Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00848
11(1 DEVELOPMENT SERVICES DATE ISSUED: 10/31/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S135DD -03301
SITE ADDRESS: 11945 SW PACIFIC HWY ZONING: C -G
SUBDIVISION: HOFFARBER TRACTS NO.1 LOT : 002 JURISDICTION: TIG
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: 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:
TIGARD PROPERTIES INC SIGNCRAFT LLC
2106 SE OCHOCO ST 9033 SW BURNHAM
MILWAUKIE, OR 97222 TIGARD, OR 97223
Phone: Phone: 503 - 639 -4910
FEES Reg #: LIC 155420
ELE 34- 674CLS
Description Date Amount SUP 75SIG
[ELPRMT] ELC Permit 10/31/200: $53.40
[TAX] 8% State Surcharge 10/31/200: $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 -8 332 -2344.
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 cab 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.
Sc) , ,:d5 0 9.
,Electrical Permit Applic 1461-bEIV FOR OFFICE f
'I.
City of Tigard Received //0/3//06 8 Perm '/
Permit NO.. "'A /
13125 SW Hall Blvd., Tigard, OR 97223 - Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 OCT 3 1 r,,_ l Date/By. Other Permi
/ v
Inspection Line: 503.639.4175 -i 1 , , j _ Date Ready/13y: r / 65 See Page 2 for
Internet: www.ci.tigard.or.us CITY OF TIGARD Notified/Method Supplemental Information
TYPE CIRMYING DIVISION PLAN VIEW •
U New construction Y1 I nsfQllQ+lon dition/alteration/replacement Please check all that apply:
S
OService over 225 amps, comm'I ❑Hazardous location
El Demolition Other: ❑ Service over 320 amps - rating ❑ Buildng over 10,000 sq. R,
CATEGORY OF CONSTRUCTION of l- and 2- family dwellings 4 or more new residential
❑ I - and 2 family dwelling [ -Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑ Multi - family ❑ Master builder ❑ Other: 0 Building over three stories ['Feeders, 400 amps or more
❑Occupant load over 99 persons ❑Manufactured structures or
JOB SITE INFORMATION AND LOCATION RV
❑Egress/lightingelan park
Job no.: Job site address: I Ict4.S SW H wy. . ciel ❑Health -care facility ❑der
l Submit 2 sets of plans with any of the above.
City /State/ZIP: Tigard OR a construction The above are not applicable to temporary consction service.
Suite/bldg. /apt. no.: 11 Project name: TIGARD PLAZA FEE* SCHEDULE
Description I Qty. I Fee. I Tdd f ••
Cross street/directions to job site: I-fA LL• $L-VP• New residential single- or multi- family dwelling unit.
Includes attached garage.
1,000 sq. R or less 145.15 4
Subdivision: Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 I
Tax map /parcel no.: Limited energy, residential 75.00 2
Limited energy, non - residential 75.00 2
r DESCRIPTION OF WORK Each manufactured or modular
Hookup oT 519n 'I-o exi 6+ n6 Power. dwelling service and/or feeder 90.90 _ 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
(34 (OPERTY OWNER I ❑ TENANT 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
Name: Tigard Plaza, LLC . 601 amps to 1,000 amps 240.60 2
Address: 832.0 NE.. f s . qel Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City /State/ZIP: Vancouver, WA q$&,&95 Temporary services or feeders installation, alteration, and/or
Phone: (360) 566. elem. Fes' ( ) relocation
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, 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: j gn Crat 1r - Electrical Ad L, L- LC • branch circuit
Gabel B. Fee for service circuits f
Contact name: Sh Cab
without service or feeder fee, 46.85 2
Address: '1033 S. W . Burp ha m each branch circuit
Each add'l branch circuit 6.65 2
City/State./ZIP: 'Ti gard , OR q 722 3 Miscellaneous (service or feeder not included)
Phone: ( 503) ( 4110 Fax :: (503) (VO • 46111 Pump or irrigation circle 53.40 2
Sign or outline lighting I 53.40 53.4() 2
. E - mail: 9 0 11 cr4't PGeZ • COWt Signal circuit(s) or limited -
�� CONTRACTOR /• energy panel, alteration, or
Business name: S i g n Craft Electrical Ad v. L ' LC. extension. Describe: Paget 2
Address: gD33 6.W. Burnham Each additional inspection over allowable in any of the above
/� Per inspection 62.50
City/State/ZIP: T1_gand , OR 4f 7223 Investigation per hour (i hr min) 62.50
( 436i• 4' t O Fax: (5x3 4) 3 a • /J Industrial plant per hour 73.75
Phone: `'i'-1 1
ELECTRICAL PERMIT FEES*
CCB Lic.: (55420 Electrical Lic.: 34 .6,7404 Suprv. Lic.: 755I& Subtotal 6 3 .40
Suprv. Electrician signature, required:�� ..GJ , ��� Plan review (25% of permit fee)
Print name: David S. Wtk. t h gOn Date: ID. 2b • OS State surcharge (8% of permit fee) L ? '7
TOTAL PERMIT FEE 51
Authorized signature: 110fig�� This permit application expires if a permit is not obtained within 1 0
+,� days after it has been accepted as complete
Print name: SVlelle 1 ( t Date: ID ‘2.19 .05 • Fee methodology set by Tri -County Building industry Service Board
•• Number of inspections per permit allowed.
i:\Building\Pelmits ELC- Penn itApp.doc 12/03 440- 4615T(10/02/COM/WEB
33 v I'a -13
( J�
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL 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*
M Vacuum Systems*
❑ • er: •
COMMERCIAL • RK ONLY: — l • • •
Fee for each commerc : system. $75.00
(SEE OAR 918-260-260
Check Type of Work Involved •
❑ Audio and Stereo Sy -ms . , •
❑ Boiler Controls •
❑ Clock Systems
❑ Data Teleco t munication Installation
❑ Fire Al. Installation
❑ HVAC
❑
Insi mentation
❑ I ercom and Paging Systems
• Landscape Irrigation Control*
•
r / 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
•
i:\ BuildingTermib \ELC- PennitApp.doc 04/03
CITY OF TIGARD k • .
BUILDING DIVISION PERMIT #: E r'1005.()0t48
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/31/20C
Phone: (503) 639 -4171 1",l ,,
Inspection Requests (24 Hrs.): (503) 639 -4175 11.
INSPECTION WORKSHEET FO DATE: 1/30/2006 TIME: 7 :01AM PAGE: 53
SITE ADDRESS: 11945 SW PACT - ~ HWY CLASS OF WORK:
SUBDIVISION: HOFFARBER TRA `TS NO.1 LOT #: 002 TYPE OF USE:
PROJECT NAME: TIGARD SHOPPING LA7_A
DESCRIPTION: Sign lighting.
OWNER: TIGARD PROPERTIES I PHONE #:
CONTRACTOR: SIGNCRAFT LLC PHONE #: 503-639-4910
Inspection Request Scheduled For: D ate: 1/30/2006 Pour Time:
Code # I = section Des . .tion Co irm # Contact # Message
199 Electrical final 025 01 503 - 639 -4910 N
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ C; L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: /30/ Phone #: (503) 718- IM__