Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00076
i r# DEVELOPMENT SERVICES DATE ISSUED: 2/10 /2005
�� 4.= I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 1S134BC-00300
SITE ADDRESS: 12264 SW SCHOLLS FERRY RD
SUBDIVISION: GREENWAY TOWN CENTER ZONING: C -G
BLOCK: LOT : JURISDICTION: TIG
Project Description: Installation of lighting for (1) 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: 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:
BPP RETAIL LLC MULTI -LIGHT SIGN CO.
BY BURNHAM PACIFIC PROPERTIES 809 N E LOMBARD
ATTN: JOHN WATERS PORTLAND, OR 97211
SAN DIEGO, CA 92101
Phone: 503 - 239 -4266 Phone: 281 -3083
FEES Reg #: LIC 64107
tion Date Amount SUP 26
Description ELE 26 -90CLS
[ELPRMT] ELC Permit 2/10/2005 $53.40
[TAX] 8% State Surcharge 2/10/2005 $4.28 REQUIRED ITEMS AND REPORTS
Total $57.68
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 ;1 d- s of issuance, or if work is
suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by t Oreg• Utility Notificati• , Center. Those
rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these ules or •erect questions t UNC at (503)
246 -069 r 1 800- ' -2
Issue By: i jiA ! _ i � . Permit Signature:
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
- -
,iGki 0200s - 00 6.1i
Electricail Permit Application FOR OFFICE USE ONLY
City of Tigard
A D Re a ce tem ived : A ry, 5 - eon Permit No.: fLegarc -4•1270
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Date/B : Other Permit:
_s
Inspection Line: 503.639.4175 _14. A I ' Date Ready/By: Ea See Page 2 for
Internet www.ci.tigard.or.us Notified/Method: MI Supplemental Information
Iivi evi ,
z tl. t 6 6 .; ; ,..;„.., i . ,,,,:,,c-,,,:<'-;,:,;,-,..,.:.7,:...--;;::,..4_,.ii,,,,fi;;,... c • . . .
.:.__,t ,,,,,,,,--, 1,L L- 'N",•!' `,.",-- s i s:, -: • • ,- .'•& • :,-i,-11 . .."'.: - ;:iii0;;;;Plikt,z(f= tn: ,, i , ' 41.' ,^ A:TA ,11 t 7 e:i 2 . - 1 , s 1, -;- ,,, ..;■1- 7 ,---- --. ,''''-...;• ,' ' , . •
X New construction 0 Addition/alteration/replacement Please check all that apply:
0
0Service over 225 amps, comm'l ['Hazardous location
Demolition ID Other:
. r' '. ' . -' . OService over 320 amps - rating 0Buildng over 10,000 sq. ft.,
-1- -- 4 -..t,,-re .,•,:.- '...--:.„ -.- -,- -,... 't , . -0 - ``-' ''' • '- - - . - ' , ,""t .1...." ' ."1 i
cATEGORY' ICONSTRI,IGTICIN;I ,,.ie,e;-: , i + i' FLC of 1- and 2-family dwellings 4 or more new residential
0 1- and 2-family dwelling !!jCommercial/industrial 0 Accessory building ElSystem over 600 volts nominal units in one structure
['Building over three stories ['Feeders, 400 amps or more
0 Multi-family 0 Master builder 0 Other:
['Occupant load over 99 persons ElManufactured structures or
' ,..,, - t. • • , .... .4.1011SITE ThlrORIgAITON AND LOCATION . - . • --.. • _ . , -- , ['Egress/lighting plan RV park
// 0Health-care facility ['Other:
Job no.: Job site address/, .5.4) j loiX e Submit 2 sets of plans with any of the above.
City/State/ZIP: 77- , , 9 The above are not applicable to temporary construction service.
