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Permit CITY OF TIGARD ELECTRICAL PERMIT ' F 1 ; a COMMUNITY DEVELOPMENT Permit #: ELC2013 00078 T IGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/30/2013 Parcel: 1 S136DD00200 Jurisdiction: Tigard Site address: 11560 SW 67TH AVE Project: Green Office Building Subdivision: WEST PORTLAND HEIGHTS Lot: 8 Project Description: Sign lighting for address numerals being replaced due to fire damage. No building permit required for the replacement. Contractor: MEYER SIGN CO OF OREGON Owner: GREEN OFFICE LLC 15205 SW 74TH AVE PO BOX 1 TIGARD, OR 97224 DONALD, OR 97020 P PHONE: 503 - 803 -3004 HONE: 503 - 620 -8200 FAX: 503 - 620 -7074 FEES ' Quantity Description Date Amount 1 ea Sign or Outline Lighting 01/30/2013 $67.84 . Specifics: 1 ea 12 %-State Surcharge - 01/30/2013 $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 ordanc- ith 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.. ENTION: Orego law : •uires you to follow the rules adopted by the Oregon Utili - ' catio Center. Those rules are set forth in OAR 952 -0 -0010 through OAR 95001 -00• r. ' • u may obtain a copy of the rules or direct questions to OU y calling • .,2.1987 or 1.800.3 2.2344. N i Iss ed By: )_ k ...44.A.,—.L... i Permittee S �' /� 7 __emir e% 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' C-12C-41ta-4-- C �o�� �d` 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. 01/30/2013 1 0: 31 5036207074 MEYER SIGN PAGE 01/01 Electrical Permit ApplicaticRECEIVED 12 OFFICE 1iSR ONI -.1' City — Tigard Ti and Receive `d 0 � Penult Na,: Ei_e Ae /5 - QGd -75 IN r- 13125 SW HaII Blvd., Tigard, OR 9722JAN 3 O 2013 Plan Review 0 Phone: 503.718.2439 Fax; 503.598.1960 Daic/B , Other Permit; 'I'I i;A Ft ll 1lISPCCtion Line: 503,639,4175 CITY OF TIGARD [Inc Rcacty /n yf lurir. fa See Page 2 for Internet; www,ti and -or ov Notified /Malted. Supplemental g •� ., B.L DING DIVISION I ,ra V er , I, 1 i- �5''nl; ti'M :: .C. d1 K. „�,:�: :: r1:, ..� - ,e'i 1' - g uu i,i' o - .x a.,.e.,. ..�:I'�. , �,�:,,.. �. ...,. �. � �•, .. .. i,.,.. .,z,,.��"�: " ....:,. .,_ ,n`�lr9F�i;t'/A�4,•'�� .� �.�`. • Please cheek all thin apply (submit $ ac ts of plans w /lianas checked below): ❑ New construct ❑ " .`' . oil /a /replaccmatt ) ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ® Other: where the available current Marinas and boatyards k " I' ') 'T4 /" i p " "' ? exceeds 10,000 am e at 1 ce 1 50 volts w • •,. ,. iM ,�i%;i �� ' , � i. ' _....,,., ��' ���� `.��4"Ik'��N' "• :� �' P� ❑Floetingbuildinga. lass to Friend, or exceeds 14,000 ❑ Commeraisl•,tsc ngricultetral ❑ 1 - and 2- family dwelling ® Commercial /industrial © Accessory building amps for nit other installations- buildings, ❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or 3 I��G- �!S+t'd °19 y cyJgt911G' , ." D LOCATION ['Emergency system. larger separately derived system- 1 4' : 0+ . S. AWIP)"�i;'',1N.O ION'i . ❑ Addition of new motor load of ❑ n' G° ' r -2" "I -; Job no.: Job Site address: 11560 SW 67 Ave 100F1 or more. occupancy, ❑ Six or more residential units, ❑ keoreetionnl vehicle parks. City /State/ZIP: Tigard, Oregon 97223 ❑ Health ihcllities, ❑ Supply voltage for more than ❑ Harardatis locations- 600 volts nominal, Suite/bldg. /apt. no.: I Project name: Green Office Building ❑ Service or feeder 600 amps or more, . , . . DUI . ,,..T .. Cross street/directions to job site: SW Atlanta to SW 66 south On SW 66th. '.. ., - :::...:1:'::.:-...: : E `�� '-' . ,.t '; Dentition � L troe � �. Pet, I To 1 x New residential single- or multi- family dwelling unit. turn east on Baylor, and north on SW 67th Includes attached garage. — Subdivision: 1wLot no.: 1,000 sq. R. or less ios s.t 4 Tax map /parcel no,; ea. udd'l 500 sq, ft, or portion 168.54 i �+� Limited