Permit 76 11/0.47 A j,i 1 v C' v ~C � ` " ) S EL RI AL`PERM1 I .
,.�� CITY ®F I GA D � :� ,.
PERMIT #: ELC2007 -00490
. COMMUNITY DEVELOPMENT DATE ISSUED: 7/18/2007
TIGARD' 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 102AA -00600
SITE ADDRESS: 12045 SW HALL BLVD 7- ELEVEN ZONING: CBD
SUBDIVISION: TIGARD HIGHWAY TRACTS LOT : 012 JURISDICTION: TIG
PROJECT: 7- ELEVEN CORP
Project Description: Sign lighting. 7/27/2007 Add (1) additional sign circuit.
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' C 2
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:
7- ELEVEN CORP FOX ELECTRIC COMPANY
2711 N HASKELL PO BOX 42256
DALLAS, TX 75206 PORTLAND, OR 97242
Phone: 253 796 - 7169 Contact #: PRI 503 233 - 3033
FAX 503 - 233 -8002
FEES
Description Date Amount Reg #: ELE C23
[ELPRMT] ELC Permit 7/18/2007 $53.40 LIC 163254
[TAX] 8% State Surcharge 7/18/2007 $4.27 SUP 4389S
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: ��_ ! 1 ,, 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:
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 • i• •
mectrieaipen_jifjAepjiaition FiEc ,t i f, q , i. (H( iii• Li I t . sr..•(')NI.)
. , . 7•J'' .- 4 ' MI
Date/a : t _Aim, 1 g f 1 12 2 I l T .41 ,. f ,,...4 7 , 7 - A iii
I 13125 SW Hall Blvd., Tigani, OR 97223 JUL 2 6 2007 Plan Revi
Other Per
2 Phone: 503.639.4171 Fax: 503.598,1960 DatdEir mit:
Inspection Line: SO3.639.4175 6/1 See Pagel far
• - rii;ARD CITY Cir iii.liARD loge Reacb1/8Y: Ms:
Internet: www.tigard Notified/Method: Sopplemental laforinatloa
Fp ilf nihip, rglimio, ‘..
r .,•••.'(i . .,::,:a: . : - ...:i . :'.:...:.- . ,...::': . ."'.;. - • .. ... , 1:..: . ii, - ."*601;17.,. : 1:00iik , ,•: : ;,,zy•777.........,„ , ::. 4 : . ... , :: : ; .. ...,: , , : ;; . ....4:(:::r..... , : . ..:-:;:',.... ,';
Please check all dna aktly (submit 2 sets of plans w/items checker' below):
0 New construction ,2"
['Service or feeder 400 amps Or wore 0 Orsilditip over three stories.
0 Demolition D Other: where the available fault current 0 Marinas and boaryards.
. *7 •••:,•- ...." -J-• •• '' ' ..%‘ ' ',. 5 -- Il : ..dit-aktkOtritijaiiiii4;•.;:: • .'..:•vi .. ,'.'.:............,.... , 2::'•.: :....ii, exceeds 10,000 maps at 150 volts or El Floating buildings.
70 ,.."*7-s,..„ '1 •• . ..., . •,........,..: • .: ... • ... '. ‘. • . 1 ....': •:••' . ..' 1 - 7,
le gg to weed, or exceeds 14,000 0 Commercial-use agricultural
El I- and 2-family dwelling t 0 Accessory building aops for all other installations. buildings.
El Multi-family 0 Master builder 0 Other: 0 Fire POMP, El installation of 75 X.VA or
- , .. . , ., 1:1tmerftency system. larger separately derived system.
. . ' '''• ' • . • ' ...' `. . . • • .. , ' - •••, - • , •• • - • •• •••., , ClAdditiOn of new motor load of 0
Job no.; 15 1 Yob site address; / , 5,/, it-r-cr ed 10011P or more.
0 six or more residential traits. oteupanOy.
El Recreational vehicle perks,
City/State/ZIP: -1-e, CI Health facilities. s.
0 lia2ardous locations. CI Supply rtsli m
nge fQr ore than
aivot_ c)e
600 volts nominal,
Suiteibldg./apt, no: 1 1 Project name: - 7 , — ft 9 ',
, 7, Service or feeder 600 amps or more.
