Loading...
Permit CITY Vi `•TIGARD og PERMIT #: R ELC2006 - -00179 r DEVELOPMENT SERVICES DATE ISSUED: 4/7/2006 All � . 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S 10X8 -01802 SITE ADDRESS: 13405 SW PACIFIC HWY ZONING: C -G SUBDIVISION: LOT : JURISDICTION: TIG Project Description: Install & connect 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: 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: BARUCH, ISAAC TRUSTEE MULTI -LIGHT SIGN CO. BY PACIFIC PIZZA CO 809 NE LOMBARD ST 1905 NW 169TH PL STE 201 PORTLAND, OR 97211 BEAVERTON, OR 97006 Phone: Contact #: FAX 503 - 280 -9624 PRI 503 - 281 -3083 FEES Description Date Amount Reg #: ELE 26 -90CLS [ELPRMT] ELC Permit 4/7/2006 $53.40 LIC 64107 [TAX] 8% State Surcharge 4/7/2006 $4.27 SUP 672SIG 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 dire estions to OUNC at 503 - 246 -6699 or 1- 800 - 332 -2344. Issued By: �jZ) Permittee Signature: 4491 - 4 "07 16 -trUri--4 ) 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 FOR OFFICE USE ONLY City of Tigard HIEG4L1V ` " Recciv : 7 - ' 0 6 4L ,_ , 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 A Other Permit: D /E3 Inspection Line: SOg .639.4175 0 ry 111 ell, Date Read /By: I len I 0 See Page 2 for Ins p APR ! ...0. I Internet: www.ci.ti ard.or.us Notified:Menlod / Supplemental Information TYeE1CIEVVQ1 ( j'UAW. PLAN REVIEW 1:21-New const uction ❑ A aftgt�ibli7i 1 . 4. 1\1 Please check all that apply: ❑ Demolition ❑ Ot a DLL�it Imo` ' ❑Service over 225 amps comm Hazardous location ['Service over 320 amps - rating ❑ Buildng over 10.000 sq. It.. CATEGORY OF CONSTRUCTION of I - and 2- Family dwellings 4 or more new residcnual ❑ I and 2 family dwelling [Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure ❑Building over three stories ❑feeders. 400 amps or more ❑ Multi - family 0 Master builder ❑ Other: ❑Occupant load over 99 persons ❑:N•lanufactured structures or JOB SITE INFORMATION AND LOCATION ❑Egress /lighting plan RV park Job no.: I Job site address: ? ❑health -care facility ❑Other: i3L0 S s� P0 lF \ C NW � / Submit 2 sets of plans with any of the above. City /State /ZIP: 1 \ GA,g_ O OR . el '7223 The above are not applicable to temporary construction service Suite /bldg. /apt. no.: Project name: 1, , , qo 0-3c FEE* SCHEDULE Description I Qtr. I Fee. Total I - I Cross street/directions to job site: New residential single- or multi - family dwelling unit. Includes attached garage. _ 1,000 sq. It. or less 145.15 4 Subdivision: Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 I Limited energy, residential 75.00 2 Tax map /parcel no.: Limited energy, non - residential 75.00 2 DESCRIPTION OF WORK Each manufactured or modular cfk -CE' dwelling, service and /or feeder 90.90 2 I A L-L, + CON t\ C T g (C Services or feeders installation, alteration, and /or relocation 200 amps or less 80.30 I I -' , r . , ! /' TY OWNER i la TENANT 201 amps to 400 amps 106.85 I 2 �! �ti If,'�h'�I,�,��'., • 401 amps to 1, 600 amps ` 240.00 2 �f. V: 601 amps to 6 ,000 amps 1 40.00 I I _ 2 I ��, �E] ' \_ i I ISo. � � Over 1,000 amps or cults 454.65 2 W� � ���� Reconnect only • 66.85 C eJ ',g U F�� � I • J, . q 7 ZZ 3 Temporar Sservices or feeders installation, alteration, and /or � r.vi f relocation P IP :` . - �; 71 Fax: ( ) 200 amps or less 66.85 I O 'tier installation: This installation is being made • • • .erty that I own which is not 201 amps to 400 amps 100.30 ' intended for sale, lease, rent, or exchange, according to ORS 4• , ' 670, and 701. 