Permit CITY OF TIGARD ELECTRICAL PERMIT
II I COMMUNITY DEVELOPMENT Permit #: ELC2013 -00317
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718 2439 Date Issued: 06/06/2013
Parcel: 1 S135BB00300
Jurisdiction: Tigard
Site address: 10185 SW CASCADE AVE
Project: PGE Freestanding Sign Subdivision: HILLSBORO Lot: PTS 1 -2
Project Description: Electrical service and (6) branch circuits for new sign face.
Contractor: DAVID STUCK ELECTRIC LLC Owner: PORTLAND GENERAL ELECTIC COMPANY
PO BOX 2582 121 SW SALMON ST
EUGENE, OR 97402 PORTLAND, OR 97204
PHONE 541- 542 -0618 PHONE:
FAX:
FEES
Quantity Description Date Amount
1 ea Services or Feeders - 200 06/06/2013 $100.70
Specifics: amps or less
6 crt Branch Circuits w /Purchase 06/06/2013 $44 52
Type of Use: COM Service or Feeder
Class of Work: ALT 1 ea 12% State Surcharge - 06/06/2013 $17.43
Electrical
Type of Const:
Occupancy Grp:
Total $162.65
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 accor 't• approved plans. This permit will expire rf work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTEN N. Oregon •w • . ires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR
952- 001 -001 through OAR 952- ' • u may obtain a copy of the rules or direct questions to OUNC by calling 503.232.198 r 1. 0.332 2344
k Issued 6 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' r J _ / ����� % Date:
-
LICENSE NO.
Call 503.839.4175 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 Applica 'o 1 , FOR OFFICE USE ONLY
•
City of Tigard Received ��
Dateiv . Permit No . P ' -023/
C EI v ED ° 13125 SW Hall Blvd , Tigard, •" " '" Plan Review f)
10,1 C
Phone. 503.718.2439 Fax: 503.59 Date/B Other Permit rf.L/� n . i3-OG / ►
TIGARD
Inspection Line 503.639.4175 v 1 - 6 2013 3 Date Ready/By lens RI See Page 2 for
Internet. www.tigard- or.gov Notified/Method Supplemental Information
TIGARD
TYPE 4,.1 iiUmInS PLAN REVIEW
❑ New construction ® Additio ., 7 r II f�Ctrfifetl 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: where the available fault current ❑ Marinas and boatyards
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agncultural
❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building amps for all other installations buildings
❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump ❑ Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system larger separately denved system
❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ",
Job no.: Job site address: 10185 Cascade Ave I OOHP or more occupancy
❑ Six or more residential units ❑ Recreational vehicle parks
City /State /ZIP: Tigard, Oregon 97223 ❑ 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 '
FEE SCHEDULE
Cross street/directions to job site: HWY 217.25 Miles west of greenburg Road Description I Qty. I Fee. I Total I
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 00300 1,000 sq ft. or less 168.54 4
Ea. add'l 500 sq ft or portion 33.92 1
Tax map /parcel no.: 1S135BB00300 Limited energy, residential
75 00 2
DESCRIPTION OF WORK (with above sq ft.)
Limited energy, multi - family 75 00 2
14i 3 18 il 6 yt e w b at KG C r /- G Ltl 1L S e. 1., 1 y v-\_... residential (with above sq ft )
V Renewable Energy ❑ See Page 2
Services or feeders installation, alteration, and/or relocation
❑ PROPERTY OWNER ® TENANT 200 amps or less / 100.70 4...-, 2
201 amps to 400 amps 133.56 2
Name: Lamar Advertising 401 amps to 600 amps 200.34 2
Address: 29345 Airport Road, Suite B 601 amps to 1,000 amps 301.04 2
Over 1,000 amps or volts 552.26 2
City/State /ZIP: Eugene, Oregon 97402 Temporary services or feeders installation, alteration, and /or
Phone: (541 )684 7939 Fax: (541)684 3212 relocation
200 amps or less 59 36 1
Owner installation: This installation is being 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 ORS 447, 449, 670, and 701.
