Permit r J
CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00714
COMMUNITY DEVELOPMENT DATE ISSUED: 12/18/2006
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S102AB - 03600
SITE ADDRESS: 12285 SW MAIN ST ZONING: CBD
SUBDIVISION: LOT : JURISDICTION: TIG
Project Description: Sign lighting (2)
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: 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:
HIGHLIGHT SIGN CORP
PO BOX 23667
TIGARD, OR 97281 -3667
Phone: Contact #: PRI 503 - 620 - 8205
FAX 503 - 624 -3725
FEES
Description Date Amount Reg #: ELE 37- 660CLS
[ELPRMT] ELC Permit 12/18/2001 $106.80 LIC 104599
[TAX] 8% State Surcharge 12/18/200( $8.54 SUP 517SIG
Total $115.34 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 se orth 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 1.800.33 '344.
Issued By: 1324.4tCdC Permittee Signature: .. a0
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.
L.
.SgnlZe/o( .... 4 OZ. Z ` / d
L Me ctrical Permit ApQlication FOR OFFICE USE ONLY
City of Tigard RECEIVE D naus - Affreb I , Permit No.:✓ 0 1,006,-•667/ 4 1
III a 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Date/B . Other Pernik
TIGARD Inspection Line: 503.639.4175 DEC 1 2006 Date Ready/By: Il El See Page 2 for
Internet: www.tigard- or.gov Notified/Method Supplemental Information
TY OF TIGARD _
i
TYPE OF • ' ' DING DIVISION P lease check all that (submit 2sets o plans wfitems checkedbclow
® New construction ❑ Addition/alteratto rep acement apply ( P )
❑ 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 braidings.
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: Sign ❑ }Arc 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: 12285 SW Main St 100HP or more. occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parks.
City/ State/ZIP: Tigard, OR 97223 ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: State Farm Insurance ❑ Service or fccdcr600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description
Qty. I Fee. I Total
New residential single- or multi -family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. it or less 145.15 4
En. add'1500 sq. It 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
Install (2) ea. newly constructed electrical signs residential (with above sq. ft.)
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
[ PROPERTY OWNER a - _TENANT 201 amps to 400 amps 106.85 2
Name: Mark Creevey 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: 9730 SW Cascade Ave Ste. 211 Over 1,000 amps or volts 454.65 2
City /State/ZIP: Tigard OR 97223 Temporary services or feeders installation, alteration, and/or
relocation
Phone: (503)624 -2683 Fax: (503)624 -6174 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 ch'cuits - new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
® APPLICANT. . ❑ CONTACT PERSON above service or feeder fee, 6.65 2
each branch circuit
Business name: Highlight Sign Corporation 13. Fee for branch circuits
without service or feeder fee,
Contact name: Matthew Bell 46.85 2
first branch circuit
Address: PO Box 23667 Each add'l branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City/State/ZIP: Tigard OR 97281 - 3667 Each manufactured or modular 90.90 2
dwelling, service and/or feeder
Phone: (503) 620 - 8205 Fax: : (503) 624 - 3725 Reconnect only 66.85 2
E - mail: matt@hlghllghtsign.com Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 2 53.40 106.80 2
Si circuit(s) or limited -
Business name: Highlight Sign Corp. energy panel, alteration, or
Address: PO Box 23667 extension. Describe: Page 2 2
City /State/ZIP: Tigard OR 97281 - 3667 Each additional inspection over allowable In any of the above
Per inspection 62.50
Phone: (503) 620 -8205 Fax: (503) 624-3725 Investigation per hour (1 hr min) 62.50
CCB Lic.: 104599 Electrical Lic.: 37 -660CL Suprv. Lic.: 517SIG Industrial plant per hour 73.75
40
/ � ELECTRICAL PERMIT FEES
Suprv. Electrician s;gnat�lre, required: ` fi�� Subtotal: 106.60
� Plan review (25% of permit fee):
Print name: Mike Cleary 4te: /18/0
State surcharge (8% of permit fee): ) 8.54 ���eee111
Authorized signature: � /124,
TOTAL PERMIT FEE: 1 I5• Y.
Print name: Matthew Bell Date: 12/18/06 P application expires if a permit is not obtained within 1$0
days after it has been accepted as complete.
* Number of inspections allowed per permit
I:1&uldmgtPe ntstELC- PermitApp.doc 05/23/06 440- 4615T(I1/05 /COM/WEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2005 -00714
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/18/2006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 1/19/2007 TIME: 7:01AM PAGE: 41
SITE ADDRESS: 12285 SW MAIN ST CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: STATE FARM INSURANCE
DESCRIPTION: Sign lighting (2)
OWNER: PHONE #:
CONTRACTOR: HIGHLIGHT SIGN CORP — TODD PHONE #: 503- 620 -8205
Inspection Request Scheduled For: Date: 1/19/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 042281 -01 503-381-5101 Y
TO DO
Corrections/Comments/Instructions:
N Z i S C.10 N A5 l 20
•
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
AZ FAIL X CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1 it Date: 1 � 9 69 Phone #: (503) 718 - 21
CITY OF TIGARD
- BUILDING DIVISION PERMIT #: ELC200S -00714
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/18/2006
Phone: (503) 639 -4171 0 7
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 1/25/2007 TIME: 7:03AM PAGE: 49
SITE ADDRESS: 12285 SW MAIN ST CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: STATE FARM INSURANCE
DESCRIPTION: Sign lighting (2)
OWNER: PHONE #:
CONTRACTOR: HIGHLIGHT SIGN CORP PHONE #: 503-620 -8205
Inspection Request Scheduled For: Date: 1/2512007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
1410 Sign installation 042479-01 503-620-8205 N
Corrections /Comments/ Instructions:
N 0 ? i i( aQ., ON S
)4PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1 . oFe LE • Date: (-Ls- Or] Phone #: (503) 718 - Z p