Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2007 -00155
COMMUNITY DEVELOPMENT DATE ISSUED: 3/14/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S136CD -00100
SITE ADDRESS: 11705 SW PACIFIC HWY M ZONING: C - G
SUBDIVISION: PACIFIC CROSSROADS LOT : JURISDICTION: TIG
PROJECT: QUIZNO'S SUB
Project Description: 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:
PACIFIC CROSSROADS PROPERTIES, I VANCOUVER SIGN COMPANY, INC
BY WYSE INVESTMENT SERVICES CO 6615 SW HWY 99
200 SW MARKET ST STE 345 VANCOUVER, WA 98665
PORTLAND, OR 97201
Phone: Contact #: PRI 360 - 693 - 4773
FAX 360- 693 -2747
FEES
Description Date Amount Reg #: ELE 37 -46CLS
[ELPRMT] ELC Permit 3/14/2007 $53.40 LIC 63951
[TAX] 8% State Surcharge 3/14/2007 $4.27 SUP 525S1G
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: i/j/C(C0
OWNER INSTALLATION ONLY 1444q!
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.
Electrical Permit Applicatio 1 , FOR OFFICE USE ONLY
II City of Tigard _ Date/ Received A / 01 8 4 Permit No ► &�07.—d0/45
° 13125 SW Hall Blvd., Tigard, OR 97223 Hh:T 1 , ` 2001 Plan Review
C Phone: 503.639.4171 Fax: 503.598.1960 —
Date/By: Other Permit:
TlcnlW
I nspection Line: 503.639.4175 Ate Ready/By: Juris: H See Page 2 for
1, Y C
Internet: www.tigard -or.gov ki .Y � 1l x gta}� t ed/Method: Supplemental Information
TYPE OF OTINter T' 'i7kT!" -7\71 n Q I n) PLAN REVIEW
Please check all that apply (submit 2 sets of plans w /items checked below):
El New construction ❑ Addition/alteration/replacement
❑ Service or feeder 400 amps or more ❑ Building over three stories.
2
❑ Demolition , Other: S �• t / . where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ 1- and 2- family dwelling ❑ Commercial/industrial ❑ Acc essory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder Other: St is. ❑ Fire 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: t 110 S S w p 6 c t ;'t C (41A)-1 100 HP or more. occupancy.
CI _ �t -i2, 7 2 Six or more residential units. ❑ Recreational vehicle parks.
City / State/ZIP: �(pQ - ... L A22l) , tis i C ! ❑ Health-care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Iv Project name: (2 L 1 j� A(1) 3 sLA 6 Service or feeder 600 amps or more.
` o site: 1 t� FEE SCHEDULE
Cross street/directions to job i
� ` S SCI �1— t' t� t � X fl - 44 j, 9 4 Description I Qty. I Fee I Total •
/
b ...)-r,, P �� t Ft L ( - 1 Cq t-1 way New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Ea. add'l 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential 75.00 2
DESCRIPTION OF WORK (with above sq. ft)
1".1 S T d 1-4.- Ara u /V U p O /� l I' Ml NA Limited energy, multi - family 75.00 2
�" , S � residential (with above sq. ft.)
p At..r C td. 5 1 Cat Is) Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
❑ PROPERTY OWNER I -41_ TENANT 201 amps to 400 amps 106.85 2
Name: C.a, (-0- t 2 N t• 3 _S g 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: I l'1 O S S C I Ac- I. ;F 1 C. N CAu1 Over 1,000 amps or volts 454.65 2
City/State/ZIP: I* U 1ZT LAN A 9 � 2Z Temporary services or feeders installation, alteration, and/or
D , ci 2 3 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 599 amps 133.75 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
A. Fee for branch circuits with
APPLICANT 1 ❑ CONTACT PERSON above service or feeder fee,
each branch circuit 6.65 2
Business name: 1/40,,e_61.4.1- 5 1 C+r N C 0 r B. Fee for branch circuits
Contact name: t S A 1 Aa N L y LCC 0 F-F without service or feeder fee, 46.85 2
G+ first branch circuit
Address: 6 (v 1. S N (= I-) &i..,-,/ Each add'l branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City/State/ZIP: UAN'- 01, V IA-, A Each manufactured or modular 90.90 2
dwelling, service and/or feeder
Phone: Or 60)0'5- t1'71 Fax: : ('3 66) 64 3 Z 7 1'1I Reconnect only 66.85 2
E -mail: 1 S ct ,'c.. h 0 .., g { 5 .--) Go • cape,N Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 1 53.40 , 411) 2
Business name: V At..., L OLt. V S / C./ f C IP Signal panel, or limited -
energy panel, alteeration, or
Address: S Z extension. Describe: Page 2 2
City/State/ZIP: Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: ( ) Fax: ( ) Investigation per hour (1 hr min) 62.50
CCB Lic.6 3 9 S I Electrical Lic.: )1 - N C. f.t-S Suprv. Lic.: 526 $ Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: Subtotal: y3, V
Print name: 2iis�� Date: / / Plan review (25 % of permit fee):
..) t;��! 7 State surcharge (8% of permit fee): 4
Authorized signature: (a2/..di TOTAL PERMIT FEE: 6 5 - 2., 407
Print name: 15 A (1.1.. 1.4 C, C .e.-0 Date: / 1 Li I0 i �� days after it has been accepted a co plete. within 180
• Number of inspections allowed per permit.
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00155
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/14/2007
Phone: (503) 639 -4171 �pu�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 3/15/2007 TIME: 7:01AM PAGE: 53
SITE ADDRESS: 11705 SW PACIFIC HWY M CLASS OF WORK:
SUBDIVISION: PACIFIC CROSSROADS LOT #: TYPE OF USE:
PROJECT NAME: QUIZNO'S SUB
DESCRIPTION: Sign lighting.
OWNER: PACIFIC CROSSROADS PROPERTIES, I, PHONE #:
CONTRACTOR: VANCOUVER SIGN COMPANY, INC PHONE #: 360- 693 -4773
Inspection Request Scheduled For: Date: 3/15/2007 Pour Time:
Code # Inspection Description _ . •. • # Contact # Message
'199 Electrical final 044847 -01 0. 693.4773 N
Corrections /Comments/ Instructions:
N vy‘a oN s . 1 1 1' ' )-
Q\ 11/
A PASs ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Cr- W8 Date: Z116109 Phone #: (503) 718- 2+4I