Permit C ITY OF TI GAIL ELECTRICAL PERMIT
PERMIT #: ELC2006 -00003
i i � DEVELOPMENT SERVICES DATE ISSUED: 1/4/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171
PARCEL: 2S 112DA -00300
SITE ADDRESS: 15230 SW SEQUOIA PKWY 100 ZONING: I -P
SUBDIVISION: PACIFIC CORPORATE CENTER 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: 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:
PAC TRUST MULTI -LIGHT SIGN CO.
15350 SW SEQUOIA PKWY. #300 809 NE LOMBARD ST
PORTLAND, OR 97224 PORTLAND, OR 97211
Phone: not on application Contact #: FAX 503 - 280 - 9624
PRI 503 - 281 -3083
FEES
Description Date Amount Reg #: LIC 64107
[ELPRMT] ELC Permit 1/4/2006 $53.40 SUP 672SIG
[TAX] 8% State Surcharge 1/4/2006 $4.27 ELE 26 -90CLS
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 o her applicable laws.
All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 d otrissu ce, or if work is
suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Ore n Utility otification Ce -r. Those
rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules o direct stions to 0 • • at
503 - 246 -6699 or 1 -8 332 -2344
Issued By: Permittee Signature: ,7
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.
2.00G —vcb0 S
E1etrica Permit ApplWft E II \LE FOR OFFICE USE ONLY
City of Tigard Received 1 Q Permit No.
Date/By: / 7 O6f �r J Rjg 6 00003
13125 SW Hall Blvd., Tigard, OR 97223 JAN u Plan Revie
Phone: 503.639.4171 Fax: 503.598.1960 2O' %u r1 ¢d l +I i i\ Date/By: Other Permit:
Inspection Line: 503.639.4175 CITY OF TIG' ' Date Ready/By: 5 ri RI See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information
Rug ninln nlvlclOiq
a't .- TYPE °UF :ViIORIC - Q; : =PI4N .REVIEW
w construction 0 Addition/alteration/replacement Please check all that apply:
❑ Demolition ❑Other: rvice over 225 amps, comm Hazard us location
❑Se 'I o
P
Service over 320 amps - rating uildn over 0 0 s .
❑ 0 0 ps g❑ g 1 ,00 q ft.,
_
CA. EGOR• + OF- . - "'' a"'.' : ;f'" of 1- and 2-family dwellings 4 or more new residential
❑ 1 and 2 family dwelling ercial /industrial ❑ Accessory building OSystem over 600 volts nominal units in one structure
❑ Multi family ❑ Masts builder ❑Other: DBuilding over three stories ❑Feeders, 400 amps or more
❑Occupant load over 99 persons ❑Manufactured structures or
J_OB:'SITE;INFORMATIONN ;°AND - ,LOCATION? t _ ' ❑Egress /lighting plan RV park
Job no.: Job site address: �?� CIA/ CIA/ 0/ ❑Health -care facility ❑Other:
id. Submit 2 sets of plans with any of the above.
City/State /ZIP: `! /0 The above are not applicable to temporary construction service.
Suite bldg. /apt. no.: �f� Project name: / ` <-- � - . i = 'n �� F EE *- .SCHEA1)LE" e e ` ,
- / //1 ' ' '' ption I Qty. I F I Total
Cross street/directions to job site: J 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
" t4" '. ='T DESCRIPTION: OP WORT{ ' • '" .> Each manufactured or modular
dwelling, service and /or feeder 90.90 2
� . - Yl% :'�.: ;, - Services or feeders installation, alteration, and/or relocation
�� 200 amps or less 80.30 2
° „ "A❑ PROPERTY'OWNEW',,-:' ;.I. - .. TENANT: ': ` .':
201 amps to 400 amps 106.85 2
..: , A ., 401 amps to 600 amps 160.60 2
Name: 1n 6 01 a s to 1,000 amps 240.60 2
1' C '��- . >� ►� >•L�1 aU FAIi AIL JGi r mP mP
Address: /5 r "
't'v -t�� •2CI �.� Over 1,000 amps or volts 454.65 2
tY Reconnect only 66.85 2
� City/State /ZIP: G C Z 2 Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) N(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
'APPLICANT ' ” CONTACT PERSON . A. Fee for branch. circuits with
° _� ` .` :',,:',1111. "�:,'•a' ❑ N . .. service or feeder fee, each
Business name: branch circuit 6.65 2
B. Fee for branch circuits
Contact name: without service or feeder fee,
each branch circuit 46.85 2
Address:
Each add'l branch circuit 6.65 _ 2
City/State /ZIP: 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-
: =. _, . ;: - : , > ' • I T : ' CT •'O - ,n .,z - - _ " ' : " energy panel, alteration, or
extension. Describe: Page 2 2
Business name: `� ' rr _
Address: / ,,,,,,, ' ��� Each additional inspection over allowable in any of the above
- � / • - i Per inspection 62.50
City/State /ZIP: ./.� ` �` � 7� Investigation per hour (1 hr min) 62.50
F a x : '/ Indust plant er hour 73.75
�j p �� ELECTRICAL E CT R IC AL ::P F EES
Phone: ( 7/) ., i 7 yQ P P
CCB Lic.: ..1 0 Electrical Li _ Su Lic ' � _ . Subtotal
5 -3 . c/U
Suprv. Electrician signature, requ / Plan review (25% of permit fee)
Print name: ye - / !-4 D at � State surcharge (8% of permit fee) a
` � TOTAL PERMIT FEE S�• 7
Authorized signatur . / . / / J This permit application expires if a permit is not obtained wit to 180
ice - S te , days after it has been accepted as complete
Print name: — � ' 1 , � l . • Fee methodology set by Tri- County Building Industry Service Board
- .40 •• Number of inspections per permit allowed.
— — i:\Building\Permits\ELC- PermitApp.doc 12/03 44' 4615T(1 /02/COM/WEB
s. -e
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
?�� RES IDENT W�7 a ...-
,�1'' 1�11'O \ L, : J �`'�m�E � "`=�'�,�...-
Fee for all residential systems combined ... $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning
System*
❑ Vacuum Systems*
❑ Other:
CO` -1;` _ RCIAL WORK.ONLY ; . ~'
Fee for each commercial system $75.00
(SEE OAR 918 - 260 -260)
Check Type of Work Involved:
❑ Audio and Stereo Systems • s d
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
. ❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
\Building\Permit &ELC•PemnitApp.doc 04/03
CITY OF TIGARD ..
BUILDING DIVISION PERMIT #: FI_.e2006_000
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: .1/417A)0 6.
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 2/2./2OOP TIME: 7:01AIvi PAGE: 79
SITE ADDRESS: 15230 `/ SEQUOIA Psi <M 100 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT ,NAME: , ERICAN CRAFTSMAN
DESCRIPTION: :3i 1 lighting
OWNER: PAC r t1;� i°, PHONE #: ttna. on : pplICZ4ion
CONTRACTOR: MULTI -I_ ,I iT SIGN CO. PHONE #: 503
83
Inspection Request Scheduled F. : Date:
1/B/2006 Pour Time:
Code # Inspection Descriptio Confirm # Contact # Message
199 Electrical final 027386-0/ 503 - 281..3083 N
Corrections /C Instruction
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: GAR oe Date: 4406_ Phone #: (503) 718 - 7/4