Permit r! CITY OF TIGARD ELECTRICAL PERMIT
1 11 1 s . COMMUNITY DEVELOPME Permit #: ELC2012 -00116
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/24/2012
Parcel: 151260000300
Jurisdiction: Tigard
Site address: 9636 SW WASHINGTON SQUARE RD G10
Project: Buckle Subdivision: Lot:
Project Description: (1) sign lighting
Contractor: HANNAH SIGN SYSTEMS LLC Owner: PPR WASHINGTON SQUARE LLC
1660 SW BERTHA BLVD BY THOMSON PROPERTY TAX SERVICES
PORTLAND, OR 97219 ATTN HILARY RAYMOND
2235 FARADY AVE, STE 0
CARLSBAD, CA 92008
PHONE: 503 - 946 -8373 PHONE:
FAX: 503 - 206 -4900
FEES
Quantity Description Date Amount
1 ea Sign or Outline Lighting 02/24/2012 $67.84
Specifics:
1 ea 12% State Surcharge - 02/24/2012 $8.14
Electrical
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 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 OA "2-00�u may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. /
Issued By: / Permittee Signature: 6 «
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease or rent.
OWNERS 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.
•
Electrical Permit A licatioiECE1`! i
�p POI! Ol h1( „: LitiP, O.I.,
City of Tigard E CW
111111 D 1 315 STiard, OR 97223 FEB 2 4 2012 l a
Phone: 503.718.2439 Fax: 503.598.1960
c /g ; Other Pena ao — e o a , .
i I ;; A It t. Inspection Line; 503.639.4175 CITY OF TIGAi ,D Data Ready/By;
: Internet: www,tigard•ar.gov G SiOn Notificd/Mcthnd: S Pane I Information
I i , l i� II n y DIV�JI� +; Supplemental information
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❑ New Construction ❑ Addi tion /alteration/replacement Please check nit that apply (submit 2 sots of plans w /items checkod below);
❑ Demolition `�1 where Service or fccdcr 400 amps ix more El over lhroo stories,
Other:
,, 1 Ir .S °t7 . a 1 ,.., ,, n: mho available fault canon!
l� 11 � ' ', l; it +1'' ) , T rnr M. , II ^.'Ni n lm }in. >,�cP., ,mnaliRll 1! 111 jq „ RI 1 t ,1 ❑Marinas and boatyards.
h •„ nt i i Ili I,'l�,I�11�11} 11 1' i'r`F' ;' I ° i 11111 i 71 j' . i r t it ;' 1 ;, 11 1 (' ` 1 l ' r ! i' ' a 10,000 am P9 at 150 volts W
�' i I �t i I ( , b�' , 1,o, ll r r> CI Floating buildings,
(��,.• 'I 1lslSl l 1,h,,llfl 11.., . , ; : I ,i1 1 f1 1 1 n h l; n tr� f ( 7 ,, , l g 111 o n `,11 dl�d �n1 <l.11iall , 1,1 I (ff )i��,��1��1�i111I11! ililt�; L' , ,ill loss t gMund, CT ex ceeds 14,000
dwelling ❑ Commercial-use agricultural
❑ I- and 2-family g , Comm ercial /industrial ❑ Accessory building amps for all ether installations, buildings.
❑ Multi - family ❑ Master builder rlr Fir pump,
1 u (" '; y, ; � i 1 1'I {I' ,;'! n r a l El Other: 0 P P ❑ Insh of 75 KVA or
I 1 1 1 1 M , } I: h ( ram ,x1 u, ru nl 1 , r1 : ii;. �i l i' , 11 {' • Ili f s ll i t,95 1 (11 1 '; - ' ! 1 ❑ Emergency system. larger acparntcly 1 derived grim, NI S I E,1�1!';i�1�11 1 t uttitl i. ktilir$ a rn ni init�r ll 11111 ins :oW i i x,a 1Ili 3ti! ilit!i'l, Itd(111110.14!11 Ilkl,t . ❑ Addition of new motor load of ❑ "A”, "E", "1-2", "1-3 ",
Job no 0 . „ )ob site address.ft : W , * �J_ . - 1 0 IOOHPormore, occupancy.
