Permit . CITY OF TIGARD a' ELECTRICAL PERMIT
TIGARD #: ELC2006 -00567
�i�i DEVELOPMENT SERVICES DATE ISSUED: 10/5/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S 110DC -00300
SITE ADDRESS: 15700 SW PACIFIC HWY ZONING: C -G
SUBDIVISION: WILLOW BROOK FARM LOT: 016 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: SIGNAUPANEL:
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:
SSC PROPERTY HOLDINGS INC CAPITOL ELECTRIC CO INC
BY SHURGARD OF KING CITY/TIGAR 11401 NE MARX ST
ATTN:38004 PORTLAND, OR 97220 -1041
SEATTLE, WA 98109
Phone: Contact #: PRI 503- 255 -9488
FAX 503 - 257 -7121
FEES
Description Date Amount Reg #: ELE 26 -496C
[ELPRMT] ELC Permit 10/5/2006 $53.40 LIC 48748
[TAX] 8% State Surcharge 10/5/2006 $4.27 SUP 31325
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: Ea Permittee Signature: e C ce.
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.
10/05/2006 07:33 5032551966 CAPITOL ELECTRIC PAGE 02
., rr>u1111.1(.I•,li
.Electrical Permit A r1) iication - • - pee
Ci.ty of Tigard P ` ^ .
Datc/By:(O a 6940 0 Pamitno.: . ob' - 'erO 5-J
13125 SW HALL BLVD.. TiGARD. OR 97223 ,d W Other Permit; ,
Phone; (503) 0394171 Fax (503) SCISO LL it n t ; 2006 U C m O F h OARD Date Redy/By: I� '
Inspection Line: 503 -639 -4175 („7 t - L Notified/Mcthod:
Internee www.ci.ti _ : rd.or.us _ _
f i' z, G:,,.. ss�., ,,, ,,.d ITT 1� i II(� -' ! •
- n!. . ',, ,.. '.. ,:; .�„ ..., r �. .,.r., :Sl ! _,.. 7..',. t...:i }. . ., �ft a n , ..i , - .. -..
• New construction 0 AvY di on /a f 6 Please check all that apply:
ID Demolition 111 TtSthtZfr� ❑ Service over 225 amps, conimi ❑ Hazardous location
- - - , ,� !� a 1 il' i.
h ' 1 ' e F :: , , ;: I' ' , ❑ Service over 320 amps - rating ❑ Building over 10,000 sq.ft
• I. and 2 - family dwelling El Commercial /industrial • Accessory building of 1- and 2- family dwellings 4 or more new residential
❑ Multi fitmil 0 Master Builder ❑ Other in System over 600 volts nominal units in one structure
[ 7 ~`r P il!'i:i /, 1 'r..,,i.: i ,;. , -' ,.! ❑ Building over three stories ❑ Feeder's, 400 amps or more
Job no.; 261749.5 lob site address; 15700 SW Pacific Hwy ❑ pant load over 99 persons ❑ Manufactured structures or
El Egress/lighting plan RV park
CirylState/7.1P: Tigard, Oregon 97224 ❑ Health -care facility ❑ Other: :
Submit a sets of plans with any of the above.
Suite/bldgJapt no.; Project name: Public Storage Signs �' Ilcable totem re construction service.
The above era not a
1 � .: 0 ,4 1, '•• :Li' r )2'1•!.'
b' '
Cross Street/Directions to 'oh site: Description Q ►x EN
New residential - single or mnlli- family dwelling unit :r2'
Subdivision: Lot no.: Includes attached :era. e. •..
1000 s.. ft. or less an $ 1x5.15 • A
Tax ma reel no En. Addle 500 s • . ft or rtion $ 33.40 • 0
; ,+5i k . I,. }_v i ,U;11 i(i _ .`,.7 ! 1 !t� , . , n — , , I• " . Limited cn residential $ 75.00 ' NEM
C I • r, —tlnnecR y r 1 •• n Limited cue ± , non- rn 5 75.00 Ell
� 5
Each manufactured home nr modular
' ■ '! ! a ... C‘ . , ::U ' . 71-7 1 dwell Service and/or feeder . S 90.90
Nome: Service or feeders installation alteration and /or relocation
200 am • or less s 81)30 E.
