Permit CITY OF TIGARD ELECTRICAL PERMIT
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PERMIT #: ELC2006 -00296
DEVELOPMENT SERVICES DATE ISSUED: 5/25/2006
if I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171
PARCEL: 25101 DD - 00101
SITE ADDRESS: 06975 SW SANDBURG ST ZONING: C -
SUBDIVISION: TIME SQUARE LOT : JURISDICTION: TIG
Project Description: (3) exterior building signs.
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: 3
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:
WESTON HOLDING CO LLC MULTI -LIGHT SIGN CO.
2154 NE BROADWAY 809 NE LOMBARD ST
PORTLAND, OR 97232 PORTLAND, OR 97211
Phone: Contact #: FAX 503- 280 -9624
PRI 503 - 281 -3083
FEES
Description Date Amount Reg #: ELE 26 -90CLS
[ELPRMT] ELC Permit 5/25/2006 $160.20 LIC 64107
[TAX] 8% State Surcharge 5/25/2006 $12.82 SUP 672SIG
Total $173.02 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: / , - � /.r
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.
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1' Electrical Permit Application FOiz OFFICE: I ONI.I
City of Tigard RECEIVE Date/Be° — �� Permit No . ' a / 6
13125 SW Hall Blvd., Tigard, OR 97223 Plan MAY Review I �,
Phone: 503. Fax: 503.598.1960 " Other Permit:
Inspection Line: 503.639.4175 5 200•"';';' , 1 , • Date Ready/By: EEL 65 See Page 2 for
Internet: www.ci.tigard.or.us � C �� ITY OF TI(�A[a Notified/Method: Supplemental Information
1 , • T PLAN REVIEW i
(i New construction ❑ Addition/alteration/replacement Please check all that apply:
❑ Demolition ❑Other: ❑Service over 225 amps, comm'l ['Hazardous location
❑Service over 320 amps — rating DBuildng over 10,000 sq. ft.,
CATEGORY OF CONSTRUCTION of I- and 2- family dwellings 4 or more new residential
❑ 1- and 2- family dwelling L1/ (ommercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑Building over three stories ❑Feeders, 400 amps or more
❑ Multi - family 0 Master builder ❑Other
['Occupant load over 99 persons ❑Manufactured structures or
JOB SITE INFORMATION AND LOCATION ❑Egress/lighting plan RV park
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Job no.: Job site address: 6 / 7�soil. a, 4b ' ❑Health -care facility ❑Other: Submit 2 sets of plans with any of the above.
City/State/ZIP: � LA / Die 9 7 ? The above are not applicable to temporary construction service.
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Suite/bldg./apt. no.: Project name: 72MFX vca(//teE Description FEE S CHED E Fee. Total � •*
Cross street/directions to job site: yw v 0 2/ 7 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 1
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
h f oeKVn �G /' 5-', 5-', � Services or feeders installation, alteration, and/or relocation
• 200 amps or less 80.30 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
Phone: ( ) Fax: ( ) relocation
200 amps or less 66.85 1
Owner installation: This installation is being made on property that [ 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
//le& 77 - G /G J /�/ T. branch circuit 6.65 2
Business name:
B. Fee for branch circuits
Contact name: J l /y) / v,,ei9gy/ without service or feeder fee, 46.85 2
Address: Fog A /, t , z Q� Each a branch branch it
Each add'I branch cirwit 6.65 2
City/State/ZIP: PJ,7G ,TNv ' 0,e, 5 3 ' 7.02 // Miscellaneous (service or feeder not included)
/ Pump or irrigation circle 53.40 2
Phone: (e - 30 r,3 Fax :: ( S.3) ..7 f O ^ ' „2 y Sign or outline lighting 3 53.40 &a 2
E -mail: Signal circuit(s) or limited-
CONTRACTOR energy panel, alteration, or
• extension. Describe: Page 2 2
Business name: tne/z77 . 1/ ',e./7 j ea,
Address: ?O9 ^ / G , ,4 e Each additional inspection over allowable in any of the above
A Per inspection 62.50
City/State/ZIP: lk, Q ff/�/.U a 97 ,21/ Investigation per hour (I hr min) 62.50
Phone: ($'3) 0 2 f/ _,5 J3 Fax: ( ,2r0 — 9'C'.2/ Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES” •
CCB Lic.: 6,/`e, 7 Electrical Lic.: - ypez Suprv. Lic.:3"/3s /G Subtotal
Suprv. Electrician signature, required: Plan review (25% of permit fee)
Print name: / - y BQO vvA Date: .r 2� State surcharge (8% of permit fee) /a.. f.2
TO TAL PERMIT FEE / 73 O2
Authorized signature: 1749, This permit application e xpires if a permit is not obtained within , 180
t....1 M days after it has been accepted as complete
Print name: f /� Date: ..2..../.. p6 Fee methodology set by Tn- County Building Industry Service Board
•• Number of inspections per permit allowed.
is\Building\Pennits ELC- PennitApp.doc 12/03 440-4615T(I0/02/COM/WEB
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006.00296
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/2512006
Phone: (503) 639 -4171 �r�l l � l
Inspection Requests (24 Hrs.): (503) 639 -4175 .-��� `__—
INSPECTION WORKSHEET FOR DATE: 7113/2006 TIME: 7:02AM PAGE: 50
SITE ADDRESS: 06975 SW SANDBURG ST CLASS OF WORK:
SUBDIVISION: TIME SQUARE LOT #: TYPE OF USE:
PROJECT NAME: TIMES SQUARE
DESCRIPTION: (3) exterior building signs.
OWNER: WESTON HOLDING CO LLC, PHONE #:
CONTRACTOR: MULTI -LIGHT SIGN CO PHONE #: 503'281 -3083
Inspection Request Scheduled For: Date: 7/13/2006 Pour Time:
Inspection Description Co irm # _ Contact # Message
199 Electrical final 033017 -01 503-281 -3083 N
Corrections /Comments /Instructions:
Cc,
X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 6Q V ‘ Date: 11 13( ()i Phone #: (503) 718- 210