Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2000 -00683
16 1 ti. DEVELOPMENT SERVICES DATE ISSUED: 12/13/00
" 11 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 1 S134BC -00300
SITE ADDRESS: 12274 SW SCHOLLS FERRY RD
SUBDIVISION: ZONING: C -G
BLOCK: LOT : 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+ amplvolt: > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
BPP RETAIL LLC MEYER SIGN CO OF OREGON
BY BURNHAM PACIFIC PROPERTIES 7340 SW LANDMARK LN
ATTN: JOHN WATERS TIGARD, OR 97223
SAN DIEGO, CA 92101
Phone: Phone: 620 - 8200
Reg #: LIC 64014
SUP 569SIG
ELE 20 -190CL
FEES Required Inspections
Type By Date Amount Receipt Elea! Service ��99
PRMT CTR 12/13/00 $53.40 2720000000( Elect'I Final EIr�I D
5PCT CTR 12/13/00 $4.27 2720000000(
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 laves.
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 -0080. You may obtain copies of these rules or direct questions to OUNC at (503) rt
246 -1987.
PERMITTEE'S SIGNATURE I 1 r `,`a■ ISSUED BY:
OWNER INSTALLATION ONLY
The installation is being made on . roperty 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 639 -4175 by 7:00pm for an inspection the next business day
BUP - Building Permit ELC - Electrical Permit
4 Inspection Description Date Passed By 1 Inspection Description Date Passed By
Footing /Setback Underground cover
Foundation walls Wall cover
Footing drain Ceiling cover
Waterproof bsmt walls Electrical rough -in
Slab Electrical service
Crawl drain Electrical final
Underfloor insulation
Post/beam structural
Shear walls /anchors ELR - Restricted Energy Permit
Roof nailing ' _Inspection Description Date Passed By
Firewall Low voltage
Tilt -up panel Electrical final
Masonry/Reinforcement
Framing
MFG - Structure set -up MEC - Mechanical Permit
Insulation
Drywall nailing • 4 Inspection Description Date Passed By
Post/beam mechanical
Suspended ceiling Gas line
Engineered soils Mechanical rough -in
Welding Lab Final Fire damper
Concrete Lab Final Duct work
Bolting Lab Final Smoke detector
Fireproofing Lab Final Mechanical final
Structural observation
Final inspection
PLM - Plumbing Permit
J Inspection Description Date Passed By
BU P - Fire Protection System Permit Plumbing underslab
4 Inspection Description Date Passed By Crawl drain
Sprinkler underfloor /slab Post/beam plumbing
Sprinkler rough -in Plumbing top -out
Sprinkler final RP /backflow preventer
Fire alarm final Rain drain
Storm drain
Water service
SIT - Site Permit Sanitary sewer
Inspection Description Date Passed By Culvert/catch basin
Footings Pump /fill septic tank
Foundation walls Plumbing final
Sprinkler supply lines
Sprinkler underfloor /slab
Catch basin/Manhole SWR - Sewer Permit
Engineered soils I Inspection Description Date Passed By
Engineering acceptance Sanitary sewer
Final inspection Final inspection
INSPECTION RECORD - BUP, PLM, SWR, ELC, ELR, MEC, SIT PERMITS
CITY OF TIGARD PERMIT
PERMIT #: ELC2000 -00683
�r� DEVELOPMENT SERVICE DATE ISSUED: 12/13/00
r�J II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 1 S134BC -00300
SITE ADDRESS: 12274 SW SCHOLLS FERRY RD
SUBDIVISION: ZONING: C -G
BLOCK: LOT : 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+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
BPP RETAIL LLC MEYER SIGN CO OF OREGON
BY BURNHAM PACIFIC PROPERTIES 7340 SW LANDMARK LN
ATTN: JOHN WATERS TIGARD, OR 97223
SAN DIEGO, CA 92101
Phone: Phone: 620 -8200
Reg #: LIC 64014
SUP 569SIG
ELE 20 -190CL
FEES Required Inspections
Type By Date Amount Receipt Elect'I Service
PRMT CTR 12/13/00 $53.40 2720000000( Elect'I Final
5PCT CTR 12/13/00 $4.27 2720000000(
Total $57.67
This Permit is issued subject to the regulations contained in the Tigard Munidpal 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 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -1987.
