Permit •
C ITY OF TIGARD ELECTRICAL PERMIT
"k PERMIT #: ELC2008 -00090
COMMUNITY DEVELOPMENT DATE ISSUED: 2/20 /2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S1156A 02500
SITE ADDRESS: 16200 SW PACIFIC HWY U ZONING: C -G
SUBDIVISION: TIGARD TOWNE SQUARE LOT : 001 JURISDICTION: TIG
PROJECT: 123 FIT
Project Description: Installation of (1) 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:
SN PROPERTIES PARTNERSHIP ADVANCED ELECTRIC SIGNS INC
1121 SW SALMON ST 1550 DOWN RIVER DR
PORTLAND, OR 97205 WOODLAND, WA 98674
Phone: Contact #: PRI 360 - 225 -6826
FAX 360- 225 -8299
FEES
Description Date Amount Reg #: ELE 37- 84ICLS
[ELPRMT] ELC Permit 2/20/2008 $53.40 LIC 105405
[TAX] 12% State 2/20/2008 $6.41 SUP 307SIG
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 • • - • an 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Or: ton Utif - Notification Center.
Those ru -s are set fort in 0 52- 01 -0010 through OAR 952 -0 01 -0100. You may obtain copies of th ules • .irect questions to OUNC at
503.246 6699 • 1.800.3 . 44.
Issued :y: if Permittee Signature: j
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.
A . _ Electrical PermitApplication
Datereceived: Q8 Permit no.: ELG ' '''- -
, City of Tigard ProJectfappl. no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Date issued: f 1 , . Receipt no.:
Phone: (503) .639 -4171
Fax: (503) 548 -1960 • Case file no.: Payment type:
Land use approval:
i v i'i? OF PFit .1[ I
O I & 2 family dwelling or accessory 0 Commercial/industrial O Multi - family 0 Tenant improvement
O New construction O Addition / alteration /replacement 9 Other :5 /t A) 0 Partial
Job address: / 62,00 $ Pp4'F /C i-luj Bldg. no.: Suite no.: Tax map/tax lot/account no.:
Lot: I Block: Su bdivision:
Project name: - - 3 t= i 4 I Description and location of work on premises: VNC SE+ or Pc c. 0ry eve-why W A
Estimated date of com . letion/inspection: -15-01
CON IltACTOR APPI,I CATION Fla: SCI IEDEMA:
Job no: t Fee Max
• Business name: AoutiNGEr.) 1�LLGfi>71C 51 &DNS Description Qty. (ea) Total no. tnsp
New residential- single or multi-family per
Address:
155n Co traitia/ ffin, Di . dwelling unit. Includes attached garage.
City: WtTh p i et A in I State:W4 I ZIP:g9,6 Servicelncluded: 4
Phone: a25 - :- • , Fax: la 7,1 ' • E- mail:1E5 /550 r • E , • 111 s•.,,1rless
CCB no.: I.051/0„5 Elec. bus. lie. no: 37.5;44 I [ (,S ch d n sq. ft. or portion thereof
Limiteed e energy, residential 2
City / • t.• lic. • s.: bo `,• 1 -1ong Limited energy, non- residential 2
, j • Each manufactured home or modular dwelling
'gnat ofsu. inc ' ectrician (required) Date Service and/or feeder 2
Sup. elect name (print): S stir 51..ACk License no: 0751 Services or feeders installation,
alteration or relocation:
200 amps or less 2
Name (print): /2!J t2771...5 ito/ /) 201 amps to 400 amps 2
Mailing address: / /e{/ ,, - h40 ' , 401 amps to 1000 amps 2
y 60l amps to 1000 amps 2
City: TZ I State: Pi..- I ZIP: ? 7,V-05 Over 1000 amps or volts 2
Phone: I Fax: I E -mail: - Reconnect only I
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, orrelocation:
200 amps or less 2
20
ORS 447, 455, 479, 670, 701. 201 1 amps to 400 amps 2
Owner's signature: Date: 401 to 600 am s 2
Branch circuits - new, alteration,
or extension per panel:
Name: 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
Phone: Fax: E -mail: of service or feeder fee, first branch circuit: 2
Each additional branch circuit: ,
PLAN REVll?11' (Please cheek :111 that apply) Misc. (Service or feeder not included):
O Service over 225 amps - commercial 0 Health -care facility Each pump or irrigation circle 2
O Service over 320 amps - rating of I &2 0 Hazardous location Each sign or outline lighting / 5..i5 2
family dwellings 0 Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel,
O System over 600 volts nominal more residential units in one structure alteration, or extension* 2
O Building over three stories 0 Feeders, 400 amps or more *Description:
O Occupant load over 99 persons 0 Manufactured structures or RV park Each additional inspection over the allowable in any of the above:
O Egress/lightingplan 0 Other. Per inspection I
Submit sets of plans with any of the above. Investigation fee
The above are not applicable to temporary construction service. Other 53 . Tip
Not all Jurisdictions accept credit cards, please call jurisdiction for more Information. Notice: This permit application
Permit fee $ T
O Visa O MasterCard expires if a permit is not obtained Plan review (at _) cio $
Credit card number _ / / within 180 days alter it has been State surcharge . surcharge
Expires accepted as complete. TOTAL $ A'
Name of cardholder as shown on credit card
$
Cardholder signature Amount 440 - 1615 (6/00 /COM)
CITY OF TIGARD N
BUILDING DIVISION PERMIT #: ELC2008 -00030
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/20/2008
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 "'�I�
INSPECTION WORKSHEET FOR DATE: 3/28/2008 TIME: 7:01AM PAGE: 29
SITE ADDRESS: 162011 SW PACIFIC 1 9WY U CLASS OF WORK:
SUBDIVISION: TIGARD TOWNE SQUARE LOT #: 001 TYPE OF USE:
PROJECT NAME: 123 FIT
DESCRIPTION: Installation of (1) sign lighting.
OWNER: SN PROPERTIES PARTNERSHIP, PHONE #:
CONTRACTOR: ADVANCED ELECTRIC SIGNS INC PHONE #: 360 - 225
Inspection Request Scheduled For: Date: 3/28/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
'199 Electrical final 067461fr0'1 360. 281 -7994 N
Corrections /Comments/ Instructions:
,� l C C
1 U
•
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: &\ N L i Date: 3.2-1Y Phone #: (503) 718- .2-900