Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006-10091
� �� ' DEVELOPMENT SERVICES DATE ISSUED: 3/30/2006
• - 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S 110A6 - 00200
SITE ADDRESS: 14345 SW PACIFIC HWY ZONING: C -G
SUBDIVISION: CANTERBURY SQUARE LOT : 1 _3 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+ ampNolt: > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
KOLVE, G C • SIGNCRAFT LLC
14389 SW PACIFIC HWY 9033 SW BURNHAM
TIGARD, OR 97224 TIGARD, OR 97223
Phone: Contact #: PRI 503 - 639 -4910
• FAX 503 - 639 -4999
FEES
Description Date Amount Reg #: ' ELE 34- 674CLS
[ELPRMT] ELC Permit 4/6/2006 $53.40 LIC 155420
[TAX] 8% State Surcharge 4/6/2006 $4.27 SUP 75SIG
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: 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.
•
t 1
Electrical Permit tqttati FOR (rrlCE l'SE °NI.)
City of Tigard � Permit N . _ _
13125 SW Hall Blvd., Tigard, OR 97 �� Plan Revie .3° / i ' O, O//
Phone: 503.639.4171 Fax: 503.59Sa4 3 0 2006 ' /'* .i, A ; f Date/By. Other Permit:
Inspection Line: 503.639.4175 �_ ' ' Date Ready/By: ® See Page 2 for
Internet: www.ci.tigard.or.us CITY OF TIGARD Notified/Method Supplemental Informat
BUlt[SifItGarweiriv PLAN REVIEW
❑ New construction ❑ ddition/alteration/replacement Please check all that apply:
❑ Demolition 0
G/isN 1400K-UP ['Service over 225 amps, comm'I ['Hazardous location
OService 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 Q"Commercial/industrial ❑ Accessory building ❑System 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 RV
❑Egress/lighting plan park
Job no.: Job site address: 14345 6W Pic 14-toy ❑Health -care facility ❑Other.
Submit 2 sets of plans with any of the above.
City / State/ZIP: 1 qr d l R. The above are not applicable to temporary construction service.
Suite/bldg. /apt. no.. Project name: nf Rak FEE* SCHEDULE ery Description I Qty. I Fee. I Total I ..
Cross street/directions to job site: /.-Ito \' 1 / 6 -aard e. New residential single - or multi- family dwelling unit.
I / Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: I Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 l
Tax map /parcel no.: Limited energy, residential 75.00 2
Limited energy, non - residential 75.00 2
DESCRIPTION OF WORK Each manufactured or modular
rof up , f eleo- Frical sgn -I-6 I51t7I Services or vice rs installation, feeder _ 90.90 2
1-/
X Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
O � PROPERTY OWNER I TENANT 201 amps to 400 amps 106.85 2
/ 401 amps to 600 amps 160.60 2
.
Name: _ e j - Ko/Ve 601 amps to 1,000 amps 240.60 2
Address: / cl. q S Pac . 1-4-1,u Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City/ State/ZIP: a y / )g g 722 ii Temporary services or feeders installation, alteration, and/or
Phone: ( )3 , _ gogi Fax: (5)3 (034 _ g . gl 1 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
IIVAPPLICANT I ❑ CONTACT PERSON A. Fee for branch circuits with
service or feeder fee, each 6.65 2
Business name: PfaJ9e�'iG
dc' branch circuit
Contact name: Kevlh COV iv Litio Rodr9riPz
B. Fee ou service circuits feeder without service or feeder fee, 46.85 2
Address: 14.345" GA) ac. V first branch circuit
/ Each add'1 branch circuit 6.65 2
City/ State/ZIP: 0� Miscellaneous (service or feeder not included)
6n / � p .: /_-�^ 3,0,--7 Pump or irrigation circle 53.40 2
Phone: a
' gig. fo.�[� • Sign or outline lighting / 53.40 2
E -mail: Signal circuit(s) or limited -
CONTRACTOR energy panel, alteration, or
Business name: , � - 7 - F f r %ca4 / Y / v LtG extension. Describe: Paget 2
Address. 033 �Q I ' �')CV'(/� Each additional inspection over allowable in any of the above
hay) Per inspection 62.50
City/State/ZIP: TAa rd. O/2 ci 7223 Investigation per hour (1 hr min) 62.50
Phone: 563 70 Fax: 633. 4 C/ 7 Industrial plant per hour 73.75
1 ELECTRICAL PERMIT FEES*
CCB Lic.: l55 Electrical Lic. Z4 - N ets Suprv. Lic.: 755/6 Subtotal 5 40
•
Suprv. Electrician signature, required' 1379 Plan review (25% of permit fee)
Print name: Da rid w son Date: 6 .21 .6 State surcharge (8% of permit fee) y, a 7
TOTAL PERMIT FEE S 7. t 7
Authorized signature This permit application expires if a permit is not obtained within 180
,l/m/ �' i&' days after it has been accepted as complete
Print name:54 I/ / 0 . / Date: 3 '2.1 -0 • Fee methodology set by Tri -County Building Industry Service Board
"'�t
SO Number of inspections per permit allowed.