.:.' :. ....;.Q.,,, ','. ,,.!,::.f,$C,110: 6,4
Cross street/directions to job site; 5 Lu 1 ,, 5r nv Description , I Qty. I Fee. I Tol ta I •
s
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. uteri 500 sq. ft. or portion 33.40 1
Tax map/parcel no.:
Limited energy, residential
75.00 2
. `,..*.!:....'...-j• i,;• . ..•••••.....; , '.-: . - T :::::*::'%.- .v ':-•.-- ' . 40 ;atietiolif- Tri-**)4;,;, ....:..: • ..,..., : . :,..• i .!.,:, .:.•., (wift, Above sa ft)
Limited energy, multi-family
1 aold it flot _ Cl'itu-sk _ residential (with abOve $4, ft-) 75.00 2
Services or feeders installationoilteradokand/or relocation
200 amps or less 80.30 2
11 1 ( .agg: ' !; : '...'•!,t:t **.ii,*0,tt IC' ::.;::.'....;c,T,a 401 -:::::.....::.:.:. - ,....r . ,:: : :' . .::: 201 amps to 400 amps 10685 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 histanation, alteration, and/or
relocation
Phone: ( ) I Fax. ( ) 200 amps or less 66.85
Owner installation: This installation is being made on property that I own which i not 201 amps to 400 amps 10030 2
intended for sal; lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
Branch clienits - hew idteration, or etetision, per panel
. Owner signa.ture: Date: A. Fee for branch circuits with
■ ,•,,;,....:,, above service or kaki flee,
6.65 2
each branch circuit
Business name; - '0 % / 0 Ft, B. Fee for branch circuits • • "
without service or theder fee,
Contact name: 51hpo. - 46.85 2
lirSt branch CireCit
Address: Each WW1 branch circuit 6.65 2
— —
Miscellaneous (seniee or feeder not included)
City/State/ZIP: Each manufactured or mochilar
• 90,90 2
. dwelling, sice arallor feeder
Phone: (-7 ) 4.14, - - ._. F.,: ± (3 service
,
Recoimect only
E-mail: Pump or irrigation circle 53.40 2
',. ‘.'r...; ':• • • :;;;;''..::•; . ".:' :. .........' :' :.. ''..' ' ...:' " ‘ Sign or "lithe lighting / 53.4o 51ifla 2
. ,.....—
Signal circuit(s) or limited-
Business name: iCix Fi . CO , energy panel, alteration, or
e
Address: (p - ,„ / / exte.i... Describe; Page 2 2
.
sae". . .. la Sii ....h.,.41,. ...
City/State/ZIP: '96(.1..4, (7 0.
. T. d---- Each additional Inspection over allowable In any of the above —
' Per inspection 62.51)
Phone: lb ) 0....3-- 0 - Fax: (6) ) • ........
IF./ - investigation per hour (1 lir min) , 62.50
CCB Lie.: dalt Electr .. ical Lie. Su 0 • Lie.; V. IndtiStriat plant per hour 73.75
.. ag
: 7 . :. ;::. .:.:',- ..'.': : , ..V001#1CAIVOtiii0t****; .:.j ::. ::,:::;,' ..: .:',:?,•:;:;'.<2
Suprv. Electrician Signature, required4 / ---
=;.- • ' Subtotal: 3 67
Print nam Date: :/..20:7 Plan review (25% of permit fee);
State surcharge OM of permit foe): 2/'
... .
.. .
• Authorized signature:
...-" TOTAL PERMIT FEE: 5 4.„7
x. !
Print name: /3.ar:7 v /,,/ A. ,) ;;L' Date: /'4/ Tet$ permit application expires if a permit Is not obtamed within tag
days after it bos been accepted as complete.
• Number of inspections allowed per permit.
1: \ sulicling\reninacia.C-perynkApp,doo 05/23/06 440-4615T(1 1/05/CO5ii5t5
60/60 39Vd TO L0:8T /8Z/Z0
' CITY OF TIGARD
- BUILDING DIVISION - PERMIT #: ELC 2007-001190
• 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/18/2007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 9/5/2007 TIME: 7 : 00 AN 1 PAGE: 46
SITE ADDRESS: 12045 SW HALL BLVD 7 CLASS OF WORK:
• SUBDIVISION: TIGARD HIGHWAY TRACTS LOT #: 012 TYPE OF USE:
• PROJECT NAME: 7 CORP
i r DESCRIPTION: Sign lighting. 7/27/2007 Add (1) additional sign circuit.
OWNER: 7-ELEVEN CORP, PHONE #: 253-796-7169
CONTRACTOR: FOX ELECTRIC COMPANY PHONE #: 503-233-3033
• Inspection Request Scheduled For: Date: 9/512007 Pour Time:
Code # Inspection Description o* 4 # Contact # Message
140 Sign installation 055105-01 971-246-2338 N
Corrections/Comments/Instructions:
--... •
•
giAkPASS 0 PARTIAL APPROVAL r7 CANCEL 1 NO ACCESS
• l FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: -)-- . N Oe, L . . .... . ' Date: 1 . S , (Y Phone #: (503) 718- 2--Ltifio