energy, residcntinl iiu� iil� DIfiha,Il , �A y 'fd .:`l'a *' :li�';, ESP`'RIP'�I , . (with above q. ) 75.00 2 e a1V : U>4 ?.'4'401tIC • ba e s f!. Limited energy, multi - family 75.00 2 Install address numerals and connect to existing electrical residential (with above sq, ft.) W Services or feeders installation, alteration, and /or relocation 200 amps or l eas 100.70 2 1 ;` '' R'' r:,, ❑ ' 201 amps to 400 amps 133.56 2 Name: Joe Green 401 amps to 6D0 amps 200,34 2 601 amps to 1.000 amps 301.04 2 Address: 11560 SW 6T Ave Over 1,000 amps or volts 552,26 2 City/State/ZIP: Tigard, OR 97223 Temporary services or feeders installation, alteration, and /o relocation Phone: (503)803 -3004 Fax: ( ) 200 amps or less 59.36 1 Owner installation: This installation is bein 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 ()RS 447. 449. 670, and 701. 401 amps to 599 amps 168,54 2 Branch circuits- new, alteration, or extension, ter panel Owner signature: _ Date: �± ys�'c�� A. Fee for branch circuits with �li:�' `' "r.��h'�!�y ;L "�Ith V Jl,dva1rC!? a .^ .. a`�'- , . ab ove serv or f eeder fee, �.f4, +' l ❑ P*T .PERSON 7.42 2 "•��� each branch Circuit Business name: Meyer Sign Co B, Fix: for branch circuits witirmit service or feeder fee, first Contact name: Lyn Davis branch circuit 56.18 2 Each add', branch circuit 7,42 2 Address: 15205 SW 74 Ave Miscellaneous (service or feeder not In cluded) City /State/ZIP: Tigard, OR 97224 Each manufbctured or modular — 1 — dwelling, service and/or feeder 67,4 2 Phone: (503) 620 -8200 Fax: : (503) 620.7074 Reconnect only 67.84 2 E -mail; Iyn®meyersignco.com Pump or Irrigation circle 67.84 2 k`" r, g;; s ,! i� ,I :c:.: .• Sign or outline lighting 1 67.84 � iu It I I� �,:�jl( 'ti`ry 'Ig'',r'r � 440, O, '•.. ;,.: �O �• 2 �' " Signal cireltlt(a) Or limited- energy Business name: Meyer Sign Co - panel, alteration, or extension. Page 2 2 N Each additional inspection over allowable in an pr the abov Address: 15205 SW 74 Additional inspection (1 hr min) 66,25/ hr City/State/ZIP: Tigard, OR 97224 Investigation (1 hr min) 66.25/ hr .. Industrial plant (1 hr min) 711,18/ hr Phone: (503) 620 -8200 Fax: (503) 620.7074 • Inspections for which no fcc is CC$ Lic.: 64014 _F,,leCtrical Lic.: 20 190CL5 g specifically listed (ithr min) 90.001 hr uprv. Lie.: 524 SIG ':1, "EtEGI tICA FERMI ', . Suprv. Electrician signature, required: Subtotal: C17� Plan review (25% of permit fee); ,---- Print name: Carey Rhos Date: 1/30/13 State surcharge (12% of foe); 3. I `f r >5 ( permit fcc : Authorized signature: gi up1i - TOTAL PERMIT FEE: '7�.i Y " i • ' , ! This permit application expires if n permit in net obtained Within ISO Print name: Dennis Meyer `;` Dare; 1/31 days after II has been accepted as cmmnim, 7 - ""P \ • Number of inspections allowed per permit. IaauiIi n ePermittELC- PrrmirApp.doc ('7/01/10 440 1 5T(I I ro5/COM,wga 01/30/2013 09:05 5036207074 MEYER SIGN PAGE 03/04 Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY � y PERMIT FEES: 0 }. '��y�1 • Fee for a1 residential systems combined $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: ¢mac `'�A,,:,' +,• ,. 0 "05�Cs • ... _.. Fee for g�j commercial $75.00 system (SEE OAR 918- 309 -0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems; *No licenses are required. Licenses are required for all other installations r amilaingTemdfnlFa,C- prnnitAop.aoc o7 /11 Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 11560 SW 67TH AVE, TIGARD, OR, 97223 Commercial - Electrical 199 Electrical final 04/25/2013 00:00 ELC2013-00078 PASS - No C of O Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 11560 SW 67TH AVE, TIGARD, OR, 97223 Commercial - Electrical 199 Electrical final 04/25/2013 00:00 ELC2013-00078 PASS - No C of O Violation Summary: Inspector Contractor