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Permit +' ��� CITY OF TIGARD ELECTRICAL PERMIT • t � t Permit #: E LC2010 00295 • : COMMUNITY DEVELOPMENT Date Issued: 06/16/2010 ?T•1GARD's 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 1S1260000300 Jurisdiction: TIGARD Site address: 9364 SW WASHINGTON SQUARE RD R01 Subdivision: WASHINGTON SQUARE MALL Lot: 0 Project: Sunglass Hut Project Description: (2) Sign lighting Owner: FEES PPR WASHINGTON SQUARE LLC Quantity Description Date Amount 2235 FARADAY AVE STE #O 2 ea Sign or Outline Lighting 06/16/2010 $135.68 CARLSBAD, CA 92008 1 ea 12% State Surcharge - 06/16/2010 $16.28 PHONE: 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 $151.96 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 .2 Issued By: ^� - I Permittee Signature: dN /97 G-/ eel 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 503.639.4176 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. • Electrical Permit Application 0)1 : O1 1 1c.1•_ USE ON1 City of Tigard : ., { .y t ' . , /0 / w 13125 SW Hall Blvd., Tigard, OR 9722 a Flan Review d !i% Parrett No.�' ` �� " �' I. Phone: 503.639,4171 Fax: 503.598.1960 JUN 15 Date/Bv: Other Permit; �' i �, i 2 Inspection Line: 503.639.4175 2 Q Date Ready/By: Y ' ( ` B See Page 2 for Internet www.tigard-or.gov Notified/Method: / I Supplemental Information 1,y1St . e ❑ New construction Addition/alttsrati '. . c merit ' Please check all that apply (submit 2 at of plans w /Items checked below): 0 Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition 0 Other where the available fault current ❑ Marinas and boatyards. CATRG61k! QF`' U noir1 •: exceeds 10000 amps at 150 volts or C Floating buildings. less ro d exceeds 14,000 ❑ 1- and 2- family dwelling 1;1 Commercial/industrial 0 Accessory building amps for all other installations. buildings. ❑ Multi -family 0 Master builder 0 Other: © Pus pump. 0 installation of 75 KVA or gene systeat larger separately derived system „ �H, INFORMATI P AND � 111T'E ,.. ... O ,LQCATIQN '. a of new motor load of 13 100HP or more. occupancy. Job no.: Job site address: jJ1t< JIi � t 71 (] Six or more residential unite. ❑ Recreational vehicle perks. City /State/ZIP: t� Q � � �„ l� ❑ Haz ardous locations. 0 Supply voltage for more than L j� l _ 0 Hazardous locat 600 volts nominal. Suite/bldg. /apt. no.: Project name: S ❑ Service or feeder 600 amps or more. Cross street/directions to job site: , ! ; :': ` '; , l kxcr i penn i Otv 1 Fin- 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 Tax map/parcel no 8a add'I 500 sq. ft. or portion 13.92 1 Limited energy, residential ''' ' D1SCR dN ..Q� 1 � i. , �' (with a bove eq. ft,) 67 2 Q Limited energy, multi - family 67.84 2 I 1210e, ai residential (with above so, ft.) 1 Services or feeders installation, alteration, and/or relocation *Mount Only* 200 amps or less 100.70 2 ' sn g iry 0{!{rs$R ,' a'TEA11A`Nr 201 amps to 400 amps 133.56 2 Name: 401 amps to 600 amps 200.34 2 _ _ — 601 amps to 1,000 amps 301.04 2 Address: Over 1,000 amps or volts 552.26 2 • Temporary services or feeders installation, alteration, and/or City /State/ZIP: __ 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 r Branch circuits — new, alteration, or extension, , er panel Owner signature: Date: A. Fee for branch circuits with ' 1, i . G above ry or feeder fee, 7.42 2 1 ICANX� ❑ ObN�'A T:1�f;l F' zach branch seice arcoit Business name: Security Signs B. Fee for branch circuits without — service or feeder fee, first 56.18 2 Contact name: Melissa Hstyden branch circuit -- ., Each add'1 branch circuit _ 7.42 2 Address: 2424 SE Holgate Blvd Miscellaneous (service or feeder not included) _ _ City/State/ZIP: Portland, OR 97202 Each manufactured or modular 84 2 . 67 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 mail: Melissa ecnr itySigns.cont ��67 84 2 i. ;'CONTRACTO Sign or outline lighting f d Signal circuit(s) or limited-energy Business name: Security Signs panel, alteration, arextension. P 2 2 Each additional inspection over allowable in any of the above Address: 2424 SE Holgate Blvd Additional inspection (1 hr min) 66.25/ hr • City /State/ZIP: Portland, OR 97202 Investigation (1 hr min) 66.25/ hr Industrial plant (1 hr min) 78.18/ hr Phone: (503) 546.7114 Fax: (503) 230.1861 Inspections for which no fee is 90.00/ hr specifically listed (1 hr min) �G�CB Lic.: 122809 iElectrical Lic.: 26560CLS ' uprv. Lie.: 383SIG ' BO? 6 �/ : iPRRAITT rEas :.: Subtotal: S uprv. Electrician signature, required: Plan review (25% of permit fee): =al Print name: Marc Linguist Date: State surcharge (12% of permit fee): /4? , 'Z d' TOTAL PERMIT PHIS: / 5/ ? ., 4/ Authorized signature: This permit application expires if a permit is not obtained within 160 Print name: Melissa Hay n D ate: y days after it has been accepted as eemplete. y Number of inspections allowed per permit. t,• 18unuingwerroita \ELGPermitApp,doc 10/01109 440.45)5T(21ro5/COM1wt3B ZO•d ZO :9T OTOZ VT unf T98TOSZ2OS:x 3u1 su6Is filt_Inaas