Permit Df Y . OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2008 -00195
COMMUNITY DEVELOPMENT DATE ISSUED: 4/3/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S 134BC -00300
SITE ADDRESS: 12280 SW SCHOLLS FERRY RD ZONING: C - G
SUBDIVISION: GREENWAY TOWN CENTER LOT : JURISDICTION: TIG
PROJECT: OREGON COMMUNITY CREDIT UNION
Project Description: Sign lighting for ATM 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: 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:
BPP RETAIL LLC ES & A SIGN AND AWNING CO.
BY BURNHAM PACIFIC PROPERTIES 89975 PRAIRIE RD.
ATTN: JOHN WATERS EUGENE, OR 97402
SAN DIEGO, CA 92101
Phone: Contact #: PRI 541 - 485 - 5546
FAX 541 -485 -5813
FEES
Description Date Amount Reg #: ELE 20- 243CLS
[ELPRMT] ELC Permit 4/3/2008 $53.40 LIC 163470
[TAX] 12% State Surchar 4/3/2008 $6.41 SUP 514SIG
Total $59.81 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: ermittee Signature: 5Q
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 . g,..> - ; i .- •--:to FOR OFFICE USE ONLY
E , * rr � —
11 x ry r .ti
' � " "� Received "'' F
Clay of Tigard D ate/By: 2 _f 3 ennit No.: ,_� WO •-- w cgs
- ° 13125 SW Hall Blvd., Tigard, O 9722 l; v 2008 Plan Review
Phone: 503.639.4171 Fax: 503.598.196C' Date/By: Other Permit:
TIGARD Inspection Line: 503.639.4175 Date Ready /By: Juris: 0 See Page 2 for
Internet: www.tigard - or.gov . . :, e.ii ') Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
Please check all that apply (submit 2 sets of plans w /items checked below):
❑ New construction ❑ Addition/alteration/replacement
❑ 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 0 Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
❑ Emergency system. larger separately derived system.
JOB SITE INFORMATION AND LOCATION ❑ Addition of new motor load of ❑ "A ", "E", "1 -2 ", "I - 3",
I00HP or more. occupancy.
Job no.: 7 (j f 7 Job site address: � a-3 80 5 e, k vas J „• T Fe rf e&I ❑ Six or more residential units. ❑ Recreational vehicle parks.
ID Tl qu Health-care facilities. ❑ Supply voltage for more than
J I J. ❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: r pOoy\ COMy1mA t eye ❑ Service or feeder 600 amps or more.
` FEE SCHEDULE
Cross street/directions to job site: 5 (..L.7 rk..,9-v`4-1 b a.` r)+,L. Description I Qty. I Fee. I Total I •
t ->k S+ Q New residential single- or multi - family dwelling unit.
ti S W _ 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 I
Tax map /parcel no.: Limited energy, residential
DESCRIPTION OF WORK (with above sq. ft.) 75.00 2
�T Limited energy, multi - family 75.00 2
1 y2_ -6 1.- LI 0 - ' I L i (fit- �� rvI 11y , residential (with above sq. ft.)
o _ 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
n (1 A K- \ �, , 401 amps to 600 amps 160.60 2
Name:
0I�b ,_,----1 ` b d'( ` -t. J I I n I ' 601 amps to 1,000 amps 240.60 2
Address: Pb i o k -7 7 d')- Over 1,000 amps or volts 454.65 2
City/State/ZIP: (� J Temporary services or feeders installation, alteration, and /or
Ci
ty •r 24,C�Q�"`e , U ✓ ' v relocation
Phone: ( ) (� 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 ❑ CONTACT PERSON above service or feeder fee, 6.65 2
each branch circuit
Business name: ( S 4.....14 & q � �- 1 -(�J YLA- -vim B. Fee for branch circuits
/ without service or feeder fee,
Contact name: 46.85 2
t 1/1 I/ ..e_+'Z _G U first branch circuit
Address: e of 7 7 � 1 t 4_0 a__ „(,___ Each add'l branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City/State /ZIP: ��( _,...f (N °/ (-((' 1 Each manufactured or modular 90.90 2
el ,t..6. dwelling, service and/or feeder
Phone: ( SL(( ) (_E v . 5 , 5 - Fax: : (<2j'( ) C.e f e. j ,--) It / -3 Reconnect only 66.85 2 _
E- mail: -1--1,0 4_, f" 7 ( ( c e ,Set-.5 CS As , C O /yl Pump or irrigation circle 53.40 2
CONTRACTOR r, Sign or outline lighting ( 53.40 53 cio 2
Business name: Signal circuit(s) or limited-
CL (n�-O CL S Gt< 6662_0 . , energy panel, alteration, or
Address: q 7 7S P ( r-,_ y / -e l� 0 „� extension. Describe: Page 2 2
City/State /ZIP: Each additional inspection over allowable in any of the above
"""t...--' Per inspection 62.50
Phone: (51# ) Leg 5 _ e'Yt.. f (, Fax: ( ) Investigation per hour (I hr min) 62.50
CCB Lic.: cI(0 3(l7Q 1 Electrical Lic. -JCL Suprv. Lic.: Industrial plant per hour 73.75 .
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required. Subtotal: 5 -a
Print name: /' �� , �(� ( r p Date: 3 - a - 1 - o 8 Plan review (25% of permit fee):
2_ 7 State surcharge (8% of permit fee): 7 t )41
Authorized signature: (4. w� TOTAL PERMIT FEE: 7
This permit application expires if a permit is not o ' ed wit to
- -r& (,U
Print name:y_�1 7___-C (r Date: 2 • a O (- 0 days after it has been accepted as corn et91 t3
• Number of inspections allowed per permit. I
I: \Building \Permits \ELC- PermitApp.doc 05/23/06 440-46 I 5T(tt /05 /COM/WEB
CITY OF TIGARD
l BUILDING DIVISION PERMIT #: ELC2006 00195
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/3/20013
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175 _
INSPECTION WORKSHEET FOR DATE: 7/21/2008 TIME: 7:01AM PAGE: 43
SITE ADDRESS: 12280 SW SCF•IOLLS FERRY RD CLASS OF WORK:
SUBDIVISION: GREENWAY TOWN CENTER LOT #: TYPE OF USE:
PROJECT NAME: OREGON COMMUNITY CREDIT UNION
DESCRIPTION: Sign lighting for ATM sign.
OWNER: BPP RETAIL LLC, PHONE #:
CONTRACTOR: ES & A SIGN AND AWNING CO. PHONE #: 541 - 485 -5546
Inspection Request Scheduled For: Date: 7121/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 072914 -01 541-485-5546 Y
Corrections /Comments /Instructions:
O PAS] ❑ PARTIAL APPROVAL ❑ CANCEL El NO ACCESS
11] FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: � I ��' Date: 1 ' 14' O Phone #: (503) 718 - 1:144