Permit CITY OF TIGARD ELECTRICAL PERMIT
ill ° PERMIT #: ELC2008 -00241
° COMMUNITY DEVELOPMENT DATE ISSUED: 4/30/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S113AC -01201
SITE ADDRESS: 07325 SW BRIDGEPORT RD ZONING:
SUBDIVISION: BRIDGEPORT VILLAGE LOT : JURISDICTION: TIG
PROJECT: AMERICAN APPAREL
Project Description: (4) 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: 4
LIMITED ENERGY: 401 - 600 amp: SIGNALJPANEL:
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:
BV CENTERCAL LLC HIGHLIGHT SIGN CORP
7455 SW BRIDGEPORT RD PO BOX 23667
TIGRD, OR 97224 TIGARD, OR 97281 -3667
Phone: 503 - 968 -8940 Contact #: PRl 503 - 620 -8205
FAX 503 - 624 -3725
FEES
Description Date Amount Reg #: ELE 37- 660CLS
[ELPRMT] ELC Permit 4/30/2008 $213.60 LIC 104599
[TAX] 12% State Surchar 4/30/2008 $25.63 SUP 517SIG
Total $239.23 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 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 -00 gh 0 952 - 001 -0100. You may obtain copies of these rules or direct questions to NC at t • :.6699 or 1.800.332.2344
Issued B Permittee 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 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.
electrical Permit Application FOR OFFICE USE ONLY
City of Tigard : fl l�C
—; Received v /g 'Oily � ���� e / t ,., M �
Ill DateB 7 d(/ D Permit No Jer �(J • • 13125 SW Hall Blvd., Tigard, OR 97223 . Plan Review
C Phone: 503 639.4171 Fax: 503.598 3 0 2008 Date/By. Other Permit
I C. A It D Inspection Line: 503 639 Date Ready/By. turi ® See Page 2 for
Internet. www.tigard - or gov
Cry iN. i _ - •, Notified/Method /( ? Supplemental Information
TYPE ,t ;WORK ' i• PLAN REVIEW
' New construction ❑ Addition/alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked below)
❑ Service or feeder 400 amps or more ❑ Building over three stories
❑ Demolition ❑ Other: 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 42- Commercial/industrial ❑ Accessory building amps for all other installations. buildings
❑ Multi- family El Master builder ❑ Other: ❑ Fire pump ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. A
❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ",
Job no.: I Job site address: --- rs = 1S SO Zeckkelicek-- ` Six or or more. occupancy.
❑
❑ Six or more a residential units Recreational vehicle parks.
City/State /ZIP: � - c q--12.71 ❑ Health -care facilities ❑ Supply voltage for more than
%Crt� 1 ❑ Hazardous locations. 600 volts nominal
Suite/bldg. /apt. no.: Project name: L ar¢.' ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description I tom. I Fee. I Total I •
rl� ' t IQ New residential single- or multi- family dwelling unit.
