Permit /3/io c-l.ttCL () 3 t l' 9 i E E 6:-
II u- ''' CITY OF TIGAR® ELECTRICAL PERMIT
s COMMUNITY DEVELOPMENT Permit ELC2010 00252
` 1 Date Issued: 05/25/2010
T t G ARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 2S110DB00500
Jurisdiction: Tigard
Site address: 15336 SW PACIFIC HWY
Subdivision: SONIC Lot: 0
Project: Sonic
Project Description: Sign lighting for (5) signs. 6/3/10 added (3) sign lighting.
Owner: FEES
SONIC Quantity Description Date Amount
15336 SW PACIFIC HWY
TIGARD, OR 97224 5 ea Sign or Outline Lighting 05/25/2010 $339.20
PHONE: 1 ea 12% State Surcharge - 05/25/2010 $40.70
Electrical
204 da Electrical Permit 06/03/2010 $203.52
Contractor: 24 da 12% State Surcharge - 06/03/2010 $24.42
Electrical
VANCOUVER SIGN COMPANY INC
2600 NE ANDRESEN RD #50
VANCOUVER, WA 98661
PHONE: 360 - 693 -4773
FAX: 360 - 693 -2747
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp:
Total $607.84
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. i ose r - are set forth in OAR
952- 001 -0010 through 0' R 952 - 001 -0100. You may obtain - or direct questions to OUNC by calling 50 , 6.6699 or 1 4 00. - .2344.
Issued By-/ �� = aG , i � Permittee Signature: J /' Al%
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 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.
x7� CITY OF TIGARD ELECTRICAL PERMIT
a
` Q "_; COMMUNITY DEVELOPMENT Permit #: ELC2010-00252
* � .1 :. , Date Issued: 05/25/2010
T t CARD, 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 2S110DB00500
Jurisdiction: Tigard
Site address: 15336 SW PACIFIC HWY
Subdivision: SONIC Lot: 0
Project: Sonic
Project Description: Sign lighting for (5) signs.
Owner: FEES
SONIC Quantity Description Date Amount
15336 SW PACIFIC HWY
TIGARD, OR 97224 5 ea Sign or Outline Lighting 05/25/2010 $339.20
PHONE: 1 ea 12% State Surcharge - 05/25/2010 $40.70
Electrical
Contractor:
VANCOUVER SIGN COMPANY INC
2600 NE ANDRESEN RD #50
VANCOUVER, WA 98661
PHONE: 360 - 693 -4773
FAX: 360 - 693 -2747
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp:
Total $379.90
Required Items and Reports (Conditions)
This perm' is issued'sua'ect to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be do in accordance wit 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
day . ATTENTION: Oregon I• re ire yo to follow the rules adopted by the Oregon Utility Notification Center. Tho rules are set forth in OAR
95 - 001 -0010 through OAR 952 -04 100. •u obtain a copy of the rules or direct questions to OUNC by calling 503.246.66•9 or 1.808. 32.234
1
I sued By: I.. 1 . /d _!L . 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.
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Electrical Permit Application . �l , ., iii FOR+OFFIC,FIUSF ONIJ� 12
o'ot Shiatilm a d 41 11t•' .
h ,'t vki i' Received 1 o
` ' City of Tigard Date /B /'/C J t � 2 ,S
(Q
1., ; 4' ° 1 SW Hall Blvd., Ti a rd, OR 9722 y a — Per mit No.: t
" g Q Pl an R eview
(, ° Phone: 503.639.4171 Fax: 503.598.196 3 ` Date/By: Other Permit: Oti IY]at Lb (�/
4 1Tr 1 •s G RD Inspection Line: 503.639.4175 \, `� �1 ,... Date Ready /By: Juris: RI See 2 for
a fiCN ➢,r' Internet: V
www.tigard- or.gov J �r1 �P r` fied/Nlethod: if _ . Supplemental Information
TYPE OF WORK G , e G�IJ PLAN REVIEW
A New construction ❑ Addition/alteration/re�1a4 I Please check all that apply (submit 2 sets of plans w /items checked below):
VV" ❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
' CATEGORY OF CONSTRUCTION - exceeds 10.000 amps at 150 volts or ❑ Floating buildings.
less to ground. or exceeds 14.000 ❑ Commercial -use agricultural
❑ 1- and 2- family dwelling isi Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system.