Addrt�s: 201 am . .- to 400 ant*, _ f 106.85 -
401 am . to 600 am .s S 160.60 MEM
CitylState/7iP: 601 am .4 to 1000 am.5 5 240.60 . IIEN
Over 10003 • or volts S 454.65 WE
Reconnect oil $ 66.85 NM
Phone; 503 295 - 5555 Fes Temporary services or feeders installation, alteration, andfor
Owner InstallftlOI: This instollation is heing made on property that town which is not relocation
intended for sale. Iceso. rent or exchange. according to ORS 447, 449.670. and 701 200 em. or less • $ 66.85 _ Q
Owner signature: Date: 201 . to 400 am. s _ $ 100.30 = NM
401 am • to 600 am • s S 133.75 Inn
:"d ■ I `�, ;..„:i, i,., , iii '. {ail{ G:L , [ ' . ., ; i.; .. '- . .! I. , <, 7 Branch circuits - now alteration or extension r • a nal
Business Name: A. Fee for branch circuits with
service or feeder fee. each
branch circuit . S 6.65 Ell
Contact name:
B. Fee for branch circuits _ .
Address:
without service or feeder fcc,
each branch circuit S 46.87
Each additional branch circuit: S 6..65
City /Ctste/7.iP: Miscellantoas service or feeder not hided
Phone; Fax;
Porn. or im e s tion circle MI $ 5340 - MI
Si: or outline li_htin: 1 ullez3 534a NE
E -mail: Signal circultS(S) nr limited-
'7, 7,T ..i• L .r .,.-ill F !i!il i!,f.,:. ,, -'. r: ' 1 •r°---- energy panel. alteration. Or
Business Name: CAPITOL ELECTRIC CO., INC. extension. peccribc: Page 2
Contact Hama: Each additional Ins ectlon over allowable In an • of the above
Pains• - Ion OWE] M
Address: 11401 NE MARX ST. lnvoSti„don . er hour 1 hr min 3 67.50 —
industrial .lant • erhour .111.11 $ 73.75 —_
City/Star /ZIP: PORTLAND, OR 97220 -1041 '',1 ii:r.
...> !
..It !• _ :... : .: 'tl
Subtotal 53.40
Phone; 503.255 -9488 Fax! 503-257-7121 Plan review 25% of unit fee
State surcha :c 8% of . rmit fa:e 4.27
CCB Lie.: 46748 Electrical Lie.; 26 -496C LETa $? ' TOTAL PERMIT FE 57.87
Mile permit mediation erpIra It ■ mmett b mat Mumbled within lle
dn. after n bas been :accepted al complete
Print Name: Richard Martin Date: 10/04/06 " Fee methodology act by Tri_Cnimty Building industry Service Board .4, :
AuthovI ed signature / ••Nu mber of increctinm per permit allowed. .e' -
Not Name: Richard Martin ..•:
CITY OF TIGARD ,
BUILDING DIVISION PERMIT #: ELC2006-00567
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/512006
Phone: (503) 639 -4171 Ab lr�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: '10/3112006 TIME: 7:01AM PAGE: 34
SITE ADDRESS: 15700 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: 1 ILLOW BROOK FARM LOT #: 016 TYPE OF USE:
PROJECT NAME: PUBLIC STORAGE SIGNS
DESCRIPTION: Sign lighting.
OWNER: SSC PROPERTY HOLDINGS INC, PHONE #:
CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503255-9488
Inspection Request Scheduled For: Date: 10/31/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 039066-01 971-506-0220 N
Corrections /Comments /Instruc ins:
KPASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G- • t(6, Date: Vof 'bI1 1 3 1 0 Phone #: (503) 718 -2. •
CITY OF TIGARD . .. -
BUILDING DIVISION PERMIT #: ELC2006 -005G7
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/6/2006
Phone: (503) 639 -4171 .1
Inspection Requests (24 Hrs.): (503) 639 -4175 : —.. I �I
INSPECTION WORKSHEET FOR DATE: 10/24/2006 TIME: 7:02AM PAGE: 38
SITE ADDRESS: 15700 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: WILLOW BROOK FARM LOT #: 016 TYPE OF USE:
PROJECT NAME: PUBLIC STORAGE SIGNS
DESCRIPTION: Sign lighting.
OWNER: SSC PROPERTY HOLDINGS INC, PHONE #:
CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 503
Inspection Request Scheduled For: Date: 10/24/2006 Pour Time:
ode # Insp- • Description Confirm # Contact # Message
199 Electrical final 038747 -01 971-533-9524 Y
o - .. - - - _ •• 'a - .., "5 • ions: — GLl
Pt:v ► Ds vio tAral. 7* 4‘i A 1 \0 onl*nls
ti o c,saN`PlubL c2 2 t vt 1-
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
p = - El PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
4 AIL A CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: & ° t ■ 06 L Date: I 6 f 2_4j ' 04 Phone #: (503) 718- 'LK