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Permit • i pli � ! CITY OF TIGAR® ELECTRICAL PERMIT u COMMUNITY DEVELOPMENT Permit #: ELC2040 00043 f C ARD 13125 SW Hall Blvd., Tigard OR.97223 503.639.4171 Date Issued: 01/27/2010 T Parcel: 1S136CD01000 Jurisdiction: Tigard Site address: 11745 SW PACIFIC HWY Subdivision: Lot: 0 Project: Aarons Furniture Project Description: Sign /outline lighting. Owner: FEES MONAGHAN FARMS, INC Quantity Description Date Amount 14120 EAST EVANS AVE AURORA, CO 80014 1 ea Sign or Outline Lighting 01/27/2010 $67.84 PHONE: 1 ea 12% State Surcharge - 01/27/2010 $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,ltemsand 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 wit 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 throug OAR 952 - 001 -0100. You may obtain a:copy of the rules or direct questions to OUNC by calling 503.246.6699 1.800.332.2344. Issued By: Mal al r\Q, ( Z 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. • 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. • • ;c "`" V ; .i'I qP� lt - •,,„,,i ,,4 na "tFORiOFFI€EitSE'ONLY r ? i : ,� a ! i' ti it , ,r m 11 a it t Vr, li hi a1 Electrical Permit A ECEIVED � `° y ',,- u_ '�.1`._ iu�� „ d� ,. �,*w�;i '�. uA. '! ' 9ti "�IrY 116 " ' - dl�'i�4W,. ��Y; 4UV ";. � ' � I �, � � �o� �l�rl " )ro il r , 'V i ' ReeciVed 1 I � ' a � i a , ; City of Tigard JAN 2 7 Date /B A' PermttNo. L. 20t.• Atoo a 13125 SW Hall Blvd., Tigard, OR 97223 2010 g Plan Review ' Phone: 503.639.4171 Fax: 503.598.19 Other Permit: 20 '• °Q� :. 4 • Date : a " "' ,, tin', Inspection Line: 503.639.4175' ITY OF TIGARD Date Ready /13y: E "See ".Page 2,fiir �T1G • L-Jelt air w, Internet: www.tigard- or.gov BUILDING DIVISION : Notified /Method: Supplemental'Information r�:N ,: ,�Y�'f'�t1 I � ; F �.. t "', '1 ��+Sn .�,e. ,»f w � misa',.,r �us� -'.'_ r F�, .�' e. ., **to �ks " -' I ti4 �I' _ �..M9M I Im4u_t:s ,.rwxi ,�.m Ie, , , v v rAh . ., -. �M. . r , 't� <1tl r " JJ, . .-q g ,. Y �'� �1u,, . r. .7 ` ', I.,., r•^ . I4. r . , . r p� ,1 rt, . ry °?`- j N ,. E x .�w,, w.l s t tr,,r' . d� � ,���f, I �r, "','"ail ?3 ��.. Ibl ��s I �., v ? a €. ���„ 5 a M dh . 19.,u G'1 �., ,R�'I I: � r. -. w+ .; i� 11 . � a ., .YF:: l� .� I I f t. �', I„ (u iw.nl 7i � „,, I Ia a �4.d rr T�YPEIIOFaWORK ,� ,. Alpo r444% F ..V. _.:,y �tl � w. r , . q . �,tPLAN REVIEW , ..::�a `Gp, yRy.. - � .,`�f 93G ,tuuY @� II,Vai. V�, r m d4.it h�� .�s +,�~= r , �� r�§...� ._� lili � P;'��'�' � � pts h .����� ' �ia� &rs� .,. E , h'1 , r „T re rl��ie +' " ���� "� d' k "': -� " �, war.. �,II r�� s9 Ld. �1 �,�� :�F�44 >. Please;check aII1ttiat apply (submit 2 sets ofplar s is w /item checked below): 111 New construction 0 Addition /alteration/replacement ❑ Service or feeder 400 amps or more ❑ Building over three stories:: Demolition ❑ Other:, where the available fault current ❑ Marinas, and boatyards. 1 Iht41;1l1 4s°,�101 17 1''11 I ':'14 ,, 111:' „ a +4 CATGOR L a . :a , CON$ . . . * l "lu" � ` 'i. , E! exceeds amp's at 150 volts or 0 Floating buildings. less 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 l ail ,, t „ r l r - lw ,a te ; ❑ Emergency system. larger separately derived system. . � � ` LL '. r4 ∎516 "tSITE INFORMATIONS A 1ND + L s O CATION A �Mm v - ' - El Addit of new motor load of ❑ A ` separately Job no.: Job site address: 11 G 100HP or more. occupancy. 