Permit CITY OF TIGARD ELECTRICAL PERMIT
I:
COMMUNITY DEVELOPMENT Permit#: ELC2022-00812
TIGARD 13125 SW Hall Blvd..Tigard OR 97223 503.718.2439 Date Issued: 12/12/2022
Parcel: 1 S 136DD03800
Jurisdiction: Tigard
Site address: 11675 SW 66TH AVE
Project: Mountainwood Homes Subdivision: WEST PORTLAND HEIGHTS Lot: 4-8&27
Project Description: Electrical for(1)illuminated wall sign: "Mountainwood Homes"and logo.
Contractor: RAMSAY SIGNS INC Owner: TANGLEWOOD DEVELOPMENT LLC
9160 SE 74TH AVE ATTN WOOD, ROBERT
PORTLAND, OR 97206 8324 SW NIMBUS AVE
BEAVERTON, OR 97008
PHONE: 503-777-4555 PHONE:
FAX: 503-777-0220
FEES
Quantity Description Date Amount
1 ea Sign or Outline Lighting 12/12/2022 $67.84
Specifics:
1 ea 12%State Surcharge- 12/12/2022 $8.14
Type of Use: Electrical
Class of Work:
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 .ay 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 law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 throuoh OAR 952-001-009N You may gptain a cony of the rules or direct auestions to OUNC by callina 503.232.1987 or 1..800 32.2344.
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Issued By: t`1 ' r: v r( 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 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.
Electrical Permit Application FOR OFFICE USE ONLY
CityofTigard Received / _. _
g Date/B (�.l.. i. Permit#: —CCU•'h)a.• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
��
a Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Related Permit#:
Inspection Line: 503.639.4175 Ready Date/By: Juris: ® See Page 2 for
T I(;A It I) Internet: www.ti and-or. ov Notified/Method: g
g 8 Supplemental information
TYPE OF WORK PLAN REVIEW
❑New construction X❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
0 Service or feeder 400 amps or more 0 Building over three stories.
❑Demolition El Other: where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10.000 amps at 150 volts or ❑Floating buildings.
❑ 1-and 2-family dwelling ElCommeIcial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family ❑Master builder ❑Other: 0 Fire pump.p. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: 36807 Job site address: 11675 SW 66th Ave. IOOHP or more. ❑"A", E', `I-2", t-3',
O Six or more residential units. occupancy.
City/State/ZIP: Tigard,OR 97223 0Recreational vehicle❑Health-care facilities. parks.
Suite/bldg./apt.#: Project name: MOUNTAINWOOD HOMES 0 Hazardous locations. ❑Supply voltage for more than
O Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: SW Baylor St&SW 67th Ave FEE SCHEDULE
Description I Qty. I Each I Total I
New residential single-or multi-family dwelling unit.
Subdivision: W263683 Lot#: R286256 Includes attached garage.
Tax map/parcel#: 1 S 136DD03800 1,000 sq.fl.or less 168.54 4
Ea.add')500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
Install(1)Circuit for(1)illuminated wall sign"Mountainwood homes"&Logo (with above sq.fl.) 75.00 2
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
0 TENANT Renewable Energy 0 See Page 2
0 PROPERTY OWNERServices or feeders installation,alteration,and/or relocation
Name: 209 amps or less 100.70 2
Address: 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP: 601 amps to 1,000 amps 301.04 2
Phone:( ) Fax:( ) Over 1,000 amps or volts 552.26 2
Email:
Temporary services or feeders installation,alteration,and/or
relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 I
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Owner signature: Date: 401 amps to 599 amps 168.54 2
Branch circuits-new,alteration,or extension,per panel
Ea APPLICANT ® CONTACT PERSON
A.Fee for branch circuits with
Business name: Ramsay Signs above service or feeder fee, 7.42 2
each branch circuit
Contact name: Chris Slovick B.Fee for branch circuits without
Address: 9160 SE 74th Ave, service or feeder fee,first 56.18 2
branch circuit
City/State/ZIP: Portland,OR 97206 Each add'I branch circuit 7.42 2
Phone: 971-334-3033Miscellaneous(service or feeder not included)
( ) Fax: :( ) 503-961-7784 Each manufactured or modular 67.84 2
Email: permits@ramsaysigns.com dwelling,service and/or feeder
Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name: Ramsay Signs Sign or outline lighting 1 67.84 67.84 2
Address: 9160 SE 74th Ave, Signal circuit(s)or limited—energy ❑ See Page 2 2
panel,alteration,or extension.
City/State/ZIP: Portland,OR 97206 Each additional Inspection over allowable in any of the above
Additional inspection(I hr min) 66.25/hr
Phone:( ) 971-334-3033 Fax:( ) 503-961-7784 Investigation(1 hr min) 90.00/hr
Email: permits@ramsaysigns.com Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lie.: 63422 Electrical Lie.: 26-106CLS Suprv.Lic.: 493SIG specifically listed CA hr min)
Suprv.Electrician signature,refit ELECTRICAL PERMIT FEES
it' Jaya-
,'„ ,/ Subtotal: 67.84
Print name: Phil Steiger �j ( }LCj/i r///�j/ )ate; 10.11.22 0 Plan Review Required(25%of permit fee):
/V State surcharge(12%of permit fee):
Authorized signature: /,� SPgfµ TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Chris Slovick Date: 10.11.22 days after it has been accepted as complete.
+ Number of inspections allowed per permit.
1:Building\Permits\ELC_PermitApp_ELR ERE.doc Rev 06/17/2015 4404615T(1 I/05/COM/EB