Permit /w
`i CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00909
DEVELOPMENT SERVICES DATE ISSUED: 11/21/2005
- 1111 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171
PARCEL: 1 S 134 BC -00300
SITE ADDRESS: 12244 SW SCHOLLS FERRY RD ZONING: C -G
SUBDIVISION: GREENWAY TOWN CENTER LOT : JURISDICTION: TIG
Project Description: Sign - chanel letters.
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:
BPP RETAIL LLC HIGHLIGHT SIGN CORP
BY BURNHAM PACIFIC PROPERTIES PO BOX 23667
ATTN: JOHN WATERS TIGARD, OR 97281 -3667
SAN DIEGO, CA 92101
Phone: Phone: 503 - 620 -8205
FEES Reg #: LIC 104599
Description Date Amount SUP 517SIG
ELE 37- 660CLS
[ELPRMT] ELC Permit 11/21/200: $53.40
[TAX] 8% State Surcharge 11/21/200: $4.27 REQUIRED ITEMS AND REPORTS
Total $57.67
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, if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility -Notif ation Center. Tfio • - ules are set
forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or dir,ect que ion to at 51:- 246 -66•' or
1- 800 - 332 -2344.
Issued By: � ��� Permittee Signature:
. 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.
5G'l/c 00S-003(0
i • Electrical Permit Application roll olF Icy l:SE ONLY
City of Tigard `y Permit No Ca cti -A g d •
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 4 ' . . I • Date/B . Other Permit:
Inspection Line: 503.639.4175 i., 'I I Permit: Date Ready/Ely: NM El See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method Supplemental Information
TYPE OF WORK PLAN REVIEW
❑ New construction ® Addition/alteration/replacement Please check all that apply:
❑ Demolition l ❑ Other: ['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 XCommercial/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 122_4 .� ❑Egress/lightin RV park
gplern
•Job no.: I Job site address: `2 Si$ G,� e facility ❑der.
mit it 2 sets sets of plans with any of the above.
City/ State/ZIP: ' ( '� / �� 99-22.3 Z er
3 e above are not applicable to temporary construction svice.
Ca [ FEE* SCHEDULE
Suite/bldg. /apt. no.: Pro name: b ' �
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.
2 z �1) 0 - �'1�/t, c 1,000 sq. R or less 145.15 4
Subdivision: Lot no.: Ea. add'I 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
_ D RIPTION OF WORK Each manufactured or modular
L ' /1 ��1/l _ _ 1rL.� `{..f(/r /) ,/�- ,¢t S 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 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: ( ) I Fax: ( ) 200 amps or less 66.85 1
Owner installation: This installation is being made on property that 1 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
0 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)
Phone: ( ) I Fax: : ( ) Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited -
CONTRACTOR energy panel, alteration, or
f � ► extension. Describe: Page 2 2
Business name: ( J , 0A ) cd9ep
Address: 1a 5 69 6 ?. Each additional inspection over allowable in any of the above
Per inspection 62.50
City / State/ZIP: ,^ 2_5 Investigation per hour (I hr min) 62.50 Zrg,
Phone: ( ) r , f .„5 Fax: ( ) 623 7 z5 Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES*
CCB Lic.: / Electrical Lic.: 1 111( Suprv. Lic. 4 4 66, 4 , 4466,4 � VV { r Subtotal
Suprv. Electrician signature, required: r 1 /' Plan review (25% of permit fee)
E,/AAAA ��, e...1/6/4/2011 State surcharge (8% of permit fee)
Print name: k �} Date: . TOTAL PERMIT FEE �� 61
Authorized signature: / This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete
Print name: Date: • Fee methodology set by Tri- County Building Industry Service Board
•• Number of inspections per permit allowed.
i:\ Building \Permits\FLC- PnmitApp.doc 12/03 410- 4615T(10/02/COM/w®
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
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*
El Burglar Alarm
El Garage Door Opener*
El Heating, Ventilation and Air Conditioning
System*
El Vacuum Systems*
•
El Other:
r 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
El 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
1: \Buildmg\Pamits\ELC- PamitApp.doc 04/03
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2005 -00909
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/21/2005
Phone: (503) 639- 4171 vN��i, rn
Inspection Requests (24 Hrs.): (503) 639 -4175 i
INSPECTION WORKSHEET FOR DATE: 12/20/2005 TIME: 7 :30AM PAGE: 28
SITE ADDRESS: 12244 SW SCHOL FERRY RD CLASS OF WORK:
SUBDIVISION: GREENWAY TOWN +. _NTER LOT #: TYPE OF USE:
PROJECT NAME: DOLLAR TREE
DESCRIPTION: Sign - thane{ letters.
OWNER: BPP RETAIL LLC, PHONE #:
CONTRACTOR: HIGHLIGHT SIGN CORP PHONE #: 503. 620 -8205
Inspection Request Scheduled For: Dat 12/20/2005 Pour Time:
Code # Inspection Description Confir # Contact # Message
199 Electrical final 023767 -0 360 -601 -7940 N
Corrections /Comments ns ructions:
TAl ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED .
Inspector: f n. �
(ce L Date: M1-O '0S' Phone #: (503) 718 + I%
CITY OF TIGARD • . t.
BUILDING DIVISION PERMIT #: ELC2005 -00909
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/21/2005
Phone: (503) 639 -4171 AO ill
Inspection Requests (24 Hrs.): (503) 639 -4175 '`__..
INSPECTION WORKSHEET FOR DATE: '12/13/2005 TIME: 7 :02AM PAGE: 63
SITE ADDRESS: 12244 SW SCHOLLS FERRY RD CLASS OF WORK:
SUBDIVISION: GREENWAY TOWN CENTER LOT #: TYPE OF USE:
PROJECT NAME: DOLLAR TREE
DESCRIPTION: Sign - chanel letters.
OWNER: BPP RETAIL LLC, PHONE #:
CONTRACTOR: HIGHLIGHT SIGN CORP PHONE #: 503 - 620 -8205
Inspection Request Scheduled For: Date: 12/13/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
13 Ceiling cover 023368-01 360-601 -7940 Y
Corrections /Comments/ Instructions:
.E \-.(:)-.Ue5-_f=309_q C1 IL 11 \1 ( vt'k pi II
16 L o W \JD i.' �4 1'`(; c �P l) N cc\ �--1i\(�.
t }
C 7,(‘'.A\ L\ \ � c ;t 0 ),. (Ak 1, u E,‘opkt.
- 11A PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: /�. - -- 71- 7 Date: / Phone #: (503) 718 -