Permit CITY OF TIGARD ELECTRICAL PERMIT
° PERMIT #: ELC2007 -00469
° ; COMMUNITY DEVELOPMENT
DATE ISSUED: 7/10/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 115AB -01900
SITE ADDRESS: 16200 SW PACIFIC HWY B1 ZONING: C-G
SUBDIVISION: TIGARD TOWNE SQUARE LOT : JURISDICTION: TIG
PROJECT: BLISS NAILS & SPA
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: 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:
JULIE RAMSETH GRAPHIC D'SIGN LLC
851 SW 6TH 2255 SE 122ND. AVE.
PORTLAND, OR 97204 PORTLAND, OR 97233
Phone: 503 - 973 -0262 Contact #: PRI 503 - 256 -2064
FEES
Description Date Amount Reg #: ELE 26- 1235CLS
[ELPRMT] ELC Permit 7/10/2007 $53.40 LIC 154462
[TAX] 8% State Surcharge 7/10/2007 $4.27 SUP 17753J
Total $57.67 REQUIRED ITEMS AND REPORTS
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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:
4,...L
Permittee Signature: �/����� n �t,
OWNER INSTALLATION ONLY b 6 1/
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.
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Electrical Permit Appl � I I FOR OFFICE USE ONI,v
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City of Tigard Received - 1 Date/By: /O /D I BO Permit No ,tac, „ („ q
13125 SW Blvd., Tigard, OR 97�2� 1 0 2007 Plan Revi
Phone: 503.639.4171 Fax: 503.59x' I�jSD Date/By: Other Permi 067 D ., y
T I G A It D Inspection Line: g 03 g J1�� Y d, i A iD i"1 Date Ready/By: Juns: El See age 2 for
Internet: www.ti ardor. o ,
J[ �^ DIVISION
i Yl3l1h�.9J Notified/Method: Supplemental Information
�1 PLAN REVIEW
p New construction El Addition/alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked below):
❑ 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 ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ 1 - and 2 family dwelling I Commercial/industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi - family ❑ Master builder El Other: ❑ Fire pump. ❑ Installation of 75 KVA or .
JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system.
❑ Addition of new motor load of ❑ "A ", "E ", "l -2 ", "l -3 ";
Job no.: Job'site address: ((7 2(70 S lam, pat c.� 100HP or more. occupancy.
/ ❑ Six or more residential units. ❑ Recreational vehicle parks:
City/State/ZIP: 9 7 Z- 2-4 . ❑ Health -care facilities.. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: J i . Project name: 6if $ $ nIct A gf ..., •• ❑'Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description. I Qty. I Fee. I Total I •
New residential single- or multi- family dwelling unit.
' Includes attached garage.
Subdivision: Lot no.: • 1,000 sq. ft. or. less 145.15 4
Tax map /parcel no.: Ea. add'I 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
DESCRIPTION OF WORK (with above sq. ft.)
(MF Limited energy, multi - family 2
I a - J � e g -i3 c1W � / residential (with above sq. ft.)
75.00
r r ` / 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
Name: j i , ii p . 401 amps to 600 amps 160.60 2
J V"w 601 amps to 1,000 amps 240.60' 2
Address: in Jul ( rtf - S� . Over 1,000 amps or volts 454.65: - 2
4-
City/State /ZIP: PO /Z,t 04 NQ OR. D 7 2 C7p4 Temporary serviees or feeders installation, alteration, and/or -
relocation'
Phone: ( erb 3 )0173_. 02..k, Z Fax:.( ) . 200 amps or less 66.85 l •
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
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• Branch circuits - new, alteration, or extension, per panel
Owner signature: • Date: A. Fee for branch circuits with,
iri APPLICANT I ❑ CONTACT PERSON above service or feeder fee, •
each branch circuit 6:65 2
Business-name: kit p it ; ( � D/s4167-A, ( L L ( , B Fee for branch circuits '
Contact.name: ` V without service or feeder fee,.
-� /� f ( / (vJ¢� first branch circuit 46 2
Address: Z 2 � Each add'l branch circuit 6.65 2
- S" .c (; / 22 - � /7 , '
,/ �� Miscellaneous (service or feeder not included).
City/State /ZIP: Pd ,qt ) C »2 1-72---2) Each manufactured or modular .. •
dwelling, service and/or feeder 90.90 2
Phone: (r3? ) • 0677 —2 -t7, i/ r • Fax: : ( ) Reconnect only • 66.85 2
E -mail: 'ter!' Pump or irrigation circle 53.40. ' 2
CONTRACTOR Sign or outline lighting / 53.40, 2
n / Signal circuit(s) or limited -
Business name:
��.I a P 1'�1 G S' 4"s) t. fix - energy panel, alteration, or •
Address: 2-2,s S c E / 2 7, , 1 d extension. Describe; Paget 2
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City/State /ZIP: p o�� /n OR. 9 9 - _ Each additional inspection over allowable in any of the above
I' % Per inspection .. 62.50.
Phone:.(.rb3) _-20 6 1 . Fax: ( ) Investigation per hour (1 hr min) : 62.50
CCB.Lic.: i 4F 2, Electrical Lic.: 2 i 2 s' Suprv. Lic.: / 7 73 . Industrial plant per,hour 73.75_
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required CA"-C 1 / • Subtotal: S3
Print name: CZ - y � � A / 9 ;pate: Plan review surcharge (25% (8% of permit fee):,
vw of permit fee): 4 a
Authorized:signature: A ir 1, f TOTAL PERMIT FEE:. 67,
Print name: f t J y ^ Date: This permit application expires if a.permit is not obtained within 180
State
/ days after it has been accepted as complete
• Number of inspections allowed per permit.
I:\ Building \Permits\ELC- PermitApp.doc 05/23 /06 440- 4615T(I1 /05 /COM/WEB
A I . •
Electrical Permit Application - City of Tigard
Pagel Supplemental Information
LIMITED ENERGY PERMIT FEES:
TRESIDENTIAL WORK ONLY:
Fee for all residential systems combined ... $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
❑ Burglar. Alarm
❑, Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
❑• Vacuum Systems*
E] Other:
COMMERCIAL WORK ONLY:
Fee for each commercial $75.00
system r • :I • - . •
(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 • 1 '
❑ Outdoor Landscape Lighting*.
❑ Protective Signaling
❑ - Other
Total number of commercial systems:
*No licenses are required. Licenses are - required
for all other installations
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I: \ Building \Permits\ELC- PermitApp.doc 03/23/06'
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00469
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/10/2007
Phone: (503) 639 -4171 , 'll
Inspection Requests (24 Hrs.): (503) 639 -4175 ...'!+� p:_..
INSPECTION WORKSHEET FOR DATE: 915/2007 TIME: 7:00AM PAGE: 48
16200 SW PACIFIC HWY B1
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION: TIGARD TOWNE SQUARE LOT #: TYPE OF USE:
PROJECT NAME: 13145S NAILS & SPA
D CRIPT ON
Es Sign lighting.
OWNER: RA■SEfH, JULIE PHONE #: 60319730262
CONTRACTOR: GRAPHIC D'SIGN LLC PHONE #: 603-256.2064
Inspection Request Scheduled For: Date: 9/512007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 066100-01 503-670-7278 N
Corrections/Comments/Instructions:
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J PASS ❑ PARTIAL APPROVAL 111 CANCEL ❑ NO ACCESS
y ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G . N ` L‘ Date: 1 ' S "01 Phone #: (503) 718- 2.-11L