Permit CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT
Permit#: ELC2020-00229
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/18/2020
T f G A R T] 9 Parcel: 2S115AB01900
Jurisdiction: Tigard
Site address: 16200 SW PACIFIC HWY G
Project: Bliss Nails Subdivision: 1994-028 PARTITION PLAT Lot: 2
Project Description: Sign lighting for(1)sign.
Contractor: SECURITY SIGNS INC Owner: SN PROPERTIES PARTNERSHIP
2424 SE HOLGATE BLVD 1121 SW SALMON ST
PORTLAND, OR 97202 PORTLAND, OR 97205
PHONE: 503-546-7114 PHONE:
FAX: 503-230-1861
FEES
Quantity Description Date Amount
1 ea Sign or Outline Lighting 05/06/2020 $67.84
Specifics:
1 ea 12%State Surcharge- 05/06/2020 $8.14
Electrical
Type of Use: COM
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $75.98
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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 the 180
days. ATTENTION. Oregon la requires you t ollow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952 1-009 ou may in a copy rules or direct questions to OUNC by calling 503.232.19 or 1.800.332.2344.
Issued By: '� l 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' Date:
LICENSE NO.
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
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.
RECEIVED
Electrical Permit Application APR 1 5 2020 1OR Ol1K !.USE ONLY
City of Tigard Received
13125 SW Hall Blvd.,Tigard,OR 97223;�ITY OF TI GAR D Plan R view `� ^ *AP
�r
I Phone: 503.718.2439 Fax: 503.598.I ILDING DIVISION Date/6 : 2 " - .P1M4IIIMIM
Inspection Line: 503.639.4175 Ready Date/By: NM ®See Page 2 for
'I'IGARU Internet: www.tigard-or.gov Notified/Method: Supplemental information
TYPE'OF WORK PLAN REY3EW
KNew construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked)
0 Service or feeder 400 amps or more ❑Budding over three stones
❑Dem011UOn ID Other:
where the available fault current ❑Marinas and boatyards.
CATEGORY OF CONSTRUCTION`%� <, _ exceeds 10,000 amps at 150 volts or ❑Routing buildings.
❑ 1-and 2-family dwellingCommercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family ❑Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION h 0 Emergency system. larger separately derived
0 Addition of new motor load of system
Job#: I Job site address: /6� s/� P
� � �G�� 100HP oc more. ❑"a^ "E'• '•(-2" "(-3"
City/State/ZIP: -7 ❑six or more residential units. occupancy.
��6,q72,9 C/C ❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bid SUITE G I Project name:e,,,J J AjA-/(.,5 4 S//- 0 Hazardous locations. ❑Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal
Cross Stracuuuccuuus to job site: := ''''''I'''''':' - `FEE-SCHEDULE
`Description I Qty. I Each I Tot ol I •.
New residential single-or multi-family dwelling unit.
Subdivision: I Lot#: Includes attached garage.
S //SH-z3 0/ l / 1,000 sq,ft.or less 168.54 4
Tax map/parcel#: 6 Ea.add'I 500 sq.ft.or portion 33.92 1
DES CAUTION OF WORK - Limited energy,residential
/)ir;s, 7n 7-- - /d��/ 5/L 4/ (with above sq.ft.) 75.D0 2
F[q//t!. L (s �J<�! Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
Renewab Energy ❑
:❑ PROPERTY OWNER "-_ :- - ',3'ENAN'P Services or le feeders installation,alteraSeetionPage,and/Z
or relocation
Name: 4 t 155 NA/Ls d 5P4— 200 amps or less 100.70 2
Address: I bz oo s'zi) /k!`fc_ �c (7 201 amps a 400 amps 133.56 2
r v- 401 amps to 600 amps 200.34 2
City/State/ZIP: 't2 6 q7�2q 601 amps to 1,000 amps 301.04 2
Phone:( ) r-� Fax:( !) Over 1,000 amps or volts 552.26 2
Email: Temporary services or feeders installation,alteration,and/or
relocation
Owner installation:This inst lation is being made on property that I own which is not 200 amps or less 59.36 1
intended for sale,lease,/rp�n//p than according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Owner signatu e: / t{' / l Date: 401 amps to 599 amps 168.54 2
Branch circuits—new,alteration,or extension,par panel
' APPLICANT ;; I . ;. it?oIj`TACT 5TRSON , A.Fee for branch circuits with
Business name: CURITY SIGNS,INC above service or feeder fee, 7.42 2
each branch circuit
Contact name:CYNDI STOCKS B.Fee for branch circuits without
A service or feeder fee,first
Address:2424 SE HOLGATE BLVD 56.18 2
branch circuit
City/State/ZIP:PORTLAND,OR 97202 Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(503)546-7102 I Fax: :(503)230-1861 Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email:permits@securitysigns.com Reconnect only 67.e4 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name:SECURITY SIGNS,INC Sign or outline lighting ' j 67.84 y? .. IA 2
Address:2424 SE HOLGATE BLVD Signal circuit(s)or limited-energy 0 See Page 2 2
panel,alteration,or extension.
City/State/ZIP:PORTLAND,OR 97202 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(503)546-7102 I Fax: (503)230-1861 Investigation(1 hr min) 90.00/hr
Industrial plant(I hr min) 78.18/hr
Email:permits@securitysigns.com
Inspections for which no fee is 90.00/hr
CCB Lie.: 122809 I Electrical Lie.: 26- I Suprv.Lie.: 383-SIG specifically listed(Vs hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: I
Subtotal: (`y 7 11:4-,
Print name: MARC LINDQUIST Date: O l /y/2Q 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee): ,ij.-(-)
Authorized signature:� � �?/j /) TOTAL PERMIT FEE: y ;hi 51
_(!"— //t / This permit application expires if a permit k not obtained within 180
Print name: CYNDI STO KS Date: I! L/2Q days after it has been accepted as complete.
Number of inspections allowed per permit.
I:\BuildingWPcrmiatELC_PcnnitApp_ELft ERE.dac Rev 06/172015 440-4615T(I IN5/COMIWEB