Permit •
CITY OF TIGARD ELECTRICAL PERMIT
"'` PERMIT #: ELC2006 - 10044
DEVELOPMENT SERVICES DATE ISSUED: 3/14/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171
PARCEL: 1S134AA - 01900
SITE ADDRESS: 10115 SW NIMBUS AVE 500 ZONING: C - G
SUBDIVISION: 1 KOLL BUSINESS CENTER TIGARD LOT : 001 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:
BEACH SCOTT MCCARTY PROPERTIES SIGN DR
PO BOX 2945 16409 SE DIVISION #216
PORTLAND, OR 97208 PORTLAND, OR 97236
• Phone: 503 - 222 -3066 Contact #: PRI 503 - 816 -8463
FEES
Description Date Amount Reg #: ELE 26 - 1140CLS
[ELPRMT] ELC Permit 4/3/2006 $53.40 LIC 152257
[TAX] 8% State Surcharge 4/3/2006 $4.27
Total $57.67 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All
work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set
forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699 or
1- 800 - 332 -2344.
Issued By: Permittee Signature: Al ala
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503 - 639 -4175 by 7:00 a.m. for an Inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
,, 03/13/2006 16:03 FAX till 001
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aty of I igard Pcur': -. 3 / v-06 13 A Fermi! N4.:.± _.,,.,,. - - / er AV
13125 SW ball Blvd., Tigard, OR A C Phu Rot ew
Phone: 503.639.4171 Fax: 503398. R 1 4 2006 exlmr Pttmir. Z�(. / / �[�
1 f am Mt: - Page 2 ffor In terne on Line: 503.639.4175 , D Notified/Method s Iloodetaatal Information
Internet www.es.Cgatd.or.as •,
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❑ New construction • J : 1 tion/alteratios/re Please check all that apply:
❑ Demolition i' Other: OSaviee over 225 amps, cannel 0Hanutovs location
Service ova 320 saps - rating DBuildng ova 10,000 sq. ft.,
.i: •. 2 . ;. ..; a e 'S- .•'.s ; : �.. . -.. n. ; . t:. ; .s.,` ;' ,7L,, a: ty dwellings mom new residential
', •l:� : = N,'�..;Q�."•0�1$•;- ••:':;' ► „ , ` • ,•'•�.,�.�",.,..�'� of 1 -and 2-�mi dwell 4 or mo
'
0 I - and 2- family dwelling P Canmacialfndustrial ❑ Accessory building OSystem ova 600 volts nominal Units in oneeaueturo
❑Sending ova three stories �Feteders,400 amps a more
❑ Multi- f9tttily ❑ Master builder [] Other: OCCUNp lead over 99 persons °Manufa turgid structures or
1•::.:. :: : -' •
•„• • Tl@01 `' f '�: P:0 ,s ,
.�.s:,....a: u ...'• .,,TM�S�g�.. ; _ °:...'�!!p� "i1�D�:yT � � � � - .- . , DEgressAightiog plain RV park
Job no.: I Job site address: loos 5w iy /l►1 5 OHmIt2•e is facility .
Submit ? acts of plans with any of the above.
City/SbateiZIP: - Gp1zt Oa Q' -7223 The above are not applicable to temporary construction servieae.
Suitclbldg/apt- nee: 560 I Project nand: Deception 10'. I r T01a ••
Cress street/directions to job site: or New residential single- or multi-tmity dwelling unit.
A. Includes stacked garage.
M y 6-11 y _ 1,000 sq. ft. or less 145.15 4
Subdivision: I Lot no _ Fa. add'i 500 sq. R or portion 33.40 1
Limited (stagy, residential 75.00 2
Tax map /parcel no.: Limited energy, nen.residential 75.00 2
3s �-'/'9 '• Syti.E r��s i•"��:+, y�»:
• ,";r .
q. ` t�I!6!!� + % . %:;6,y�L5i:" : u .1 Each tl or modular / - �N5? I / / dwelling, service and/or koda 90.90 , 2
Services or feeders ios4utttion, alteration, and/or reloatloo
200 amps or less 80.30 2
r . . • a u . *P. I I _ r r�•� I K ••• 201 maps to 400 amps 106.85 2
....: .:� .A ,1 ,/ ^ \ �w v � I " 1..:..... ;»+L.I ' . ..i w " .
