Permit III '� CITY OF TIGARD ELECTRICAL PERMIT
° PERMIT #: ELC2008 00331
° COMMUNITY DEVELOPMENT DATE ISSUED: 6/11/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S112DD 01100
SITE ADDRESS: 15700 SW UPPER BOONES FERRY RD ZONING: C -G
SUBDIVISION: LOT : JURISDICTION: TIG
PROJECT: HOLIDAY INN EXPRESS
Project Description: (2) sign lightings.
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:
BHGAH TIGARD, LLC MEYER SIGN CO OF OREGON
PO BOX 1670 15205 SW 74TH AVE
WILSONVILLE, OR 97070 TIGARD, OR 97223
Phone: 503 - 783 -5222 Contact #: PRI 503 - 620 -8200
FAX 503 - 620 -7074
FEES
Description Date 'Amount Reg #: ELE 20- I90CLS
[ELPRMT] ELC Permit 6/11/2008 $106.80 LIC 64014
[TAX] 12% State 6/11/2008 $12.82 SUP 566SIG
Total $119.62 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Muniapal 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 • •' Al uestions to OUNC at
503.246 6699 0 6.33 344.
Issued By: l , J� _
� Permittee Signaturey/ I/
i��,
MI
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.
E.St Permit Application - FOR OFFICE USE ONLY -
City of Tigard Received
Date/By t .41 'erg Permit No.. EG-C L 9 33/
II 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
C Phone: 503.639.4171 Fax. 503 598.1960 Date/By. Other Permit.
T I G A K D Inspection Line 503.639 4175 1 O Date Ready /By loos 0 See Page 2 for
Internet: www tigard- or.gov � �,, cg, m6 ?Q Notified/Method: �
O /D _ I Supplemental Information
TYPE OF lJ PLAN REVIEW
Please check all that apply (submit 2 sets of plans w /items checked below)
❑ New construction ❑ Addition/alteration/replacement
❑ Service or feeder 400 amps or more ❑ Building over three stories
❑ Demolition - • Other: 5\ I;� where the available fault current ❑ Marinas and boatyards
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ 1 - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations buildings
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately denved system
A
❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "I -3 ",
' p 00HP or more. occupancy
Job no.: Job site address: 15 700 S1n1 uePb. 6oOP S Cr. ��Q R ' ❑ Six or more residential units. ❑ Recreational vehicle parks.
City/State /ZIP: 'rt &ARO , O ( . q70 3S ❑ Health -care facilities ❑ Supply voltage for more than
❑ Hazardous locations 600 volts nominal
Suite/bldg./apt. no.: Project name: H O LIOAY INn) Ex ? .EsS ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description I Qty. I Fee. I Total I •
C New residential single- or multi- family dwelling unit.
SW uPPE(Z( oN FE KAY .)1JJ SE(1 JOl (N1.41 Includes attached garage.
Subdivision: Lot no.: 1,000 sq ft or less 145.15 4
Ea. add'I 500 sq ft or portion 33 40 1
Tax map /parcel no.: Limited energy, residential 75.00 2
DESCRIPTION OF WORK (with above sq fl )
" v \ Limited energy, multi - family 75.00 2
C TL1-uM 1AlA'I E.17 SGT Or C I1 A A ME 1_ I. Ol e 95 1(a X 7 Z. residential (with above sq ft )
Services (1) 5) F "l -l-IM I NA1 ED D AECT IoNA L.5 I 6n1 2 2 X 1. 200 amps feeders i nstallation, alteration, or less and/or relocation
2
❑ PROPERTY OWNER I O NANT 201 amps to 400 amps 106 85 2
Name:
Li IDAy INN Ex ME SS 401 amps to 600 amps 160 60 2
601 amps to 1,000 amps 240.60 2
Address: I r)700 sldu jPPEJ gooNES Fe R2Y RD Over 1,000 amps or volts 454.65 2
City/State /ZIP: TI 6� 1 0 coo l5 Temporary services or feeders installation, alteration, and/or
relocation
Phone: (503) 6 20 - 2 9 $ 1 0 Fax: (5a3 ) 639 - 1 0 200 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 599 amps 133.75 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
g A. Fee for branch circuits with
g APPLICANT I ❑ CONTACT PERSON above service or feeder fee, 6.65 2
each branch circuit
Business name: M Ele(Z 516) CO . nr' o eE 60k) B. Fee for branch circuits
Contact name: without service or feeder fee, 46 85 2
STE dE -t u IZP H Y first branch circuit
Address: (5 205 VJ y Ave- Each add'I branch circuit 6 65 2
S 7 Miscellaneous (service or feeder not included)
City/State /ZIP: 'r'16AQp ok. 9 Each manufactured or modular 90.90 2
dwelling, service and/or feeder
Phone: ( td?_0- 8'200 ( 5 0 3 ) 6 2 . 6 - 7 0 7 y Fax: : 707y Reconnect only 6685 2
E -mail: PEiginli5 e He YE/ZS J 6N Co . CO/t9 Pump or irrigation circle 53 40 2
CONTRACTOR Sign or outline lighting o Z 53.40 ( , - gf)2
Business name: mEyCQ 516/J CU. or 0J2�6 Jl1 Signal panel, or limited-
O energy panel, alteeration, or
extension Describe Page 2 2
Address: 152z S 5 W 7 Aue
City /State /ZIP: Tf , p 002 9742.9 Each additional inspection over allowable in any of the above
Phone: Per inspection 62.50
150 � 6 Z O '$2U O Fax: (So 3) 6Z t'�- 7U7L/ Investigation per hour (1 hr min) 62 50
CCB Lic.: 4,4 ,0( �'� � , � 1 1 Electrical Lic.: Z0-_j, y �/ Ktiuprv. Lic.: ‘ QG„ lndustnal plant per hour 73 75
b� ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: ' —'1 - Subtotal. 106.g0
Print name: / 0 1 L L � ��t Date: ( .41�s ` Plan review (25% of permit fee):
' State surcharge (lf permit fee) 12. 17
',
Authorized signature �- �� :2 / TOTAL PERMIT FEE. /a 4 ( L
Date: l --�� This permit application expires if a permit is not obtained within 180
Print name:
�(- (( k /p 1 days after it has been accepted as complete.
/V� • Number of inspections allowed per permit
I \ Building \Permits\ELC- PermitApp doe 05/23/06 440- 4615T(t l /05 /COM/WEB
Electrical Permit Application.- City of Tigard
Page 2•- Supplemental Information
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK ONLY:
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:
COMMERCIAL WORK ONLY:
Fee for each commercial $75.00
system
(SEE OAR 918- 260 -260)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ 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
I \BuJdmgWermits\ELC- PermiApp doc 03/23/06
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2008 -00331
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/11/2000
Phone: (503) 639 -4171 A'
Inspection Requests (24 Hrs.): (503) 639 -4175 s ...
INSPECTION WORKSHEET FOR DATE: 7/16/2008 TIME: 7:00AM PAGE:
SITE ADDRESS: 15700 SW UPPER BOONES FERRY RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: HOLIDAY INN EXPRESS
DESCRIPTION: (2) sign lightings.
OWNER: E3HGAH TIGARD, LLC, PHONE #: 503
CONTRACTOR: MEYER SIGN CO OF OREGON PHONE #: 503 - 620 - 8200
Inspection Request Scheduled For: Date: 7/16/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electiical final 072679 -01 503-620-8200 N
Corrections/Comments/Instructions:
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 1 ' 1 111 4 \ Phone #: (503) 718-