Permit "y r , CITY OF TIGARD ELECTRICAL PERMIT
- COMMUNITY DEVELOPMENT Permit #: ELC2009 -00426
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/18/2009
Parcel: 1 S135BB00500
Jurisdiction: Tigard
Site address: 10487 SW CASCADE AVE
Subdivision: Lot: 0
Project: MOR Furniture for Less
Project Description: Sign /outline lighting for (5) wall signs.
Owner: FEES
PINNACLE INVESTORS, LLC Quantity Description Date Amount
1022 SW SALMON ST STE 450
PORTLAND, OR 97205 5 ea Sign or Outline Lighting 08/18/2009 $267.00
PHONE: 1 ea 12% State Surcharge - 06/18/2009 $32.04
Electrical
Contractor:
MEYER SIGN CO OF OREGON INC
15205 SW 74TH AVE
TIGARD, OR 97224
PHONE: 503 - 620 -8200
FAX:
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp:
Total $299.04
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 w• is sus. 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 503.246.6699 0 1.8
n n 1 •
Issued By: ( ` i� C ��Q `L J` ��� 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.
Electrical Permit Application RECEIVE FOR OFFICE USE ONLY
Received
City of Tigard I r I Date/By: 0 Permit No , r � eh • • .` (4 - 13125 SW Hall Blvd., Tigard, OR 97223 l ' 8 200 Plan Review
1,1 Phone: 503.639.4171 Fax: 503.598.1960 Date/By Other Permit:
TIGARD Inspection Line: 503.639.4175 CITY OF TIGAR I Date Ready /By: Juris: ® See Page 2 for
Internet: www.tigard - or.gov BUILDING DIVISI tttfied /Method: 11(ii Supplemental Information
44'
l
;:PLAIN " "R v- ':�it:>�1 „��:`
TYPE. F RK -
,.'7-.1,-,' , ° <� E IE
El New construction ❑ Addition /alteration /replacemen Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ® Other: Signs where the available fault current ❑ Marinas and boatyards.
''
e xceeds 10 000 amps 150 volts or ❑ Floating buildings.
a �,- wa;� -a r " ta" ,� P b' g
Y =�v J COIYNfRUGTIbNyd :'
=`
• �� ° ' -_� ua:,,:.•,..a.„ .;�; ^� -- .�e. �a�r� .� �.� - :, - . - .,6, «�z� >3arA.�°ix...`; � ; �'�- i less to ground, or excee s ommercl -use aura
`�� �' �� '°- `� ' I t d 14,000 ❑ C 'al agricultural
I
❑ I- 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
;< ,,-; ,�.- .: ,.< „. ID Emergency system. larger separately derived system
il'OB} iINF- - '
.. ' I?ION AN OC ATION , s „= .' x 'i' , „ ,,t , '` : _'S
e� . ' t`z��r : ..�_._ „`iF ` rar - .., a . .. . . .<. ,,, ,Fv. ,,.,., "a,. .. , .,... F,,a " s z�•,a� w �,< El Addition of new motor load of ❑ .< <, >, .. .
Job no.: Job site address: 10487 SW Cascade Blvd. IOOHP or more. occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parks.
City /State /ZIP: Tigard, OR 97223 ❑ Health - care facilities. ❑ Supply voltage for more than
E l Hazardous locations. 600 volts nominal.
Suite /bldg. /apt. no.: Project name: MOR Furniture For Less ❑ Service or feeder 600 amps or more.
Cross street/directions to job site: north of Green burg Rd., Description I Qty. i Fee. j Total I •
New residential single or multi family dwelling unit.
south of Scholls Ferry Rd. Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
/C
Tax map /parcel no. �S Q , Limited residential n 33.40 I
05 ,
..;f ,.: �, .,,,,,..:. ., 75.00 2
3S ��� Ea. a sq. or portion
s „ \\ invited energy, res
. y , � , ,... ..,.. DESCRI,01 -70 �O : ORK ``, At (with above sq. ft.)
Limited energy, multi - family 75.00 2
Install (5) elec. wall signs residential (with above sq. ft.) •
. Services or feeders installation, alteration, and /or relocation
200 amps or less 80.30 2
' ` "PROPERf ,. NER=: ;;' c ; r „ ®aTEN'
�;, ,,,, . . „., ,k,- .r • - 't , .,L �a .. <, . „� KMV ?∎' ; ,q3 ,'�` ,' , ,,, :.: i : ' �� „ 201 amps to 400 amps 106.85 2
Name: Pinnacle Investors, LLC 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: 1022 SW Salmon St., Ste. 450 Over 1,000 amps or volts 454.65 2
City /State /ZIP: Portland, OR 97205 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 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
Owner signature: Date: Branch circuits — new, alteration, or extension, per panel
A. Fee for branch circuits with
- t � _..
=APPIICANT` �F ACT.PEI2SON ° above service or feeder fee '
. ��� ,�.__�..... z 6.65 2
each branch circuit
Business name: (Same as Contractor) B. Fee for branch circuits
Contact name: Steve Murphy without service or feeder fee, 46.85 2
first branch circuit
Address: Each add] branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City /State /ZIP: Each manufactured or modular 90.90 2
dwelling, service and /or feeder
Phone: ( ) Fax: : ( ) Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
n” '° =' i or outline lighting ,..�; ,��1 �; °� -�, CONTRACTOR >, `�,�.,,,,;,, Sign o ou g g 5 53.4 0 267 0 0 2
Business name: Meyer Sign Co. of Oregon, Inc. Signal circuit(s)
energy panel, alterer limited-
or
Address: 15205 SW 74 Ave. extension. Describe: Page 2 2
City /State /ZIP: Tigard, OR 97224 Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: ((503) 620 -8200 Fax: (503) 620 -7074
Investigation per hour (I Irr min) 62.50
-
CCB Lie.: 64014 Electrical Lie.: 20- 190CL5` Suprv. Lie.: 566SIG Industrial plant per hour 73.75
,, ,.` SE(GECTItICAI "PERMIT :;x E
Suprv. Electrician signature, required: Subtotal: 267.00
Print name: Phil Reynolds Date: 8 -18 -09 Plan review (25% of permit fee):
State surcharge (12% of permit fee): 32.04
Authorized signature: ' 67 _ TOTAL PERMIT FEE: 299.04
Print name: Steve Murphy Date: 8 -18 09 This permit application expires if a permit is not obtained within 180
y days after it has been accepted as complete.
* Number of inspections allowed per permit.
f\Duitding \Permits \ELC- PermitApp.doc 05/23/06 440- 4615T(t I /05 /COM /WEB
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