Permit CITY O F TIGARD ELECTRICAL PERMIT
IN .• ' PERMIT #: ELC2007 -00734
° � COMMUNITY DEVELOPMENT
B ATE ISSUED: 10/29/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S136CD -90000
SITE ADDRESS: 08060 SW PFAFFLE ST 200 ZONING: C -P
SUBDIVISION: CAMERON PLAZA LOT : JURISDICTION: TIG
PROJECT: LILE INTERNATIONAL
Project Description: 2 sign Iightings
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: 2
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:
G3 LEASING LLC SECURITY SIGNS INC
19480 SW 118TH AVE 2424 SE HOLGATE BLVD
TUALATIN, OR 97205 PORTLAND, OR 97214
Phone: 503 - 691 -3500 Contact #: PRI 503- 546 -7114
FAX 503 - 230 -1861
'FEES
Description Date Amount Reg #: ELE 26- 560CLS
[ELPRMT] ELC Permit 10/29/200" $106.80 LIC 122809
[TAX] 8% State Surcharge 10/29/200" $8.54 SUP 383 SIG
Total $115.34 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 -0 - rough OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to •UNC at 50 .246.6699 or 1.800.332.2344.
1 1
Issued y: Permittee Signature: F-4.154,11111111111
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.
c /J - op - .
Electrical Permit Application FOR OFFICE USE ONLY
r�
�'ltty of Tigard Date/B 1Q ff. 7 ,/ AM Permit No.: ik.C ro7.W 7 • 74 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
C Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit:
•
T I G A R D Inspection Line: 503.639.4175 Date Ready /By: Sun ' ia See Page 2 for
Internet: www.tigard- or.gov Notified/Method: la Supplemental Information
TYPE OF WORK PLAN REVIEW
❑ New construction ❑ Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ 1- and 2- family dwelling El Commercial/industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND L t' ATION ❑ Emergency system. larger separately derived system.
❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "I -3 ",
100HP or more. occupancy.
Job no.: Job site address: � ��
C , Li) R/ te......_ 0 Six or more residential units. 0 Recreational vehicle parks.
City/State /ZIP: ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
• Suite/bldg. /apt. no.: I Project name: l_./ l� ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description I Q<r• I Fee. I Total I •
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Ea. add'I 500 sq. ft. or portion 33.40 . 1
Tax map /parcel no.: Limited energy, residential
DESCRIPTION OF WORK (with above sq. ft.)
Limited 75.00 2
` �.1 N l S mited energy, multi - family 75.00 2
l
residential (with above sq. ft.)
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
Name: 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2 •
City/State /ZIP: Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) I 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 599 amps 133.75 2
Branch circuits – new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
❑ APPLICANT I ❑ CONTACT PERSON above service or feeder fee, 6.65 2
each branch circuit
Business name: ��J p p 5,Q D E, n S B. Fee for branch circuits
(�p n� `� . (�� „� g p�� without service or feeder fee, 46.85 2
Contact name:
Y r �6 .%1 first branch circuit
Address: Each add'l branch circuit 6.65 2
Miscellaneous (service or feeder not included) .
City/State /ZIP: Each manufactured or modular
dwelling, service and/or feeder 90.90 2
Phone: )f 5/ n ) )4 Fax: � 7 / f Reconnect only 66.85 2
E -mail: (l t I c Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting lfa 53.40 iap.40 2
��
, Signal circuit(s) or limited -
Business name: Q ) 1 'i��5 energy panel, alteration, or
Address: Z4Z � b
L . extension. Describe: Page 2 2
City/State /Z1P: � "4 �� C) .q.--g: Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: ( ) Fax: ( )
Investigation per hour (1 hr min) 62.50
CCB Lic.: )Z24925:1 Electrical Lic.: j� Iprv. Lic.: �tl�5 -7 Industrial plant per hour 73.75
�1' ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: _ Subtotal: l9o t()
Plan review (25% of permit fee):
Print name: Mow 0 • SI. Date: —
State surcharge (8% of permit fee): . gat
Authorized signature' a 4•11111117 f TOTAL PERMIT FEE: ii 6 31
This permit application expires if a permit is not obtained within 180
Print name: ,(� p A � � �� lt,t2 Date: days after it has been accepted as complete.
e • Number of inspections allowed per permit.
IA BuildingTermiu tELC- Permit App C pp.doc 05/23/06 440-4615T(11/05/COM/WEB
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information r • - -
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*
❑ Vacuum Systems*
❑ Other:
COMMERCIAL WORK ONLY:
Fee for each commercial $75.00
system
(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
I:\ Building 'Pennits\ELC- PermitApp.doc 03/23/06
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007-00734
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/29/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 " �.. •
INSPECTION WORKSHEET FOR DATE: 1/3/2008 TIME: 7 :00AM PAGE: 51
SITE ADDRESS: 08060 SW PFAFFLE ST 200 CLASS OF WORK:
SUBDIVISION: CAMERON PLAZA LOT #: TYPE OF USE:
PROJECT NAME: LILE INTERNATIONAL
DESCRIPTION: 2 sign lightings
OWNER: 03 LEASING LLC, PHONE #: 503 - 35(30
CONTRACTOR: SECURITY SIGNS INC PHONE #: 503. 546-7114
Inspection Request Scheduled For: Date: 1/3/2008 Pour Time:
Code # Inspection Description on i Contact # Message
199 Eloct#ical final 06245E-01 503.6!16.7114 N
Corrections /Comments / Instructions:
IX PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ` N 6 4 LC- Date: I ' 3' o1 o Phone #: (503) 718- A "PO