Permit n CITY OF TIGARD ELECTRICAL PERMIT
11111 a COMMUNITY DEVELOPMENT Permit #: ELC2013 -00310
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/04/2013
Parcel: 2S 101 DD00100
Jurisdiction: Tigard
Site address: 7000 SW SANDBURG ST
Project: Pape Freestanding Sign Subdivision: TECH CENTER BUSINESS PARK Lot: C
Project Description: Electrical service and branch circuits for new sign face.
Contractor: DAVID STUCK ELECTRIC LLC Owner: TOOKE, DIAN P
PO BOX 2582 PAPE', TERRANCE E
EUGENE, OR 97402 355 GOODPASTURE ISLAND RD
EUGENE, OR 97401
PHONE 541 - 542 -0618 PHONE.
FAX
FEES
Quantity Description Date Amount
1 ea Services or Feeders - 200 06/04/2013 $100 70
Specifics: amps or less
4 cit Branch Circuits w /Purchase 06/04/2013 $29.68
Type of Use: COM Service or Feeder
Class of Work: ALT 1 ea 12% State Surcharge - 06/04/2013 $15 65
Electrical
Type of Const:
Occupancy Grp:
Total $146 03
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 ATTEN Or on law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -0010 rough OAR 2-001- 0 Y may obtain a copy of the rules or direct questions to OUNC by calling,09 1987 or 1 800 332 2344 //
Issued By - Permittee Signature: 1so, s I _ J / '
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' �_ 0 ,, I A r i
i r w r t. 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 Application FOR OFFICE USE ONLY
City of Tigard Date/B ����:'/' Permit No • e-/,,20 f 5 -1:10 3/a
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
t; Phone 503.718.2439 Fax: 503.598.1960 Date/13 : Other Permit.
TI G A R U Inspection Line: 503.639.4175 Date Ready/By tuns IRI See Page 2 for
Internet: www.tigard - or.gov Notifietl/Method• Supplemental Information
TYPE OF WORK PLAN REVIEW
❑ New construction ® Addition/alteration/replacement Please check all that apply (submit 2 sets of plans whtems 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 agricultural
❑ 1 - and 2- family dwelling ® CommerciaUindustrial ❑ 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 derived system
❑ Addition of new motor load of ❑ "A ", "E ", "I -2 ", "1 -3 ",
Job no.: Job site address: 7000 SW Sandburg Street Six 100HP 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: 1 Description I Qrv. I Fee. I Total I •
New residential single- or multi - family dwelling unit.
s a,t,►dyl (( r a. 0n/7 z - Includes attached garage.
Subdivision: Lot no.: 00100 1,000 sq ft or less 168.54 4
Ea add'I 500 sq ft or portion 33.92 1
Tax map /parcel no.: 2S101DD00100 Limited energy, residential
sq ft 75.00 2
DESCRIPTION OF WORK ( with above q )
Limited energy, multi - family 75 00 2
Snsin if - New G; S / tc.r,i, iu ! ....c e S Si residential (with above sq ft.) otA Renewable Energy ❑ See Page 2
Services or feeders installation, alteration, and/or relocation
❑ PROPERTY OWNER ® TENANT 200 amps or less / 100 70 /44, 7' 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
above service or feeder fee, 7 42 z7,6 2
Business name: Lamar Advertising each branch circuit 6 /
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'l branch circuit 7 42 2
City/State/ZIP: Eugene, Oregon 97402 Miscellaneous (service or feeder not included)
ty g g on Each manufactured or modular
Phone: (541) 684 7939 Fax: : (541) 684 3212
dwelling, service and/or feeder 67 84 2
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: ,,9- ✓/ O _sTu c. 44-r -}Q/ C, L LG Signal circuit(s) or limited- energy See
panel, alteration, or extension Page 2 2
Address: P p x •2 J S' Z Each additional inspection over allowable in any of the above
Additional inspection (1 hr min) 66.25/ hr
City/State /ZIP: e't/LC �,r t CJQ 2' 7 Z Investigation (1 hr min) 66 25/ hr
Phone: (4 /) .3 OG / 8 Fax: ( ) Industrial plant (I hr mm) 78 18/ hr
Inspections for which no fee is 90 00/ hr
CCB Lic.: / - / 77 Electrical Lic.: 2c - 37.3 C Suprv. Lic.: y4. Z 5 specifically listed (V2 hr mm)
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: �,/ �j - Subtotal. /3 0.3
Print name: j)4.1/ /Q /4 S-U chi' Date: 3 - j , / / /_3 Plan review (25% of permit fee): 3-E., �a��
State surcharge (12% of permit fee): /5.r:5
Authorized signature: el �',/ , 4 — TOTAL PERMIT FEE: 17
This permit application expires if a permit is not obtained within 180
Print name: ,1/5J/ /Q �TU4 Date: — /3/,'f days after it has been accepted as complet . /�/_�_
• Number of inspections allowed per permit !y
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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
❑ Audio and Stereo Systems*
15.01 to 25 kva 200 34 2
El Burglar Alarm Wind generation systems in excess of 25 kva:
2501 to50kva 30104 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 OAR918- 309 -0040)
System* Solar generation systems in excess of 25 kva:
Each additional kva over 25 7.42 3
El Vacuum Systems* >100 kva—no additional charge 00 3
CI other: additional inspection over allowable in any of the above:
Other: Each additional inspection is 66.25/ hr 1
charged at an hourly (1 hr min)
Inspections for which no fee is 90.00 / hr
specifically listed (V2 hr min)
COMMERCIAL WORK ONLY: 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
El Audio and Stereo Systems days after it has been accepted as complete.
• Number of inspections allowed per permit
El Boiler Controls
El Clock Systems
El Data Telecommunication Installation
El Fire Alarm Installation
❑HVAC
El Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
El Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
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