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Permit U CITY OF TIGARD ELECTRICAL PERMIT ` "•- COMMUNITY DEVELOPMENT Permit #: ELC2011 -00055 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/27/2011 Parcel: 1S135BB00500 Jurisdiction: Tigard Site address: 10487 SW CASCADE AVE A Project: Bedmart Subdivision: Lot: 0 Project Description: Sign lighting for (2) signs. Contractor: SECURITY SIGNS INC Owner: RAM /CASCADE CENTER LLC 2424 SE HOLGATE BLVD BY ELLIOTT ASSOCIATES INC PORTLAND, OR 97202 901 NE GLISAN ST PORTLAND, OR 97232 PHONE: 503 - 546 -7114 PHONE: FAX: 503 - 230 -1861 FEES Quantity Description Date Amount 2 ea Sign or Outline Lighting 01/27/2011 $135.68 Specifics: 1 ea 12% State Surcharge - 01/27/2011 $16.28 Electrical 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 wo is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. rules are set forth in OAR 952 - 001 -0010 through •: - 952 - 001 -0090. You ma obtain a c. • • he-rules or direct questions to OUNC by calling 503 •..332.2344. - -4111/ A. Issued By: -� ' �'1 _ .. -- 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 the next available inspection date. 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. i) av (.1 000 (,5 4-- o 00 Electrical Permit Application FOR OFFICE USE ONLY City of Tigard Da Permit No.: 1 111 13125 SW Hall BdTigard, OR 972¢ ' \' 0 Pl / C Phone: 503.639.4171 Fax: 503.598: © \, O B Date : Other Permit. Inspection Line: 503.639.4175 fie'` ` C ■Date Ready/By: lens: 61 See Page 2 for T I G A R D Internet: www.tigard - or.gov J� TG.�r \ _\ � Notified/Method: Supplemental Information , w r 9 �;�' V : x 4, t�. e, .5. m ..,.-: x m s.. w-.. y a s a ,t . - y $ { !. yt:; �^ u r th , 4 �'a . !. .. ,5rit, �-; e ''E 4 k'v' .,,r -.n .,� t " 4 :... y, t?, ,, , oF. wo :� p � t_ Y- .aPt L Y k , 0, A: 4, , ..,,. , � ,. ;r LAZV �xEviEw 1 67 � f .41, k ,F E -i El New construction ® Addition/alteration/rep t lace ' men n� it Please check all that apply' (submit 2 sets of plans w /items checked below): \`i ❑Service or feeder 400 amps or more 0 Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. " ,F ''a u .. r , k %:0 CATEGORY.. OF CONSTRUCTION t t 'm�' 7, ', x exceeds 10,000 amps at 150 volts or ❑ Floating buildings. `� " "' "� �" " ` " ' ° " °A 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 rf i' wti „ Emergency system larger separately derived system b r A, -.1 �1' JOB( SITE I NFORMATION AND j w ,”! ' i ... ❑ Addition of new motor load of ❑'`A ", e Job no.: Job site addre � l or more R c ❑Six Six or or more residential units. ❑ ecreational Vehicle parks. City / State/ZIP: 1g 7 ❑ Health-care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: ❑ Service or feeder 600 amps or more. YrN 1 u r A y f d A� ,c., F! �� � aWel'�.` /" a.. 4 t ° � : t, FEE $t)OI XJK6 F "�« ��P ve t Cross street/directions to job site: • Description I Qty. I Fee. I Total I New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: I Lot no.: 1,000 sq. ft. or less 168.54 4 Ea. add'l 500 sq. ft. or portion 33.92 1 Tax map /parcel no.: Limited energy, residential n i �, �" '�. f' " i x u T t , r- " q r h r r 67.84 2 k � ry ? - -' x ?l ' ', i x .�r ,tit, DESCRIPTION; OF *0:"* t r' ' «' ; :pl ,'- r � '3 w, AI (with above sq. ft.) Limited energy, multi- family 67.84 2 t S S residential (with above sq. ft.) or feeders installation, alteration, and/or relocation *Mount Only* 200 amps or less 100.70 2 q `"',,,, s.t a ,-,v ' " , v lw ", , F '' °` µ a 'C' " WP "$ , rv 201 amps to 400 amps 133.56 2 t .A , :ae ®, PROPERT,Y ,_ .° t- ,1.r ,.,. - 4,,: wr ® Iyrv TENA N T , E s ' tj1 /`4:. , i N . F p p — 401 amps to 600 amps 200.34 2 Name: 601 amps to 1,000 amps 301.04 2 Address: Over 1,000 amps or volts 552.26 2 relocation po services or feeders installation, alteration, and/or City / State/ZIP: Phone: ( ) I Fax: ( ) 200 amps or less 59.36 1 201 amps to 400 amps 125.08 2 Owner installation: This installation is being made on property that I own which is not 401 amps to 599 amps 168.54 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. ? Branch circuits — new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with • i A N A P P L I C A A N T g ' , .16rA' 4,I »; ' } CONTACT PERSON #r ti.:f4,t »., above service eeder fee, 7.42 2 Business name: Security Signs B. Fee for branch circuits without service or feeder fee, first 56.18 2 Contact name: Melissa Hayden branch circuit Each add'l 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 modeler 67.84 2 Y � dwelling, service and/or feeder Phone: (503) 546.7114 I Fax: : (503) 230.1861 Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E Melissa@SecuritySigns.com con Sign or outline lighting 2.. 67.84 / ? ( 2 a' 4a4: 1 - z` t ;, ' jw l i "' ' ? CONTRACTO_R.... i,,- . �':�r I �, ; „.;.,.-`” r ' . Y. - ` fix„ .1" '4 ;i Signal circuit(s) or limited-energy Business name: Security Signs panel, alteration, or extension. Page 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 I Fax: (503) 230.1861 Inspections for which no fee is 90.00 / hr specifically listed ( hr min) CCB Lic.: 122809 I Electrical Lic.: 26560CLS I Suprv. Lic.: 383SIG .. Suprv. Electrician signature, required: Subtotal: / ) S' (,� k _ Plan review (25% of permit fee): Print name: Marc Linguist I Date: State surcharge (12% of permit fee): 1l0 , 0 TOTAL PERMIT FEE: / S (, 6 76 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Melissa Hay n Date: * Number of inspections allowed per permit. I: \ BuitdingTermits \ELC- PermitApp.doc 10 /01/09 440- 4615T(11 /05 /COM/WEB