Permit 1- 1
CITY OF TIGARD FAEre ELECTRICAL PERMIT
III
: COMMUNITY DEVELOPMENT DATE PER IS T ED: #: 2 /21/2007 E LC2007 -00110
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 110AA - 00600
SITE ADDRESS: 10650 SW MCDONALD ST ZONING: C -
SUBDIVISION: LOT : JURISDICTION: TIG
PROJECT: 7- ELEVEN
Project Description: Sign lighting for fascia system.
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: 0 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:
TEXLAND PROPERTIES CORP ES & A SIGN & AWNING
2828 N HASKELL AVE 1210 OAK PATCH RD
DALLAS, TX 75204 EUGENE, OR 97402
Phone: Contact #: PRI 541 - 485 - 5546
FAX 541 - 485 -5813
FEES
Description Date Amount Reg #: ELE 20- 243CLS
[ELPRMT] ELC Permit 2/21/2007 $53.40 LIC 163470
[TAX] 8% State Surcharge 2/21/2007 $4.27 SUP 305SIG
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 503.246.6699 or 1.800.332.2344.
Issued By: �� Ai c.... Permittee Signature: 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.
-, I
Electrical Perm Applicatioll roll orrlcr usr ONLY
Ti and EC R eceived , r t ',' i 7 �I
114 g Deceived 7 . . /! 0
° 13125 SW Hall Blvd., Tigard, OR 972 iew
I 111
' Phone: 503.639.4171 Fax: 503.598.196 FEB 2� �7
Plan Rev 2 0 Other Permit:
DateB
TI G A R D Inspection Line: 503.639.4175 ^ �y`/ Date ReadyBy Jun ® See Page 2 for
Internet: www.tigard- or.gov jj OF TIGARD Notified/Method: Supplemental Information
TYPE OF 9 ' CIT DING DIVISION 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 [Other: akI4 where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION 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 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.
,�� � �Q,J ID Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "l -3 ",
Job no.: 57055 � Job site address:1OV so mA1.� Six or more occupancy.
❑
❑Si or more residential units. Recreational vehicle parks.
City /State /ZIP: L� 2 ❑ Health -care facilities. ❑ Supply voltage for more than
T w � ��/ d ❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: 116104614 * {‘0, 7 . ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: --------r Description I Qty. I Fee. I Total I •
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'l 500 sq. ft. or portion 33.40 , I
Tax map /parcel no.: Limited energy, residential
DESCRIPTION OF WORK (with above sq. ft) 75.00 2
Limited energy, multi - family 75.00 2
I tJ k .e - I t AAl H Va c,�,r 4 tttrED residential (with above sq. ft.) _
'^ "' Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
PROPERTY OWNER I TENANT 201 amps to 400 amps 106.85 2
Name: iotsvtamPI 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: 2,1 II 14. 4 prame404., Over 1,000 amps or volts 454.65 2
City /State /ZIP: TN On j 7L Temporary services or feeders installation, alteration, and/or
+Jr. relocation
Phone: ( ) Fax: ( ) 200 amps or less 66.85 1
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, Qr Fx ange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
'[ � J , Branch circuits — new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
lyf APPLICANT I fg CONTACT PERSON above service or feeder fee, 6.65 2
each branch circuit
Business name: 8 SL(t, dim> AvjMi Mir' B. Fee for branch circuits
Contact name: C� �yj� Viet )e4 t
without san crvice or feeder fee, 46.85 2
�' ✓� .. first branch circuit
Address: 1210 O PAl .8+ Each add'l branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City /State /ZIP: EM4eriugor iI� eh Li 1.,... Each manufactured or modular 90.90 2
1 dwelling, service and/or feeder
Phone: ( ) a•B.. 5 54, Fax:: ( iii ) 3 Reconnect only 66.85 2
E -mail: t eklAci- ' e eta h
$i GM�� Pump or irrigation circle 53.40 41) 2
eft l �
CONTRACTOR Sign or outline lighting I 53.40 4' -1 2
Business name: e s t A ‘u ad, a 14I N� energy panel, ala) or limited- t or
� energy pn, alteration, or
/ 2eo Gam_ ?kit n extension. Describe: Page 2 2
Address: l
City /State /ZIP: 04,e o Q 9'� 4h Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: (I' Air.,, ` Fax: ( 5f1 ) 4friSYi 3 Investigation per hour (1 hr min) 62.50
CCB Lic.: 6341 0 Electrical Lic.: 31t Suprv. Lic.: 571 SiG Industrial plant per hour 73.75
'7 ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: A Subtotal: rj*.
Print name: / Date: Plan review (25% of permit fee):
O r 4 pa Se Q O fl"'p f / / � 7 — d 7 State surcharge (8% of permit fee): 4. 2i
Authorized signature � r 7 TOTAL PERMIT FEE: 5'7 ��''
n — ^ i 1 67 This permit application sr it has b if a accepted is nc obi within 180
Print name' ' �/ ( Date: s 1 V r days after it has been aces fed as complete.
• Number of inspections allowed per permit.
I:\ Building \Permits \ELC- PermitApp.doc 05/23/06 440- 4615T( I I /05 /COM/WEB
CITY OF TIGARD A
BU DNG D PERMIT #: ELC2007 -00110
131 IL SW I H Bl v d ., IVITi I gard, N OR 97223 D ATE ISSUED: 2/21 /2007
Inspection Requests (24 Hrs.): (503) 639 -4175 Phone: (503) 639 -4171 � � +i�� �i� i
.:��
INSPECTION WORKSHEET FOR DATE: 5/2/2007 TIME: 7:01AM PAGE: 99
SITE ADDRESS: 10650 SW MCDONALD ST CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: 7- ELEVEN
DESCRIPTION: Sign lighting for fascia system.
OWNER: TEXLAND PROPERTIES CORP, PHONE #:
CONTRACTOR: ES & A SIGN & AWNING PHONE #: 541 -485 -5546
Inspection Request Scheduled For: Date: 5/2/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 047432 -01 541 - 485.5546 Y
Corrections /Comments /Instructions: -S-°-5 C 2-0 Z1 i O t L
•
PASS ❑ PARTIAL APPROVAL 111 CANCEL ❑ NO ACCESS
❑ AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G K (Y:1 (1- Date: T. 2 "o1 Phone #: (503) 718- Z