401 amps to 600 amps 133.75 2 1 Owner signature: Date: Branch circuits - new, alteration, or extension, per panel ❑ APPLICANT I `g.CONTACT PERSON A. Fee for branch circuits with . service or feeder fee, each 6.65 3 Business name: AA Li L.,Tl- L--lcoi - S(Gn1 c • branch circuit \ 1 B. Fee for branch circuits Contact name: V e1J {ZL\ S . � 8 ,fL0,,.)OI..,StC. l without service or feeder tic, 46.85 ) Address: gOq �e AA aka_ ST each branch circuit 1 Ea ch add'] branch circuit 6.65 2 City /State /ZIP: pox, ,, p/ O Q r7 2 \l Miscellaneous (service or feeder not included) Pump or irrigation circle 53.40 2 Phone: (53) Zgl _ 300 Fax: : (e.. ..Z3 0-f4 Sign or outline lighting 1 53.40 E -mail: V0_,h,O (b- @ ,-. 1.4.k l k ■ el k` 5 T. . C.00& , Signal circuit(s) or limited - CONTRA OR J energy panel. alteration. or extension. Describe: Page 2 2 Business name: M,l .tLTl_I....\sI - T S161J aJ . Address: g,, 0 at ► v ' l 6 L ��td e 1J � ^ Each additional inspection over allowable in any of the above / Per inspection 62.50 I I City/State/ZIP: Y prxe_MA NI b 0 Q - 172 l ( Investigation per hour (I hr min) 62.50 I , / Phone: (o ?R) - 3O3 Fax: (co3) age _162. ,/ Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES* CCB Lie.: 64.10 Electrical Lic.: 3y.3_S l ( o Suprv. Lie.: Subtotal 1 '% Suprv. Electrician signature, required: (L.vti------ Plan review (25% of permit fee) State surcharge (8% qq l Print name: o Date: ' %4. of permit Ice) I y Z 1 I "�� e)(2..0 .,.,1 t.) I 3 \ - o (,, TOTAL PERMIT FEE 1 11.1 1 I Authorized signature: ' - This permit application expires if a permit is not obtained ..ithin ISO days after it has been accepted as complete Print name: VEA O e i1/4. •- P og LJJ D,. I Date: 3 _ 3/ -Oh • Fee methodology set by Tri- County Building Industry Service lio_rd • • Number of inspections per permit allowed. i \Building \Permits \ELC.PermitApp doe 1''03 440.451 5Ti I0'o9COU: wEII Electrical Permit Application - City of Tigard 't Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for all residential systems combined ... S75.00 Check Type of Work Involved: (1 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 system $75.00 (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 El Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations i. \Building'Permits\ELC- PermitApp doc 03/03 CITY OF TIGARD _ ELECTRICAL PERMIT PERMIT #: ELC2006 -00179 i DEVELOPMENT SERVICES DATE ISSUED: 4/7/2006 a---"A" ` — • 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S102C6 -01802 SITE ADDRESS: 13405 SW PACIFIC HWY ZONING: C -G SUBDIVISION: LOT : JURISDICTIckG_ D Project Description: Install & connect 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 HMI 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: EXPIRED BARUCH, ISAAC TRUSTEE MULTI -LIGHT SIGN CO. BY PACIFIC PIZZA CO 809 NE LOMBARD ST 1905 NW 169TH PL STE 201 PORTLAND, OR 97211 I t Q l �� BEAVERTON, OR 97006 ) Phone: Contact #: FAX 503 - 280 -9624 �) PRI 503 - 281 -3083 C7- 1J FEES 51 Description Date Amount Reg #: ELE 26 - 90CLS [ELPRMT] ELC Permit 4/7/2006 $53.40 LIC 64107 0 [TAX] 8% State Surcharge 4/7/2006 $4.27 SUP 672SIG Total $57.67 REQUIRED ITEMS AND REPORTS 8 1 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 estions to OUNC at 503 -246 -6699 or 1- 800 - 332 -2344. Issued By: . Permittee Signature: 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. Inspections Required for: ELC2O06- 00179' ✓ Code I Inspection Description I PASS Date I By I ✓ Code I Inspection Description I PASS Date I By BUP - Building Permit ELC - Electrical Permit 