❑ Six or more residential'mita, D Recreational vehicle parks.
City /State /ZIP: - n c , Aes O. • - •� ••� s / ❑ Hcalai —csro faeilitics• El Supply voltage for more than
c.rw . — ❑ Haraudoua locations. 600 volts nominal.
Suite/bldg./apt. no.: 0 _ � 0 Project ; C - _ S onic° or f
reject name: � ❑ ceder 600 amps or more.
1` II;)I!Ilrtrtf I {ygllllm'1 ; ):1.7,,r E,,z 1 1!111 ynl ` '1:X11 ,
1,W6-1 DE. •11 111��iil Lnil, Lt! 1 „° „a m,I n G ifI { t ` li, rt q • 1
Cross street/directions to job site: 1,W61 �_ Ins-, li 11 Dr er l ! � . mood!{ V iI, �I))` �I�u4, llfl ';t11I�11n!,,,
Wh'J►'1 �c�b” Qt9. Pee. Tana
�� New residential mingle- or multi - family dwelling unit.
S Includes attached garage.
Subdivision: Lot no,: 1,000 sq. ft. or less 168.54 4
Tax map /parcel no.:
Ea. add'l 500 sq. ft or portion 33.92 I
1 1!1 u•� ,,i1 f 1. {my �';'i''� ",,.` 44nru +annnum : ,naue,;t Limited energy, residential
it l i i .1 , I Ilia f t I 'I i :�41 m1 n ;,}, }V' i:1 r u F! n :n •1'•9 ,1 1t l' 1 1 I I f 75,00 2
1h�il1 � 4 � I ,! 11 611:a1tj,) ;� ; I { 111 } 1 � , ° li 11 uI � I !{ 1 'JI' y��.I��} � � 1FI! 1 �� l }�� 1 with above
1 l 1 1 L 1 ,! .� 11 1..1. I:1 : vrcrdl�iel :nrtxmal�`, :de�fll n,nFi11 -1,, � :hnh,�{;�.111�, „� 1•,P {1.1 11 n �� 1 i�il :�',Ii�i�41.. •1111J!1!1 1���1:I;�!
Limited energy, multi- fimily ('''
I O�u. + � CQ U e st4r1 residential (with above sq. ft,) 75.00 1 2
Services nr feeders installation, alteration, and/or relocation
200 amps or lie 100.70 2
rill ,gy' r<{!; n11l n ulln ,! rtn l 'hnn : c! jtl.";1!1 !lfl(i11r •` 1' rn 1 G ; 1 ;; ri!1, y, [i1l+n { ujlll e u >«q � �-;in 1
!) 1 s l 1 �'I , Il �I ' i }� li` !fI Irl t; r, } 1 111 i � i I�'! f 1 ' ! F i 17 11j'r 1' 7, 7 1f l 11+11 � 1 I ' 1 IR RI'I '1. 11 • , 201 amps to 400 amps 133.56 2
I1 d 1.1:11 11 ,, n1 •/Ill rh r, , :;.Vi :'r, d1. 1ct litt',.114:.Inl.l u, ,G,n ■1U ft. :.i.l,10.); f.`I1,ua {SI a 11,1, ,,1 ouh.. m, t! tcl i, r. S,ilfii,. 10 1131111,;gf,t i!!
Name: � 401 amps to 600 amps 200.34 2
601 amps to 1,000 amps 301.04 2
Address: (-15%S” V) i 'A , IRA ' j % p Over 1,000 amps or volts 552,26 2
City / State/ZIP: M(iClej? Q12Z, Temporary services or feeders installation, alteration, and /or
relocation
Phone: ( ) E ) 4(Z —24 01 Fax: ( ) 200 amps or legs 1 59.36 El2
201 amps to 400 amps 125.08 Owner installation: This installation is being madc on property that I own which is not 401 amps to 599 amps 168.54
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
1'�. , 1 m:nrnprlP, Imv,P�irnnl li' 4 ' ' 1 � i ,,, �,,..,r)s m,c, lrr'i
l� '('• C ,i 1 , 1 { 1 !L 61:' 6 ,t if t, ) t 1� ' { r T, l ; �u�n nl , ;ue ;l,;n; , i r ' ' 1 C i 1 ! above service or feeder fee,
}, qq ` I:1 � li r tN't i l yni,j•4 1 b { (l i } . � i,c 11 ' n; 1r. ; +, �• l I
Iltll . i1 ,1111111111(,.{ Iii !lifll - 1(Irb nnllnon�p,nln�t �nul��ll,.,�l�1u ) :1"Sli,. ,i�il�l1;; 11,11, . 1,! l 1 • ii • }' h 1 I l 1 each brunch circuit 7.42 2
„rr,m . nflnlaIf:nd.rTilin.a nlim,dm• ,�1.114�1111.4�.111!
