Permit h
C ITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00470
i DEVELOPMENT SERVICES DATE ISSUED: 8/22/2006
'� I I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S 102CC -00500
SITE ADDRESS: 13500 SW PACIFIC HWY 86 ZONING: C -G
SUBDIVISION: TIGARD MARKETPLACE LOT : JURISDICTION: TIG
Project Description: 4 sign lighting for wall signs.
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: 4
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+ ampNolt: > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
PACIFIC CORP /ELLIOTT ASSOCIATES SECURITY SIGNS INC
200 SW PINE ST, SUITE 200 2424 SE HOLGATE BLVD
PORTLAND, OR 97204 PORTLAND, OR 97214
Phone: 503 - 224 -6791 Contact #: PRI 503 - 232 -4172
FAX 503 - 230 -1861
FEES
Description Date Amount Reg #: ELE 26 - 560CLS
[ELPRMT] ELC Permit 8/22/2006 $315.60 LIC 122809
[TAX] 8% State Surcharge 8/22/2006 $17.09
Total $332.69 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: Permittee Signatur' • -,
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 1Pe.trniit Aimli G FOR OFFICE l »SE NL1
City of Tigard CC O Received Permit No /I , _ o v
�� ,. 6 0 7
13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie
it , i Other Permit:
Phone: 503.639.4171 Fax: 503.598.1960 Date/B .
Inspection Line: 503.639.4175 AUG r . L 11 j 1 •� � ! Date Ready/By: NM ® See Page 2 for
Internet: www.ci.tigard.or.us CITY OF TIGARD Notified/Method Supplemental Information
T,iiknenM4SSIVI81c1N PLAN REVIEW
❑ New construction ❑ Addition/alteration/replacement Please check all that apply:
E1 Demolition ❑ Other: ❑Service over 225 amps, comm'I ['Hazardous location
❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft.,
CATEGORY OF CONSTRUCTION of 1 -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 ❑Building over three stories ['Feeders, 400 amps or more
❑ Other: ❑Occupant load over 99 persons ['Manufactured structures or
JOB SITE INFORMATION AND LOCATION RV
n ❑Egress/lighting plan park
Job no.: Job site address: 1 '. ) .5(4_,) 0 164 F16 ❑Health - care facility [Other:
Submit 2 sets of plans with any of the above.
City/ State/ZIP: 6 The above are not applicable to temporary construction service.
FEE* SCHEDULE
Suite/bldg./apt no.: I Project name: 62.0 (..c_) t 12 ri" (._.t =S S Description 1 Qty. I Fee. I Total I ••
Cross street/directions to job site: 0 New residential single- or multi - family dwelling unit.
t / �- 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 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
dwelling service and/or feeder 90.90 2
(Lk) t■ l ■•( \NA'CL- S1 La R.CS 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
401 amps to 600 amps 160.60 2
Name: 601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City/ State/ZIP: Temporary services or feeders installation, alteration, and/or
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, 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: branch circuit
B. Fee for branch circuits
Contact name: 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: ( ) I Fax: : ( ) Sign or outline lighting 1.4 53.40 2
E -mail: Signal circuit(s) or limited -
CONTRACTOR energy panel, alteration, or
extension. Describe: Page 2 2
Business name'
am 6oa -- t '' S (Cs -R,( S
Address: 2 c{ Zc,. f s r c - E tgL�/� Each additional inspection over allowable in any of the above
1/ ' Per inspection 62.50
City/State/ZIP: (e� 'i 0 t Investigation per hour 0 hr min) 62.50
Phone: ( 13) 232 c-( ( 7 / Fax: ( ) Z'jp ) s > Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES*
CCB Lic.: (2Z c S 2 ,0 Electrical Lic F2 ` 4Suprv. Lic.gg,3 5/ Subtotal ;1 . (0
Suprv. Electrician signature, required: ✓/ Plan review (25 %of permit fee)
State surcharge (8% of permit fee) / 7. 0
Print name: //4"...v. ( 00(`� T Da . , 77 , /
' — TOTAL PERMIT FEE
Authorized signature: � This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete
Print name: - ir - 4 - t 6 60 Date: d r 7 2 , • Fee methodology set by Tri- County Building Industry Service Board
C • • Number of inspections per permit allowed )
i:\Building\Pc mits\F11.C- PermitApp.doc 12103 410- 4615T(1NMJCOM/WEB '33 ... (�
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information • 9,
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK ONLY: j
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. $75.00
(SEE OAR 918 - 260 - 260)
Check Type of Work Involved:
❑ Audio and Stereo Systems •
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation •
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
is\ Building \Pe= its \ELC- PamitApp.doc 00/03
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC200600.470
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/22/2006
Phone: (503) 639 -4171 /d 4; `;It
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/24/2.006 TIME: 7:02AM PAGE: 53
SITE ADDRESS: 13500 SW PACIFIC HWY 86 CLASS OF WORK:
SUBDIVISION: TIGARD MARKETPLACE LOT #: TYPE OF USE:
PROJECT NAME: GO WIRELESS
DESCRIPTION: 4 sign lighting for wall signs.
