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Permit
ELECTRICAL PERMIT CITY OF TIGARD PERMIT #: ELC2005 -00582 ..... °1' I II DEVELOPMENT SERVICES DATE ISSUED: 8/12/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1 S 134AA - 01800 SITE ADDRESS: 10240 SW NIMBUS AVE L1 ZONING: I - SUBDIVISION: SCHOLLS BUSINESS CENTER LOT : 002 JURISDICTION: TIG Project Description: Sign is at entrance. 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 HMI 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 + ABLE SIGNS ROBINSON, LYNN + BELL, KAY ET 2007 SE POWELL BY INSIGNIA COMMERCIAL GROUP PORTLAND, OR 97202 BEAVERTON, OR 97008 Phone: Phone: 503 - 232 -6430 FEES Reg #: LIC 134473 ELE 26- 1119CLS Description Date Amount SUP 676SIG [ELPRMT] ELC Permit 8/12/2005 $53.40 [TAX] 8% State Surcharge 8/12/2005 $4.27 REQUIRED ITEMS AND REPORTS Total $57.67 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: 24I f,�� `4� ► Permittee Signature: ki, 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 _ FOR OFFICE I SE O\I_l .iG`ity of Tigard Receive e �� -0j � Permit No.: L,c2p� GL!'��. r 13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie Phone: 503.639.4171 Fax: 503.598.196Q, inn, 1' *- ` I I \ �� Other Permit: Inspection Line: 503.639.4175 .,, -- Ut „_ ° , " � �_, Date Ready /By: runs: ® See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: 1 /(. / Supplemental Information T �O9C1 J n N PLAN REVIEW El New construction (g] AWitton/ Please check all that apply: ❑ Demolition ❑Other: ['Service ['Hazardous over 225 amps, com'I Hazardous location ['Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft., CATEGORY OF CONSTRUCTION of I- and 2- family dwellings 4 or more new residential ❑ I- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building OSystem 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 ❑Egress/lighting plan RV park Job no.: Job site address: 10240 SW Nimbus Ave ❑Healthcare facility [Other: Submit 2 sets of plans with any of the above. City/State/Z1P: Portland, OR 97223 The above are not applicable to temporary construction service. Suite/bldg. /apt. no.: Project name: Monument Sign FEE* SCHEDULE Description I Qty. I Fee. I Total Cross street/directions to job site: Nimbus/Scholl Ferry New residential single- or multi - family dwelling unit. Includes attached garage. • 1,000 sq. ft. or less 145.15 4 Subdivision: Lot no.: Ea. add'I 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 DESCRIPTION OF WORK Each manufactured or modular Adding Electricity to existing monument sign. dwelling service and/or feeder 90.90 2 Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 201 amps to 400 amps 106.85 2 ® PROPERTY OWNER ❑TENANT `V 401 amps to 600 amps 160.60 2 Name: KG Investment 601 amps to 1,000 amps 240.60 2 Address: 10240 SW Nimbus Ave Suite L-3 1 .Over 1,000 amps or volts 454.65 2 _` Reconnect only 66.85 2 City/State/ZIP: Portland, OR 97223 Temporary services or feeders installation, alteration, and/or Phone: (503)598 -9980 Fax: (503)598 -9982 tr 200 a mps relocation 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is non - 201 amps to 400 amps 100.30 2 intended for sale, b : e, rest, or exchange, according to ORS 447 667 and 7 401 amps to 600 amps 133.75 2 Owner sign. -.? , t /, ■ , /_•' _„ T., vi , a '. j, a t it AA,! Date: l 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: Sign World branch circuit B. Fee for branch circuits Contact name: Randal Woods without service or feeder fee, 46.85 2 Address: 10115 SW Nimbus Ave Suite 400 each branch circuit Each add'I branch circuit 6.65 2 City/State/ZIP: Tigard, OR 97223 