❑ Addition of new motor load of ❑ "A ". "E ". ' 1 -T'. "1 -3 ".
Job no.: Job site address: / 6 3 3 (� n (� IOOHP or more. occupancy.
5 w 1 t7l,Glt1 C, W� / ❑ S or more res un ❑ Recreational vehicle parks.
City /State /ZIP: T; J a C 0/ q 7 Z Z L. f r ❑Health -care facilities. ❑Supply voltage for more than
1 l ❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: `` t
L....)0 Y1.1 L ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
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'l 500 sq. ft. or portion 33.92 1
Tax map /parcel no.: Limited energy, residential
2
DESCRIPTION OF WORK (with above sq. ft.) 67.84
Limited energy, multi - family 2
(3) ;111A y>i_top treti. F.); n S residential (with above sq. ft.) 67.84
Services or feeders installation, alteration, and/or relocation
200 amps or less 100.70 2
❑ PROPERTY OWNER I V TENANT , ' 201 amps to 400 amps 133.56 2
Name: t 401 amps to 600 amps 200.34 2
S 0 y1.1 C_. (� r /� 601 amps to 1,000 amps 301.04 2
Address: is 3 3 (9 5 660 Ptx, c / f 1 c..., / ! o y Over L000 amps or volts 552.26 2
City /State /ZIP: �� O /, {P CA - Z (1 y Temporary services or feeders installation, alteration, and/or
! 1 relocation
Phone: ( ) Fax: ( ) 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, per panel
Owner signature: Date: A. Fee for branch circuits with
- APPLICANT I X CONTACT- PERSON above service or feeder fee,
7.42 2
each branch circuit
Business name: k)Gl -.a C. (- 5 ia(1 B. Fee for branch circuits
_/ without service or feeder fee,
Contact name: R e/ t:Jl , t.5t r. inn first branch circuit 56.18 2
Address: Z !oo (7 Each add'I branch circuit 7.42 2
N E An,e,I �s e n ! � d Miscellaneous (service or feeder not included)
City /State /ZIP: 1/6t_ ✓t C . e VIAL ) ex t4 q
A /' 8 6,t, 1 Each manufactured or modular 67.84 2
dwelling, service and/or feeder
Phone: ( ) Fax: : ( ) Reconnect only 67.84 2
E -mail: Pump or irrigation circle 67.84 2
. CONTRACTOR ' , Sign or outline lighting (3) 67.84 3 2
Business name: C Signal circuit(s) or limited -
��u.v , G t0 ,t, ex f ) ;5,(1 D energy panel, alteration, or
Address: Z (o O 0 N ✓ c.Lr e e n R al, # extension. Describe: Page 2 2
City /State /ZIP: v(A 1'l G f1 t.1.0 e..f tAiA q 8 `p ( i Each additional inspection over allowable in any of the above
Per inspection 66.25
Phone: (3 b0) ‘ I 3 it Z7 3 Fax: ( ) Investigation per hour (1 hr min) 66.25
CCB Lic.: 43i 5 i Electrical Lic.: 7- y6 661 Suprv. Lic.: Li i 3 —5T 6 Industrial plant per hour 78.18
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: 4, 240 /i Subtotal: 203 , 52
Print name: �^ -j ® D / � ' / Plan review (25% of permit fee):
VU b•d►`r� a ` �'� v v State surc (12% of permit fee): �9. .
(/ Authorized signature: / -4, �/ TOTAL PERMIT FEE: 44'7 q N
This permit application expires if a permit is not obtained within 180
Print name: R t: ar r t , 5 760 r r/1 Date:
days after it has been accepted as complete.
* Number of inspections allowed per permit.
I:\ Buildingl Permits \I /LC- l'ermitApp.doc 10 /01/09 440- 4615T(11 /115 /COM /WIE11
,d,,N 9o,0-'O00 gO
Electrical Permit Application 1; ;p : ; .,? 'F(A)R 0F.FIUr USE ON IA r y1,''r'% ,� ,, . ` f
i + ga � ! p p Received //
City of Tigard
b � � y Date/By: 5/ � /'O ( " 114,.„'i Cit V 13125 SW Hall Blvd., Tigard, OR 972 t i a H ;� Plan Rev Permit No.: E O /O
Phone: 503.639.4171 Fax: 503.598.1960 Date /By: Other Permit:
at`' Inspection Line: 503.639.4175 MAY 2 5 2 0 1 3 Date Ready /By: turn ® See Page 2 for
TIG
d 't ",. Internet: www.tigard- or.gov Notified/Method: I ,mow Supplemental Information
TYPE OF wo iffY OF TIGARD PLAN REVIEW
New construction ❑ �t Addition /alter I t °
rtfl����Q�d Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10.000 amps at 150 volts or ❑ Floating buildings.
less to ground. or exceeds 14.000 ❑ Commercial -use agricultural
❑ 1- and 2- family dwelling ;R:[ Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system.
