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Permit t , CITY OF YIGARD PERMIT #:RELC2006MI0001 �.,� � DEVELOPMENT SERVICES DATE ISSUED: 1/19/2006 °7 ' I-- 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1 S135DD -03301 SITE ADDRESS: 11945 SW PACIFIC HWY ZONING: C -G SUBDIVISION: HOFFARBER TRACTS NO.1 LOT : 002 JURISDICTION: TIG Project Description: (1) 200 amp service & (2) branch circuits for free standing 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: 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: 1 W /SERVICE OR FEEDER: 2 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: J � TIGARD PROPERTIES INC ADVANCED WIRING SERVICES INC 2106 SE OCHOCO ST PO BOX 644 MILWAUKIE, OR 97222 CLACKAMAS, OR 97015 Phone: Contact #: PRI 503 - 310 -3655 FEES Description Date Amount Reg #: ELE - C7 [ELPRMT] ELC Permit 1/19/2006 $93.90 LIC 162591 • [TAX] 8% State Surcharge 1/19/2006 $7,49 SUP 4675S Total $101.39 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: )�1j do Permittee Signature: St,-c, Q y 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. Electr'c Permit A lication• rolz orris[: L SI: ON I.) City of Tigard 3 CEI V E D Received ! f 1 Date/B . ∎ 1 Permit No _ / d i - O I ` 13125 SW Hall Blvd., Tigard, OR Plan Review Phone: 503.639.4171 Fax: 503.598.1960 C '/" ' I I ` Date/B . Other Permit: Line: 503.639.4175 , JAN 1 9 2006 4.1- Date Ready/By: Iffin ® See Page 2 for Internet: www.ci.tigard.or.us ( �� TIGARD Notified/Method: Supplemental Information a IpOr" LION PLAN REVIEW � ❑ New construction 1 RL tonl/ /altteration/replacement Please check all that apply: ❑ Demolition IP' Other: 6i 6->\I S E 1G6- ❑ Service over 225 amps, comm'I ❑Hazardouslocation ❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft., CATEGORY OF CONSTRUCTION of I - and 2- family dwellings 4 or more new residential ❑ 1 - and 2 family dwelling pi Commercial/industrial ❑ Accessory building OSystem over 600 volts nominal units in one structure ❑ Multi family 12 Master builder ❑ Other; ❑Building over three stories ❑Feeders, 400 amps or more ❑Occupant load over 99 persons ❑Manufactured structures or JOB SITE INFORMATION AND LOCATION ❑Egress/lighting plan RV park Job no.: Zi:5O(o0Z I Job site address: I Igei6 5.w. tyA4 1 r c Nvjy. ❑Health -care facility ❑Other: Submit 2 sets of plans with any of the above. City/State/ZIP: 1A a ©t2 , . 972Z The above are not applicable to temporary construction service. Suite/bldg. /apt. no.: I Project name: '-(' ( &L P A C � 1(,,,,J FEE* SCHEDULE Description I Qty. I Fee. I Total I Cross street/directions to job site: I4p1.L New residential single- or multi- family dwelling unit. Includes attached garage. 1,000 sq. ft or less 145.15 4 Subdivision: I 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, non - residential 75.00 2 DESCRIPTION OF WORK Each manufactured or modular dwelling, service and/or feeder 90.90 _ 2 Services or feeders installation, alteration, and/or relocation 200 amps or less / 80.30 * Y0 .7 2 ❑ PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 Name: 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City/State/ZIP: Temporary services or feeders installation, alteration, and/or relocation Phone: ( ) I Fax: ( ) 200 amps or less 66.85 x, 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 600 amps 133.75 2 Owner signature: Date: Branch circuits - new, alteration, or extension, per panel ❑ APPLICANT I ❑ CONTACT PERSON A. Fee for branch circuits with service or feeder fee, each 6.65 2 2 Business name: branch circuit . Contact name: B. Fee for branch circuits without service or feeder fee, 46.85 2 Address: first branch circuit Each add'I branch circuit 6.65 2 City/State/Z1P: Miscellaneous (service or feeder not included) Pump or irrigation circle 53.40 2 Phone: ( ) I Fax: : ( ) Sign or outline lighting 53.40 2 E -mail: Signal circuit(s) or limited - CONTRACTOR energy panel, alteration, or extension. Describe: Page 2 2 Business name: Abj1Nccp Vj lig ) 6 � v16E4./ IN( . Address: -?Q, 44 Each additional inspection over allowable in any of the above Per inspection 62.50 City/State/ZIP: Gtr / n 4A% MA.( J OE _ 6 1701 S Investigation per hour (1 hr min) 62.50 Phone: ( 902 10 ■ g &G 5 I Fax: (5(G) 4 - b 3 72_ Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES* CCB Lic.: 1 Z 69 i I Electrical Lic.: G . uprv. Lic.: 61 Subtotal 80.15 Suprv. Electrician signature, required: 4 ,/i Plan review (25% of permit fee) a Print name: ( FAN iiiA (J r/ 1ki 0 Date: 1 i 11 /,G State surcharge (8% of permit fee) 6.11 - t TOTAL PERMIT FEE 06' . Authorized signature: ! This permit application expires if a permit is not obtained within 180 t days after it has been accepted as complete Print name: f;717 -4r Af,� /! /a h I Date: ///9 -6 Z • Fee methodology set by Tri-Cotmty Building Industry Service Board •• Number of inspections per permit allowed istBui 'ding \PermitslELC- PamitApp.doc 12/03 4464615T(10/02/COM/WEB 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: El Audio and Stereo Systems* • El Burglar Alarm ❑ Garage Door Opener* El Heating, Ventilation and Air Conditioning System* • ❑ Vacuum Systems* El Other: COMMERCIAL WORK ONLY: Fee for each commercial system. $75.00 (SEE OAR 918 - 260 - 260) Check Type of Work Involved: • El Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems El Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC El Instrumentation ❑ Intercom and Paging Systems El Landscape Irrigation Control* El Medical ❑ Nurse Calls El Outdoor Landscape Lighting* ❑ Protective Signaling • ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required `a for all other installations t� �. �, '' • i: \Building\Pmnit \ELC- PamitApp.doe 04/03 CITY OF TIGARD ,- BUILDING DIVISION PERMIT #: ELG200& 1(i0O1 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 1/19/200r•; Phone: (503) 639 -4171 - i I7fil Inspe Requests (24 Hrs.): (503) 639 -4175 : -� INSPECTION WORKSHEET FOR DATE: 1/2012g06 TIME: 7 :00AM PAGE: 93 SITE ADDRESS: 11345 SW PACIFIC HWY' CLASS OF WORK: SUBDIVISION: tgFFARBER TRACTS NO.1 LOT #: 002 TYPE OF USE: PROJECT NAME: TI t-, Z PLAZA DESCRIPTION: (1) 201 snip service & (2) branch circuits for free standing sign. OWNER: TIGARD P` "PE.RTIES INC, PHONE #: CONTRACTOR: ADVANCED ING SERVICES INC PHONE #: 503- 310-36f55 Inspection Request Scheduled For: Date: 1/20/2006 Pour Time: Code # Inspection Description Co • • • Contact # Message. 115 Electrical service 025340 -01 503-310-3655 N Corrections /Comments /Instructions: A PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: n ` f - Date: I ( ) �'A �' ' v � � l ��� 9 Phone #: 503 718- 1- Li ti-k)