00 2 install (I) monument sign residential (with above sq ft ) Services or feeders installation, alteration, and /or relocation 200 amps or less 80 30 2 - - ®; PROPERTY OWNER, ; ; , ` :> 1111 ,:• ;; r; •TENANT • ' - 201 amps to 400 amps 106 85 2 Name DHS, LLC 401 amps to 600 amps 160 60 2 601 amps to 1,000 amps 240 60 2 Address 15 Oakwood Ave. Over 1,000 amps or volts 454 65 2 City /State /ZiP: Norwalk, CT 06850 Temporary services or feeders installation, alteration, and /or relocation Phone ( ) Fax: ( ) 200 amps or less 66 85 I 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: Date: A Fee for branch circuits smith ; ;• ., ®;'APPLICAl ' ' ® CONTACT PERSO -, F' above service or feeder fee :::_;: a 665 2 each branch circuit Business name: (Same as contractor) B Fee for branch circuits Contact name without service or feeder fee, 46 85 2 first branch circuit Address. Each add branch circuit 6 65 2 Miscellaneous (service or feeder not included) City /State /ZIP: Each manufactured or modular 9090 2 dwelling service and /or feeder Phone' ( ) Fax ( ) Reconnect only 66 85 2 E - mail: Pump or irrigation circle 53 40 2 - & - : ,sr ;,Z CONTRACTOR- - , .i ' "',' . i', Sign or outline lighting I 53 40 53 4 2 Business name: Meyer Sign Co. of Oregon, Inc. Signal panel, or limited - g g energy panel, alteration, or Address: 15205 SW 74 Ave. extension Describe Page 2 2 City /State /ZIP. Tigard, OR 97224 Each additional inspection over allowable in any of the above Per inspection 62 50 Phone (503) 620 -8200 Fax: (503) 620 -7074 Investigation per hour (I hr min) 62 50 CCB Lic. 64014 Electrical Lie: 20 -190CL Suprv. Lie.: SiG566 I ndustrial plant per hour 73 75 , ELECTRICAL` PERML'I /FEES - - ` , y .. Supry Electrician signature, required: Subtotal 53 4 Print name Phil Reynolds Date: 8 -6 -08 - Plan review (25% of permit fee) State surcharge (12% of permit fee) 6 41 Authorized signature. — ;� • TOTAL PERMIT FEE 59 81 This permit application expires if a permit is not obta' 0 Print name' Steve Murphy — Date: 8 -6 -08 [lays after it has been accepted as complete. * Number of inspections allowed per permit IABmldingVPermits \ELC- PennrtApp doc 05/23/06 440 - 46151(1 I /05/COM/WEB CITY OF TIGARD BUILDING DIVISION Phone: (503) 639-4171 PERMIT #: ELC2008-00451 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/612008 1217 0 4 101 41 , 1) Heilell Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 10/20/2008 TIME: 7:00Atvi PAGE: 26 SITE ADDRESS: CITifia SW FIR LP CLASS OF WORK: SUBDIVISION: 72N BUSINESS CTR PARK LOT #: 005 TYPE OF USE: PROJECT NAME DESCRIPTION: • H • ALSTEAD WEST Sign OWNER: DHS, LLC, PHONE #: CONTRACTOR MEYER SIGN CO OF OREGON PHONE #: 603_620.820o Inspection Request Scheduled For: Date 10/20/2008 Pour Time: Code # Inspection Description Confirrn.>' Contact # Message 199 Electrical final 076896-01 503-62018200 Corrections/Comments/Instructions: PAS El PARTIAL APPROVAL fl CANCEL 7 NO ACCESS F I FAIL CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: 0 Date: 101 201 at• Phone #: (503) 718- viyo _ .