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Permit I q CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Pe COMMUNITY ELC2009 -00137 - T i G A R D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 03/26/2009 Parcel: 2S115BA02600 Jurisdiction: Tigard Site address: 16230 SW PACIFIC HWY Subdivision: Lot: 0 'Project: Biscuits Cafe Project Description: Sign lighting. Owner: FEES SN PROPERTIES PARTNERSHIP Quantity Description Date Amount 1121 SW SALMON ST 2 ea Sign or Outline Lighting 03/26/2009 $106.80 PORTLAND, OR 97205 1 ea 12% State Surcharge - 03/26/2009 $12.82 PHONE: Electrical Contractor: SECURITY SIGNS INC 2424 SE HOLGATE BLVD PORTLAND, OR 97202 PHONE: FAX: 503 - 230 -1861 Type of Use: COM Class of Work: NEW Type of Const: Occupancy Grp: • Total $119.62 Required Items and Reports (Conditions) • This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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 the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 r h OAR 952- 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By: 601 .lcA. Permittee Signature: , I �,/ 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 CI of Tigard RECEIVE w Received 2 r.., (() , permit No.: Q �{� /� •J g ' ©� II DateBy: V ' OI (0 U,!\ l e ?crii • 1 7 Ill • 13125 SW Hall Blvd., Tigard, OR 97223 MAR 2 6 2009 Plan Review W p Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit: % 2� 0 066 TIGARD Inspection Line: 503.639 Date Ready/By: 1 s: RI See Page 2 for l Internet: www.tigard- or.gov CITY OF TIGARD Notified/Method: 1 Supplemental Information TYPE OF WILDING DIVISION PLAN REVIEW ❑ New construction ❑ 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 ❑ CommerciaUindustrial ❑ 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 ", ` w �, 0 I OO or o more more. R occupancy. Recreational Job no.: Job site address: ` �C.J \�'� j � _ k4.."•-- 9 ❑ Six or more residential units. ❑ Rcccational vehicle parks. City /State /ZIP: ❑ Health -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: i 0 � � . ❑ 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 Ea. add'I 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 t �� \\ � lG\� s residential (with above sq. ft.) 75.00 2 Services or feeders installation, alteration, and/or relocation Cn1C 200 amps or less 80.30 2 ❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2 Name: 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 .2 City/State /ZIP: Temporary services or feeders installation, alteration, and/or relocation Phone: ( ) I 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 exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 Branch circuits — new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with ❑ APPLICANT I ❑ CONTACT PERSON above service or feeder fee, 6.65 2 rr each branch circuit �/� Business name: S( B. Fee for branch circuits rL ` without service or feeder fee, Contact name: n .(A5beD 'tom.! , 40 first branch circuit 46.85 2 Address: 2 Each add'I branch circuit 6.65 2 , '� ���� Miscellaneous (service or feeder not Included) City /State /ZIP: o z A FL I p 0,1A01 L ot .2 D 2 Each manufactured or modular 90.90 2 Phone: ( dwelling, service and/or feeder ( rah . N.A.. • ( Yr • Z 1I a _ < 4 Reconnect only 66.85 2 E -mail: _ �llI `. i Jgt ' i,hg o fI Pump or irrigation circle • 53.40 2 ' " ' i R Sign or outline lighting -Z,...