Permit 4ITY OF TIGARD ELECTRICAL PERMIT
° PERMIT #: ELC2008 -00333
: COMMUNITY DEVELOPMENT DATE ISSUED: 6/11/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S102AB - 04800
SITE ADDRESS: 12460 SW MAIN ST ZONING: CBD
SUBDIVISION: LOT : JURISDICTION: TIG
PROJECT: LAB 33
Project Description: Installation of (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: 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:
JEFFREY NOLES MEYER SIGN CO OF OREGON
201 SW PALATINE HILL RD 15205 SW 74TH AVE
PORTLAND, OR 97219 TIGARD, OR 97223
Phone: 503 - 880 - 1617 Contact #: PRI 503 620 - 8200
FAX 503 - 620 -7074
FEES
Description Date Amount Reg #: ELE 20- 190CLS
[ELPRMT] ELC Permit 6/11/2008 $106.80 LIC 64014
[TAX] 12% State 6/I1/2008 $12.82 SUP 566SIG
Total $119.62 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 ar rth in OAR 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain copies of these rules or at" questions to OUNC at
503.246.669 or 1.800. 32
Issued By: Permittee Signature: _ W!!_;_
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.
JU 4 -1) g - (k) ( 4- 1 a -(o
Electrical A rmit Application / - FOR OFFICE USE ONLY
City of Tigard Date /B : to a6- 411§ I Permit No.: G Le > „„g---6,2033 pQ
•j
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
C . Phone: 503.639.4171 Fax: 503.598.1960 Date/B : Other Permit:
TI G A R D Inspection Line: 503.639.4175 Date Ready/By: El See Page 2 for
Internet: www.tigard - or.gov Notified/Method: 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 ria Other: 5\ &N where the available fault current ❑ Marinas and boatyards.
CATEG F CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ I - and 2- family dwelling Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master 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 ", "I -2 ", "I - ",
Job no.: Job site address: 12,'-1 (00 SstJ MA\N 51. ix or more re rest occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parks.
City /State /ZIP: T ( GA �p O(L " 1 7 � 2 3 ❑ Health - care facilities. 0 Supply voltage for more than
► ❑ Hazardous locations. 600 volts nominal.
Suite /bldg. /apt. no.: Project name: LAB 3 3 ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: 3W M Al N 5'T, F S W Description I Qty. I Fee. I Total I •
New residential single- or multi - family dwelling unit.
El-CC-121c •> C tyr • 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
DESCRIPTION OF WORK (with above sq. ft.) 75.00 2
` ► , Limited energy, multi - family 75.00 2
(2) 5IF WALL CA e I/J CTS 3 - 6 , X 11 - q'' residential (with above sq. ft.).
Services or feeders installation, alteration, and /or relocation
200 amps or less 80.30 2
❑ PROPERTY OWNER a TENANT 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
Name: CMA WAMDL" i 2, SCH E If)
601 amps to 1,000 amps 240.60 2
Address: $29'0 SW MAL(V STREET Over 1,000 amps or volts 454.65 2
City /State /ZIP: 1 �A�D ► 0g, ;�23 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, t er panel
Owner signature: Date: A. Fee for branch circuits with
f APPLICANT I ❑ CONTACT PERSON above service or feeder fee, 6.65 2
each branch circuit
Business name: EfZ SI &A) re,. of 0 REG OA / B. Fee for branch circuits
Contact name: ST - E VE IHUI PH1 firs rri n crvi r or feeder fee, 46.85 2
first branch circuit
Address: 15 2O5 SW 7`i tN Ave • Each add'I branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City /State /ZIP: '[' & co, 0 2 2 2 . 4 Each manufactured or modular 90.90 2
1 dwelling, service and/or feeder
Phone: (S03 ) , 20 , gZp 0 Fax:: ( 5 503) 62C) - 2o 7 Reconnect only 66.85 2
E -mail: Pe /LN)1 ?S e MC VEKS16A) ev- (oM Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 53.40 o ,e. 2
Business name: MEVEQ 51 GN Co. of o►2C 6oN energy pane a) e r do i, or
energy panel, alteration, or
extension. Describe: Page 2 2
Address: 1 520 5 SW 11 A dt •
City /State /ZIP: To Mg 0 ► o 2 9 712Y Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: ( SO3) 6 20 -g Fax: (503 ) Co20 ^ 707/ji Investigation per hour (I hr min) 62.50
CCB Lic.: Electrical Lie.: ZO- /90cLS Suprv. Lie.: 566 516 Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: ' Y ✓ �— Subtotal: fo& • e
Print name: ?H1L. y. f O p s Date: / `/ `� 5� Plan review (25% of permit fee):
I� r !O L u State surcharge (12% of permit fee): t 7, .-1 7.--, Authorized signature: `- 11.x-_ TOTAL PERMIT FEE: ii 4, 6.2--
This permit application expires if a permit is not obtained within 180
Print name: ALA ', k OAT Date: , .-44 days after it has been accepted as complete.
• Number of inspections allowed per permit.
I \ Building \Permits\ELC- PermitApp.doc 05/23/06 440- 4615T(t t/05 /COM/WEB
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®� T I CARD .
BUILDING DIVISION PERMIT #: ELC2008 -00333
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/11/2000
Phone: (503) 639 -4171 �J
Inspection Requests (24 Hrs.): (503) 639 -4175 III
INSPECTION WORKSHEET FOR DATE: 7/17/2008 TIME: 7:00AM PAGE: 60
SITE ADDRESS: 12460 SW MAIN ST CLASS OF WORK:
SUBDIVISION: LOT' #: TYPE OF USE:
PROJECT NAME: LAB 33
DESCRIPTION: Installation of (2) sign Iightings.
OWNER: NOLES, JEFFREY PHONE #: 503-880 -1617
CONTRACTOR: MEYER SIGN CO OF OREGON PHONE #: 503.620 -8200
' Inspection Request Scheduled For: Date: 7/17/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 072754 -01 503.620.8200 N
- Lorrec ion tions:
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lig,PAS J ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G - - - - . Date: 1 k 1 Phone #: (503) 718 - VA