Business name: T2`-�vt4""Z -4n1 B. Fw for branch circuits wlrhou�
�V acrvice or feeder fee, first 56.18 2
Contact name: 41AC �N�p branch circuit
I"'.'' BEA.T1' -/\ �Cp-W BLVD. Each add'l branch circuit I 7,42 2
ijJ
Address: 1((C S . Miscellaneous service or feeder not included)
n � ••� Each manufactured or modular
City/State tI:.+1tf* ) e r' , 19 dwelling, service and/or feeder 67.84 2
Phone; ) Ar t- ( — 8 13 Fax: : ) ,- 4°I. oD Reconnect only 67.84 2
Pump or irrigation circle . 67.84 2
E-mail: a • ,- t e INA, alt i ns 5 - r , cop—
II(1[ {�.. : ". {.,,j�(1,11 p'mj illlf 111 I ,r 'tir� :f'�,,., .t�..•L•�.,i;`�I,�,�•,rt -�tll� �'''`h 11' �'1: 11�'r!'i ' I II llllj 1 11 �I(�111. {, Sign Or outline lighting 67.84 r�� 2
,12 "f�rI 4, 1il Il f 1 1 G 1 1, a 1, fIPl 1. 1, 1
�. I ,t,l lh J.Il�ddthd a, rh +1l�,•i1n ldl,n I „1��, .I nep��,�I�T;'; iM n.i}n,- ,.Jl.�13.111d,, ,1! (i. ,11111�1 „ Il�ll,: ,ri}Illllil11 :��l.t•u�11 Signal circuit(s) or hmlte(1- g110rgy
i ' Business naR1E; ■ N. � r` • , 1 �' I alteration, or extension, 2
K N'v Each additional inspection over allowable in any of the above
Address: C(p(uD SW ►i641:::s 1.. p Additional inspection (I hr mm) 66.25/ hr
City/State/ZIP: f$ TIAN D ark, q 12,, investigation (1 hr min) 66.25 / hr
industrial plant (1 hr min) 78,18/ hr
Phone; 3) 944 —g,3 Fax: ( ) ... 0Q co inspections fbr which no fee is
I` Supry . Lic s ificall listed K hr min
CCB Lic.: I 90.00 / hr
Z ii Ir B MI Lk.: CLS — (( / 1(� T1' ill) la) I Ill � r, t m t �i'i1�° ter' 1,;,' ' "`r'i lt'' 1;1 ., k •" il ii ii ) p *� y f i
/L_ ` Lie. � � � ! I{ 111 :IIIl,nl {111 "4i1}�1�6I :: ,.M , • ,1..j,;. !Il :ale ; � \;�Ir'et1e111'- 1rnnti!}e 1� i11!� +1i,1•Ij`1f ill,hi11�1�1S1S;J: '
Suprv. Electrician signature, required: ` __ Subtotal; , •
Av .2 A /' AAA . M'• Plan review (25% of permit fix):
Print name: £ /)d t, Date: /23/1 'Z _ Stoic surcharge (12% of permit fcc); 7 1a
Authorized signature: / TOTAL, PERMIT FEE: • r
L =� T his permit application aspires if a p bi not obtained trithtn 180
Print name: gp 4. 0/ ED . D8 a 21 /ZWWi Z • days alter it hos been accepted as complete.
Number of inspections allowed per permit.
I :1BundInp'Pernii \e1.C- r4rPoit/1pp.doo 07/01/10 140.1615T(II /OS/COM/WEB