i:\ Building \Pennita\\ELC- PermitApp.doc 12/03 440-4615T(10✓04/COM/WEB
•
Electrical Permit Application - City of Tigard
• .
• Page Supplemental Information r
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK ONLY:
Fee for all residential systems combined ..... $75.00
. _
Check Type of Work Involved:
El Audio and Stereo Systems*
•
0 Burglar Alarm
. ,
0 Garage Door Opener*
0 Heating, Ventilation and Air Conditioning
•
System* • -
•
0 Vacuum Systems*
0 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
' 0 Boiler Controls
•
0 Clock Systems
O Data Telecommunication Installation
0 Fire Alarm Installation
. ,
. . _
E . l HVAC •
•
O Instrumentation
• • ..
. .
0 Intercom and Paging Systems
. . _
0 Landscape Irrigation Control*
O Medical
. . . „ . •
. . . . _
O Nurse Calls . • . .
. _ .
• Outdoor Landscape Lighting* _ . .
0 Protective Signaling
• -
, 0 - Other
Total number of commercial systems:
*No licenses are requi Licenses are required . •
for all other installations
i:\Building\Permits\ELC-PerrnitApp.doc 04/03
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006-100J1
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 3/30/2006
Phone: (503) 639 -4171 �� voil
Inspection Requests (24 Hrs.): (503) 639 -4175 `:_..
INSPECTION WORKSHEET FOR DATE: 41/3/2006 TIME: 7:00AM PAGE: ?;•b
SITE ADDRESS: 14345 SW PACIFIC hIWY CLASS OF WORK:
SUBDIVISION: CANTERBURY SQUARE LOT #: 1 -3 TYPE OF USE:
PROJECT NAME: DIABETIC BAKERY
DESCRIPTION: SIGN LIGHTING
OWNER: KOI-VE, G C, PHONE #:
CONTRACTOR: SIGNCRAFT LLC PHONE #: 503
Inspection Request Scheduled For: Date: 4/13/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
140 ; installation 027914-01 503 N
Corrections /Comments/ Instructions:
G �
Yd
PASS
/,—, PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: T-- 14 4(se L Date: - 111 3'44 Phone #: (503) 718- IA4
CITY OF TIGARD
BUILDING DIVISION PERMIT #: I_LC200( 1t?0;,I1
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 33/utt;i20
Phone: (503) 639 - 4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/11/2006 TIME: 7 :07AM PAGE: 46
SITE ADDRESS: 14345 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: CAN - I ERBURY SQUARE LOT #: 1 -3 TYPE OF USE:
PROJECT NAME: DIABETIC BAKERY
DESCRIPTION: SIGN LIGHTING
OWNER: KOLVE, C C, PHONE #:
CONTRACTOR: SIC.NCRAFT LLC PHONE #: !`a03- 63944910
Inspection Request Scheduled For: Date: 4/11/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
140 Sign installation 027734 -01 503 -639 -4910 N
Corrections/Comments/Instructions:
Cocked 140 QCCS'
p(0 G 4--Q/ ■ C CU
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
1L 'ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: -I 1 1 — 0 C Phone #: (503) 718-