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Permit CITY OF TIGARD ELECTRICAL PERMIT ' COMMUNITY DEVELOPMENTIN Permit#: ELC2021-00101 P. 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 3/1/2021 T I i;;�I..[} g Parcel: 2S102CC00500 Jurisdiction: Tigard Site address: 13500 SW PACIFIC HWY 46 Project: T Hair Lounge Subdivision: None Lot: None Project Description: (1)wall sign connection Contractor: JERRY M YOUNGER Owner: ROIC OREGON LLC 840 NE VILLAGE SQUIRE AVE BY PROPERTY TAX RESOURCES LLC GRESHAM,OR 97030 PO BOX 130339 CARLSBAD, CA 92013 PHONE: PHONE: 503-380-4774 FAX: 503-253-9407 FEES Quantity Description Date Amount 1 ea Sign or Outline Lighting 03/01/2021 $67.84 Specifics: 1 ea 12%State Surcharge- 03/01/2021 $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 is 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 law requires .4 to follow the rules adopted by the Oregon Utility Notification Center. Those rules are, set forth in OAR 952-001-0010 through OAR 952-001-009r' .. may.btain-copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: �/���'��/ Permittee Signature: Pa 1/16; "0#14r OWNER INSTALLATION ONLY The installation is being made• 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. ti e4"6(11-07-z, ,,i(e c693., ? -zer.„ kx, / , ?-c-67 pe.4 67_ ,tc (4 ‘qCe- -1/4/(0, , 07 Jew �s Ft 2' Klectrical Permit Application i(eft I if f l(I l>F()\EN. Date/Bv:0�01 21 ' permit#:e 02i- I b City of Tigard Date/By: w 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Related Permit f: Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Inspection Line: 503.639.4175 Ready Date.By: June: ' to See Page 2 for Notified/Method: Supplemental luforrnation "' Internet: www.tigard-or.gov TYPE OF WORK PLAN REVIEW r r ` - 0 Addition/alteration/re placement Please check all that apply(submit 2 sets of piens w/items checked): New construction P 0 Service or feeder 400 amps or more 0 Building over three stories. []Demolition Other: where the available fault current 0 Marinas and boatyards. C4�T B.Y OF,t oNsTfi,!JCI1O►'i exceeds 10,000 amps at 150 volts or [1 Floating buildings. less to ground,or exceeds 14,000 0 Commercial-use agricultural ❑1-and 2-family dwelling Commercial/industrial 0 Accessory building amps for all other installations. buildings. ❑Multi-family IC Master builder a Other: 0 Fire pump. In Installation of 150 KVA or JOB SITE P4FORYdATiON AND Loo nDi ,. ❑Emergency system. larger separately derived ❑Addition of new motor load of system. Job#: ` Job site address: 1.3 Cap %U) [>dt,A G 1414)c 10011P or more. 11 occupancy. ,.-� 0 Six or more residential.mats. City/State/ZIP: i O.d �. 4 3.-2,;1r ❑Health-care facilities. ©Recreational vehicle pu'ks. I i Hazardous locations. 0 voltage for exec than Suite/bldg./apt.#: gteI Project name: t ,}# -4Q � a_ - L3 Service or feeder 600 amps or snore. 600 SUppiY volts nominal. Cross street/directions to job site: i74 c'� ; vz scal+r ' Deseriptiaa i T Qty. I Each € TKY I " _ New residential single-or multi-family dwelling unit, Lot#: Includes attached garage. Subdivision: 1,000 sq.ft,or less 168.54 4 Tax map/parcel#: Ea,add'l 500 sq.ft or portion 33.92 1 DESCR3d'TiOtN OF WORK ' "Ql # ": ".. aW Limited energy,residential 75.00 2 /0 `t (with above sq.ft.) k}+2�,t(< ci iA �1 [,,E 4t Limited energy,multi-family 75.00 2 `t residential(with above sq.ft.) Renewable Energy Q See Page 2 PROPERTY," ._.. i Cl. Services or feeders installation,alteration,and/or relocation 200 amps to less 100.70 2 Name: 201 amps to 400 amps 133.56 2 Address: 401 amps to 600 amps i 200.34 2 City/State/ZIP: 601 amps to 1,000 amps 301.04 a 2 (a i c g`_(r4.6 c I Fax:( ) Af Over 1.000 amps or volts 552.26 2 •Phone:(A( } Temporary services or feeders installation,alteration,and/or Email: -� Lkta-y t. # ., r—o/`f2,4, -/. , 1U P '. _relocation -ter try 54.3fi l Owner installation:T u installation is being made on property that I own which is not 200 amps or less intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 T 2 'CONT 4,CT E Date: 401 amps to 599 amps 168.54 2 Owner signature: Branch circuits-new,alteration,or extension,per panel p APPLlCA1ti i ,. t ;]! A.Fes far branch crrcu• •'with `Business name: Li t L L e„... above service or feeder fee, 7.42 2 1^�_/ j each branch circuit B.Fee for branch circuits without Contact name: A,(h( - service or feeder fee,first r1t �r ? i r4 branch circuit 56.18 2 Address: b to j S Y"•: oil)�t a ' 'e City/State/ZIP: � in t 4 �/ CJ4�7 / ! Each add't branch circuit 7A2 j 2 O i — Miscellaneous(service or feeder not included) Fax::( } �,,,.....-, Each manufactured or modular 67.84 l 2 Phone:{ �{ p j _dwelling,service and/or feeder Email: 44,4:, + .'re, /. t"_.f Reconnect only 67.84 2 COISIVACranl , _"''';'''. .;`,0 Pump or irrigation citcie ! 67.84 2 Business name Jr,' gn or outline lighting 67.84 6'7_ 2 ta. !i!Ikkre, Signal circuit(s)or limited-energy See Page 2 2 Address: ft i!7 T iwco /'i} y�Q {f.16 -e panel,alteration,or extension. ETs' Each additional inspection over allowable in any of the/hove City/State/ZIP: el•- a 0l� y Q , Additional inspection(1hrmin) 66.25/hr "�� Phone:(cQ Investigation(1 hr min} - 90.00/hr t. Fax:( ) ��4- 78.18/hr Z•j) 1 � " �1 t� ' Irtinspedtuuiaicti plainfar(1 rhichh min Email: j �j l a� I Ji/r ons w eta)fee is 90.001 hr GCB Lic.: -^7 7,col c I Elm'' " .. _ up svecifical€y listed(h hr min) f ."I Lic,: l7 �1 ..ELECTRICAL, PERMIT FEES t y Suprv.Electrician signature,req c d: �� --•-• Subtotal: i 67%t. !` t L J p Nan Review Required(25%of permit fee): ,,T Print name: j. 61-r te' { �2 �'J State surcharge(12%of permit fee): I i , 1 TOTAL PERMIT FEE: t �( Authorized signature: This permit application expires if a permit is not obtained wi n 780 Print name: �, - { �,_. Z-- ate: II t 5: days after it has been accepted as complete. a Number of inspections allowed per permit. i:tBui ing\Pe nitsiELC_PermRApp_E1St ERE.dec Rev 06/17,2015 440-4615T 11051COMlw B