Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00609
�� DEVELOPMENT SERVICES DATE ISSUED: 10/25/2006
`�'L °�' II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S102AB - 04500
SITE ADDRESS: 12436 SW MAIN ST ZONING: CBD
SUBDIVISION: LOT : JURISDICTION: TIG
Project Description: Main Street Store. (1) 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:
HIGHLIGHT SIGN CORP
PO BOX 23667
TIGARD, OR 97281 -3667
Phone: Contact #: PRI 503 - 620 -8205
FAX 503- 624 -3725
FEES
Description Date Amount Reg #: ELE 37- 660CLS
[ELPRMT] ELC Permit 10/25/200( $53.40 LIC 104599
[TAX] 8% State Surcharge 10/25/200( $4.27 SUP 517SIG
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 . - s 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 • • ! or
1- 800 - 332 -2344.
Issued By: Permittee Signature: Al 4 .. "_: )11
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.
Sq(J ‘, - volgz_
-Electrical Permit ApplicatiIRECEIVED r(ilt of i. u i ,,s, u\,,,
Received „./, y'A
I 25 of Tigard A CT 2 5 2006 Date/B �- : / ._ • c Permit No.--,_! ■
vU , /` 1
13125 SW Hall Blvd., Tigard, OR 972
Plan Review J
Phone: 503.639.4171 Fax: 503.598dfly Date/B : Other Permit:
Inspection Line: 503.639.4175 p.. OF TIGARD
''”' "t" BUILDING DIVISION Date ed/MeBy: WA I seePage
Internet: www.ligard- or.gov Notified/Method: Su lementallnformation
TYPE OF WORK PLAN REVIEW
® New construction ❑ Addition/alteration/replacement Please check all that apply (submit a 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.
El 1 -and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
ry g amps for all other installations. buildings.
❑ Multi - family ❑ Master builder ® Other: SIGN ❑ 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 ", "5 ", "1-2 ", "1-3 ",
Job no.: Job site address: 12436 SW MAIN ST looHP or more. occupancy.
❑ Six or 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: MAIN STREET STORE ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: tresvlpuea 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
Tax map/parcel no.: Ea. add'l 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
DESCRIPTION OF WORK (with above sq. ft.)
INSTALL ILLUMINATED, SINGLE FACE SIGN CABINET TO EXISTING Limited energy, multi family 75.00 2
PRIMARY POWER ON residential (with above sq. ft.)
Services or feeders installation, alteration, and/or relocation
STORE FRONT BRICK FASCIA 200 amps or less 80.30 2
❑ PROPERTY OWNER I ® TENANT 201 amps to 400 amps 106.85 2
Name: MAIN STREET STORE 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: 12436 SW MAIN STREET Over 1,000 amps or volts 454.65 2
City/ State/ZIP: TIGARD OR 97223 Temporary services or feeders installation, alteration, and/or
relocation
Phone: (503)620 Fax: ( ) 200 amps or less 66.85 1
201 amps to 400 amps 100.30 2
Owner installation: This installation is being made on property that I own which is not 401 amps to 599 amps 133.75 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701.
Branch circuits — new, alteration, or ex tension, per panel
Owner signature: Date: A. Fee for branch circuits with
® APPLICANT I ❑ CONTACT PERSON above service or feeder fee,
each branch circuit 6.65 2
Business name: HIGHLIGHT SIGN CORP. B. Fee for branch circuits
without service or feeder fee,
46.85 2
Contact name: MATTHEW BELL first branch circuit
Address: PO BOX 23667 Each add'l branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City/ State/ZIP: TIGARD OR 97281 -3667 Each manufactured or modular
90.90 2
dwelling, service and/or feeder
Phone: (503) 620 -8205 Fax: : (503) 624-3725 Reconnect only 66.85 2
E MATTQHIGHLIGHTSIGN.COM Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 1 53.40 53.40 2
Signal circuit(s) or limited -
Business name: HIGHLIGHT SIGN CORP energy panel, alteration, or
Address: PO BOX 23667 extension. Describe: Page 2 2
City/State/ZIP: TIGARD OR 97281 - 3667 Each additional inspection over allowable In any of the above
Per inspection 62.50
Phone: (503) 620 -8205 Fax: (503) 624-3725 Investigation per hour (1 hr min) 62.50
CCB Lic.: 104599 Electrical Lic.: 517SIG is uprv. Lic.: 517SIG Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: MMIlr Subtotal: 53.40
Print name: MIKE CLEARY / r4- D 10 /24/ _� Plan review (25% of permit fee): — T311 --
State surcharge (8% of permit fee): 4.27
Authorized signature: flispimpiti, TOTAL PERMIT FEE: ---7-1.02---
This permit application expires if a permit is not obtained within 180
Print name: MATT BELL Date: 10/24/06 days after it has been accepted as complete.
I:tBuilaicePemrluAEt GPermitApp.doc 05/23/06 • Number of inspections allowed per permit. �
440-4615T(t 1 /05 /COM/ W EB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: EI-C2006 -00609
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/25/2006
Phone: (503) 639 -4171 Alite.4,141-0 Inspection Requests (24 Hrs.): (503) 639 -4175 __..
INSPECTION WORKSHEET FOR DATE: 11/20/2006 TIME: 7:01AM PAGE: 51
SITE ADDRESS: 12436 SW MAIN ST CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: MAIN STREET STORE
DESCRIPTION: Main Street Store. (1) sign.
OWNER: PHONE #:
CONTRACTOR: HIGHLIGHT SIGN CORP PHONE #: 503 -620 -8205
Inspection Request Scheduled For: Date: 11/20/2006 Pour Time:
Code # • • - Description Confirm # Contact # Message
199 Electrical final 040000 -01 503-620 -6205 N
Corrections /Comments /Instructions:
ND Ac,iS.
PASS ❑ PARTIAL APPROVAL ❑ CANCEL NI NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: N vO Date: 1 Phone #: (503) 718 - 1-rTu