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Permit C ITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2006 -00174 flll DEVELOPMENT SERVICES DATE ISSUED: 4/4/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2 S 113 BA -00400 SITE ADDRESS: 07632 SW DURHAM RD 125 ZONING: I - SUBDIVISION: SW CENTER SDR1999 - 00020 LOT : JURISDICTION: TIG 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: TUBEART SIGNS 4243 -A SE INTERNATIONAL WAY MILWAUKIE, OR 97222 Phone: Contact #: PRI 503 - 653 -1133 FAX 503 - 659 -9191 FEES Description Date Amount Reg #: ELE 37- 554CLS LIC 70956 SUP 366S1G Total 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: I Permittee Signature: 5.e_ Ch 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. t fl 2 e - z o el g ` f � '• - 7 Electrical Permit Applica�t>< FOR oFEIC E'usE °ONLY ' City of Tigard Received ( - - -- Permit o.: / 7 13125 SW Hall Blvd., Ti ard, OR 97223 APR i 4 tli6 Date/13y: 7 • 6 y`/� __, ��O ��J g Plan Review Phone: 503.639.4171 Fax: 503.598.1960 /�'di � Date/B � Other Permit: Inspection Line: 503.639.4175 A I . � +� • Date Ready /By: El See Page 2 for Internet: www.ci.tigard.or.us �@.1 �� ` - Notified/M Supplemental Information m -- .., y am- — _ — v CT ' - ivy „,h., {_vpe,.. ,,,t r} +� r !� T � lx ,-. y yte al -LT, . \.i`t^wk. a ` 7+ryto. - i;�:e,'; ffik : Ke o-- -5 ti ? :z * :” > ix.4 ..9u.nyi .�:ry��;*'� t^.v;+G..., t. l cx� . '� ?t,.. .+-k:> • .... 3y 9 , .. n. i. . : ", Y R 3 T.'':; ' • a. I :.- � *��4�,: - :r. ' I� ' Y%l�E " �T +' �(JI2I� � ;. .:��' -y :-�_ ` <�.i;a 5:. -.� ' ....',a, . " _: .� 'P,I: � ( N - , : w - .u,�`: `' � ��rv�' � T �a� ' �, '. n - > az- ° �� �; « �°� c,� .k .7.; 5 .. a,,.�;.-�� a *.: :�. ,. ��� a*u�si�l T"v �sd�+��D'xP_, ��,gS�w.`�' -��'�. .c 2; #r..,a^vvs- .+�CS. > .," , y ❑few construction ❑ Addition/alteration/replacement Please check all that apply: ❑ Demolition ©'ether: / ['Service over 225 amps, comm'l Hazardous location '"�= 's4g °, a ., F �. 0 •.rte sk , .Y _r..z r : °;t °t e,,:r* ❑ Service over 320 amps - rating ❑Bulking over 10,000 sq. ft., ~ WM �; a Cam : /-- Y ®CQ, G:II k r : u r S ' 6 of 1 -and 2- family dwellings 4 or more new residential ❑ 1- and 2 family dwelling ❑ Commercial/industrial ❑ Accessory building ['System over 600 volts nominal units in one structure ❑ Multi - family ❑ Master builder ❑ Other: ['Building over three stones ❑Feeders, 400 amps or more CI Occupant load over 99 persons ❑Manufactured structures or pna s� s I a� O �,;0 T * > lr ❑ RV. �_ g.= _-fs. :-:'..:lffat: • n Cr�T ':' g . t Egress/lighting park P Job site address: 7 ❑Health -care facility ❑Other: . Job no.: 7 7 3 V ,0tt j`` 4 y Submit 2 sets of plans with any of the above. City /State /ZIP: j Z >f� e .itz. q 7 ZZ L7 The above are not applicable to temporary construction service. Suite/bldg. /apt. no.: /1-5 Project name: e_0(..61 a-u3i CpI t( .:;.:t" , .E 0 1511 + L. ' >a,.:. .. Description Qty. Fee. Total Cross street/directions to job site: New residential single - or multi - family dwelling unit. Includes attached garage. 1,000 sq. ft. or less 145.15 4 Subdivision: Lot no.: Ea. add'1500 sq. ft. or portion 33.40 1 Limited energy, residential 75.00 2 Tax map /parcel no.: Limited energy, non - residential 75.00 • 2 ��rE '.�x Y:#t'zb. ., `^- ; �� .��++ - ra.. w ��. , -ate s;_. �1 ^:���4f:�> , .,a' °x'^.,"P i , g W 1 lar C'1RT'P O faa =' 5 „ xir c � *" W1 Each manufactured or modular �1 /p dwelling, service and /or feeder 90.90 2 ✓0 D� (tV'� I -7 0 _ L // e - C Services or feeders installation, alteration, and /or relocation • 200 amps or less 80.30 2 :c f x �, Mme.,: ..� .. : ,. .,., :.,,. . _ <, , '..; r. : 201 amps to 400 amps 106.85 2 �.. �. - -,s �� P mP . :, ' ;; = ` Z ,l' ..OP.,-.6, . , u - ,•4 ., ' � : , fl w Eli �f al.F ; R °' -.,;� �'. �.. a n awr �� .. �s,e, a 401 amps to 600 amps 160.60 2 Name: COL GC 0-113/ A C b � P-1/ I3 .A tt- Sy(,._. 601 amps to 1,000 amps 240.60 2 Address: -7c z. 5 w p ab2 1 ..A- izzu a -D Over 1,000 amps or volts 454.65 2 � /f Reconnect only • 66.85 2 City /State /ZIP: l l 64 , a7 zZ4 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. 