PERMITTEE'S SIGNATURE v i I lAgli ISSU ED BY: ilik v' v"
OWNER INSTALLATION ONLY
The installation is being made on •roperty 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 639 -4175 by 7:00pm for an inspection the next business day
Electrical Permit Application
Date received: / 2 A . V d ? ) Permit no.: cz - j'
r City of Tigard Project/appl.no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 972 Date issued: By: j»ff I Receiptno.:
Phone: (503) 639 -4171
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval:
TYPE OF PERMIT
❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi - family ❑ Tenant improvement
❑ New construction O Addition/alteration /replacement O Other: O Partial
JOB SITE INFORMATION
Job address: \ Wik S0 Sck A ( ' , 1 Bldg. no.: Suite no.: Tax map /tax lot/account no.:
Lot: Block: I Subdivision:
Project name: /I Qr, U,kir\ 61, tifj I Description and location of work on premises: Sk� 1 M�o�Whd
Estimated date of completion/inspe on: \ — \S— ()O "�
CONTRACTOR APPLICATION FEE SCHEDULE
Job no: 1 CC Fee Max
Business name: Mvakt. ;l l� L ci% 0Y'R. ‘ht_ Description Qty. (ea.) Total no. Imp ` / I � h. New residential - single ormulli familyper
Address:
� A l 1410 6�A4 k_ Ltd dwelling unit. Includes attached garage. •
City: Av I Stat e:Q0, I ZIP: Q( '3 Service included: Phon 0 I Fax: bab. -) 01 E -mail: 1000 sq. ft. or less 4
CCB no.: Cu( 6 ki,t- I Elec. bus. c. no: 10— O 110 6, L,s Each additional 500 sq. ft or portion thereof
Limited energy, residential 2
City /metro lie. no.: 0 O () ( e'1 G \ Limited energy, non- residential 2
' Vc \a: \3- 00 Each manufactured home or modular dwelling
Signature of supervising electrician ( . uired) Date Service and/or feeder 2
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Sup. elect. name (print): . , I * License no:5C' —SiG Servicesorfeeders Installation,
alteration or relocation:
PROPERTY OWNER 200 amps or less 2
Name (print) : \. 11 1r a 1 S 201 amps to 400 amps 2
Mailing address: / (. - \ \)` !1 c.) � x, %1v 401 amps to 600 amps 2
' r � 601 amps to 1000 amps 2
City: P ov,x\ G �& State: o(1, I ZIP: cV\ M 01 1 Over 1000 amps or volts • 2
Phone:'a, I Q— :k.-\ p I Fax: I E -mail: Reconnect only 1
Owner installation: The installation is being made on property I own Temporary services or feeders -
which is not intended for sale, lease, rent, or exchange according to Installation, alteration, or relocation:
ORS 447, 455, 479, 670, 701. 200 amps or less 2
201 amps to 400 amps 2
Owner's signature: Date: 401 to600am.s 2
ENGINEER Branch circuits - new, alteration,
Name: or extension per panel:
A. Fee for branch circuits with purchase of
Address: service or feeder fee, each branch circuit 2
City: I State: I ZIP: • B. Fee for branch circuits without purchase
of service or feeder fee, first branch circuit: 2
Phone: Fax: E-mail: Each additional branch circuit:
PLAN REVIEW (Please check all that apply) Misc. (Service or feeder not included):
❑ Service over 225 amps - commercial O Health-care facility Each pump or irrigation circle 2
❑ Service over 320 amps -rating of 1&2 O Hazardous location Each sign or outline lighting ' 2
family dwellings O Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel,
❑ System over 600 volts nominal more residential units in one structure alteration, or extension* 2
❑ Building over three stories ❑ Feeders, 400 amps or more 'Description:
❑ Occupant load over 99 persons O Manufactured structures or RV park Each additional inspection over the allowable in any of the above:
