Permit CITY OF TI GARD ELECTRICAL PERMIT
PERMIT #: ELC2000 -00532
4,0A, DEVELOPMENT SERVICES DATE ISSUED: 9/7/00
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 1 S 134BC -00300
SITE ADDRESS: 12220 SW SCHOLLS FERRY RD
SUBDIVISION: ZONING: C -G
BLOCK: LOT : JURISDICTION: TIG
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: 2
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:
BPP RETAIL LLC PORTLAND SIGN + NEON
BY BURNHAM PACIFIC PROPERTIES 535 NE 28TH AVE
ATTN: JOHN WATERS PORTLAND, OR 97232 •
SAN DIEGO, CA 92101
Phone: Phone: 238 -2964
Reg #: SUP 329SIG
LIC 102851
ELE 26- 974CLS
FEES Required Inspections
Type By Date Amount Receipt
Elect'l Service
PRMT CTR 9/7/00 $106.80 2720000000( Elect'I Final
5PCT CTR 9/7/00 $8.54 2720000000(
Total $115.34
This Permit is issued subject to the regulations contained in the Tigard Munidpal Code, State of OR. Spedalty 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 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -1987.
PERMITTEE'S SIGNATURE ISSUED BY:
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 639 -4175 by 7:00pm for an inspection the next business day
CITY OF TIGARD Electrical Permit Application Plan Check
1312•x. SW HALL BLVD. Rec'd By GA/
..' • y Date Rec'd 9/7/
TIGARD OR 97223
Print of Type
Date to P.E.
r
Phone (503) 639 -4171, x304 Date to DST
Inspection (503) 639 -4175 Incomplete or illegible will not be accepted Permit # ZCa00• 6
Fax (503) 598 -1960 S CA/ ao - O / -5d Called
1. Job Address: 4. Complete Fee Schedule Below:
Number of Inspections per permit allowed
Name of Development `,. _, _-
Name (or name of business)L tt,O. •PA c-c> Service included: Items Cost Total
Address 17.77 o cf W c �c.Hos , P te, F - 4a. Residential - per unit
1000 sq. ft. or less $147.15 4
�
'
City /State/Zip 116ACo t)? s Each additional 500 sq. ft. or
portion thereof $33.40 1
Commercial Residential El Limited Energy $75.00
Each Manu?d Home or Modular
Dwelling Service or Feeder $90.90 . 2
2a. Contractor installation only:
(Prior to permit issuance, applicants must provide contractor license 4b. Services or Feeders
ase). Installation, alteration, or relocation
Information for COT
Electrical Contractor t I L.�t�t, CO , 200 amps or less $80.30 2
`� p, 201 amps to 400 amps $106.85 2
_
Address � 3 id- - t?• 28 AV L 401 amps to 600 amps $160.60 2
City ,__x-1-AikiZ. State Oe, Zip c17 13 Z 601 amps to 1000 amps $240.60 2
Phone No. Z3, • 6 4- Over 1000 amps or volts $454.65 2
Job No. 9-1 Reconnect only $66.85 2
Elec. Cont. Lice. No. a, 97 4 / CL.S Exp.Date 1 b -1 - o 0 4c. Temporary Services or Feeders
Reg. No. l O - Exp.Date I -1 P� --O Z
Installation, alteration, le or relocation
OR State CCB Re
9 ( P 200 amps or less $66.85 2
COT Business Tax or Metro No. Exp.Date 201 amps to 400 amps $100.30 2
/ / 401 amps to 600 amps $133.75 2
Signature of Supr. Elec'n / • ri Over 600 amps to 1000 volts,
22 see "b" above.
cJ
License No. Zq t Exp.Date / • Zco'?• 4d. Branch Circuits
Phone No. Z 3 $ ZR 6 /- New, alteration or extension per panel
a) The fee for branch circuits
2b. For owner installations: with purchase of service or
feeder fee.
Each branch circuit $6.65 2
Print Owner's Name b) The fee for branch circuits
Address without purchase of service _.
City State Zip or feeder fee.
First branch circuit $46.85
Phone No. Each additional branch circuit $6.65
The installation is being made on property I own which is not 4 e. Miscellaneous
(Service or feeder not inducted)
intended for sale, lease or rent.
Each pump or irrigation circle $53.40
Each sign or outline lighting 2- $53.40 /n6, Po
Owner's Signature Signal circuit(s) or a limited energy
panel, alteration or extension _ $75.00
3. Plan Review section (if required):* Minor Labels (10) $125.00
Please check appropriate item and enter fee in section 5B. the Each additional inspection over
the allowable in any of the above
4 or more residential units in one structure Per inspection $62.50
Service and feeder 225 amps or more Per hour $62.50
System over 600 volts nominal In Plant $73.75
Classified area or structure containing special occupancy as 5. Fees:
described in N.E.C. Chapter 5 5a. Enter total of above fees $ /0 6 , 8o
* Submit 2 sets of plans with application where any of the above apply.
8% Surcharge (.08 X total fees) $ ?, 5
Not required for temporary construction services. Subtotal $ // _6; .q 7
5b. Enter 25% of line 5a for
NOTICE Plan Review if required (Sec. 3) $
Subtotal $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED
IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR ❑ Trust Account #
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS
AT ANY TIME AFTER WORK IS COMMENCED. Total balance Due $
is \fists \forms \electric rev.doc - 8 /00
9/12/00 Activities for Case #: ELC2000 -00532
10:53:45 AM
Assigned Hold Updated Jt
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELCC001 Application received 9/7/00 DLH DONE No Hold BLD 9/7/00
ELCC003 Permit created 9/7/00 DLH DONE No Hold BLD 9/7/00
ELCC730 Elect'I Service No Hold BLD 9/7/00
ELCC799 Elect'l Final No Hold BLD 9/7/00
ELCC500 (F)Issue permit 9/7/00 DLH DONE No Hold BLD 9/7/00
ELCA510 (F) Reprint permit 9/11/00 ZZZ DONE No Hold ZZZ 9/11/00
Page 1 of 1
GSZY OF TIGARD BUILDING INSPECTION DIVISION
•
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST
BUP
• Date Requested / -' ( AM PM BLD
Location /2 Z Zv 54i _S ti /i' T"' Suite MEC
Contact Person Ph .20 PLM
Contractor Ph SWR
BUILDING Tenant/Owner U5,4 ELC .:201,41 -OD 5) Z_
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service -
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
RT FAIL
ECT
Service
Rough In
UG /Slab
Low Voltage S!
Fire Alarm
Fin. Iv
•ART FAIL
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: ] Unable to inspect - no access
ADA
Approach /Sidewalk
Other Date /0/(7 Inspector 410 Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.