Permit ' CITY OF TIGARD ELECTRICAL PERMIT
al lig PERMIT #: ELC2007 -00639
COMMUNITY DEVELOPMENT DATE ISSUED: 9/13/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S101A6 02703
SITE ADDRESS: 07450 SW BEVELAND RD 120 ZONING: MUE
SUBDIVISION: MCA OFFICE BUILDING LOT : 027 JURISDICTION: TIG
PROJECT: WESTSIDE SLEEP CENTER
Project Description: (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:
BLONDIE'S INVESTMENT LLC HIGHLIGHT SIGN CORP
1500 OSTMAN RD PO BOX 23667
WEST LINN, OR 97068 TIGARD, OR 97281 -3667
Phone: Contact #: PRI 503 - 620 -8205
FAX 503- 624 -3725
• FEES
Description Date Amount Reg #: ELE 37- 660CLS
[ELPRMTI ELC Permit 9/13/2007 $53.40 LIC 104599
[TAX] 8% State Surcharge 9/13/2007 $4.27 SUP 517SIG
Total $57.67 REQUIRED ITEMS AND REPORTS
•
This Permit is issued subject to the regulations contained in the Tigard Munidpal 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 ere -than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center.
Those rul are set forth I P " 9' - 001 -0010 through OAR 952 -001 -0100. You may obtain co!,:..- ese rules or direct questions to OUNC at
503.246 699 or 1.800.3 .'.23. '
Issued By: `� / AL _ L__ Permittee Signa re: i# _ rrT
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.
..s_ai1/40 Pao 0-o t(4,c/
. ,. . .
Electrical Permit Application .. - . • •. . ••• : FOR •OFFICE••01 OINI„)/ . ::., - , . . ' . ' •
. C..:Aif Tigard Received
Date/By 9 / 0-7 Permit No.: f
,....--- . 1/4.......:1/4 N 0 SW Hall Blvd., Tigard, OR 97223
1 ... , ..,.... Plan Review
•• 1 tiii3 ' .,:', P (1003.639.4171 Fax: 503.598.1960 Date/By: Other Permit:
Ant6Dtion Line: 503.639.4175 Date Ready/By:
1 .. ."7, El See Page 2 for
.iii .11 c:Ak 6
, , ..- . • - attern- 0 ,A , _ igard-or.gov Notified/Method: Supplemental Information
:III:IIIII:IIR:: '' ..II.Ii„iII:II:IIIIIIII:IIIII;I:IIMItIV A:::::::::::':::::::::::::::::
El NalANIrrron El Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w/items checked below)
7.v, 11 11
0 Depl,....ton 17 Other: 0 Service or feeder 400 amps or more 0 Building over three stories
wheie the ava;Lble fault current 0 Marinas and boatyards.
..............R,
.. 4i*ig , exceeds 10,000 amps at 150 volts or 0 Floating buildings.
- ''' - • • • • - - • '''''''''''''" '"-"-:"'''''''''''''.'''''''.''''''''''''':' less to ground, or exceeds 14,000 0 Commercial-use agricultural
0 1 - and 2-family dwelling 0 Commercial/industrial 0 Accessory building amps for all other installations. buildings.
0 Multi-family 0 Master builder 0 Other: 0 FiTe pump, 0 Installation of 75 KVA OT
larger separately derived system.
: :;.;: : 4.0.. $#gii•i:J000W0K0,:::AW00800iii:::: 0 Addition of new motor load of 0 w 'E" "1-r -1-3-,
100HP or more. occupancy
Job no.: 1 Job site
I - te address sit) g.eifrc S e •
301 0 Six or more residential units. n Recreational vehicle parks.
City/State/ZIP: 7 , b ,, n (04 • q 7 • 2 , / , 3 -' 1,2...0 0 Health-care facilities. 0 Supply voltage for more than
''.1.' / 0 Hazardous locations. 600 volts nominal.
Suite/bldg/apt. no.: Project •
0 Service or feeder 600 amps or more.
0,0,/at.;:;1;;VREP
Cross street/directions to job site: Description Qty. I Fee. I Total I .
New residential single- or multi-family dwelling unit.
Includes attached garage.
Subdivision: 1 Lot no.: 1,000 sq. ft. or less 145.15 4
Ea. add'! 500 sq. ft. or portion 33.40 1
Tax map/parcel no.: ... Limited energy, residential
75.00 2
.:;N:ematit ki1aff1OI v011 ..!..w01 zr7mgm=.72 (with above sq. ft.)
