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Permit (8) rt CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit #: ELC2010 -00324 1 3125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 07/02/2010 IIGAFLDj g Parcel: 2S103DD00500 Jurisdiction: Tigard Site address: 13707 SW PACIFIC HWY Subdivision: Lot: 0 Project: BUSTER & LILLY'S DOGGIE DAYCARE Project Description: Sign lighting. Owner: FEES WILSON'S TIGARD RETAIL CENTER IN Quantity Description Date Amount BY ORIX CAPITAL MARKETS, LLC, ESCROW ADMIN, 1717 MAIN ST, 8TH FL 1 ea Sign or Outline Lighting 07/02/2010 $67.84 PHONE: 1 ea 12% State Surcharge - 07/02/2010 $8.14 Electrical Contractor: COASTAL SIGNS LLC PO BOX 1243 WILLAMINA, OR 97396 PHONE: 503 - 876 -8994 FAX: 503 - 876 - 8483 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 law requires you 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 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By: 0**(,' 1.gh� 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' Date: LICENSE NO. CaII 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. Permit A l P pp r * �.� � , � 4k OR O FF I CE 3 U SE.0 NLY� ' " .'N'- a� t ` P `- Electrical Appl icati • � : ` ` � � ;F: r,, . , i.; ;��, ,. � ,, a -T, Fr1 ,t a � o ecE City of Tigard g. 10 Date /B /1 / -� Penrnt No.: 1: e p a 13125 SW Hall Blvd., Tigard, OR 97223 11 N P Plan Review k T 1G + s Phone: 503.639.4171 Fax: 503.598.I96 ` Date /B : Other Permit: � 'A RD t ° 1 Inspection Line: 503.639.4175 "G'f ri7" . v ; Ready /By: ® See Page 2 for Yeil:P « Internet: www tlgard or gov �'` { , t [ W J�� Supplemental Information 1�� otified /Method. � t Su , i_'Y �;� �3 �`����`as ,* �� �,., :, � 1�'FE�OF� �, .„��,'�`' �_ ` �r � �ri�'� m ���' „"€ �Pd.A1VV,.)ItEV)[IEW. . '�•,f• _,� "',�"�`�: rigi New construction ❑ Addition /alteration /replacement Please check all apply (submit 2 sets of plans wlitems checked below): ❑ Service or feeder 400 amps or more 0 Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. ' EATE RY OF 1:�NS1 • R„ 7617 Y , ' '` e r t k? exceeds 10,000 amps at 150 volts or ❑ Floating buildings. ��a less to ground. or exceeds 14,000 ❑ Commercial -use agricultural ❑ i- and 2- family dwelling MCommercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or �& S t , ,,, ,.�,- ,F "" 7 � - 1:1 Emergency system. larger separately derived system. i ; 4 - r_ d,OB 31T Il1V 0:719E'lir r 1 Li,PII I.00A IZR i e ❑ Addition of new motor loo of ❑ do "A” "E" ••I -2" . •1 -3" I00HP or more. occupancy. Job no.: Job-site address: r0 7 QC I T 1t. W� El Six or more residential units. 0 Recreational vehicle parks. City/State /Z1P t G a r t J © ' r - 1 7� Z ❑ ❑ Health -care facilities. ❑ Supply voltage for more than J / Hazardous locations. 600 volts nominal Suite/bldg. /apt. no.: Project name: / L7 ev 1--(, 1 J � `. ❑' Se rvtce or feeder 600 amps or more. i Cross street/directions to job site: Description 1 Qty. 1 Fee. 1 Total 1 * New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 168.54 4 Ea. add'l500 sq. ft. or portion 33.92 1 Tax map /parcel no.: Limited energy, residential 67.84 2:. CA; , I ; ',1 441.' F-DE R S iIPTH®101 W®RIC r , "(4 ' s ` t t ;,; (with above sq. ft.) ' /� r '^ Limited energy, multi - family 67.84 2 C3 f\ •uf e 5 1 9 ;v/ l! I E I-eCts 0 �{- I 1 `'JO � residential (with above sq. ft.) Services or feeders installation, alteration,.and/or relocation '200 amps or less 100.70 2_ v t �y;: _ ._ :' i; 201 amps to 400 amps 133.56' 2 �'' s lal P'ROPERTnYO�VNER �. ` �` f . "s'' ,:�,.