Permit CITY �.OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00573
.V1( DEVELOPMENT SERVICES DATE ISSUED: 10/13/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1SI34BC -00300
SITE ADDRESS: 12280 SW SCHOLLS FERRY RD ZONING: C -G
SUBDIVISION: GREENWAY TOWN CENTER LOT : JURISDICTION: TIG
Project Description: (1) wall sign. Job No. 4837
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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 ES & A SIGN &AWNING
BY BURNHAM PACIFIC PROPERTIES 1210 OAK PATCH RD
ATTN: JOHN WATERS EUGENE, OR 97402
SAN DIEGO, CA 92101
Phone: Contact #: PRI 541- 485 -5546
FAX 541 - 485 -5813
FEES
Description Date Amount Reg #: ELE 20- 243CLS
[ELPRMT] ELC Permit 10 /13/200( $53.40 LIC 163470
[TAX] 8% State Surcharge 10/13/200( $4.27 SUP 305SIG
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
suspende mo e- an 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules a set forth in O' - • - - -ell-0 , 10 through OAR 952 - 001 -0100. You may obtain copies of these -pules or direct questions to OUNC at
503 -2 6-6699 or 1 -800- c 2 -2
Issu d By: 1 _'O // ,� Permittee Sig ature:
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.
El .ct*-ical Permit Application FOR OFFICE USE ONLY
City of Tigard ,- / Received /
13125 SW Hall Blvd., Tigard, OR 97223 Date/B :0I I if 1 U `r Permit No: i of i.
Plan Review ,
Phone: 503.639.4171 Fax: 503.598.1960 7 . M il D ate/ Other Permit:
Inspection Line: 503.639.4175 i�. e'_I L Date Ready/By: IMI ® See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
❑ New construction ❑ Addition/alteration/replacement Please check all that apply:
❑ Demolition AOther:'611VAL ❑Service over 225 amps, comm'l ❑Hazardous location
['Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft.,
CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential
❑ I - and 2 family dwelling Commercial /industrial ❑ Accessory building ['System over 600 volts nominal units in one structure
❑ Multi family ❑ 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 DEgress/lighting plan RV park
Job no.: „4.5‘b- I Job site address: 12.280 O(Is Few/ ge.1 ❑Health -care facility ❑Other:
Submit 2 sets of plans with any of the above.
City /State /ZIP: - 4.1 0 2 The above are not applicable to temporary construction service.
Suite/bldg. /apt. no.: I Project name: Or 60M Cain (, r 1 FEE* SCHEDULE
c don FEE*
Qty. I Fee. I Total I **
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: 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
DESCRIPTION OF WORK Each manufactured or modular
I (�� ( , dwelling, service and /or feeder 90.90 2
rt `w I /1.fie.. 1/v 1LUAM I N*V () ti- 4 i L� 4/ Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
❑ PROPERTY OWNER I X TENANT 201 amps to 400 amps 106.85 2
�1'�., 401 amps to 600 amps 160.60 2
Name:O &I ®DMHdu 11� CD p r UIdlosJ 601 amps to 1,000 amps 240.60 2
Address: �jt "'� 001' Over 1,000 amps or volts 454.65 2
A 1 Reconnect only 66.85 2
L''
City /State /ZIP: t **We 1 a (L tic) O Temporary services or feeders installation, alteration, and /or
Phone: (94!) I Fax: ( ) 2
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
*APPLICANT CONTACT PERSON A. Fee for branch circuits with
service or feeder fee, each
Business name: Est.A- l N I
/lL) branch circuit
6.65 2
Contact name: �i B. Fee for branch circuits
�* Nrin�✓- f� tlt without service or feeder fee, 46.85 2
Address: 12„1C) DA .� phruit first branch circuit
Each h add'I branch circuit 6.65 2
City/State /ZIP: k 60,143- i 0 tt. 1 ) +cry Miscellaneous (service or feeder not included)
Phone: ( () 44.49*, f Fax :: (941) l t3 3 Pump or irrigation circle 53.40 ,l n 2
Sign or outline lighting I 53.40 4 7 J 2
E- mail:C.1 4+Viii.✓••phaci1 pesa s l qn um". m" . Signal circuit(s) or limited -
` CONTRACTOR energy panel, alteration, or
Business name: est-A_ sly �, 41404 04 extension. Describe: Page 2 2
Address: 121v 014 ��i1'�Z�I� - j Each additional inspection over allowable in any of the above
Per inspection 62.50
City /State /ZIP: , Lim! e C) /J c? , *Dal. Investigation per hour (1 hr min) 62.50
Phone: ( •� p b I Fax: ( 9..g j ) 4�r• t•Ts� i 3 Industrial pla per hour PERMIT 7
�1 7 ELECTRICAL PMIT FEEEE 5
S*
CCB Lie.: 16 T7 V Electrical Lie.: Suprv. Lie.: 301-4, 4 Subtotal 5 � �
Suprv. Electrician signature, require 6.. , O �t FI Q J e _ Plan review (25% of permit fee)
Print name: 0aa � ate: �f State surcharge (8% of permit fee) '4. ��
TOTAL PERMIT FEE 514,1
Authorized signature: j_� This permit application expires if a permit is not obtained within 180
/� t 4 Fj , _ G A r � [`JV ^ days after it has been accepted as complete
Print name: / . � ' Date: • Fee methodology set by Tri- County Building Industry Service Board
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Number of inspections per permit allowed.
i:\ Building \Permits \ELC- PermitApp.doc 12/03 440 - 4615T(I0 /02ICOM /WEB
CITY OF TIGARD a
BUILDING DIVISION PERMIT #: ELC2005D0573
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 10/13/2006
Phone: (503) 639 -4171 i ttioNt
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 1/30/"2007 TIME: 7 :03AM PAGE: 34
SITE ADDRESS: 12280 SW SCROLLS FERRY RD CLASS OF WORK:
SUBDIVISION: GREENWAY TOWN CENTER LOT #: TYPE OF USE:
PROJECT NAME: OREGON COMM CREDIT UNION
DESCRIPTION: (1) wall sign. Job No. 4837
OWNER: BPP RETAIL LLC, PHONE #:
CONTRACTOR: ES & A SIGN & AWNING PHONE #: 541 -4f35 -5546
Inspection Request Scheduled For: Date: 1/30/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 042672-01 541 - 4855546 Y
Corrections /Comments /Instructions:
V"\-\- 51 c N. I ANt 601.k)0(/)
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Cr AI Noe LL:e Date: i $ 4f 01 Phone #: (503) 718 -4