405 Excavation 105 Underground/slab cover 410 Fill 110 Temporary electrical service 415 Grading 115 Electrical service 205 Footing 120 Electrical rough -in 805 MFG - Structure grading/footing 125 Wall cover 210 Foundation walls 130 Ceiling cover 215 Footing drain 135 Low voltage 220 Slab X 140 Sign installation 310 Crawl drain 145 A/C or heating unit circuit 225 Post/beam structural 150 Hot tub /spa/pool 230 Underfloor insulation 195 Misc. inspection: 235 Shear walls /anchors X 199 Electrical final l 240 Exterior sheathing 245 Firewall 250 Roof nailing ELR - Restricted Energy Permit 255 Wtr proofing basement walls 135 Low voltage 260 Tilt -up panel 195 Misc. inspection: 265 Masonry 199. Electrical final 270 Reinforcing steel (rebar) 275 Framing 810 MFG - Structure set -up MEC - Mechanical Permit 280 Insulation 605 Post/beam mechanical 285 Drywall nailing - 610 Gas line 287 Suspended ceiling 615 Mechanical rough -in 295 Misc. inspection: 620 Hydronic piping 899 MFG - Structure final 625 Duct work 498 Grading final 630 Fire damper 299 Final inspection 635 Smoke detector shutdown 640 Exhaust hood 695 Misc. inspection: 699 Mechanical final BUP - Fire Protection System Permit 905 Sprinkler underfloor /slab PLM - Plumbing Permit 910 Sprinkler rough -in 305 Plumbing underslab 915 Fire alarm rough -in 310 Crawl drain 920 Suppression trip test 315 Post/beam plumbing 995 Misc. inspection: 320 Plumbing rough -in 998 Alarm final 322 Shower pan 999 Sprinkler final 330 Water service 335 Rain drain 340 Storm drain SIT - Site Work Permit 505 Sanitary sewer 405 Excavation 345 Culvert/catch basin 410 Fill 350 Septic tank 415 Grading 395 Misc. inspection: 205 Footing 399 Plumbing final 210 Foundation walls 215 Footing drain 420 Sprinkler supply lines SWR - Sewer Permit 495 Misc. inspection: 505 Sanitary sewer 498 Grading final 595 Misc. inspection: 499 Final inspection 599 Final inspection I:\Building \Inspection Cards \Forms\AOP - InspCard - Blank.doc 12/09/2005 CITY OF TIGARD - BUILDING DIVISION PERMIT #: ELC2006 -00179 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/7/2006 Phone: (503) 639 -4171 i Inspection Requests (24 Hrs.): (503) 639 -4175 _ °__.. INSPECTION WORKSHEET FOR DATE: 7/26/2006 TIME: 7 :04AM PAGE: 67 SITE ADDRESS: 13406 SW PACIFIC HWY CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: NV HOUSE DESCRIPTION: Install & connect sign. OWNER: BARUCH, ISAAC TRUSTEE, PHONE #: CONTRACTOR: MULTI -LIGHT SIGN CO. PHONE #: 503.281 -3083 J)...► /'l?J ^ n _ 0 7 Inspection Request Scheduled For: Date: 7/25/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 033623 -01 503-281-3083 N Corrections/Comments/Instructions: 41P / 1/ 0 .S 4 ter /0 d P ( a K. aL fir. 0 © /PD /ec n`Co.t dri ice 6e / 40Kc(-0u +Cie vS k9 Pt (rn(XX 0 2D cliq y Vio r e-YNCe - ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ________ Inspector: D 7 -ta Phone #: (503) 718- ,• a • CITY OF TIGARD • BUILDING DIVISION PERMIT #: F_LC200600I79 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/712006 Phone: (503) 639 - 4171 Inspection Requests (24 Hrs.): (503) 639 -4175 .,_' e7 ll.. INSPECTION WORKSHEET FOR DATE: 5/2/2006 TIME: 7:01AM PAGE: 62 SITE ADDRESS: 1 3405 SW PACIFIC HWY CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: NV HOUSE . DESCRIPTION: Install & connect E:ign. OWNER: BARUCH, ISAAC TRUSTEE, PHONE #: CONTRACTOR: MULTI - LIGHT SIGN CO. PHONE #: 503281 -30833 Inspection Request Scheduled For: Date: 5/2/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Elecl.iical final 029075-01 503-281-3083 