' ' 401 steps to 600 amps 160.60 2
Name: d ,, 50044- flkaaRitrci PPOpa -TIf~S 60l amps to 1.000 amps 240.60 2
Address: P, D • b 2' 1 L 5 05 - . ova 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City/Slate/ZIP:
porrLAvt,® 0 g. 0/ -7 2 0 8 Temporary services or feeders Installation, alteration, and/or
Phu e (03) 22z - 30(00 I Fex: k5/3) 223 -52 8> lo c or less 66.8s 1
Owner installedens This installation is being made cm property that I own which is not 201 amps t,)400 amps 100.30 2
7 0 1 . ,1,.r 4 t amps to 600 amps 133.75 2
Owner signature: � Date: `2 - Z/ - ( Ad. Braoeb a reubs - new, alteration, or extension, per Motel
;;: r a :xA. - t . . ;t' i;;:; • e� x. •: . . c,:- A Fee for br ands circuits wan
' service or ,.�lrn�"s;:? �?: � ., rr.'} .0 xtµ.,: ;�..,.. F'';, ,., , . 04°'ONhCI�P803!P�_'` • feeder
Business name: B k n 9f S truth circuit each rmit each 6.65 2
8. Fee for brands circuits
Contact name: in k4401_ +t '- wlhatd servico or feeder fee, 4615 2
Address: 3 e ? St t , > 4 each branch cha
Hot, /� Each add branch areal! 6.65 2
City/Statc ZlP: Q( JLvt,tjj)) Co q woo S Mmeellaneovs ( service or fader not included)
Pump or irrigation rude 53.40 2
Phone: (
�) ) 6 72_ 7 vJ - 7 Fax: :(5 ) 57 / Signor outline ligbti _ / 53.40 2
E -mail: 5)ti LE; ( fO/tt/ts2(ZM 9fion, , c "-^ Signal circuit(s) or limited
. +.•� ; . r ,., ; . : ,. }.•:r a.e:'4 : :10 :,n• : , eteigypanel alteration or
.! S * `'; 4.c}n -.. �� . .:b�t•S.a• •�, �:��,. ;�,Si•:.. A il��i : +' . �. •, . � !�..v.�.: , �:�.. ....
extension. Describe: Page 2 2
Business name: 4 S'/ ) ,) g , ( .
Address: /6 ( „ 9 .� / g additiorsl inspection over atbwatbk in an of the above
Per inspection 62.50
City /State/ZIP: As .. 7ze,„� ' v/ 4 ,„,e.- S' 7 2 3 6 Investigation pa hour (I hr min) 62.50
Industrial plant per hour 73.75
"(577 ka r�d Fax: ( ) 4/62/c) �.y�.��/� }b�p,� ::. A ,., -
( �p 1 i` r 10i1K' iiMVrAiy: fl�RIpYWR- SW�4 :�N'•N.e�. }'1,r6)V{ °..y.,
CCB Lie.: � c .57 I Electrical Lie.: 2(, -/� � uprv. Lie.: 617 0 5 Subtotal
Suprv. Electrician signature, required: �/ ' 4 /'-.__ Plan review (25% of permit feu)
` e ° State surcharge (8% of permit foe) tr p'i,
Print„ame_ / / I Date: TOTAL PERMYI' FEE 5 7 • &„.7 &„.7 Authorized signature: f � , d.1 C map peak apptleattes nspiaea if ■ pereak Is not obtained within I
L
dare after it ban beat aeceptM incomplete
Print name: 4 .1 / �� - Date' / • Fee methoddogy see by Td•l7otety Building Industry Service Board
Number of inspections per pe miit allowed
I: 1e,dtelaPomite%M.C.PamitAppaoe 1703 44646e5 tab2IOOMlw®
CITY OF TIGARD -C.
BUILDING DIVISION A i . PERMIT #: 2,006 — / Od �� .iiik
1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 ICI
Inspection Requests (24 Hrs.): (503) 639 -4175 `__— •
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
.
SITE ADDRESS: / 6 / / - .S CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NA E:
DESCRIPTIO .
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3 -/& - 04. Pour Time:
Co. - • _ - • - • D escription Confirm # Contact # Message
/ ,' ( 7a -9
orrectio - .mments/Instructions:
•
1
1
X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: -- P N68
V v1V Date: 3/161(g Phone #: (503) 718- 2"1 4