�'d'�N`4RP1' ' xw �t� r` t 401 amps to 600 amps 200.34 2 Name: U e V ( ( � ✓�.� 4d p � J � A . (` .�(!� 9 C/ ( •e y 0 c eow 'e 601 amps to 1,000 amps 301.04: 2 Address: /37c 7 . J l Over 1,000 amps or volts 552.26 2 (� Temporary services or feeders installation, alteration, and/or City/State /ZIP: (' S a ir d �. t 9 ' 7? 3 -'3 relocation Phone: (s O3) (7/ 0 /— 3 7 ye l Fax: ( ) 200 amps or less 59.36 1 201 amps to 400 amps 125.08 2 Owner installation: This installation is being, made on property that I own which is not 401 amps to 599 amps 168.54 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. Branch circuits - new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with r° 3^ ' M above service or feeder fee 1 4 '` 1 t i:i' C®11:00:n)i N ` 7.42 2 '= ",aA1lIiNT r. >K f7 s ,. each branch circuit Business name: �`, ` 1 / B. Fee for branch. circuits without U' ' ' I ` � 17 1! Q ���� -A4 �" service or feeder fee, first 56.18 2 Contact name:O �$ t � �L(� branch circuit Z. � Address' j x Miscellaneous (service or feeder not included) 2 tY Ci /State / WI 1 ,Q — 9i -1 Each manufactured or modular 67.84 2 �,- 3 i' •• dwelling, service and/or feeder Phone: % ) . 9 .' I Fax: Y - 19) Reconnect only 67.84 2 .A t / w7 � . 7 $ / Pump or irrigationcirele 67.84 '/ 2 E ,, I � �ii ,l ira A, I I 1 Sign or outline lighting r 67.84 La 2ii 2 4:1- 'G''`.. ,? 3 °; COP1 CA40. O.,.,, ,; ." k r. ,s 5 _i i'' : ., Signal circuit(s) or limited- energy ! 1 Business name: c© ` �(SN - ` f+ L panel, alteration, or extension. Page 2 2 S t Each additional inspection over allowable in.anyof the above Address: p"� a o / , / �C L� Additional inspection (1 hr min) 66.25/ hr City /State /ZIP: V � Investigation (1 hr min) 66.25/hr l`(// l� ( � t�hlG �' 7 3 2 ! y lJ industrial plant (1 hr min) 78.18/ hr Phone: �j 7 ! tJ - Fax: l 7 ) O O g �r s inspections for which no fee is O / 10 90.00 / hr specifically listed (/a hr min) CCB Lic.: r j :Lpry , Lic.:: 630 Sr& ,. _ ELEETRICAL PERK T FEpS k;; .. 0, l I Subtotal / Suprv. Electrician sit.tur•, required: • � M k,/ r / I �i i Plan review (25% of permit fee): Fv , Print name: T% B S /-{ , ' . . e g Date: 6 ! / State surcharge (12% of permit fee): g, / — ` ' / TOTAL PERMIT FEE: ' // /� �� ? Authorized signature 77 ' O / Irk permit it application expires if a permit is not obtatnYd�sithin 180 / � . days after it has been accepted as complete. p Print name: f e 1- ,J ` _ Date: 6 -/ -�((� / /F / S � P Number of inspections allowed per pennit. t: 1Buildine !Permi:s'El.C- Permi,App.doc 10,01 +09 440- 40151(11/05/COM /WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: SII) YVTIAL WOR SO L I:Iti ,. ;" y ,1 Fee for all residential systems combined $67.84 Check Type of Work Involved: ❑ Audio and Stereo Systems* n Burglar Alarm n Garage Door Opener* n Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: a _ itela W.Q ` t om' Fee for each commercial $67.84 system (SEE, OAR 918-309-0000) , Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ F-IVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* LI Protective Signaling Other Total number of commercial systems: L. *No licenses are required. Licenses are required for all other installations I: \Building \Permits \ELC -Penn it App.doc 1 0,01/09