❑ Egress/lighting plan 0 Other. Per inspection
Submit _ sets of plans with any of the above. Investigation fee
The above are not applicable to temporary construction service. Other
Not all jurisdictions accept credit cards, please call jurisdiction for more information. Notice: This permit application Permit fee $ 3 , yO
❑ Visa O MasterCard expires if a permit is not obtained' Plan review (at _ %) $
Credit card number: / / within 180 days after it has been State surcharge (8 %) .... $ V eZ 7
Expires accepted as complete. TOTAL $ $'7 , 6s 7
Name of cardholder as shown on credit card
$
Cardholder signature Amount
440-4615 (6/00 /COM)
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Electrical Permit Fees: Limited Energy Fees:
Complete Fee Schedule Below: TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
p Restricted Energy Fee $75.00
Number of Inspections per permit allowed (FOR ALL SYSTEMS)
Service included: Items Cost Total 4
Check Type of Work Involved:
Residential - per unit
1000 sq. ft. or less $145.15 4 ❑ Audio and Stereo Systems
Each additional 500 sq. ft. or
portion thereof $33.40 1 ❑ Burglar Alarm
Limited Energy $75.00
Each Manufd Home or Modular
Dwelling Service or Feeder $90.90 2 ❑ Garage Door Opener*
Services or Feeders
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❑ Heating, Ventilation and Air Conditioning System'
Installation, alteration, or relocation
200 amps or less $80.30 2
201 amps to 400 amps $106.85 2 ❑ Vacuum Systems
401 amps to 600 amps $160.60 2
601 amps to 1000 amps $240.60 2 ❑ Other
Over 1000 amps or volts $454.65 2
•
Reconnect only $66.85 2
Temporary Services or Feeders TYPE OF WORK INVOLVED - COMMERCIAL ONLY
Installation, alteration, or relocation Fee for each system $75.00
200 amps or less $66.85 2 (SEE OAR 918 -260 -260)
201 amps to 400 amps $100.30 2
401 amps to 600 amps $133.75 2 Check Type of Work Involved:
Over 600 amps to 1000 volts,
see "b" above. [] Audio and Stereo Systems
Branch Circuits El New, alteration or extension per panel Boiler Controls
a) The fee for branch circuits
with purchase of service or ❑ Clock Systems
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feeder fee.
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Each branch circuit $6.65 2 ❑ Data Telecommunication Installation •
b) The fee for branch circuits
without purchase of service ❑ Fire Alarm Installation
or feeder fee.
First branch circuit $46.85
•
Each additional branch circuit $6.65 ❑ HVAC
Miscellaneous ❑
Instrumentation
(Service or feeder not included)
Each pump or irrigation circle $53.40
Each sign or outline lighting I $53.40 s3 , `/0 ❑ Intercom and Paging Systems
Signal circuit(s) or a limited energy
panel, alteration or extension $75.00 ❑ Landscape Irrigation Control
Minor Labels (10) $125.00
Each additional inspection over ❑ Medical
the allowable in any of the above
Per inspection $62.50 ❑ Nurse Calls
Per hour $62.50
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In Plant $73.75 ❑ Outdoor Landscape Lighting
Fees: ❑ Protective Signaling
Enter total of above fees $ S3 . ¥0 r7 Other
8% State Surcharge $ / . A?
Number of Systems
25% Plan Review Fee
See "Plan Review" section on $ * No licenses are required. Licenses are required for all other installations
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front of application.
Fees:
•
Total Ba lance Due $ 51, (.7
Enter total of above fees $
❑ Trust Account # 8% State Surcharge $
Total Balance Due $
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i:'dsts forms\elc- fees.doc 10/09/00