0. Recreational ❑ Six,or,more residential units. Recreational vehicleparks. City /State /ZIP: , � ❑ Health' care`facilities. 0 Supply voltage for more than t l El Hazazdous locations 600 volts nominal. Suite/bldg./apt. no.: Projectname: y � C� „�t-4 ❑ Service or feeder 600 amps or more. A - 4 �y ' lintsfevIemetoksiotomffulaggziam Cross street/directions to job site: usr;Ption 1 Qty. 1 Fee. 1 Total 1 • New residential single- or multi- faniilydwelling.unit. Includes attached, garage. Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4 Ea. add'l 500,sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy,. residential °'�k,aa]R I " r r " r4'�)° :k::e N Oli:rb: ''i " "'" 11� l r a ta t i ,.i '� l +i ti,, 75.00 2 �'i itf ",i�.�0�111�1 „Ild °,s�� 3s.+� y i. t,,.� �, � � a Irl @ Ida , �s,. i��l drtlll,` ;�,�. � . x: t 1 .�I (with above sq. ft:) ^� /� residen Li mited energy, multi- family 75.00 2 aei 6 r v_ic. 7 ,3 ¶ tial (with above sq. ft.) *mount only* Services,or feeders installation, alteration,. and/or relocation 200 amps :or less 80.30 2 t IM1 , ®PRQPERTO,WNERI �L t - 'f, taus M TENANT� V ,, ill 201 ampsto 400 amps 106.85 2 �>b. r t. aM11�1 .r .,<,. �r ,� w,. � Y � ���-. Name: ,401: amps to 600 amps 160.60 2 601 amps.to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 City /State /ZIP: Temporary services or feeders installation, alteration, and/or relocation Phone: ( ) Fax: ( ) 200 amps. or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amp to 400 amps 100.30 2 intended for sale, lease, rent; or exchange, according to ORS 447, 449, 670, and 701. 401 ampsto•599 amps 133.75 2 Branch circuits new, alteration, or extension; per panel Owner signature: Date: A. Fee -for branch circuits with Kit 1APPLICA s ti rl t r G t ' "I^ )^®^' GONTACTPERS©N � 1 , „� above; service or feeder fee, each branch circuit 6.65 2 Business name: Security Signs B. Fee :for branch circuits Contact name: Melissa Hayden with service or feeder fee, 46.85 2 first:branch circuit, Address: 2424 SE HolgateBlvd Each add''I• branch circuit 6.65 2 Miscellaneous (service or feeder not included) City /State /ZIP: Portland, OR 97202 Each manufactured Of modular 90.90 2 dwelling, service and /or feeder Phone: (503) 546 7114. Fax: : (503) 2301861 Reconnect only 66:85 2 Email melissa @Securitysigns com Pump or imgation,circle 53.40 2 °az¢t1,I fi 1 14 ,lMAi a1rCONTRACTOR 1, 'rNA' , tilt 1 ,o- ,Sign or.outline lighting ? 53.40 2 Business name: Security Signs Signafcircuit(s).or limited- energy panel, alteration, or Address: extension. Describe: Page 2 2 City /State /ZIP: Each'_additional inspection over allowable in any of the above Phone: ( ) Fax: Per inspection 62.50 ( ) Investigation per hour (1 hr min) 62.50 CCB Lic.: 122809 Electrical Lic.: 26560c1s Suprv. Lic.: 383sig Industrial plant, per hour 73.75 pr iELECTRICAL�,1 PERMIT FEES '� ( Suprv. Electrician signature, required: Subtotal: • Print name: Mark Linguist Date: Plan review (25% of permit fee): State surcharge (12% ofpetmit fee): Authorized signature: TOTAL PERMIT FEE: . (� • This permit application expires if:a permit is not obtained within 180 Print name: Melissa Hayden Date: days after it has been accepted as complete. * Number of inspections allowed per permit. C\ Building \Permits \ELC- PermitApp.doc 05/23/06 440- 46]5T(11/05 /COM/WEB