Limited energy, multi-family
75.00 2
WAG/ 51(9 p4 residential (with above sq ft.)
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
ti;:;kihogidcibwRic::.mii:i:i:::i: i ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: 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 I 2
Address: Over 1,000 amps or volts 454.65 I 2
City/State/ZIP: Temporary services or feeders installation, alteration, and/or
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 exchange according to ORS 447, 449, 670, and 701, 1 401 amps to 599 amps 133.75 2
Branch circuits – new, alteration, or extension, per panel
Owner signature: . Date: A. Fee for branch circuits with
IIVIShittaltit::::::::::::::::::::::::::::::::::.: :- .::.:;.::: :::::::.::::::;::::::::: above service or feeder fee,
6.65 2
each branch circuit
Business name: H, j ii Li j 1.). - 5 ik N c B. Fee for branch circuits
without service or feeder fee,
Contact name: fi ; e..... c tee i2 y ..- 2) v e ... S .0 , first branch circuit 46.85 2
Each add branc'n circuit 1 6.65 1 1
Address: g z 0 5 (....0 / iv ? ,t. cei_ iu,
Miscellaneous (service or feeder not included) 2
City/State/ZIP: p AA iz_b ni e . I 7 2.-z- 3 Each manufactured or modular
90.90 2
/ I dwelling, service and/or feeder
Phone: or ) 6 2 _ 0 _ g 2 _ 05 — I Fax: : ( ) Reconnect only 66.85 2
E-mail: ': Pump or irrigation circle 53.40 2
iii:IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII:IIIIIiIIIIiI:IIaiIIII.IIIIIIIIII=IIIIIII:::::::::I:::::::IIIttI;;III;II:I::I:IIII.:lI.II.',:::I,;;I.I.I.=I:.I;III;II,I.:.:AIiiI:IiI;IIIII;I;IiIiI:IIII Sign or outline lighting
1 53.40 , c 1, '4 2
Signal circuit(s) or limited-
Business narn, _5 ii.4...., " 9 1 , /4 a 0 „,
energy panel, alteration, or
Address: extension. Describe: Page 2 2
City/State/ZIP: Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: ( ) Fax: ( ) li -. 6 too e..th Investigation per hour (1 hr min) 62.50
I I
CCB Lic.:/O y,6r if q I Electrical Lic.:ci& 5- 7 1 suprv.Lic.:2, , Industrial plant per hour i 73.75 I ,
ELECTAICWOMIIVIF.EW::::::::::::::::::::::::::::::i:::'
Suprv. Electrician signature, required: 1 ... , , s ..... Subtotal: S 3 . AID
/
k Pion review (25% of permit
Print name: m dee. w c it y Date: ,7_, /... 0 7
State surcharge (8% of pertMt fee): i,
Authorized signature: TOTAL PERMIT FEE: 5• 7 6, 7
This permit application expires if a permit is not obtained within 180
Print name: I Date: days after it has been accepted as complete.
CITY OF TIGARD )
BUILDING DIVISION ' PERMIT #: ELC2007 -00639
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/13/2007
Phone: (503) 639 -4171 /* N ,
Inspection Requests (24 Hrs.): (503) 639 -4175 IL
INSPECTION WORKSHEET FOR DATE: 11/26/2007 TIME: 7 :00AM PAGE: 40
SITE ADDRESS: 07450 SW BEVELAND RD 120 CLASS OF WORK:
SUBDIVISION: MCA OFFICE BUILDING LOT #: 027 TYPE OF USE:
PROJECT NAME: WESTSIDE SLEEP CENTER
DESCRIPTION: (1) sign lighting.
OWNER: BLONDIE'S INVESTMENT' LLC, PHONE #:
CONTRACTOR: HIGHLIGHT SIGN CORP PHONE #: 503 -620 -6205 .
Inspection Request Scheduled For: Date: 11/26/2007 Pour Time:
Code # Inspection Description Confirm # Cont #`
140 Sign installation 060173 -01 603 - 642 -145X Y
Co�rehtibns /Comr'herft�!In fftictions: - -�'
•
N
c)i
c .), \
A/
t
PAS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
I FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Cri � kv,.(� Date: 1L17_t (0) - Phone #: (503) 718 - 19410