Permit •T''? 7 r�`i ` ELECTRICAL PERMIT
d `' CITY OF TIGARD
,t , : � " - 11
t : D COMMUNITY DEVELOPMENT Permit #: ELC2010 00364
, r: Date Issued: 07/16/2010
T I GAR 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 1S1260000300
Jurisdiction: TIGARD
Site address: 9771 SW WASHINGTON SQUARE DR D08
Subdivision: Lot: 0
Project: CCS
Project Description: Sign lighting at entrance.
Owner: FEES
PPR WASHINGTON SQUARE LLC Quantity Description Date Amount
2235 FARADAY AVE STE #O
CARLSBAD, CA 92008 1 ea Sign or Outline Lighting 07/16/2010 $67.84
PHONE: 1 ea 12% State Surcharge - 07/16/2010 $8.14
Electrical
Contractor:
QUICKSILVER NEON AND SIGNS LLC
2325 NW 154TH PL.
BEAVERTON, OR 97006
PHONE: 503 -626 -7020
FAX:
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp:
Total $75.98
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit wit expire if work is not started within 180 days of issuance, • if wor is suspended •r more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Ce• - Th• -e rules ar= -t forth in OAR
952- 001 -0010 through • ., - 952- 001 -0100 may obt -' • —• • • • r les or direct questions to OUNC by calling 503.246.7 • • or 1.8001.2344
Issued By: i Permittee S ignature: 4 ` ��
4 ,003. OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease or rent.
OWNER'S SIGNATURE Date:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC' Date:
LICENSE NO.
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
t� � p 9*J'r�L$wjlwr♦�Aa�,a ,��- a � w ';, ti , r � • Electrical Permit Application �,` , , \, f p . ;�, :.4� :► O 1'2;0 1-.:1 I ► i1iS► O\ 11 7 t '
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i;.r \ :. E ew i'7" Permit No Sll BlvTardOR 97223 : •• c! 1
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'• i ? 1 Phone: 503.639.4171 Fax: 503.598n 1960 `, Other Permit: p : i t - , , ,i
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"dirt,' Inspection Line: 503.639 J : Date ReaaReady/By: ® See age 2 for
iS
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Internet: www.tigard- or.gov (l � ' . : \r• (NI\ Notified/Metho Supplemental Information
TYPE OF WOR ; e ', ; G� 1 . PLAN REVIEW ' .
■ ❑ New construction ❑ Addition /alteratio re Please check all that apply (submit 2 sets of plans w /i[ems 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 ❑ 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 ", "I - ", "I - ",
100HP or more. occupancy.
Job no.: Job site address: _s'�� �� , ALP J �A/4704.i ..� ❑ R ecreational vehicle
❑ Six or more residential units. parks.
City /State /ZIP: �?2 ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: a C 5 ❑ Service or feeder 600 amps or more.
' FEE SCHEDULE
Cross street/directions to job site: Description 1 Qty. I Fee. 1 Total I •
New residential single.- or multi- family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or Tess 168.54 4
Ea. add'l 500 sq. ft. or portion 33.92 1
Tax map /parcel no.: Limited energy, residential
DESCRIPTIO . WORK ( above s q. ft.) 67.84 2
�
/ Limited energy, multi - family 67.84 2
/Al-S / 71'2,2.-1.- - t ?� ( " ) /i/77' at S .t/ 3 / .4 residential (with above sq. ft.)
Services or feeders installation, alteration, and/or relocation
200 amps or less 100.70 2
• ❑ PROPERTY OWNER Ili ' U TENANT" ` 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
City/State /ZIP: 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 ex tension; per panel
Owner signature: Date: A. Fee for branch circuits with
' ❑ APPLICANT If ❑ CONTACT PERSON above service or feeder fee,
each branch circuit 7.42 2
Business name: B. Fee for branch circuits
Contact name: without service or feeder fee, 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
dwelling, service and/or feeder 67.84 2
Phone: ( ) Fax: : ( ) Reconnect only 67.84 2
E -mail: Pump or irrigation circle 67.84 2
` CONTRACTOR Sign or outline lighting 1 67.84 C `7 2
Business name: j2w J/L.F�� /�/p � Gyf L ,, C Signal circuit(s) er limited -
energy panel, alteration, or
Z r /3 771. /40/ extension. Describe: Page 2 2
Address: 3 /✓. p.,/ , /
City /State /ZIP:/ - Q v ''�.Z?t/ 6,/e4;::4-e4.,./ 9 7,/D_e. Each additional inspection over allowable in any of the above
(S t L� `"7020 (S ) L 7 02_0 Per inspection 66.25
Phone: Fax: 0 Investigation per (
3 � - gation er hour (1 hr min) 66.25
CCB Lic.: /' /S Electrical Lic.: CZ-5 4 Suprv. Lic.: 7 9:5 Industrial plant per hour 78.18
�,� . ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: Z/4 Cam-' Subtotal: (p ..r,
Plan review (25% of permit fee):
Print name: / ta0z.„„4,.l0,E Date: State surcharge (12% of permit fee): V1 ► Vf
Authorized signature: TOTAL PERMIT FEE: 1.5%—
/ This permit application expires if a permit is not obtained within 180
Print name: t p // / 1.4.4s A/ Date: 74 . days after it has been accepted as complete.
* Number of inspections allowed per permit.
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ARCHITECT
JAMES :
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580 DECKER DRIVE
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WASHINGTON SQUARE
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PORTLAND, OR 97223
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INSTALLER INSTRUCTIONS
Install as per NEC and all local
building codes. Installer must use
all provided mounting holes.
Steel Mounting Screw w/
1 1/2'• Stand Off
3/16 cleat lexan 1= backs channel letter
.063 white baked aluminum face WALL
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I LED POWER SU
.063 white baked aluminum face
3/16 clear lexan letterb White LEDs I
ounted to Returns 1
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Connection to 120V Ao a .... m I
power supply must be d • ne
by a qualified electric'
4" letter retur
BAKED WHITE ALU White JT .6 Lads
Applied with 3m double stick tape
and mounted to return
Paint in white NO VISIBLE SCREWS OR FASTENERS
(GRIP GUARD GLOSS WHITE)
PROPERTV OF
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SIGIAIS AUTHORIZED SIGNATURE: ® This symbol on means the it is li produet b y nameplate
DATE: UNDERWRITERS LABORATORIES INC.
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1 . — ' mL .1 p ..n., au• w .w.. GROSS AREA 2.608 FT.
Q .. .xw,.. _.�. Mil. '3 m. BALES AREA 88
1,080. FT.
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9585 6W WASHINGTON S0.
o " ✓, „-r w . ,;, PORTLAND, OR 97223
.,,, SPACE #008
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STORE NO. 47257
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