OWNER: PACIFIC CORP /ELLIOTT ASSOCIATES, PHONE #: 503- 2246791
CONTRACTOR: SECURITY SIGNS INC PHONE #: 503.232 -4172
Inspection Request Scheduled For: Date: 10/24/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 038735 -01 50354671 N
Corrections /Comments / Instructions:
vi1CL r WCiCNO. f iti AL_ .
b ` tNI3 (0.04 a ( ctA
Re0w AVW L. �.
Crb i1a (m r"o.)441 -> sa .
The electrical installation defects noted
on this report shall be corrected'and
an inspection request made within 20
calendar days per OAR 918- 271 -0030
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
`; FAIL
XCALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: e uv O$ L Date: fait Mink. Phone #: (503) 718- liVtlo
CITY OF TIGARD
BUILDING DIVISION „- . PERMIT #: BUP200G00377
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/9/2006
Phone: (503) 639 -4171 �� I �I
. + el!!
Inspection Requests (24 Hrs.): (503) 639 -4175 .L
INSPECTION WORKSHEET FOR DATE: 11/20/2006 TIME: 7:01AM PAGE: 78
SITE ADDRESS: 13500 SW PACIFIC HWY 86 CLASS OF WORK:
SUBDIVISION: TIGARD MARKETPLACE LOT #: TYPE OF USE:
PROJECT NAME: GO WIRELESS
DESCRIPTION: T1 - demising wall, walls, rostroom and demo. (2280 sq fl)
OWNER: PACIFIC CORP/ELLIOTT ASSOCIATES, PHONE #: 503- 2246791
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 11/20/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message ,....ik
299 Final inspection 040035-01 503-320 -0918 Y +g:'
Corrections /Comments /Instructions
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❑ PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL CALL FOR INSPECTION ADDITI AL F ES ASSESS
❑ ❑ ASSESSED
41
Inspector: Date: ( ( D/ � ij Phone #: (503) 718 - —Z3
CITY OF TIGARD ' `
BUILDING DIVISION PERMIT #: ELC2006-00470
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 8/22/2006
Phone: (503) 639 - 4171 9�
Inspection Requests (24 Hrs.): (503) 639 -4175 _�
INSPECTION WORKSHEET FOR DATE: 11/22/2006 TIME: 7:03AM PAGE: 41
SITE ADDRESS: 13500 SW PACIFIC HWY 86 CLASS OF WORK:
SUBDIVISION: TIGARD MARKETPLACE LOT #: TYPE OF USE:
PROJECT NAME: GO WIRELESS
DESCRIPTION: 4 sign lighting for wall signs.
OWNER: PACIFIC CORP/ELLI ASSOCIATES, PHONE #: 503-224-6791
CONTRACTOR: SECURITY SIGNS INC PHONE #: 503- 232 -4172
Inspection Request Scheduled For: Date: 11/22/2006 Pour Time:
Code # Inspection Description - . i # Contact # Message
199 Electrical final 040143 -01 503 - 819-7977 Y
Corrections /Comments /Instructions: .1 0 6 ti
V
► PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G--' t' 6 V L Date: 1 1 z1- Phone #: (503) 718 - L-11%