401 amps to 600 amps 133.75 2 Owner signature: Date: Branch circuits - new, alteration, or extension, per panel s- ,..:::> k ua -'•zee " =.c i ` =,s . "r' + k' r = ilxr A. Fee for branch circuits with PItiIGAI T> i .: �, C13�1`TAC� I2 ®� - �.,.,s : - I�a¢= as.,;;.,;, , e #��� �''�s - =� %.r«nk��ase i' k' ��mr'.' �ts,..:. ��;- �# �+ �. i�' 8 'r�...^�:as:g.�`�. service or feeder fee, each 6.65 2 Business name: --ru g 21 branch circuit B. Fee for branch circuits Contact name: 2a ID ,0 617Q without service or feeder fee, 46.85 2 each branch circuit Address: Each add'I branch circuit 6.65 2 City /State /ZIP: Miscellaneous (service or feeder not included) Pump or irrigation circle 53.40 2 Phone: ( - ,) (p -; — ( / 33 Fax: : ( ) Sign or outline lighting fr 53.40 2 E - mail: Signal circuit(s) or limited- . '. k .. � `? :,d at .`;: efi,, F . r. t, , . . s �' energy panel, , • Q WOW �6 Ni�� ,p - isw��� : »s' alteration or Pa 2 y extension. Describe: Business name: . /J / r Each additional inspection over allowable in any of the above Address: if z4 3 — St / NT A..) L Q.A.6.(1 Per inspection 62.50 City /State /ZIP: P(( (,..w44.4 Lt Zg._ QC q71 7Z-- Investigation per hour (1 hr min) 62.50 Phone: (€9)3) ( ■3 - I 1 5 3 Fax: ( ) Industrial plant per hour 73.75 ` lift Ih YI 7� "C�"9 '" P R 4.01 Egi r ,., CCB Lic.:1O (lc& Electrical Lic7 --S9 - -ens Suprv. Lic.: ,3 (4-S Subtotal 5J d� d Suprv. Electrician signature, required_/ IL ! Plan review (25% of permit fee) Print name: K '.) G 0 ,(,,44, Date: 3 --�.9-zo State surcharge (8% of permit fee) y, 21 TOTAL PERMIT FEE S7 (C 7 Authorized signature / / . This permit application expires if a permit is not obtained within 180 // days after it has been accepted as complete Print name: 01`-) �`�(1> A. Date: 3 2 ' --06 * Fee methodology set by Tri- County Building Industry Service Board f! ** Number of inspections per permit allowed. is\ Building \Pemuts\ELC- PermitApp.doc 12/03 440- 4615T(10 /02/COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: Fee for all residential systems combined $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* n B urglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: Fee for each commercial system $75.00 (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 ❑ L andscape Irrigation Control* • ❑ Medical ❑ N urse Calls n Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other • Total number of commercial systems: *No licenses are required. Licenses are required for all other installations i: \ Building \Permits\ELC- PetmitApp.doc 04/03 - , CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2006•00174 ' 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/4/2006 Phone: (503) 639-4171 :4 Inspection Requests (24 Hrs.): (503) 639-4175 ,fflP■ IL INSPECTION WORKSHEET FOR DATE: 5/25/2006 TIME: 7:03AM PAGE: 43 SITE ADDRESS: 07632 SW DURHAM RD 125 CLASS OF WORK: SUBDIVISION: SW CENTER SDR 1999 LOT #: TYPE OF USE: PROJECT NAME: COLUMBIA COMMUNITY BANK DESCRIPTION: (1) sign lighting. OWNER: PHONE #: CONTRACTOR: TUBEART SIGNS PHONE #: 503-653-1133 • Inspection Request Scheduled For: Date: 5/25/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message c LR9 Electrical final . 030589-01 503-653-1133 Corrections/Comments/Instructions: V tA, PASS n PARTIAL APPROVAL CANCEL El NO ACCESS • I I FAIL El CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED . Inspector: C-7 i\K)Es Date: 2 6 - Phone #: (503) 718- • CITY OF TIGARD . ' . BUILDING DIVISION PERMIT #: ELC2006-00174 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 414 0006 Phone: (503) 639 -4171 w �g4,��� ii yl �llt Inspection Requests (24 Hrs.): (503) 639 -4175' .. INSPECTION WORKSHEET FOR DATE: 5//612006 TIME: 7 :02,AM PAGE: 65 SITE ADDRESS: 0763 2 SW DURHAM RD 125 CLASS OF WORK: SUBDIVISION: SW CENTER SDR 1999 00020 LOT #: TYPE OF USE: PROJECT NAME: COLUMBIA COMMUNITY BANK DESCRIPTION: (1) sign lighting. OWNER: PHONE #: CONTRACTOR: TUBEART SIGNS PHONE #: 6033.653 -1133 Inspection Request Scheduled For: Date: 5/1612006 Pour Time: Code # Inspection Description Confirm # " Contact # Message 140 Sign installation 029940 -01 5O3- 653.1133 N . Corrections /Comments /Instructions: N,\ tl tizE a 6 c,e.61/4)L, wig i LAl C,‘) 5`V ss rte. w; L c_A0.-- W - C\ i o i 0s(is 6 � . \ � ❑ PARTIAL APPROVAL CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: i r.■A 4 r Date: 1 6 (st) Phone #: (503) 718 - "f . •