Permit i ,, CITY OF TIGARD
i r ELECTRICAL PERMIT
>° COMMUNITY DEVELOPMENT Permit #: ELC2010 -00243
�' ` Date Issued: 05/19/2010
RLj 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
T I GA Parcel: 2S110DB00704
Jurisdiction: Tigard
Site address: 15444 SW PACIFIC HWY
Subdivision: Lot: 0
Project: Washington Federal
Project Description: Sign lighting for (4) wall signs.
Owner: FEES
WASHINGTON FEDERAL SAVINGS Quantity Description Date Amount
425 PIKE ST
SEATTLE, WA 98101 4 ea Sign or Outline Lighting 05/19/2010 $271.36
PHONE: 1 ea 12% State Surcharge - 05/19/2010 $32.56
Electrical
Contractor:
TUBE ART SIGNS & SPORTS DISPLAYS
4243 -A SE INTERNATIONAL WAY
MILWAUKIE, OR 97222
PHONE: 503 - 653 -1133
FAX: 503 - 659 -9191
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp:
Total $303.92
Required Items and Reports (Conditions)
This per is issued subject • the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be don- in accordance with app •ved • - Thi 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 r :•uires yo to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -001 -0010 t rough OAR 952 -001 5110. Y • ar 3'2
-y .btain a copy of the rules or direct questions to OUNC by cps- 5046.6699 or 1.800.332.2344.'
' r �
Iss . ed By: - " ' Permittee Signature: s — /:ri '
OWNER INSTALLATION ONLY
The installation is being made on property 1 own which is not intended for sale, lease or rent.
OWNER'S SIGNATURE Date:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC' Date:
LICENSE NO.
Cali 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.
t :,,0 A/C - 6vo8o
Electrical Permit Application r 5 t I OR .OEFI C , EON - h i s'
I" g�, Received ��
1 � City of Tigard Ei !� �� y t M Permit No.: ..• - 60a
L � Date/By: ��
13125 SW Hall Blvd., Tigard, 2�-
1 Phone: 503.639.4171 Fax: 503.598.1960 Outer Permit
T + * f G I nspection Line: 503.639.4175 MAY 1 9 2010 Date Ready /By: luri. ® See Page 2 for
entnnonelninixMli Internet: www.tigard or.gov Notified /Method: (� , Supplemental Information
TYPEE { �) /
WIJIGARD PLAN' REVIEW
® New construction ® Cf01Addi1lilTTOra1 rPRVAlYl�rtl Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Budding over three stories.
❑ DerOlitiOn ® Other: SIGN where the available fault current
❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10.000 amps at 150 volts or ❑ Floating buildings.
Tess to ground, or exceeds 14.000 ❑ Commercial 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
❑ Emergency systetn. larger separately derived system.
JOB SITE INFORMATION, AND LOCATION ❑ Addition of new motor load of
Job no.: WaFed118 /1 Job site address: 15444 SW Pacific Hwy. I OOHP or more. occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parks.
City /State /ZIP: Tigard, OR ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite /bldg. /apt. no.: Project name: Washington Federal #118 ❑ Service or feeder 600 amps or more.
' FEE SCHEDULE
Cross street/directions to job site: NE Corner of SW Pacific hwy & SW Royalty Description 1 qty.. 1 Fee. 1 Total 1 *
New residential single- or multi - family dwelling unit.
Pkwy. Includes attached garage.
•
Subdivision: Lot no.: 1,000 sq. ft. or less 168.54 4
Tax map /parcel no.: Ea. add'I 500 sq. ft. or portion 33.92 I
Limited energy, residential
DESCRIPTION. OF 'WOR (with above sq. ft.) 67.84 2
Limited energy, multi - family 67.84 2
Install (4) exterior wall sign, 1 per elevation, reading: Washington Federal. residential (with above sq. ft.)
Services or feeders installation, alteration, and/or relocation
200 amps or Tess 100.70 2
❑ PROPERTY OWNER . ' ❑' TENANT '` - , 201 amps to 400 amps 133.56 2
Name: Washington Federal 401 amps to 600 amps 200.34 2
601 amps to 1,000 amps 301.04 2
Address: 425 Pike St. Over 1,000 amps or volts 552.26 2
City /State /ZIP: Seattle, WA 98101 Temporary services or feeders installation, alteration, and/or
relocation
Phone: (206)624 -7930 Fax: (206)654 -9420 200 amps or less 59.36 1
Owner installation: This installation is being made on property that 1 own which is not 201 amps to 400 amps 125.08 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2
Branch circuits — new, alteration, or extension, pe panel
Owner signature: Date:
A. Fee for branch circuits with
® APPLICANT N CONTACT PERSON • `` above service or feeder fee,
each branch circuit 7.42 2
Business name: Tube Art Group B. Fee for branch circuits
without service or feeder fee,
Contact name: Rigel Aldridge 56.18 2
first branch circuit
Address: Each add'I branch circuit 7.42 2
Miscellaneous (service or feeder not included)
City /State /ZIP: Each manufactured or modular 67.84 2
dwelling, service and/or feeder
Phone:
( ) Fax: : ( ) Reconnect only 67.84 2
E - mail: raldridge @tubeart.com Pump or irrigation circle 67.84 2
CONTRACTOR Sign or outline lighting 4 67.84 271.36 2
Signal circuit(s) or limited -
Business name: Tube Art Group energy panel, alteration, or
Address: 4243 -A SE International Way extension. Describe: Page 2 2
City /State /ZIP: Milwaukie, OR 97222 Each additional inspection over allowable in any of the above
Per inspection 66.25
Phone: (503) 653.1133 Fax: (503) 659.9191 Investigation per hour (1 hr min) 66.25
CCB Lic.: 70956 Electrical Lic.: 37554CLS Suprv. Lic.: 366SIG Industrial plant per hour 78.18
p ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: ,t,,, /�' Subtotal: a - 7/.
Print name: Ken Schultz Date: 5/19/10 Plan review (25% of permit fee): &---
State surcharge (12% of permit fee): 3a - 5 .,�0
Authorized signature: % ..... J TOTAL PERMIT FEE: .303 , Y.3.,
This permit application expires if a permit is not obtained within 180
Print name: Rigel Aldridge Date: 5/19/10 days after it has been accepted as complete.
Numbcr of inspections allowed per permit.
I: \Building \Permits \ELC- PermitApp.doc 10/01/09 440- 4615T(1 I /05 /COM /WEB