�' ` V, . 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.: oZ I '3 A{- O t2M 1 Limited energy, residential
DESCRIPTION OF WORK (with above sq ft.) 75.00 2
Limited energy, multi - family 75.00 2
T.I.s . . V. ro s:�fs residential (with above sq ft )
b ' _ Services or feeders installation, alteration, and/or relocation
200 amps or less 80 30 2
❑ PROPERTY OWNER I .s TENANT 201 amps to 400 amps 106 85 2
Q_ __ 401 amps to 600 amps 160.60 2
Name:
r U° r`t'4i` ` e-‘21,' 601 amps to 1,000 amps 240.60 2
Address: -7 32 . �� Over 1,000 amps or volts 454.65 2
Temporary services or feeders installation, alteration, and/or
City/State /ZIP:
t $c rd > Oct_ CO z. relocation
Phone: ( ) Fax: ( ) 200 amps or less 66 85 1
Owner installation: This • : Ilation is being made on property that I own which is not 201 amps to 400 amps 100.30 2
intended for sale, - -,•. exchange, according to ORS 447, 449, 670 1 , and 701. 401 amps to 599 amps 133.75 2
o� Branch circuits — new, alteration, or extension, Q er panel
Owner signature. Date: 4( t) 0 A Fee for branch circuits with
❑ APPLICANT I CONTACT PERSON above service or feeder fee, 6 65 2
each branch circuit
�`$. �` � ,�� CA Fee for branch circuits
usiness name:
h S' B. ic
without service or feeder fee, 46.85 2
Contact name: C >re � e� f irst branch circuit
Address: - :' - SW , n,L Each add'I branch circuit 6 65 2
Miscellaneous (service or feeder not included)
City/State /ZIP i V ? .. _ ()-az' 3 Each manufactured or modular 90.90 2
dwelling, service and/or feeder
Phone: tin )(„2.0- .�ZpS' Fax: : (g1)-3) 624 — 3 - 72-S Reconnect only 66.85 2
E- mail:G ekV, ci Pump or irrigation circle 53 40 2
`IrONTRACTOR Sign or outline lighting 4 53 40 .9/ 5 do 2
/ Signal circuit(s) or limited -
Business name: ►� t
S
o i %n ` DT_ energy panel, alteration, or
Address: D , \ . extension. Describe: Page 2 2
D SU� �tw1z
City/State /ZIP'.T-4 Og. q -7z-z.3 Each additional inspection over allowable in any of the above
.. Per inspection 62 50
Phone: (�� co--40 R?1pS Fax: (SL 2) ) 3) (o -- 5 Investigation per hour (1 hr min) 62.50
CCB Lic.: Electrical Lic.: Suprv. Lic.: Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: (Tr Subtotal ( 9/5.66
Print name: G ci r Date 3` (y Plan review (25% of permit fee): '-
State surcharge (12% of permit fee). a 5>, 403
Authorized signature: TOTAL PERMIT FEE: O{ " nj,. o?.3
0
Print name: Date: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
• Number of inspections allowed per permit.
I \Building\Pernits\ELC- PermitApp doe 05/23/06 440- 4615T(I I /05 /COM/WEB
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK ONLY 1
Fee for all residential systems combined $75.00
Check Type of Work Involved:
El Audio and Stereo Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System* •
❑ Vacuum Systems*
❑ Other:
[ WORK ONLY:
Fee for each commercial $75.00
system
(SEE OAR 918- 309 -0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
El Data Telecommunication Installation
❑ Fire Alarm Installation
❑ H VAC
❑ I nstrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control* •
❑ Medical •
❑ Nurse Calls
El O utdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I:\Budding\Petmns\ELC- PennttApp doc 03/23/06
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELG2Q08- 002'11
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/30/2008
Phone: (503) 639 -4171 ' I I I
Inspection Requests (24 Hrs.): (503) 639 -4175 y- °LL
INSPECTION WORKSHEET FOR DATE: 519/2008 TIME: 7:00AM PAGE: 44
SITE ADDRESS: 07325 SW BRIDGEPORT RD CLASS OF WORK:
SUBDIVISION: BRIDGEPORT VILLAGE LOT #: TYPE OF USE:
PROJECT NAME: AMERICAN APPAREL
DESCRIPTION: (4) sign lightings.
OWNER: BV CENTERCAL LLC, PHONE #: 503-968-8940
CONTRACTOR: HIGHLIGHT SIGN CORP PHONE #: 503- 620.8205
Inspection Request Scheduled For: Date: 5/9/2008 Pour Time:
Cod • - i - '.tion ,.-Gonf rm • Contact # ressage
199 Electrical final 069563-01 971 - 996 -9240 Y
Corrections /Comments ns ructions:
c Q (toN) 106' WoadkCipA PFicg. 6 0
c 1 N `1 e j L t,ECT
tP 6Nk1 --- ARI . ‘ t 0 % 2b .
411 u 36 C�x'�R, 161 FR4
b F S c..exl R,t cAL. e #044.1_
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PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
- FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: C - 7 ' . - - - r N j L‘ Date: gig ei) Phone #: (503) 718 -1