Permit x
CITY OF TIGARD o
COMMUNITY DEVELOPMENT I ELECTRICAL PERMIT
PERMIT #: ELC2006 00703
DATE ISSUED: 12/8/2006
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S136CD-00100
SITE ADDRESS: 11705 SW PACIFIC HWY C ZONING: C -G
SUBDIVISION: PACIFIC CROSSROADS 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: 0
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:
THONG THAI SIGNCRAFT LLC
11705 SW PACIFIC 9033 SW BURNHAM
TIGARD, OR 97223 TIGARD, OR 97223
Phone: Contact #: PRI 503 - 639 -4910
FAX 503 - 639 -4999
FEES
Description Date Amount Reg #: ELE 34- 674CLS
[ELPRMT] ELC Permit 12/8/2006 $53.40 LIC 155420
[TAX] 8% State Surcharge 12/8/2006 $4.27 SUP 75SIG
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: � Permittee Signature: � If/
� r/ 1_
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.
11/30/2006 08:22 FAX fb 001 /001
11/27/2006 100 ;7, 063 SIGNCRAFT ELECTRICAL e . PAGE 0]�'1�
Elec Perm't ADDlicati_�
■ „r , i i. ,, , , , . , : i . _
at of Tigard DEC 0 8 2006 Received a • • - • i (r " NO. �..L�C� .... 0 13
125 SW Hall Blvd., Tigard, OR 97223 Ple Rardee Other pcmtit:
Phone: 503.639.4■71 P �' !a See PetaZfor
�' 1L it' 1111 • �1. I
lo to rno •. W gt peg; TTT�CTO - / I Supplemental lafoeaeaen
■ New coneauctia i WAdditioat/altm atiotthq &eminent Plwse check all tbpt apply.
a Service over 225 amps. oomm1 ❑liamrdous location
❑ Demolition ❑tea' CI Sctvioe over 320 amps - rating ❑ Bulldog over 10,000 sq R.
'
f , , '.1; of 1-and 2- family dwellings 4 or more new residential
r' ...! Sir;:.. ":. .. r.... ". - � - ,.... .. ...,d,.. t. .. ,••_..•., .. ,..., $ Ya6DDY011A anllsmeoesirncNro
❑ ystcm o
■ 1 -acct 2-family dwellil><g, r...." iooraaUtndnstria 0 Accessory building ❑HUildiag over three stories ❑Feodae. 400 amps or mote
❑ Multi- family ❑ Maser builder ❑ Other: pt0cc�paot load ova 99 paeont QA4ataa ahvoGtres ezr
rrti ':'.: u. : ^lt • • i •FOIE 1 R
• i .t., • �'. f T .., r ...♦ � -� • 1 rf.y' .. n � _',....1.;; .�/ • - frJ � I..� tvtn.i.ii Mawr: -
�; � []Heahh�ue beaky
Job no.: Job site midress4 .0 ) •' fLTf4 /44, ei • Submit 2 sets of plane with any of the above.
•
Ciry/SmttlLIP: £ G
3 f ( ? OS The above are not applicable to teary construction service.
Suite/bldg. /apt. no.: Project nl8tfio: ; t Jr 7041 iteciAORPP t Qm PK '°
Cross ea'eettdbectlems to job Bite: 4 j .c,. P G e- New resldeaWl single- or meld -family designs salt.
belittles attached
G 1.000 sq. ><. or loos _ 145.15 4
Subdivision: Lot nil' Ea. add't 500 sq. ft. or portion 33.40 t
Limited energy, residential 75.00 2
Tax map/parcel no. Limited energy, ntm 75.00 2
,:, ° -:•.-.L.'
.., .a....-. t ..-n ,,;',.. .`,' K l@w 31 E
_. 'er '..:31 ; :.. {. �' Each manufactured or modalar
dwelling, service and/or feeder 90.90 . 2
1 • �I V r -46-13 . r i `/ �I • �7 ) , A em , r a Services or feeders installation, alteration. soilfor relocation
zoo Diners or w { 80.30 2
L . � kw r i; +" + • ;� n 20 1®pa to 400 slops 1 106.85 2
160.60 2
Name : 601 amps to 1000 amps 240.60 2
Over 1.000 amps or volts 454.65 2
Reconnect only 66.55 2
City/State/ZIP: Temporary services or feeders Installation, alteration. auditor
Macadam
Phone:( ) Fax: { ) _ - 200 amps or less 66.55 1
Owner Inatalbdoa: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2
intended tbt sale, lease, tee or exchange., according to ORS 447, 449, 670, and 701. 4 01 to 600 amps 133.75 2
Owner signature: Date Branch eltcalls - .ew. alteradon. or exteadon. Eer peoet
: r A. FeearrtaranC Cic
fi • .• 1. ,,,- :,, .,....,t,..,, 'i ..,:. r . ..,"2 , ;":'2.5,..1%,.;. 4 %, . - ' f .yi.S ....«.y ✓e.4 ,.y , -,i :.. r..< .. i1. ? . + tv p
. '. =Nice or feede I /v mdi
v 6.65 2
Business name: �,� „ , rero _ branch circuit
H. Fee for branch circuits '
Contact name: without scrim or fonder fee, 46_85 2
Mach branch *Mit
Address: q03•3 • c I 1 • A i rill Each scald branch & ceit 6.65 2
City/State/ZIP: 'N1 41 - Miseellaaeorw (servile or feeder not included)
P��) 6 3q.-40,11 ( Pomperitrit�tlerl code 53.40 2
Phone: (
Fax:: . ;43 ) G 1�1 33.40 53. i2 2
� Sign a outllee ligbting
E-mail: Signal circuit(s) m• limited -
,, -W s t . � :_ ,r2; ? ° malty panel. ahaaboa, or
PREMEMPENIVEINVAIM, .1. extension Ocscribe: Page 2 2
Business name: ' • 5 / r -
+ Address �' , . �� � Each additional inspection over allowable in any of the above
/ r - _,�tntr ■ Pa impactio 62.50
lty/StaodZlP: R 7 1 / 4 r e. t _ 3 3 Invc i per hoar (l Ittatte) 62.50
lodusbia) •but par hour 73.73
Q
Phone: (563) f516 V 6 F : ( �� D r. :2 :• :i .W3 ' .. . ;.... 'S°1: r,7 7 . 7 ". ... t_ ::.:''> „S - cal : "*.e
CCa Lie: /6 '7 Electrical Liz • -1 / 'L/1�I \ • .lea: _ ; S / Subtotal
r Plan thew (25%ofpermit foa)
stsprY. Electrician aig<+ehn e, require d: �� _. _ l
64-5 P 4 re re DM= / 3# , a, (89
State surcharge b of permit foe) 4../ a 1 Print name: v TOTAL FIERMIT FEE
Audtorixed Signatu e: / ' 2 or t -- - . Yids permit application empires if a permit b me e'r�ees within 16C1 alma attar It hs lies -- q,'ed es complete
Print name: (.J0 y j a f 1. .45 c6rt_ ] ' ///7 o/ m
Fee omoaoroyy set by Tdrm
eity ttm7mug Inanity service Doted
Number of imvemoas per pemut allowed.
I:tiU& .doe ?203 4444017TlxeltOICDNIMIBB