Permit CITY OF TIGARD ELECTRICAL PERMIT
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PERMIT #: ELC2007-00195
COMMUNITY DEVELOPMENT DATE ISSUED: 4/2/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S102AC - 01000
SITE ADDRESS: 12575 SW MAIN ST ZONING: CBD
SUBDIVISION: LOT : JURISDICTION: TIG
PROJECT: WEI LI ACUPUNCTURE
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:
WEILI ACUPUNCTURE ABC ELECTRIC
12575 SW MAIN 135 NE 9TH AVE
TIGARD, OR 97223 PORTLAND, OR 97232
Phone: Contact #: PRI 503 - 233 -7551
FAX 503 - 233 -7552
FEES
Description Date Amount Reg #: ELE 161501
[ELPRMT] ELC Permit 4/2/2007 $46.85 LIC 26 -1226C
[TAX] 8% State Surcharge 4/2/2007 $3.75 SUP 50965
Total $50.60 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: D�" Gs.70_41•Q•. C
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.
•
•
MAR -28 -2007 08:22A FROM: TO:81P5035981960 P.2
.4. . .
Electrical Permit Application _ ., 1,(111 oFhlc USE ONLY
City of Tigard " ' Received AintireffilMIZErr.
13125 SW Hall Blvd., Tigard, OR 9722 Plan Review
b:.,,.r. \ ,
Phone: 503.639.4171 Fax: 503.598.1960 . - ,O :; I. Y Date/B • Other Permit:
Line: 503.639.4175 ... „,. J J i
„ Date Ready El See Page 2 far
Internet: www.ci. tigard"or.us tiiNr r, l' . ,_.b Notified/Method: Su•plementalInformation
_ :::,> } . �n•�'n k: :}:: �d:- rt�,tgyl . F7•' niY °::r•.: ! rk• ..�. ... ir,�:. -�n s'r -h.+ _ . y� a y: :,I SM., .:n .l
, M1:, • r ' I !' i l i a ip Ai it - � ", 1 tic W! Y ��r
_ 1 [r' � ! cr:4%s...i e , .i ,. ; e f ` is a �.i_- =' '' L v� ' E - . `i ,[, ,; t.`,; iul z�, '! : " • U . tip }1 '1 1 gi: 5 «J':t
- �W, , y _ . ,,h� _. ' � �'' ,r •r �l ,�'1! ��'i ; . �.:•. T ' I �. .. .. �., , .,'1��4,. .�: ' �EI!x.� !
�s t i!!` sFti�!'• rd!•` ndnr�.., �f.. F„ q: fi' Sv! lfi�v• isPk:!}' Yu `� ����:(i +t . , .-r6•!v!t • :�mrlcr -.n : 4J ?. iF!El A'1:., -._•� �� d.«.^ I[.
❑ New construction SI Additifltl/dit�ratfi tfel! r �'" Please check all that apply:
- Y 'r OService over 225 amps, comm'I ['Hazardous location
❑ Demolition ❑ Ot h'eif:`
❑Service over 320 amps - rating ❑Bunting over 10,000 sq. ft.,
i " , ,:1. J K il :ff}tl.`iT i W"W i " r . ; �. .. ,f ; - .: ,:. ° ^ 1"t 11 h • ' , °., , _ ti��� '•' ' #i),11.,1,' �°: -s. N,
! i#a' • A: 1; , if ' of 1- and 2- family dwellings 4 or more new residential
3• r i h � 0. , }- . a w-r.`
❑ 1 - and 2- family dwelling Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑Building over three stories ❑Feeders. 400 amps or more
❑ Multi family ❑Master builder ❑ Other _ ❑Occupant load over 99 persons ❑Manufactured structures or
r � pl.1 fr.n •h1W wu h F:7 V'• �ti
-' u' afr +t i kt F I. ,;,� i 1 � 7'°" jr. - ° { �' 4� . y RV
'direr aSitt4:624 W-MI. a ,Thais • zip r rz_ .e•' • �Nfra a ir i ❑Egress/lighting plan park
E: [ik? "� i •- •:-k. , nr.' r. • •: 5�+::1'�_ If •; :IAFf r }
Job no.: C.o�_ n .1 lob site address: \ ri C >] 1 nea 1,1 S �e d' - care facility ❑ Othm"
5 5 " sets of plans with any of the above.
City/State/ZIP: , q i a a 3 The above are not applicable to temporary construction service.
er ^s7i^ 17� :,� p i'.'.: y.,r 1. r
Suite/bldg. /apk
no.: act name . °' i " " ,e a „ :471 i:0f- : 7 ,ti.
1 - ':h�� I .tW�� � •.u_'1'sne�rs ,•�. €�s'w.,.is�:l'
W \. ■ �� .L.)l\ tt r ' r-, Derertptlon Qty. Fes Total
Cross street/directions to job site: Now residential single- or multi - family dwelling unit.
