Permit "-' ELECTRICAL PERMIT
CITY.�OF TIGARD
PE RMIT #: ELC2006 -00691
COMMUNITY DEVELOPMENT DATE ISSUED: 12/5/2006
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S134AA -01800
SITE ADDRESS: 10240 SW NIMBUS AVE BUILDING B ZONING: I -P
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT : 002 JURISDICTION: TIG
Project Description: Directory sign: Replace lighting fixture
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: 0
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:
ROBINSON, CONSTANCE A + TUBEART SIGNS
ROBINSON, LYNN + BELL, KAY ET 4243 -A SE INTERNATIONAL WAY
BY INSIGNIA COMMERCIAL GROUP MILWAUKIE, OR 97222
BEAVERTON, OR 97008
Phone: Contact #: PRI 503 - 653 - 1133
FAX 503 - 659 -9191
FEES
Description Date Amount Reg #: ELE 37 - 554CLS
[ELPRMT] ELC Permit 12/5/2006 $53.40 LIC 70956
[TAX] 8% State Surcharge 12/5/2006 $4.27 SUP 366SIG
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 wo k is suspended for
. more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Ut ; ty Notification Center. Thos, /ales are set forth in
OAR 952 - 001 - 0010 through OAR 952 - 001 - 0100. You may obtain copies of these rules or direct questio - to OUNC at 50- .46./4 or 1.800.332.2344.
Issued By: P ermittee 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 Applic . 4 1 I- COVED roll oii ici; ush: ONLY
City of Tigard Received
e1006 Date : ' 6 Oc - - Permit No� &- ci ��/�
69/
13125 SW Hall Blvd., Tigard, OR 97 Plan Review
C Phone: 503.639.4171 Fax: 503.598. �� 0 L 960 DateB : Other Permit:
Ins Line: 503.639 CITY OF TIGM►A D Date Ready/By:
T I G A 1t D 10 See Page 2 for
Internet: www.tigard - or.gov BUt4OtNG owls * Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
❑ New construction ® Addition/alteration/replacement Please check all that apply (submit 2 sets of plans wfitems 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.
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 -3
Job no.: 106699 Job site address: 10240 SW Nimbus Avenue 100HP 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: Scholls Business Center ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Scholls Ferry Rd 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'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
Replace lighting fixture on directory sign Limited energy, multi - family 75.00 2
P g g 1 7 g residential (with above sq. ft.)
Services or feeders installation, a lteration, and/or relocation
200 amps or less 80.30 2
❑ PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 106.85 2
Name: 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
City/ State/ZIP: 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, per panel
Owner signature: Date: A. Fee for branch circuits with
❑ APPLICANT I ❑ CONTACT PERSON above service or feeder fee, 6.65 2
each branch circuit
Business name: TubeArt B. Fee for branch circuits
without service or feeder fee, 46.85 2
Contact name: Dan Osterman first branch circuit
Address: Each add'I branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City /State/ZIP: Each manufactured or modular
dwelling, service and/or feeder 90.90 2
Phone: ( ) Fax: : ( ) Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting l 53.40 53.40 2
Business name: TubeArt Signal circuit(s) or limited -
energy panel, alteration, or
Address: 4243 -A SE International Way extension. Describe: Page 2 2
City /State /ZIP: Milwaukie, OR 97222 Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: (503) 653 -1133 Fax: (503) 659 -9191 Investigation per hour (I hr min) 62.50
CCB Lic.: 70956 - rical Lic • 37 Suprv. Lic.: 366 sig Industrial plant per hour 73.75
� ELECTRICAL PERMIT FEES
Suprv. Electrician signature, re ''*'�' � - ' / Subtotal: a l 0
Print name: Ken Schu z A / I Date: 12/5/6 Plan review (25% of permit fee):
'
/ / State surcharge (8% of permit fee): .
Authorized signature: - 'd TOTAL PERMIT FEE:
Print name: Dan Os n Date: 12/5/6 This permit application expires if a permit is not ed within 180
days after it has been accepted as complete.
* Number of inspections allowed per permit.
1:\ Building \Pennies \ELC- PermitApp.doc 05 /23/06 440- 4615T( t t /05 /COM/WEB �/ r�
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CITY OF TIGARD
.t
1 BUILDING DIVISION PERMIT #: ELC2006 00691
13125 SW Hall Blvd., Tigard, OR 97 23 DATE ISSUED: 12IW2006
Phone: (503) 639- 4171J�yr���
Inspection Requests (24 Hrs.): (503 639 -4175 .
INSPECTION WORKSHEET FOR DATE: 12.11212006 TIME: 7 :01AM PAGE: 46
SITE ADDRESS: 10240 SW IMBUS AVE Li CLASS OF WORK:
SUBDIVISION: SCHOLL USINESS CENTER LOT #: 007 TYPE OF USE:
PROJECT NAME: SCHOLL BUSINESS CENTER
DESCRIPTION: Directory gn: Replace lighting fixture
OWNER: ROBINS N, CONSTANCE A +, PHONE #:
CONTRACTOR: TUBEA SIGNS PHONE #: 503 - - 1133
,
Inspection Request ScheduPed For: Date: 12/12/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
140 Sign installation 040940 -01 503.803.9305 N
Corrections /Comments /Instructions: qp
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30
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,►, PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: V ' 6 1543 IX Date: I t l I 7 1 Q"o Phone #: (503) 718- 2.01