N Corrections /Comments /Instructions: 11 o\ti ie- )(11 v Wi M0;CR 6 TQ# ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL )] CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G N U:1) L. t Date: 5 (7.1�(p Phone #: (503) 718- 2- {4 (p • CITY OF TIGARD . BUILDING DIVISION w PERMIT #: ELC200 &00179 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/7/2006 Phone: (503) 639 -4171 T� Inspection Requests (24 Hrs.): (503) 639 -4175 "'I � .. INSPECTION WORKSHEET FOR DATE: 8/8/2006 TIME: 7:06AM PAGE: B2 SITE ADDRESS: 13405 SW PACIFIC HWY CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: NV HOUSE DESCRIPTION: Install & connect sign. OWNER: BARUCH, ISAAC TRUSTEE, PHONE #: CONTRACTOR: MULTI -LIGHT SIGN CO. PHONE #: 503 -261 -3083 Inspection Request Scheduled For: Date: 8/8/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 034525 -01 503 - 281 -3083 N Corrections/Comments/Instructions: Cr Zl3 3 27 c+ta \)ibi ST Pte- Nnst L Arm s >i fc F lAsToLkArbw L LAe. yvoi(V S£ flPpti Fka of 6 C i sOcci t∎Y - fltsvn. Rov 1(,d Doc .%) wee' iq Al 'Oa . The electrical installation defects noted on this report shall be corrected and an inspection request made within 20 calendar days per OAR 918 - 271.0090 ❑ PASS AaFPA_ ❑ CANCEL ❑ NO ACCESS IX FAIL IACALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: N Date: Ott/ Phone #: (503) 718 -1- UL I Field Modifications . • Page 1 of 1 OD Underwriters Laboratories Inc. Go directly to a UL Service: Global Locations Search UL.com f Search Field Modification What happens to the Listing if a UL- Listed product is modified in the field? An authorized use of the UL Mark is the manufacturer's declaration that the product was originally manufactured in accordance with the applicable requirements when it was shipped from the factory. When a UL- Listed product is modified after it leaves the factory, UL has no way to determine if the product continues to comply with the safety requirements used to certify the product without investigating the modified product. UL can neither indicate that such modifications "void" the UL Mark, nor that the product continues to meet UL's safety requirements, unless the field modifications have been specifically investigated by UL. It is the responsibility of the Authority Having Jurisdiction (Al -IJ) to determine the acceptability of the modification or if the modifications are significant enough to require one of UL's Field Engineering Services staff members to evaluate the modified product. UL can assist the AHJ in making this determination. If a party wishes UL to determine if the modifications made to a UL Listed product comply with UL requirements, the appropriate Field! Engineering_Service can be initiated to investigate the modifications. This investigation will only be conducted after UL consults with the AHJ to assure that UL's investigation addresses all areas of concern and meets all of the AHJ's needs. If you have any questions or would like to inquire about a Field Investigation, please contact Regulatory Services. Field Labeling • Is it permissible to apply a UL Mark in the field? The application of a UL Mark in the field is only permitted when an inspection is conducted under one of UL's Field Engineering Services in the presence of a UL representative. Contact Us If you have an immediate question or need assistance, please contact Regulatoiy_Services. v L. • • . vrl C.,14 6 da ► s A gi 8 off, 6'03 • c a%0 • '603 J 1 10 P,'v- y f l • Moo http: / /www.ul. com/regulators /modification.cfm 8/8/2006