Includes attached garage.
1,000 sq. ft or less 145.15 4
Subdivision: I 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
`y , �•+� � •y r,,,iaq it „ror 'tau. q If :
•, ' '-'^ ^ e Itl';i',S • :, . P `'{ 1 '� n° � _ _t, 1 ifJ 1 6 '' 0.71 O ��i ,: � 2!.dF .i,.r :H ,e ��r "` . • r ''!7 Each manufactured or modular
e dwelling, service and/or feeder 90.90 2
1 C_\ ' ' u� i S ��h Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
, r•; tm ^;: I , :.. -., iy •• �,�.adr , p� 4 " - - :�f'! S ,r' .-i: '' ye ' -si r � _ d� '`�,,r 201 alttps to 400 amp9 106.85 2
rfigi ,:[kip 1 {�'.P , gW+R', w U?f!4ic': tt . r " .� i �S I ea[ s' : _ ; ggi i :"R , ., ;i 160.60 2
~'` " 401 amps to 600 amps
-
Name: 601 amps to 1,000 amps 240.60 2
Address: N P .50 v�, 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
relocation
Phone: ( ) I Fax: ( ) 200 amps or less 66.85 1 1
Owner Installation: This installation is being made on property that I own which is not 201 amps to 400 amps 10030 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
> _ :, I y m! e n - t ' ""' v"-'77 A. Fee for branch circuits with
' �': ,-• .:. "'!Y`'�'•��• �7U ,' O ff, . �r ;: , ._• '
r�•� -, . , : .. , , -° ln•,r, ^ r na..� url_'�. ��{ t..,. • . .�! service or fender foe, each
Business name:
N�� �� 9.. 'r \ C branch circuit 6.65 2
B. Fee for branch circuits
Contact name: ' ^ without service or feeder fee, ' 46.85 L/4 S 2
p each branch circuit -
Q -.
Address: ' C'A 1.3 Each add'I branch circuit 6.65 2
City/ State/ZIP: Miscellaneous (service or feeder not included) _
Pump or irrigation circle 53.40 2
Phone: ( ) I Fax: : ( ) Sign or outline lighting 53.40 2
E mail: Signal circutt(s) or limited-
d m M i ri f w.�+�' T e•+5"A�6? "! eg E r- f"'m? .+`,a; 1 eaelgy Panel alteraticm or
l..:r t� 5'f 11� ° rl f1d° t ?i ;I�lt : ? 3a tzl >zSl3au3 Page 2 2
_ extension. Describe:
Business name: i►'iL,ti , k VI CAT 1C
I �� � E . Each additional Inspection over allowable In any of the above
Address: a_vdt.o` v Q _ Per inspection 62.50
City/State/ZIP:esv-Ic \G,1"1C‘ oCtr? investigation per hour (1 hr sun) 62.50
n Industrial plant . er hour 73.75
Phone: (5:), d 3 ,s-s- ( ' Fax. (/a:96)451 w ' it i� c .. • �' p W: i a, �
CCB Lic.: )( /3-0 ) Electrical Lio �� _ Suply. Lic. Q� � Subtotal M ,8.‘
Suprv. Electrician signature, required: Plan review (25% of permit fee)
State surcharge (8% of permit fee) . 3 7
sh�
Print name O �v j D / )� n Date op TOTAL PERMI C FEE 5) , 6
1F�
v. Authorized signature: This permit application erplres If a permit B not obhineA within iHO
days after It has been accepted as complete
Print name: 11 ( \ s ,( '1 I Date: 3/ - 1 • Fee methodology set by Tri- County Building Industry Service Board
11 •s Number of inspections per permit allowed. I:\ Building\ Permits\ELC.Pe mitApp.doe 12/03 4404615T(I0/02/COM/WEB
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: ELC2007-00195
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 4/2/2007
Phone: (503) 639 -4171 „ gi l l!
Inspection Requests (24 Hrs.): (503) 639 -4175 __..
INSPECTION WORKSHEET FOR DATE: 4/10/2007 TIME: 7;00AM PAGE: 38
SITE ADDRESS: 12575 SW MAIN ST CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: WEI LI ACUPUNCTURE
DESCRIPTION: Sign lighting.
OWNER: WEILI ACUPUNCTURE, PHONE #:
CONTRACTOR: ABC ELECTRIC PHONE #: 503 - 2337551
Inspection Request Scheduled For: Date: 4/10/2007 Pour Time:
Code # Inspection Description Cor-rfirm # Contact # Message
199 Electrical final 046253 -01 503 - 233-7551 - Y
Corrections /Comments /Instructions: 44(
_____
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: C N v4 L� Date: 9 Phone #: (503) 718-1-4/0