;' ..;•.-- --• • '
Suite/bldg./apt. no.: Project name: c 5 - .. 4 ),37 / 43" ,fij Description I Qty. I Fee.! Total '''
Cross street/directions to job site: 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'l 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
7 "`„7.• ' 4SCR.fiTicTI -:. :-,,-,..:.:; Each manufactured or modular
6..), 4 .. ■e■ge--/i/e dwelling, service and/or feeder 90.90 _
Services or feeders installation, alteration, and/or relocation 2
c fq-,1 200 amps or less 80.30 2
:.ia ikiiir :-.- _. I : . - , -,;10 T i NAI s tii -,--._ & ; w r,..-,.;,„ , „., z 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2
Name: - 5?"',- r „4- ,-. . , •
140 amps . 601 amps to 1,000 a 240.60 2
Address: /6 cg0)( /4 7, 7 --LANI Over 1,000 amps or volts
Reconnect only 454.65
66.85 2
2
City/State/ZIP: ' ?. 7 Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( 504 , 26f..... 4 194,4 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 600 amps 133.75 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
. . . . .
k ,.4 „::: ., :.::: 1 ,-, izre p kisz .0 0- . ,.„. k sFee for ce obrranfecedhercirfceueitseawcihth
7:17,
Business name: ( . 4,... ,2/, ' •11 ( 1e, branch circuit
B. Fee for branch circuits 6.65 2
Contact name: "--772A/ ,,.t. without service or feeder fee,
46.85 2
each branch circuit
Address: •
Each add'l branch circuit 6.65 2
City/State/ZIP: Miscellaneous (service or feeder not included) _
Pump or irrigation circle
Phone:15pg )2ipd7.3 I Fax: 114 Q' )9 1.(0.211 53.40 2 Sign or outline lighting
i 53.40 .63 JP 2
E-mail:
Signal circuit(s) or limited-
cbmt . ---.- ,,,_,? „..' „- w --.,-. ... 1, ., „
energy panel, alteration or
,
"..- , ....., _ . ..,-.. ..,,...i'.r "-: U,,- v "^..A.,:
extension. Describe: Page 2 2
Business name:Ve . / y Z / ' e j--I/ A
Address
Each additional inspection over allowable in any of the above
: ,''', Per inspection 62.50
City/State/ZIP: /;,...__7//4e 9 7,, Investigation per hour (1 hr min) 62.50
Phong3 y . Fax: (5223 47 2,0 ,44, Industrial plant per hour 73.75
- - ' "--..,-- T' - FgE$L.::'(;•;','L:::'":':`. =
CCB Lic.: 4, ,. 7 Electrical Lic.: 3&33_ I Suprv. Lic.:34L3- .. 12
Subtotal 53.*
........-
Suprv. Electrician signature, requizet Plan review (25% of permit fee)
State surcharge (8% of permit fee) li • 2.1'
Print name:
E- ' f' 0 Date: 4.-- miti
-- TOTAL PERMIT FEE 17.4c
Authorized signature: _ ...... e i r
his permit application expires if a permit is not obtained within 180
--. days after it bas been accepted as complete
Print name: . ' 4
- .....,.... Alr _ A /7 ;,, t 4. ) Date: • Fee methodology set by Tri-County Building Industry Service Board
.
** Number of inspections per permit allowed.
iABuilding\l'ennitsELC-PerrnitApp.doc 12/03 440-46137(10/02/COM/WEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2005.00076
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2110/2005
Phone: (503) 639 -4171 Arv°Ir wII
Inspection Requests (24 Hrs.): (503) 639 -4175 441-. __..
INSPECTION WORKSHEET FOR DATE: 3/14/2006 TIME: 7:11AM PAGE: 59
SITE ADDRESS: 12264 SW SCHOLLS FERRY RD CLASS OF WORK:
SUBDIVISION: GREENWAY TOWN CENTER LOT #: TYPE OF USE:
PROJECT NAME: SCAMP'S PETS
DESCRIPTION: Installation of lighting for (1) sign.
OWNER: BPP RETAIL LLC, PHONE #: 503-239 -4266
CONTRACTOR: MULTI - LIGHT SIGN CO. PHONE #: 281.3083
Inspection Request Scheduled For: Date: 3/14/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 001486-01 503-280-9624 N
Corrections /Comments /Instructions:
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PVT 1 3 W r `-J* . <.L A0Vr1 G S 1.-kZ')--V
2. Sc osi\ p‘a.' to N1 O coNTIP84.19 a 7 c(,ivA9 5 T'
The electrical installation defects noted
on this report shall be corrected and
an inspection request made within 20
calendar days per (All 918 - 0030
„ is‘roi ,
PASS ❑ PARTIAL ;Pl
PPROVAL „ ❑ NO ACCESS
�� ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: g--r--:_/6-e Date:3 - / L ( - C25 .--- Phone #: (503) 718-