Permit (48) CITY OF TIGARD ELECTRICAL PERMIT
= COMMUNITY DEVELOPMENT Permit#: ELC2017-00680
[ 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/28/2017
�[ '�'"� Parcel: 2S103DD00500
Jurisdiction: Tigard
Site address: 13727 SW PACIFIC HWY
Project: Tigard Shopping Center Subdivision: MELROSE Lot: 8
Project Description: Sign lighting for(1)sign.
Contractor: SECURITY SIGNS INC Owner: VPT LLC
2424 SE HOLGATE BLVD 610 SW ALDER ST STE 1221
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 09/28/2017 $67.84
Specifics:
1 ea 12%State Surcharge- 09/28/2017 $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 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 952-001-0090. Y. • -- - . -copy of the rules or direct questions to OUNC by calling 503.2 .1987 or
1.800.3 .23.44.
Issued By: P_einiittee 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.
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
City of Tigard H E Lit ' i ; Ireceived
. 4 13125 SW Hall Blvd.,Tigard,OR 97223 Plan R ]�� "� r_ ✓1UM
. Plan Review L-'
Phone: 503.718.2439 Fax: 503.598.1960 4 E�" 1 l 0 17 Date/B : Related Permit#: ; t ; Cu/` tU
T I _ R D Inspection Line: 503.639.4175 Ready Date/Byt?,7y 7 40,0 . See Page 2 for
Internet www.tigard-or.gov Notified/Methott K! f
L Supplemental Information
r a r q
r� . i, ...;.T. - a7� '�' k l_. ", _,t� : s A 1 ( lT t / :K (A iii
❑New construction i74 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
0 ❑Service or feeder 400 amps or more ❑Building over three stories.
Demolition 0 Other:
where the available fault current ❑Marinas and boatyards.
�4 i, cr ait? „J:M:!::t , -) srte' jT exceeds 10,000 amps at 150 volts or ❑Floating buildings.
0 1-and 2-family dwelling EXCommercial/industrial 0 Accessory building less to gronnd,or exceeds 14,000 ❑Commercial-use agricultural
amps for all other installations. buildings.
0 Multi family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or
' ,t n # 1* , li , Il 4, Tom( * re ❑Emergency system. larger separately derived
/� Addition of new motor load of system.
,
Job#: 31SI sV) I Job site address: l 3'72-7 513 / /l C loollP or more. ❑"A","E","1-2","1-3",
City/State/ZIP: 7-1414-1242 Q k 17 p„22 ❑Six or more residential units. occupancy.
�JHealth-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: I Project name: j'14q-,,,() 5.F13enN1; "iral Hazardous locations. ❑Supply voltage for more than
'7Service or feeder 600 amps or more. 600 volts nominal
Cross street/directions to job site: i i ...i t Il
,i°n � r 1" „ )' �°rte
�' m� - 1, ,__ ,,,
1111-11 t>iPt///E M 5T- Description I Qty. Each I Total I *
F1 1SS[�t(/�I.. New residential single-or multi-family dwelling unit.
Subdivision: I Lot#: Includes attached garage.
Tax map/parcel#: .1 5 ((� 1,000 sq.ft.or less 168.54 4
. 3 h C05.00 Ea.add'1500 sq.ft.or portion 33.92 1
fi 'll'-', , - f= 9 81 I,' 11.!,..!---,07:7771Z `,6 -,, , L# _ _ Limited energy,residential
fi��e5� /5T//1(/G �gEs Ol (with above sq.ft.) 75.00 2
•'' J '��e��t��' t'"x// Limited energy,multi-family 75.00 2
GiA/4 residential(with above sq.ft.)
,. '� , , . k ,1' i` y '" _ -� y ' Renew ❑ e
��� "- t` , h �: Services orable feedersEnergy installation,alteraSeetionPag,and/or2 relocation
Name: V P T^ LL-C__- 200 amps or less 100.70 2
Address: /0 5tej fito&� C� /tz( 201 amps to 400 amps 133.56 2
` O L 401 amps to 600 amps 200.34 2
City/State/ZIP: bperymo Oil
4172-c -- 601 amps to 1,000 amps 301.04 2
Phone:(/W b if<M ) I Fax:( f`dj/— dy O W/ Over 1,000 amps or volts 552.26 2
KA/61.4)/4'l Temporary services or feeders installation,alteration,and/or
Email:
relocation
Owner installation:This'nstallation is being made on property that I own which is not 200 amps or less 59.36 1
intended for sale,lear Anxchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Owner signature: Ak Date: 401 amps to 599 amps 168.54 2
_ 11 , , - ,a Branch circuits-new alteration or extension,per panel
d A.Fee for branch circuits with
Business name:SECURITY SIGNS,INC above service or feeder fee,
7.42 2
each branch circuit
Contact name:CYNDI STOCKS B.Fee for branch circuits without
Address:2424 SE HOLGATE BLVD service or feeder fee,first 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
Email permits@securitysigns.com
dwelling,service and/or feeder 67.84 2
Reconnect only 67.84 2r -tk P ® , i+° w ,u - _ i F
Pump or irrigation circle 67.84 2
Business name:SECURITY SIGNS,INC Sign or outline lighting ' 67.84 2
Address:2424 SE HOLGATE BLVD Signal circuit(s)or limited-energy
panel,alteration,or extension. ❑ See Page 2 2
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
Email:permits @ securitysigns.com Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is
CCB Lic.: 122809 I Electrical Lic.: 2.-560 . Suprv.Lic.: 383-SIG specifically listed(%hr min) 90.00/hr
r,rv;
Suprv.Electrician signature,required: r rA�� t ` '
Y / Subtotal: 7..,Py
Print name: MARC LINDQUIST I Date:af�/2R1t--7 ❑Plan Review Required(25%of permit fee):
���[[[ �-C/ State surcharge(12%of permit fee): d ' /y
Authorized signature: TOTAL PERMIT FEE: 7.5-',
f. l
®,67 /h This permit application expires if a permitis not obtained Jwithin 180
Print name: CYNDI STOC S Date: �7`{CJ�!
days after it has been accepted as complete.
* Number of inspections allowed per permit.
I:\BuildinglPermitssELC_PeemitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13727 SW PACIFIC HWY, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Electrical ELC2017-00680
Inspection Type: Inspector:
199 Electrical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor