Permit F CITY OF TIGARD IT
ELECTRICAL PERMIT
#: ELC2006-00502
DEVELOPMENT SERVICES DATE ISSUED: 9/7/2006
,744 ° 'III 13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171
PARCEL: 2S 110 DC -00300
SITE ADDRESS: 15700 SW PACIFIC HWY ZONING: C -G
SUBDIVISION: WILLOW BROOK FARM LOT: 016 JURISDICTION: TIG
Project Description: Public Storage: (1) wall sign.
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:
PUBLIC STORAGE DWINELL'S VISUAL SYSTEMS
701 WESTERN AVE 1112 E NOB HILL BLVD
GLENDALE, CA 91201 YAKIMA, WA 98901 -3699
•
Phone: 818 - 244 -8080 Contact #: PRI 800 - 932 -8832
FEES
Description Date Amount Reg #: ELE 37- 1026CLS
[ELPRMT] ELC Permit 9/7/2006 $53.40 LIC 157580
[TAX] 8% State Surcharge 9/7/2006 $4.27 SUP 669SIG
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: 1 PermitteeSignature: 4., QI
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 USE ONLY
City of Tigard RECEIVE: Received / Penult No.
ard, OR 97223 Date/By: 9 7 D D CJ1� 6 L, C�eQ at ��
13125 SW Hall Blvd., Ti
g Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 S E P 0 7 200,14°140i i Date/By: Other Permit:
Inspection Line: 503.639.4175 6 Date Ready /By: Juris: la See Page 2 for
Internet: www.ci.tigard.or.us R � TIGARD J Notified/Method: ) l it Supplemental Information
TYP 1 PLAN REVIEW
❑ New construction ❑ Addition /alteration /replacement Please check all that apply:
El Demolition ®Other: Sign ['Service over 225 amps, comm'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
❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑ Multi - family ❑Master builder El Other: Sign ❑Building over three stories :Weeders, 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: 15700 SW Pacific Hwy ❑Health -care facility ❑Other:
Submit 2 sets of plans with any of the above.
City /State /ZIP: Tigard /OR/97224 The above are not applicable to temporary construction service.
Suite /bldg. /apt. no.: Project name: Public Storage FEE* SCHEDULE
Description I Qty. I Fee. I Total I **
Cross street/directions to job site: 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.: 2S110DC00300 Limited energy, non - residential 75.00 2
DESCRIPTION OF WORK Each manufactured or modular
Install one new illuminated wall sign. dwelling, service and /or feeder 90.90 2
Services or feeders installation, alteration, and /or relocation
200 amps or less 80.30 2
® PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
Name: Public Storage 601 amps to 1,000 amps 240.60 2
Address: 701 Western Ave Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City /State /ZIP: Glendale, CA 91201 Temporary services or feeders installation, alteration, and /or
Phone: (818)244 -8080 Fax: (818)241 -9859 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: ee , if-HP T It FrVet \7 011 Date: — Branch circuits- new, alteration, or extension, per panel
® APPLICANT ❑ CONTACT PERSON A. Fee for branch circuits with
service or feeder fee, each 6.65 2
Business name: Dwinell's Visual Systems branch circuit
B. Fee for branch circuits
Contact name: Colleen Bailey without service or feeder fee, 46.85 2
Address: 1112 E Nob Hill Blvd first branch circuit
Each add'l branch circuit 6.65 2
City /State /ZIP: Yakima/WA /98901 Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone: (509) 248 -3772 Fax: : (509) 248 -0714 Sign or outline lighting 53.40 53.14D 2
E -mail: cbailey @dwinells.com Signal circuit(s) or limited -
CONTRACTOR energy panel, alteration, or
extension. Describe: Page 2 2
Business name: Dwinell's Visual Systems
Address: 1112 E Nob Hill Blvd Each additional inspection over allowable in any of the above
Per inspection 62.50
City /State /ZIP: Yakima/WA /98901 Investigation per hour (I hr min) 62.50
Phone: (509) 248 -3772 Fax: (509) 248 -0714 Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES*
CCB Lic.: 157580 Electrical Lic.: 449 SI Suprv. Lic.: 449 SIG Subtotal 53.141)
Suprv. Electrician signature, required. , ,1# Y 7 y //1r Plan review (25% of permit fee) —
Print name: ,I / / OM / Date: # State surcharge (8% of permit fee) O� 7
TOTAL PERMIT FEE 57,(47
Authorized signature: Co 0 / f , n ( This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete
Print name: Q�l leen ba y Date: 9- 5 D,' • Fee methodology set by Tri- County Building Industry Service Board
•• Number of inspections per permit allowed.
i:\ Building \Permits \ELC- PermitApp.doc 12103 440- 461ST(I0 /02/COM/WEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006.00502
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/7/2006
Phone: (503) 639 -4171 zo... A Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/6/2006 TIME: 7 : 03A141 PAGE: 32
SITE ADDRESS: 15700 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: WILLOW BROOK FARM LOT #: 016 TYPE OF USE:
PROJECT NAME: PUBLIC STORAGE
DESCRIPTION: Public Storage: (1) wall sign.
OWNER: PUBLIC STORAGE, PHONE #: 818-244 -6081)
CONTRACTOR: DWINELL'S VISUAL SYSTEMS PHONE #: 800 -932 -6832
Inspection Request Scheduled For: Date: 10/6/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
140 Sign installation 037800 -01 509-248 -3772 N
I9at F■ lr•
Corrections /Comments /Instructions:
APASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
rffrATE ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: IA 6BL� Date: 1 Orb CA5 Phone #: (503) 718 - .2-44)