Permit CITY OF TIGARD ELECTRICAL PERMIT
-'- COMMUNITY DEVELOPMENT Permit #: ELC2009 -00301
Date Issued: 06/19/2009
.T1 ARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 1S135BA02800
Jurisdiction: Tigard
Site address: 10380 SW CASCADE AVE
Subdivision: Lot: 0
Project: Bob Lanpheres
Project Description: Install (2) illuminated wall signs.
Owner: FEES
LANPHERE ENTERPRISES INC Quantity Description Date Amount
ATTN: DOUG MEATH, 12520 SW CANYON RD
BEAVERTON, OR 97005 2 ea Sign or Outline Lighting 06/19/2009 $106.80
PHONE: 1 ea 12% State Surcharge - 06/19/2009 $12.82
Electrical
Contractor:
ES & A SIGN AND AWNING CO
5856 NE COLUMBIA BLVD, SUITE 200
PORTLAND, OR 97218
PHONE: 541 - 485 -5546
FAX: 503 - 542 -2105
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp:
Total $119.62
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 503.24 .6699 or 1.800.3 2.2344.
Issued By: `I lk ' I ! , 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 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.
RECEIVED
Electrical Permit Application FOR OFFICE ICE USE ONLY
JUN 1 2009 Received
City of Tigard Date /By: Permit No.: E V 7 oc q. 3
C 13125 SW Hall Blvd., Tigard, OR 97223-- ,Ly OF TIGARD Plan Review l 1 t U ) 0 J
Phone: 503.639.4171 Fax: 503.598.1(} Date /B : • Other Permit: � J -
T I G A R ll Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready /By: lurk n :. See Page 2 for
Internet: www.tigard - or.gov Notified/Method: to \ 7 Supplemental Information
TYPE OF WORK . PLAN .REVIEW
Please check all that apply (submit 2 sets of plans w /items checked below):
El New construction ❑ Addition/alteration/replacement
�( ❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition y"' Other: 'j S where the available fault current
0 Marinas and boatyards.
CATEGORY OF NSTRUCTION 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 "1 -2 ", "I -3 ".
Job no.: 94 25 Job site address: 1 0380 e cle b 100HP or more. occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parks.
City /State /ZIP: 1 972-2 3 ❑ Health - care facilities. ❑ Supply voltage for more than
`i ❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: v101.ere5 CI Service or feeder 600 amps or more.
n � I � FEE SCHEDULE
Cross street/directions to job site: u ,� I ` o 1' A ∎. Des cription Q ty . Fee. I Total I •
i r4 f ,, ` � J � Q I New residential single- or multi - family dwelling unit
e 6C 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
75.00 2
' DESCRIPTION OF WORK (with above sq. ft.)
1 (:1 l4 I� t Limited energy, multi - family 75.00 2
� r1( G residential (with above sq. ft.) Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
PROPERTY' ❑ ERTY' OWNER= ' 1 Igi.TIENANt .. 201 amps to 400 amps 106.85 2
Name: h rt -10k18-,-L 401 amps to 600 amps 160.60 2
V� ��� �u�-i 601 amps to 1,000 amps 240.60 2
Address: 113 Over 1,000 amps or volts 454.65 2
City /State /ZIPIR4 �� 'L2 3 Temporary services or feeders installation, alteration, and/or
relocation
Phone: (53) 5/2_ - (0702. Fax: ( ) 200 amps or less 66.85 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
Branch circuits - new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
APPLICANT I r CONTACT PERSON above service or feeder fee, 6.65 2
^
Business name: each branch circuit
E A t tC 'X t1,t V1,� C o , B. Fee for branch circuits
u without service or feeder fee,
Contact name: 46.85 2
� � first bra nch circuit
Address: 585.0 0 C L kv-ci Each add'I branch circuit 6.65 2
Q Miscellaneous (service or feeder not included)
City /State /ZIP� t (12, "1� Each manufactured or modular 90.90 2
_ dwelling, service and/or feeder
Phone: (5b3)'4 -2 21,00 Fax: : ('3 ) 542 .2IC� 5 Reconnect only 66.85 2
E- mail: .'�y e e �_, j 5. Corvvn Pump or irrigation circle 53.40 2
.., tom* cTOR" Sign or outline lighting `L, 53.40 �tIc 2C7 2
Signal circuits) or limited -
Business name: energy panel, alteration, or
Address: �� j extension. Describe: Page 2 2
City /State /ZIP: Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: ( ) Fax: ( )
Investigation per hour (1 hr min) 62.50
CCB Lic.: p Electrical Li. 'zo./..&_ 3 Suprv. Lic.: 7 ( ( Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES .
Suprv. Electrician signature, required: , 2I \
, Subtotal: `p(p. 70
Print name: / �
P (v p r\ I
Date: a °I Plan review (25% of permit fee):
, b bl State surcharge (12% of permit fee): (2, g2-
Authorized signature: TOTAL PERMIT FEE: l lC-t , Let.
•�� ,�G
This permit application expires if a permit is not obtained within 180
Print name:
L1Jt. l i (1,1�,,,,,d,_ Date: U��( of days after it has been accepted as complete.
* Number of inspections allowed per permit.
(:\Building \Permits \ELC- PermitA doc 05/23/06 440- 46I5T(11 /05 /COM /wI:B