Permit n CITY OF TIGARD ELECTRICAL PERMIT
1 11 11- e COMMUNITY DEVELOPMENT Permit #: ELC2013 -00348
Date Issued: 06/26/2013
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9520 SW WASHINGTON SQUARE RD H06
Project: L'Occitane Subdlvlslon:VASHINGTON SQUARE ESTATES NO. Lot: S
Project Description: Sign lighting.
Contractor: HANNAH SIGN SYSTEMS LLC Owner: PPR WASHINGTON SQUARE LLC
1660 SW BERTHA BLVD PO BOX 847
PORTLAND, OR 97219 CARLSBAD, CA 92018
PHONE: 503 - 946 -8373 PHONE:
FAX: 503 - 206 -4900
FEES
Quantity Description Date Amount
1 ea Sign Outline Lighting 06/26/2013 $67.84
Specifics:
1 ea 12% State Surcharge - 06/26/2013 $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 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 0 952- -0090. You 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: on/ /1 Lie "9-77 0 /\,/
, /
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 603.639.4176 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.
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Electrical Permit A li catio 11 ' _
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City of Tigard JUN 2 4 2013 ►p �`" ermit No : 62C
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. 13125 SW Hall Blvd , Tigard, OR 97223 Plan Review /�
Phone: 503 718 2439 Pax: 503,598.19® pF TIGARD Da tc/B . Other Perfrn a/-aZo /3 -DO//
f. l d;. n r. 1, htspcction Line: 503.639 4175 BUILDING DIVISION' Date Reedy /Ry, mi., G ® gee l'nac 2 for
Internet. www,ti rd-or, ov Notifiad/Merhod, alp Supplemental Information
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❑ New construction 0 Addition /alteration /replacement Pkasc check ail that apply (submit a acts of plans w /hems checked below)
I Service or feeder 400 amps or more In Building over throe glories,
❑ Demolition ❑ Other:
r � a� where the nvnilnblc fault current CI Marinas and boatyards
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sv 7, Commercial /industria /_ • ccesso building afO ❑ Cmnmcrcral - use aprieulturol
❑ 1 - and 2- family dwelling
ry g amps for all Other installations buildings
❑ Multifamily ❑ Master builder /I� ❑ Other: ❑ Fire puma ❑ Installation of 150 KVA or
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❑ "A' "E", "1-2", mml_{
(P AT A 100F or more occu
Job no.: ,• +� �� Panty
! ❑ Six or more residential units ❑ Rocrcalronal vehicle parks
City/State/ZIP: • w • T . 46 7---.-- , 4‘ , - 0 facilincs ❑ Supply voltage for more than
1:1 Haztrdoris locations 600 units nominal
Suitc/bldg. /apt. no.: : 1 b Project name: ill C .r 1 ❑ Service or feeder 600 amps or more.
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Cross street/directions to job silt:
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New residential single- or mnitl- lhmlly dwelling unit.
includes Attached garage.