❑ Addition of new motor load of ❑ "A ". "E ", "1 -_ 1 l
Job no.: Job site address: C 36, '' 11 IOOHP or more. occupancy.
/✓ W (� 9 ❑ Six or more residential units. ❑ Recreational vehicle parks.
City /State/ZIP: 7‘, � � � `�� ! � 7 Z . ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: 501n -1 L ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description J P 1 Qty. 1 Fee. 1 Total 1
New residential single- or multi - family dwelling unit.
/5334) c5 u3 )-1w\ q 9 1 Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 168.54 4
Ea. add'I 500 sq. ft. or portion 33.92 1
Tax map /parcel no.: Limited energy, residential 2
DESCRIPTION OF WORK (with above sq. ft.) 67.84
Limited energy. multi - family
65 ' ' a, S 'IV residential (with above sq. ft.) 67.84 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 100.70 2
❑ PROPERTY OWNER • O TENANT 201 amps to 400 amps 133.56 2
' 401 amps to 600 amps 200.34 2
Name:
5 01,1; L 601 amps to 1,000 amps 301.04 2
Address: / 5 3 3 / 5 u) h j 4 L&) y �' q Over 1.000 amps or volts 55/./6 2
City /State /ZIP: 5Gt,r tr) / 1 9 - 722.) � Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) Fax: ( ) 200 amps or less 59.36 1
Owner installation: This installation is being made on property that I 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, per panel
Owner signature: Date: A. Fee for branch circuits with
igi APPLICANT ' CONTACT PERSON ' above service or feeder fee.
742 2
each branch circuit
Business name: vodLGouw e , C . c 15 B. Fee for branch circuits
A P d Yi. without service or feeder fee,
Contact name: (1 P. I d, 6 O r I' first branch circuit 56.18 2
Address: 2.(00 0 A) E AYLcLC ese,R. RI so Each add'I branch circuit 7.42 2
Miscellaneous (service or feeder not included)
City/State/ZIP: y Van,GOt Ali ex, )A 1 $ 66,1 Each manufactured or modular 67.84 2
dwelling, service and/or feeder
Phone: ( 360 ) o l L(77 -s Fax:: ( 360) /.D1 3 Z71 Reconnect only 67.84 2
E -mail: re, 1 I S a , V ans. lane, 0 r co M Pump or irrigation circle 67.84 q 2
`'CONTRACTOR Sign or outline lighting 4. S) 67.84 MI 2
Signal circuit(s) or limited - J
Business name: vaaGO 1v 6r. S 1 0.h n energy panel, alteration, or
Address: Z Co O O N E A ad,r P.SP.t1 Ad- #So extension. Describe: Page 2 2
City /State /ZIP: �� 1 p B / / Each additional inspection over allowable in any of the above
V3JlJ C O (Ay cc O tvb I Per inspection 66.25
(�3 /..1 Phone: ( 360) /..1 I
77 3 Fax: (3bo) b9 3 z7y 7 Investigation per hour (I hr min) 66.25
CCB Lic.: 6 3 1 5 f Electrical Lic.: 37_ y6 G Suprv. Lic.: Industrial plant per hour 78.18
'ELECTRICAL PERMIT FEES' •
Suprv. Electrician signature. required: i� Subtotal: �j
f Plan review (25% of permit fee):
Print name:4gr�e 15pw Date:L _. / ��
State surcharge (12% of permit fee): lit , 70
Authorized signature: II ...• _ _ TOTAL PERMIT FEE: (' 7 9 . 7 v
R This permit application expires if a permit is not obta ned within 180
Print name: t t. 0 r �1 Date: days after it has been accepted as complete.
* Number of inspections allowed per permit.
l: \itwldng \Permits \P.1.C- PermitApp.doe 10/01/09 440- 4615T(11 /05 /COM/WIi13