Miscellaneous (service or feeder not included) Pump or irrigation circle 53.40 2 Phone: (503) 620 -2527 Fax: : (503) 620 -9845 Sign or outline lighting 53.40 2 E -mail: randal@sign- world.com Signal circuit(s) or limited - CONTRACTOR energy panel, alteration, or extension. Describe: Page 2 2 Business name: Able Signs Each additional inspection over allowable in any of the above Address: 2007 SE Powell Blvd. Per inspection 62.50 City/State /ZIP: Portland, Oregon 97202 Investigation per hour (I hr min) 62.50 Phone: (503) 232 -6430 Fax: (503) 235 -3530 Industrial plant per hour - 73.75 ELECTRICAL PERMIT FEES* CCB Lic.: 134473 Electrical Lie.: 676SIG Suprv. Lie.: Subtotal • S Suprv. Electrician signature, required: ..41/., / 4 - � "W/.� Plan review (25% of permit fee) Print name: DA 0 D& M U Date: 8 -10 -2005 State surcharge (8% of permit fee) — — — .� - - -- -- - -- - TOTAL PERMIT FEE ?_6 I Authorized signature: • This permit application expires if a permit is not obtained within 180 days after it has been acre tea Att complete Print name: Date: • Fee methodblogy set by Tri -County Building Industry Service Board • •• 1.1.....1. - -..C: ..-------- ._.... ..11.,......i CITY OF TIGARD . , BUILDING DIVISION r PERMIT #: ELC200f 00662 I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 13/f2 %2f1l;; Phone: (503) 639-4171 . A7:9:4411 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 1/26/2006 TIME: 7 :03AM PAGE: a1 SITE ADDRESS: 10240 SW NIMBUS AVE L1 CLASS OF WORK: SUBDIVISION: SCROLLS BUSINESS CENTER LOT #: 002 TYPE OF USE: PROJECT NAME: MONUMENT SIGN DESCRIPTION: Sign is at entrance. OWNER: ROBINSON, CONSTANCE A +, PHONE #: CONTRACTOR: ABLE SIGNS PHONE #: 503-231 -30 Inspection Request Scheduled For: Date: 1/26/20136 Pour Time: Code # Inspection Description Confirm # Contact # Message 140 Sign installation 0267313.01 503-620 -2627 N Corrections /Comments /Instructions: CA CiT•L C-13( 00.5 1 - 2. - 3 - LA 6("" zmft J ct,E. s1.k.s N\ l 1-- 24 - CD ?Nov to- E Ls evaa c10.- BIZ f- tEk 8Q. ZRN c 6a-cA) t R\) N v m Zre& `P ub The electrical installation defects noted on this report shall be corrected and an inspection request made within 20 calendar days per OAR 9113-2l1 -UM CObC * \ & sI s-1 Rj .4 r \ a`t . A i1 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS -, ° CALL F ECTION ADDITIONAL FEES ASSESSED Inspector: Nti3 L Date: ' -2-L N) i Phone #: (503) 718 - 244L CITY OF TIGARD . . BUILDING DIVISION PERMIT #: ELC2005.00582 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/12/2005 Phone: (503) 639 -4171 49e1 , r l t Inspection Requests (24 Hrs.): (503) 639 -4175 "' L. INSPECTION WORKSHEET FOR DATE: 11/21/2005 TIME: 7:13AM PAGE: 71 SITE ADDRESS: 10240 SW NIMBUS AVE al CLASS OF WORK: SUBDIVISION: SCROLLS BUSINESS CENTER LOT #: 002 TYPE OF USE: PROJECT NAME: +ICSNUMENLS GliD DESCRIPTION: Sign is at entrance. OWNER: ROBINSON, CONSTANCE A +, PHONE #: CONTRACTOR: ABLE SIGNS PHONE #: 503- 232 -6430 Inspection Request Scheduled For: Date: 11/21/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 140 Sign installation 022002 -01 503 - 620-2527 N Corrections/Comments/Instructions: ® Q ©b wYWVZT I A to `Q 4 l�v t, (2, N AN ulabe. RA A N - V) O(L P') G c.45r400 duit ,.i re ` lia e44L. 'bik - iS rnic.) , c�q (6tAgT4 � 5 � ' & I D c h 5 � 1 � 1 > � itr 5 i 0 . C4-.) Pckogq. e- -or �i 5 ov. c,-- �0 c-v.. rvw`P 1 bn1 - P \(C 10.1 tA( `k tai ' UMW\ €S Qolo ;Al k (•‘ i CtkY MiS n't o Mvc4 AN Lam, ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS �❑ FAIL ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: �.../ AZ Date: 2 i Q Phone #: (503) 718- 2144(