Subdivision: I Lot no.: 1,000 sq, ft or less 1 168 54 4
Ea, add') 500 sq ft. or portion 33 92 1
Tax map /parcel no,: I.imrted energy, residential
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8i ' iii i ts 4 ttiifi� �fr n , +t�1 %I!ifiilUl « II _d e ti h _ 770 , �i ir�i i.l� k t l�. s<:i., 1 1 1i )��'; i:I I , f Z� GP u (with above sq. ft.) 7500 2
Limited energy, multi.fani ly
We L / 75.00 2
., _ ♦ residential (with above
I .... °c so ft ft ) :9 ii 's" i ' tgat� " ��st{;Il_il ;44{4;;
Services or_feeders installation, alteration, and /or relocation
r i 1} y t ' 1 i{ �t , i 1' 1 t 41 tt r i . y 1' 1 41 / 1 , 1 r , n � ra � �, ��� , 3111 ➢
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2 01 am t o 400 amps 133,56 2
Name: , C - ° rr /i I. 401 amps to 600 amps 200 34 2
Address: / • illo 601 amps to 1,000 amps 301.04 2
Over 1,000 amps Or volts 552.26 2
City/Slate /7_lP: TI �t ,_ -__. Temporary services or feeders installation, alteration, and /o
Phone: ( ) Fax: ( ) relocation
200 amps or less 59,36 I
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 salt, lease, rent, or exchange, according to ORS 447, 449. 670, and 701. 401 amps to 599 amps I 68,54 2
Owner signature ry ) I Date
B ranch circuits - new, alteration, or extension per panel
l i, r if (i,i r t,d! �,. II i 1' fin M s r ' {tt I 1 1 1+17 ° �i ` �rrt I '. i s� i i� , rt� * � r I ,q ` Y�� i ll 0. g , ur A Fcc for branch circuits with P
, rie�E, l;Jtll i fl tt:'1W�Etm,m lied: F tit d {lu, 1.. ' ,l ill ltdr', EVE ,i dr1!iMTE r . '.. ti r ii. about service or feeder fcc,
Business name: Hannah Sign Systems LLC each branch circuit 7 42 2
R Fee for branch circuits wtr/rora
Contact name: David P Lanphere service or feeder fcc, first
56.18 2
--- branch circuit
Address: 1660 SW Bertha Blvd. Each add'I branch circuit 7 42 2
-
City /State /ZIP: 97219 Miscellaneous (service or feeder not included)
Each manufactured or modular 67 84 2
Phone: (503) 946 -8373 Fax:: (503) 206 -4900 dwelling, service and/or feeder
-.•- Reconnect only 67 84 2
E-mail:
( Pump or irrigation circle 67 84 2
€i,E1s� ;EE�i 11;11 ?f;{ET'� ' lu ,, lq>�. � i� llll. #� iif i k �.m�i!, r k1" ,i�iC t�,s l� 1 t 't{,t.+l+ ,u.il ,, ;NR UN (4i!'!f Sign or cullInc li hung 67 84 r e 2
1 Business name: Hannah Sign Systems LLC Signal circutt(s) or limited-energy
/ panel, alteration, or extension 1111111111111 2
Address: 1660 SW Bertha Blvd. Each additional insitcction over allowable in any of the ahoy
Additional inspection (1 hr min) 66.25/ hr -
Ciry /Slate /ZIP: 97219 investigation (I hr min) 66 25/ lir
Phone: (503) 946 -8373 Fax: (503) 206 -4900 industrial plant (1 hr min) 7818/ hr
inspections for which no fee is - `
CCB Lie.: 188772 Electrical Lie.: CLS11 Suprv. Lie.: 676S1G s•eeifcall listed %,hrmin 9000/ p
- 1.. aSL�`,111Rt ��� ' f_ r 1;:415. 172tlee't. . EF E.roili 41� , III,, I' I E.
Suprv. Electrician signature. required:
fAh , / _ Ari Subtotal, Q , + Al
Print name: David P Demuth p a t e: • 474 Plan review (25%ofpermit fee)'
State surcharge (12% of permit fee); +
Authorized signature: L�+1 "/ ��
_ TOTAL PERMPf FEE:
Print name: David P Lanphere Date: 65/2._ This permit implication expircx if n permit is not attained within 180
days after it has been accepted no complete,
" Number of inspections allowed per permit
I 19ulldlnplPermitAM-' PcrmnApp 14.A €ite don Rev 05/21/2010 440- 1615T( I uosirOMAvna
06/20/2013 @4:05 5032064900 PAGE 01/03
NA IFALc
1660 SW Bertha Blvd. Portland, OR 97219
sic,N sys Lt_c, Phone: 503-946-8373 Fax: 503-2064900
Email: robin@hannahsignsystems.corn
THE HALLMARK OF CUSTOM BUILT SIGNS
TO: _Cf,_ _ _Cl_. . '... 11 -; rA
_ DATE: 6 i/2.q__
FAX NO.563 5 1
RE: ____te___C-diVCRIT
COMMENTS:
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