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Permit L / rtilio t o a-kdL .( o it '' CITY O F IGAR® ELECTRICAL "PERMIT � `` : COMMUNITY DEVELOPMENT Permit #: ELC2010 -00111 T IGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 03/11/2010 Parcel: 1S1260000300 Jurisdiction: TIGARD Site address: 9565 SW WASHINGTON SQUARE DR BO3A Subdivision: Lot: 0 Project: Icing Project Description: (1) sign lighting. Owner: FEES PPR WASHINGTON SQUARE LLC Quantity Description Date Amount 2235 FARADAY AVE STE #O CARLSBAD, CA 92008 • 1 ea Sign or Outline Lighting 03/11/2010 $67.84 PHONE: 1 ea 12% State Surcharge - 03/11/2010 $8.14 Electrical Contractor: SECURITY SIGNS INC 2424 SE HOLGATE BLVD PORTLAND, OR 97202 PHONE: 503 - 546 -7114 FAX: 503 - 230 -1861 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 accor , 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. ATTE ON. Oregon F law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -001 through OAR 952- 1- 0. You ma obtain a copy of the rules or direct questions to OUN - _ • • . 46.6699 or 1.800.332.2344. /// ____....„ Issued B Permi 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: ONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC' `,, Date: i LICENSE NO. Call 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. po/0 _.. Electrical Permit ApulicaO*Ti'' - - 1'O1: orri('E usE e )tii.V Cit y oPTigard R 2013 Dat Rec d e / v v: B i t. g A Pewit No ": ac /0 -ego I nnAA n r 13125 SW Hall Blvd., Tigard, OR 97 ilv: O Plan Review Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit: ' I I (: , i71) Inspection Lint: 503.639.4175 Cr) N , n< Date Ready/By: runs: ;, Sae Page 2 fbr w Internet: ww,tigard-or.gov - l or , , 1. s, ! _ Notified/Method: [ Supplemental Information TXPE OF WORK , FLAN REVIEW ❑ New construction Addition /alteratian/teplaeennent Please check all that apply (submit a sets of plans w /stems checked below): )] Service or feeder 400 amps or more ❑ Building over three stones. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. ,, „ exceeds 10,000 amps at 150 volts or 0 Floating buildings. . CATEGORY OF; L�/NSTR _ Inns to ground, or exceeds 14,000 ❑ CotnmerCi81 -use agricultural ❑ 1- and 2 family dwelling ® Commercial/industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: © Fire pump ❑ Installation of 75 KVA or JOB ' STTE IN A . •. . . .tyAT „ 1QN 0 Emergency system larger separately derived system. ❑ Addition of new motor load of ❑ "A" "E", "1 -2: "1 -3" 100HP or more. occupancy. Job no.: Job site add ■.: e, `' 114.41, 0. i j! LI Six or more residential units. ❑ Recreational vehicle parks. ` ■ , -alth -care facilities. CI voltage for more than City / State/ZIP: df' �j ' � �' f, j j /` ;/_ 1 ►. I .r." ardo118 locations. 600 volts nominal Suite/bldg. /apt, no.: Project name: ► []Serv or feeder 600 s teps or mor l PEE SG'11RriiII�g . ,., Cross street/directions to job site: • ttcvciiption 1 Qty. I Rec. 1 Total 1 • New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less I, 168.54 4 Ea. add'I 500 sq. ft. or portion 33.92 1 . Tax map /parcel no.: _ Limited energy, residential i above sq, ft) 67.84 iiESCarrrI01�1 of WORE (w . Limited energy, multi-family 67.84 2 9 �� .33 residential (with above so. ft.) _ . Services o_ r feeders installation, alteration, and/or relocation *Mount Only* 200 amps or less 100.70 2 . ®: TENiorr 201 amps to 400 amps 133 2 ',Cr PROPTY O'1'VNER ' . ' 2 401 amps to 600 amps 200.34 2 Name: 601 amps to 1,000 amps 301.04 2 Address: Over 1,000 amps or volts 552.26 2 'Temporary services or feeders installation, altesration, and/or City /State/ZIP: Phone: ( ) 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 spy to 599 amps 168.54 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. t Branch circuits - new, alteration or extension, per panel Owner signature: Date:. A. Fee for branch circuits with 1 11 ' TCANT E'OTIT'A . RSt1N above service or feeder fee, each branch Circuit 7.42 2 Business name: Security Signs B. Fee for branch circuits without -„_ service or feeder fee, first 56.18 2 Contact name: Melissa Hayden branch circuit Each add'i branch circuit 7.42 _ 2 Address: 2424 SE Bivd Miscellaneous ( servcce or feeder not included) OR 97202 Each manufactured or City/State/ZIP: Portland, 67 84 2 o dwelling, service and/or feeder _ Phone: (503) 546.7114 Fax: : (503) 230.1861 Reconnect only 67.84 2 _ Pump or irrigation circle 67.84 2 E-mail: Meltssa@SecuritySigns.com Sigat or outline lighting I 67.84 47, $r{ 2 CONTRACTOR Signal circuit(s) or limited- energy Business name: Security Signs panel, alteration, or extension. Page 2 2_ Each additional inspection over allowable in any of the above Address: 2424 SE Holgate Blvd Additional inspection (1 hr min) J 66.25/ hr City/State./ZIP: Portland, OR 97202 Investigation (11u mitt) 66.25 / hr — - . Industrial plant (1 hr min) 78.18 / hr — Phone: (503) 546.7114 I Fax: (503) 230.1861 Inspections for which no fee is 90,00/!ir s eeificall sated (i hr rain - - CCB Lic.: 122809 l Electrical Lic.: 26560CLS I Suprv. Lic.: 383SIG +:ELE: 'PIIRMIT ' ; � Suprv. Electrician signature, required: r }P $c i Pl an review (25% of pemd frx): . ( �}- _ Print name: Marc Linguist j Date: - State surcharge (12% of permit fee): fd . r y TOTAL PERMIT FEE: , 75. Authorized signature: This permit application expires if a permit is not obtained withi aj s da after it has been accepted as complete. � Print name: Melissa Ha -n Date: This Number of inspections allowed per permit, t: lauildingtPC +tnits\ELC- PermltApp,doc 1()01/04 440-4615T(11105/COM/WBB TO 'd SS: 6 OTO OT -iPW T98TO2zSOS: xpd OuI su6iS Aid. t .ln3ag