Permit n of .: + �/ A ® ELECTRICAL PERMIT
, ? CITY OF TIGAR® PERMIT #: ELC2007 00095
N
. ' - - COMMUNITY DEVELOPMENT
, q DATE ISSUED: 2/12/2007
TtGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
' PARCEL: 2S102CB -00302
SITE ADDRESS: 13285 SW PACIFIC HWY 7 -11 ZONING: C -G
SUBDIVISION: PARK STREET SQUARE LOT : 033 JURISDICTION: TIG
PROJECT: 7- ELEVEN
Project Description: 7- ELEVEN. Illuminated sign.
Job #5653.
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:
ALADDIN MOTOR INNS ES & A SIGN & AWNING
BY BENZENISTE, IRVING 1210 OAK PATCH RD
10155 SW CAPITOL HWY EUGENE, OR 97402
PORTLAND, OR 97219
Phone: Contact #: PRI 541 - 485 - 5546
FAX 541 - 485 -5813
FEES
Description Date Amount Reg #: ELE 20- 243CLS
[ELPRMT] ELC Permit 2/12/2007 $53.40 LIC 163470
[TAX] 8% State Surcharge 2/12/2007 $4.27 SUP 305S1G
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: / f� J Permittee Signature:
s) PP
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.
glectrical Permit Applic o 7 r - i� :y V FOR OFFICE USE ONLY
City of Tigard ' , v . ,- �� �st l� �' 'i — �/ Re ceived -' Pe rmit No. i 2 � '7 ,�
g Date/B y .. (.'�
III
- ° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1 , O DateB
Ins
Other Permit:
Inspection Line: 503.639.4175 ? . Date Ready/By: Juris: El See Page 2 for
� -
TIGARD p L�
Internet: www.tigard or.gov Notified/Method: Supplemental Information
TYPE d Eli9I K L x' it * Y'
❑ New construction ❑ Additi iii r
PLAN REVIEW
�` ' Tc<i ( ' ' Please check all that apply (submit 2 sets of plans w /items checked below):
too' r
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition [Other: 6 1 4,04 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 ,Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ 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", "1 -2 ", "1 -3 ",
Job no.: ? Job site address: 12,2,sgsw Riga I4 1001-11' or more. occupancy.
❑
0 or more residential units. Recreational vehicle parks.
City /State /ZIP: T1 0 2 ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite /bldg. /apt. no.: Project name: 1---0 / i- ZSj ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street /directions to job site: Description 1 Qty. 1 Fee. 1 Total 1 *
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Ea. add'l 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential 75.00 2
DESCRIPTION OF WORK (with above sq. ft.)
Limited energy, multi - family 75.00 2
1 NSTA•u, lL.-.1'4 i J A E p 5((0,4 O$ V 14- residential (with above sq. ft.)
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
APROPERTY OWNER TENANT 201 amps to 400 amps 106.85 2
Name: �{0� 7 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: (3z s r - co p L „ . ( f � s1 Over 1,000 amps or volts 454.65 2
City /State /ZIP: 6fnN� i O ^ "� Temporary services or feeders installation, alteration, and /or
!1 1� 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 exchart,gg,�ccording to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
�N,, Branch circuits - new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
K APPLICANT (,CONTACT PERSON above service or feeder fee, 6.65 2
each branch circuit
Business name: e" (( p ww t•it6-- B. Fee for branch circuits
Contact name: Marl Pt e tJ 1t -- Ro m 1
without branch service or feeder fee, 46.85 2
first branch circuit
Address: 12, 1 O 044 4 Pjw64 atj Each add'l branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City /State /ZIP: euime t lG l v q114.2.-- Each manufactured or modular 90.90 2
dwelling, service and /or feeder
Phone: (I Air, 5 � Fax: : ( el'' ) 4 ..e r -,, 5t3 Reconnect only 66.85 2
E- mail: e .(4r4 iv.• 1 , 0 „,I a e ”. ti nS _ Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting t 53.40 CA .(40
Business name: L� -stt rj p � jN,1b energy circuit(s) er or t limited- o or
ener panel, alteration, or
Address: 12 0+4 2ae / � P ') extension. Describe: Page 2 2
City /State /ZIP: '� l •l , op.- " 1 1 DI— Each additional inspection over allowable in any of the above
C �i^'� 1 Per inspection 62.50
Phone: (d 1 ) 4116 Fax: 494 1 >qtr.s—et 3 Investigation per hour (1 hr min) 62.50
CCB Lic.: I (07 0 Q 1 Electrical Lic
1 : Suprv. Lic.: 3 os S(G. Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, requirE U Subtotal: 63.4a
Print name: t— Date: Plan review (25% of permit fee):
C�e-o Q '� Y sS ) State surcharge (8% of permit fee): Z'l
Authorized signature: J TOTAL PERMIT FEE: �J (p 1 /� This permit application expires if a permit is not obtained within 180
Print Hamel' NA ��V */./te.A11410e,l.t.,
� 1 Date: 2 -14 !Q ` ' days after it has been accepted as complete.
lA Y� * Number of inspections allowed per permit.
I \Building \ Permits \ELC- PermitApp.doc 05/23/06 440-461 5T( 1 1 /05/COM/WEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007-00095
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/12/2007
Phone: (503) 639 -4171 ��<,��a���
Inspection Requests (24 Hrs.): (503) 639 -4175 s
INSPECTION WORKSHEET FOR DATE: 5122/2007 TIME: 7 :01AM PAGE: 58
SITE ADDRESS: 13285 SW PACIFIC HWY 7 -11 CLASS OF WORK:
SUBDIVISION: PARK STREET SQUARE LOT #: 033 TYPE OF USE:
PROJECT NAME: 7- ELEVEN
DESCRIPTION: 7 -1=1 EVEN. Illuminated sign.
Job 1/6653.
OWNER: ALADDIN MOTOR INNS, PHONE #:
CONTRACTOR: ES & A SIGN & AWNING PHONE #: 541. 485 -5546
Inspection Request Scheduled For: Date: 5122/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 048743 -01 541 -485 -5546 Y
Corrections /Comments /Instructions: `/ ; - ,',3 - 1
. //\)
•
X PASS 1 I PARTIAL APPROVAL _ CANCEL — NO ACCESS
FAIL 1 I CALL FOR INSPECTION U ADDITIONAL FEES ASSESSED
Inspector: V , t "1/4).6 Date: 1 Phone #: (503) 718 - f