-- 53.40 )U(pV 2 Signal circuit(s) or limited - Business name: energy panel, alteration, or Address: extension. Describe: Page 2 2 City/State /ZIP: Each additional inspection over allowable in any of the above Phone: ( ) I Fax: ( ) Per inspection 62.50 Investigation per hour (I hr min) 62.50 CCB Lic.: ` z_zVI I Electrical Lic. :�f/„ • 0 Suprv. Lic.: 5� S� Industrial plant per hour 73.75 GG� ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: Subtotal: (O(Q. & C3 % Print name: l L� I Date: Plan review (25% of permit fee): State surcharge (12% of permit fee): . (2.8 Z Authorized signature: 4_ TOTAL PERMIT FEE: 401 , ( This permit application expires if a permit is not obtained within 180 Print name: 4/(/� iS O / Date: days after it has been accepted as complete. i s ° f\ t • Number of inspections allowed per permit. 1:\ Building \Pennits\ELC- PermitApp.doc 05/23/06 440- 4615T(11/05 /COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information - LIMITED ENERGY PERMIT FEES: • PRESIDENTIAL WORK ONLY: — 1 Fee for all residential systems combined .. $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm El Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* El Other: [ WORK ONLY: Fee for each commercial $75.00 system (SEE OAR 918- 309 -0000) Check Type of Work Involved: El Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems jj P - El Data Telecommunication Installation ❑ Fire Alarm Installation K • 27_ ❑ HVAC El Instrumentation El Intercom and Paging Systems ❑ Landscape Irrigation Control* El Medical' El Nurse Call's ❑ Outdoor Landscape Lighting* ❑ Protective Signaling El Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 1:\ Building \Permits\ELC- PermitApp.doc 03/23/06 CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit #: ELC2009 -00137 T i GA R D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 03/26/2009 Parcel: 2S 115BA02600 Jurisdiction: Tigard Site address: 16230 SW PACIFIC HVVY Subdivision: Lot: 0 Project: Biscuits Cafe Project Description: Sign lighting. Owner: FEES SN PROPERTIES PARTNERSHIP Quantity Description Date Amount 1121 SW SALMON ST 2 ea Sign or Outline Lighting 03/26/2009 $106.80 PORTLAND, OR 97205 1 ea 12% State Surcharge - 03/26/2009 $12.82 PHONE: Electrical Contractor: SECURITY SIGNS INC 2424 SE HOLGATE BLVD in) PORTLAND, OR 97202 PHONE: FAX: 503 - 230 -1861 Type of Use: COM Class of Work: NEW Type of Const: Occupancy Grp: (4 Total $119.2 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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 the 180 days. ATTENTION: Oregon law requires you to follow the 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 a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By: Permittee Signature: 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. CaII 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. ' . ,- .,-- .,-W.r.i.11.1:1_..,r_LIT. •L' / indrif ', .1i.l.,73.r_IT2E r',..Plf _r_-,ir . -,-.. •5___ ! 4 .sie , _ :on https://ay.accela.comijetspeediportal _ . File Edit View Favorites Tools Help Ipage ■ 7)" Tools ■ 44■• a .3 0 ELC2CC9-0C137 16230 PACIFIC HWY Issued Inspections 03/26/2009 Sion lighting. ... .-:-..-.„ = --.„. 7.. .....____ F.: - k: J:1 - :„4t • ii i ,,,ii 1 — CAP ID: ELC2009-00137 - a- -- = = . ,-, , ) 1Th i i6) I Cancel ak 1 I Reports ;I I Help Inspection Detail Conditions (0) Documents (0) = • il = 1, gl 11 Inspection Type Address Case # 199 Electrical final 16230 SW PACIFIC HWY TIGARD, OR 97224 ELC2009-00137 = • 1 — F.... , I Request Date Request Time Requestor's Phone Number 05/07/2009 04:25 503 ' Request Comment — 11 ._ 1001829 503 i _ . Scheduled Date Scheduled Time ----- _ I 03,08/2009 12:00 AM Inspection Date Inspection Time Result Department Inspector 05/08/2009 11:33 11:53 FAIL Sodding Herb Stabencw ----i il Result Comment improperly permitted- needs two additional sions (total of four ) no signed permit label found on site , -- 1 , -----_=. ,—, CAP Type Internal Use Only Duilding/Ccm/ElectricallNA 09COM-00000-00133 =-__.---- ---.. Reports --- = Ito Reports *-Case Specific Permits Internet 4 ';', 100% . , , „c r-ii-,:,17-iTa,?, • ( 0 g;› C V ) _ c i:m 61 , 1237 FM — — — — -- _