Permit , , CITY OF TIGARD - - ' ELECTRICAL PERMIT
PERMIT #: ELC2007 -00231
COMMUNITY DEVELOPMENT DATE ISSUED: 4/11/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 102AB - 03600
SITE ADDRESS: 12297 SW MAIN ST ZONING: CBD
SUBDIVISION: LOT : JURISDICTION: TIG
PROJECT: ORIENT PEARL
Project Description: Install lighting for (1) sign.
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: WISERVICE 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:
WARREN JOHNSON SECURITY SIGNS INC
3112 SW SANTA MONICA ST 2424 SE HOLGATE BLVD
PORTLAND, OR 97239 PORTLAND, OR 97214
Phone: Contact #: PRI 503 - 232 -4172
FAX 503- 230 -1861
FEES
Description Date Amount Reg #: ELE 26 - 560CLS
[ELPRMT] ELC Permit 4/11/2007 $53.40 LIC 122809
[TAX] 8% State Surcharge 4/11/2007 $4.28
Total $57.68 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 th. • : e • . S. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in
OA • 52- 001 -0010 • gh • - 9 - 001 -0100. You may obtain copies of these rules or direct questi• • • a UNC at 503.246.6699 or 1.800.332.2344.
Is • ued By: • // Permittee Signatur• . ei 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:
CO_NIRATOR INSTALLATION NLY
SIGNATURE OF SUPR. ELEC'N: • _I•�� �' ��'i %lL »� 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.
34 1,eo - OLO
Electrical Permit Application - „ rOI( 01 l s L I : 0N, )
City of Tigard
4 is _ lie ? Permit No. :F 7 —tea
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Other Permit:
Phone: 503.639.4171 Fax: 503.598.1960 i DateJB
Inspection Line: 503.639.4175 -.
sP _ ,,,,r,,14- _ I � Date Ready/By. H1 See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: � Supplemental Information
TYPE OF WORK PLAN REVIEW
❑ New construction Y Addition/alteration /replacement Please check all that apply:
❑ Demolition ❑Other: ❑Service over 225 amps, come] ['Hazardous location
['Service over 320 amps - rating ❑ Buildng over 10,000 sq. R,
CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential
❑ 1 and 2 family dwelling RCommercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
['Building over three stories ❑Feeders, 400 amps or more
❑ Multi family Master builder ❑Other:
JOB SITE INFORMATION AND LOCATION ❑Occupant load over 99 persons ['Manufactured structures or
❑Egress/lighting plan park
Job no.: Job site address: ) qgG'-4. - jn S+ ❑Healthcare facility ❑Other:
Submit 2 sets of plans with any of the above.
City / State/ZIP: The above are not applicable to temporary construction service.
Suite/bldg. /apt no.: Project name: ie` _v 11 , r � L FEE* SCHEDULE
��Y Daedptlon ' Qty. I Fee. I 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'I 500 sq. ft or portion • 33.40 I
Limited energy, residential 75.00 2
Tax map /parcel no.: Limited energy, OF WORK gy, non - residential 75.00 2
Each manufactured or modular
o ilocnity-rAeci ` p `i) dwelling, service and/or feeder 90.90 2
l,\ ��( 1, Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
❑ PROPERTY OWNER . 1 18 ,TENANT 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
Name: r ,' Ge fJ,V E tt) 1tOti I .Lo fs 601 amps to 1,000 amps 240.60 2
Address: 1 l „( ) C -! j A 5.,,iJt ,
- ps or volts 454.65 2
�� 1 Teat only 66.85 2
� (q
City /StateJZIP: aq 42 ��{ Temporary services or feeders installation, alteration, and/or
Phone: ( ) C of_ rf �/� I Fax: ( ) j relocation
• 200 amps or less 66.85 1
Owner installation: This installation is being made on pro. - that I own which is not 201 amps to 400 amps 100.30 2
intended for sale, lease, rent, or exchange, according to O' ' 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2
Owner signature: Date: Branch circuits - new, alteration, or ex tension, per panel
❑ APPLICANT I ❑ CONTACT PERSON A Fee for branch circuits with
service or feeder fee, each 6.65 2
Business name: eCICQtecr 11 5 branch circuit
B. Fee for branch circuits
Contact name: (yid " a2c .. <1�d f0_1) without service or feeder fee, 46.85 2
Address: each branch circuit
Each add'I branch circuit 6.65 2
City/ State/ZIP: Miscellaneous (service or feeder not included)
Phone: ( � ' 1 Fax: • ( 7 0.0 f
Pump or irrigation circle 53.40 2
E - mail `1 Sign or outline lighting 53.40 2
(P( F CA c a (ZJkC 4 a.:.,f e)0(11 Signal circuit(s) or limited -
CONTRACTOR energy panel, alteration, or
• extension. Describe: Page 2 2
Business name: z? •)Q - � ,i p
Address: 242- Each additional inspection over allowable in any of the above
1 \ Per inspection 62.50
'City/State/ZIP ._. al a` a ` 900 Investigation per hour (I hr min) 62.50 _iv
Phone: (' - a ` Fax: (� � y • •
J
Industrial plant per hour 73.75
'��, ELECTRICAL PERMIT FEES* / •
CCB Lic.: (ZZ)Cr Electrical Lic. :C iii 4 Suprv. Lici7t2,5'(.1 Subtotal t5
Suprv. Electrician signature, required: ■ I Plan review (25% of permit fee) o
Print name: (1ja ,,..it i �' • Date: State surcharge (8% of permit fee) ?0 oft LbL1(,y t TOTAL PERMIT FEE 57 r(
Authorized signature: This permit application expires if a permit is not obtained within 180
„^ days after it bas beta accepted as complete
Print name: t� i n Date: • Fee methodology set by Tri-County Building Industry Service Board
•• Nlmtber ofinspections per permit allowed.
i:16ui1ding1Penrn1 MQ,GPermitApp.doc 12/03 4404615T(10IO2/COM/Wm
Electrical Permit Application - City of Tigard ,
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK ONLY:
Fee for all residential systems combined ... $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
A ❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning
System*
❑ Vacuum Systems*
❑ Other:
COMMERCIAL WORK ONLY:
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
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
is Building \Pennite\ELC- PermitAppp.doe 01/07
r
CITLOIY TIGARD _ .
BUILDING DIVISION '` PERMIT #: ELC2007 -00231
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/11/2007
Phone: (503) 639- 4171IiI
Inspection Requests (24 Hrs.): (503) 639 -4175 ^__..
INSPECTION WORKSHEET FOR DATE: 5/11 /2007 TIME: 7:01AM PAGE: 93
SITE ADDRESS: 12297 SW MAIN ST CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: ORIENT PEARL
DESCRIPTION: Install lighting for (1) sign.
OWNER: JOHNSON, WARREN PHONE #:
CONTRACTOR: SECURITY SIGNS INC PHONE #: 5032314172
Inspection Request Scheduled For: Date: 5/11/2007 Pour Time:
Code # Inspection Description nfirm - # Contact # Message
199 Electrical final 048111 -01 1 503-546-7114 N
Corrections /Comments /Instructions: - -- -
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3.29.0s Gr.NOS LE- .
fl PAS'. ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
".1m,•. CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G—‘ N 66L Date: 61 It O Phone #: (503) 718- 2.144