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Permit � r CITY OF TIGARD ELECTRICAL PERMIT ill = COMMUNITY DEVELOPMENT PERMIT #: ELC2007 - 00084 DATE ISSUED: 2/7/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 102AC - 01000 SITE ADDRESS: 12575 SW MAIN ST ZONING: CBD SUBDIVISION: LOT : JURISDICTION: TIG Project Description: WEI LI Free standing 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: 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: GRITZBAUGH ST. PROPERTY SECURITY SIGNS INC PO BOX 1366 2424 SE HOLGATE BLVD BEAVERTON, OR 97075 PORTLAND, OR 97214 Phone: Contact #: PRI 503- 232 -4172 FAX 503 - 230 -1861 FEES Description Date Amount Reg #: ELE 26- 560CLS [ELPRMT] ELC Permit 2/7/2007 $53.40 LIC 122809 [TAX] 8% State Surcharge 2/7/2007 $4.27 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 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. • , 6.6699 or 1.800.332.2344. III 1141I Issued By: Permittee Signature' /• ��� 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. • Electrical Permit Application .1' , FOR OFFICE UsE O \L City of Tigard � gr ED Received a Q, M Permit No jb7 - 000 ifs/ 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 FEB © 7 2007 g- t-• - i ' Date/B . Other Permit: Inspection Line: 503.639.4175 I I � D ate ReadyBy: %See Page 2 for Internet: www.ci.tigard.or.us CT Y oi- 1 iCiAii li Notified/Method ' Supplemental Information Td PLAN REVIEW ❑ New construction ❑ Addition/alteration/replacement Please check all that apply: ❑ Demolition ❑Other: ❑Service over 225 amps, come! ['Hazardous location ❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft., CATEGORY OF CONSTRUCTION of l- and 2- family dwellings 4 or more new residential ❑ 1 - and 2 family dwelling ❑ Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure ❑ Multi family ❑Master builder ❑Other: ['Building over three stories ❑Feeders, 400 amps or more ❑Occupant load over 99 persons ❑Manufactured structures or JOB SITE INFORMATION AND LOCATION RV ❑Egress/lightingp(an park Job no.: Job site address: 2�3 Q C 3 C0(n ❑Healthcare of pl ay DOther: c� Submit 2 sets of plans with any of the above. City/State/ZIP: The above are not applicable to temporary construction service. Suite/bldg. /apt. no.: Project name: r��� 1 ; FEE* SCHEDULE Description I Qty. I Fee. I Total I •• Cross street/directions to job site: New 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'I 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential 75.00 2 Limited energy, non - residential 75.00 2 DESCRIPTION OF WORK Each manufactured or modular 1\�1m'1c� � dwelling, service and/or feeder 90.90 2 Services or feeders installation, alteration, and/or relocation r�p �� U Lt ,�A ( n 200 a or less 80.30 2 ❑ PROPERTY OWNER ❑ 'TENANT 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 Name: C3 6 LA 601 amps to 1,000 amps 240.60 2 Address: , ? f ) u� m�f Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City/ State/ZIP: - ^ ,� �1 C 2_ q � 7.5 Temporary services or feeders installation, alteration, and/or It " 1� C relocation Phone: ( . 12 I Fax: ( ) 200 amps or less 66.85 1 Owner installation: is 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 600 amps 133.75 2 Owner signature: Date: Branch circuits - new, alteration, or extension, per panel ❑ APPLICANT I ❑ CONTACT PERSON A. Fee for branch circuits with service or feeder fee, each 6.65 2 Business name: 0Q P ` 1CDS branch circuit B. Fee for branch circuits Contact name: 1 � � rz��� �ct yp ,� without service or feeder fee, 46.85 2 Address: each branch circuit 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: (503 544 -qv� Fax: : ( ? ` ' i� ^� Sign or outline lighting I 53.40 5' � t40 2 t t E -mail: IpfL�l ( ,,,__.;,.1/4,.. [q ter. �s mom Signal Signal circuit(s) or limited- CONTRACTOR% energy panel, alteration, or extension. Describe: Page 2 2 Business name: 4 ;4.07 ( � o c,� ` .. r'+o S 2 Address: - ) Each additional inspection over allowable in any of the above ` - ` 1 Per inspection 62.50 City/ State/ZIP of; ,.S , o c k o{{{ Q / f ' Investigation per hour (1 hr min) 62.50 Phone: ( �,I!_ lf� I `' Fax: (`r �- : 24 gof Industrial plant per hour 73.75 _ ` ELECTRICAL PERMIT FEES* CCB Lic.: I ZZMtj I Electrical Lic.: aAG_Jco i i 1 Suprv. Lic.: ,)(1 Subtotal Suprv. Electrician signature, required: d Plan review (25% of permit fee) Print name: I L'( ..� I D ate• State surcharge (8% of permit fee) t Li C.) ' TOTAL PERMIT FEE ��, ( -7 Authorized signature: _ A� 1 Ibis permit application expires if a permit is not obtained within 180 M � days after it has been accepted as complete Print name: 11 lt✓ t ,. „4., Date: • Fee methodology set by Tri- County Building Industry Service Board • • Number of inspcdions per permit allowed. i:\Building\PennittNE C- PamitApp.doc 12/03 440- 4615T(I0/02/COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: [ WORK ONLY: Fee for all residential systems combined ... $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: COMMERCIAL WORK ONLY: - -- Fee for each commercial system. $75.00 (SEE OAR 918 - 260 -260) Check Type of Work Involved: ❑ Audio and Stereo Systems • ❑ Boiler Controls ❑ Clock Systems • ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical • ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other • Total number of commercial systems: *No licenses are required. Licenses are required for all other installations • iswilding \Penmib\ELC- PermitApp.doc 04/03 CITY OF TIGARD • - BUILDING DIVISION PERMIT #: EI.C2007 -00084 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/7 /2007 Phone: (503) 639 -4171 I I Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 3/27/2007 TIME: 7:02AM PAGE: 49 SITE ADDRESS: 12575 SW MAIN ST CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: WEI LI DESCRIPTION: WEI LI Free standing sign lighting. OWNER: GRITZBAUGH ST. PROPERTY, PHONE #: CONTRACTOR: SECURITY SIGNS INC PHONE #: 503. 232 -4172 Inspection Request Scheduled For: Date: 3/27/2007 Pour Time: Code # Inspection Description (on m # Contact # Message 120 Electrical rough -in 04547301 503- 577 -1092 N Corrections /Comments /Instructions: C pM v� .wt. cam. 11N O 6 R,i;.V1r ooh it PL 1 ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL a CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: I � LS' Date: .2-. I •01 Phone #: (503) 718- Vf`it") CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007 -00034 13125 SW Hall Blvd., Tigard, OR 97223 • DATE ISSUED: 717/2007 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 "'I -.. INSPECTION WORKSHEET FOR DATE: 4/9/2007 TIME: 7:01AM PAGE: 49 SITE ADDRESS: 12575 SW MAIN ST CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: WEI LI DESCRIPTION: WEI LI Free standing sign lighting. OWNER: GRITZBAUGH ST. PROPERTY, PHONE #: CONTRACTOR: SECURITY SIGNS INC PHONE #: 503 -232 -4172 Inspection Request Scheduled For: Date: 4/9/2007 Pour Time: Code # Inspection Description Co rim # Contact # Message 19 9 Electrical final 046172 -01 503-577 -1092 N Corrections /Comments /Instructions: *SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: j , v Date: C O T ) Phone #: (503) 718- A