401 amps to 599 amps 168 54 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
® APPLICANT ❑ CONTACT PERSON A Fee for branch circuits with _77
above service or feeder fee, / 7 42 N �J Cr 2
Business name: Lamar Advertising each branch circuit (v
B Fee for branch circuits without
Contact name: 29345 Airport Road, Suite B service or feeder fee, first 56 18 2
branch circuit
Address: 29345 Airport Road, Suite B Each add'I branch circuit 7 42 2
City/State /ZIP: Eugene, Oregon 97402 Miscellaneous (service or feeder not included)
Each manufactured or modular 67.84 2
Phone: (541) 684 7939 Fax: : (541) 684 3212 dwelling, service and/or feeder
Reconnect only 67 84 2
E - mail: jripp @lamar.com Pump or irrigation circle 67 84 2
CONTRACTOR Sign or outline lighting 67 84 2
Business name: Oho., ,j-, j i/- -& k- , ,Li-- C.. Signal circuit(s) or limited - energy See
panel, alteration, or extension. Page 2 2
Address: /.C, doX 24 2. Each additional inspection over allowable in any of the above
City/State /ZIP: & - (�(��if� c7Y /'711G 2. Investigation hr hr min) 6625/hr
l Investigation (I hr min) ) 66 25/ hr
Phone: (.5 ) ..S -- /i) -G6 i5 Fax: ( ) Industrial plant (I hr min) 78 18/ hr
Inspections for which no fee is 90 00/ hr
CCB Lic.: /S'57 7 7 Electrical Lic.: 2-573C Suprv. Lic.: h"f3 2.S specifically listed (%: hr min)
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: / ";* Subtotal. / if S Z Z.
Print name: Q7 ✓ +4) , ST - L.--C4 Date: s.5. - /j !/42 Plan review (25% of permit fee). J s '/
State surcharge (12% of permit fee). /- / 7, el
Authorized signature: i TOTAL PERMIT FEE >
This permit application expires if a permit is not obtained within 180
Print name: ‘14 , � 71 / G i f Date: s-/..19/ lc days after it has been accepted as complet%i J `/'
• Number of inspections allowed per permit K l (e
1 \ Budding \Permits\ELC_PermitApp_ELR_ERE doe Rev 05/21/2013 440- 4615T(I I /05 /COM/WEB
Electrical Permit Application — City of Tigard
Page 2 — Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Fee for all residential systems combined ... $75.00 Description I Qty. I Fee I Total I *
Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100 70 2
5 01 to 15 kva 133.56 2
n Audio and Stereo Systems* 15 01 to 25 kva zoo 34 2
Wind generation systems in excess of 25 kva:
❑ Burglar Alarm
25 01 to 50 kva 301.04 2
❑ Garage Door Opener* 50 01 to 100 kva 552 26 2
>100 kva (fee in accordance with 552 26 2
❑ Heating, Ventilation and Air Conditioning OAR 918- 309 -0040)
System* Solar generation systems in excess of 25 kva:
Each additional kva over 25 7 42 3
n Vacuum Systems* >100 kva — no additional charge 00 3
n Each additional inspection over allowable in any of the above:
Other: Each additional inspection is
charged at an hourly (1 hr min) 66.25/ hr 1
Inspections for which no fee is 90 00/ hr
specifically listed (Y2 hr mm)
COMMERCIAL WORK ONLY: 1 ELECTRICAL PERMIT FEES
Fee for each commercial system $75.00 Subtotal.
(SEE OAR 918- 309 -0000) Plan review, if required (25% of permit fee)
State surcharge (12% of permit fee)
Check Type of Work Involved: TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
❑ Audio and Stereo Systems days after it has been accepted as complete.
• Number of inspections allowed per permit.
❑ 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
I \ Building \Permns'.ELC_PermiApp_ELR_ERE doc Rev 05/21/2013