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Permit CITY OF TIOARD ELECTRICAL PERMIT III COMMUNITY DEVELOPMENT Permit#: ELC2013 00445 TI GA.RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/21/2013 Parcel: 25111 DD00201 Jurisdiction: Tigard Site address: 15943 SW HALL BLVD Project: Cozy Nails&Spa Subdivision: SUMMERFIELD NO.7 Lot: N Project Description: (1)sign lighting Contractor: JERRY M YOUNGER Owner: ROSEHILL INVESTMENTS LLC 840 NE VILLAGE SQUIRE AVE 2001 SIXTH AVE STE 2300 GRESHAM,OR 97030 SEATTLE,WA 98121 PHONE: 503-618-7826 PHONE: FAX: 503-253-9407 FEES Quantity Description Date Amount 1 ea Sign or Outline Lighting 08/21/2013 $67.84 Specifics: 1 ea 12%State Surcharge- 08/21/2013 $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 OAR 952-001-0090. You may obtai as or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: erml ee Signature: --1 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 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. 07/26/2013 14:18 5032539407 ARTICOLITE PAGE 01/02 ]electrical Permit Application RECEIVE I OR OFFICE 11$4:C1nL1 City of Tigard Received Date¢3 : 7 0l0 Permit ! a 13125 SW Hall Blvd.,Tigard,OR 97223 JUL 2 9 2013 . ,l3�vy � Plan Review =�L ' �� Phone: 503.718.2439 Fax: 503.598.196 AG o--:-= --•_„ Other Permit: Liu' -i0 g ••ir 1 n;.,\i,z, inspection Line: 503.639.4175 CITY OF TIGARD Dm? : •s: ' 0 See Page 2 or ` D Internet www.ligard-or.gov Notlfied/M r„' }Lj�.1 ;� , wt r7 grn�t }l lr a 7-5 r•1 1 I11 I L �j11 �yr ` en Information ;,? :�;.,a� ,It.....:,� iY,i.,+1d.'.i:>r �....,. , ,.z"',,.,,,,.rP rf. �r�dvr',� ,..,., �v.`i':]'I'�°".t-•(.^: i?';�q- 1�;- rr,. �� 3';!.}n.aanr.n:�S�p�-,.,;rn f•„. ,+1fr..f..,r �10r,._.� , }Ii'it A27jw.....�.,I l V ,._. ( i f 1..... ,_t 11.r ,.,., r 1 �:::,I, }a.._,.P :.� , •P,10 1, .:{q t1�pli 1. {} t`grf z. ::1.� r iC1Y;.• _ 1J.14.4 wiitiA:44.lr-.i:iiiii..,.i^_ '!-..lu..'!}.171 .i R,'J,."..,11.1.:..11. :i. ! i7il .{, +V .l.. l ;,. i ...14lii.(11 11f 1{:''4-06 ..1: .iii .,.f I .n }..,.rrt{1r•,iiiii'f7t�∎,',1t..14.,1,•}1,tr�13.1 tp(��•+t ,,.,..• I.l...i4,.i.�i.d1 r`.:,,�.r,tfG 11 I..,,.,_..�-r .,}-:,.�.:nL ..If:.„l..i.l I „1��, 1,:1~�.t.n79Y.,i:�,r.Y11{�t.ir,{.N,1`fl�t�urrl;:ec'Srll,cgf.G�li{,I�,dHl3t}rl��.�_I;F111 d:11G4'i,4�i,:!)[l!F'�{ilf�Sll ❑New Construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked below): 0 Demolition ❑Other: ❑Service or feeder 400 amps or more I]Building over three stories. g �+ where the available fault current ❑Marinas and boatyards. iii �l E 1 f`IIr i fi i of i 1�•i•{S Q 1 i 1 i. fit,`It lrt r�l . 4 r�n i {. i rah.t t {'t`I*Y1{r`I'I{'r exceeds 10,000 amps at 150 volts or I,li1 4,!l+ltik:.:„ :11,.4-,Vi i:L1i114.AIL:;.!ia:ii,t...,.:l a^�vt.i,e,,,4:l_1,4._;1,,:-aj'!. ,:p!, k?..t;::: ::;-_irf,;;}�lrl�.l,,.,:. 8 g 1 �i{ ,l,t, ps ❑Floatin buildin s. ❑ 1-and 2-family dwelling El Commerclal/indusn ia! loss to ground,or exceeds 14.000 ❑Commercial-use agricultural ❑Accessory building amps for all other installations. buildings. ❑Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 1501CVA or _.l1' �'{1 ,s „/r '1r-r'+'r't°np mn}rt n h ul },u*Nitre 1 t 1'�'tt 's 1 rt i n r ?. u g separately derived system. Ali�� {f1 �1•>Th 1� rr( ( I + Ir, -� � �'� " (a}.3 r i �{i� r i 1 i rr ❑£rn en system' ? I iIl 1 t }; � lit ,! ..{r t,n 1 < i . ( . ; c7 Y� larger s i 7 ,ill�vfxc. ,a,'1.::h A 7,dr.r- 'l�f�_JI.1_iu, t.„l,},.�r,( • c'v..a,21~1.t;a ;r�4 ...i11...ti :j.i:1.�I_.,'' +._ t 1? ❑Addition of new motor load of ❑"A","r "1-2","1-3>•, Job no.: Job site address: I raj 4.3 QJ 4 100HY or more. occupancy. 1 ❑Six or more residential units. ❑Recreational vehicle parks. City/State/ZIP: ter e,,.� ©� t�T>,�t_fr _ ❑Healthcare facilities. ❑Supply voltage for more than ��"� ! T ❑Hazardous locations, 600 volts nominal. Suite/bldg./apt no.: 7 Project name: - a�lr� .f S �..5 • ❑Service or feeder 600 amps or more g'J"`-'C }h {} "lligfigi1 �4i.:Nr�r,t ,715- p ill}{ , 1 Cross StreeVdireCtiOns to job site: ' 1. _, )_{:,I.r r-, P n.a., ,n..n.•ht r, L,�....._ aJ ��l- �. .J ,1�1•G .L Jd - c eon �T � New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: I Lot no.: 1,000 sq.ft.or less - 168.54 4 Tax map/parcel no.: Fa add'I 500 sq.R or portion . 33.92 1_. . Limited energy,residential, �cr, 's i1 a itt�1, t-.i,.,+'ll, 1 � K !n1 A, y� � �11 � tl ,l;ll , (with above G. .) 7 5.00 2 i}..:,,,T C.x.4,.!6..,{ 1a}t..rvi..4 i.t f:a , W.,u.at3._nrf r+1rIu:?a. �..Au.a.1�1,r �.-1',t.r !. r,,.Nh� ,,4 Iti *.,. 1 Limited energy,multi family residential month above ..R. 75.00 tt �1�1� �p}� 2 h Corns, 'Q Al itl.j}-,It to n,k ^.i16't7:1 atll1erill� Gli'�_lr;.c.itl",.y:ll'l'.l{ tUl{C>1�117`i.Il.11.,. Services or feeders installation,alteration,and/or relocation � i t'f1 �11 '.1 nm'cr-_, I Ir 2_ �l: ..1Ctl.44;... :Si's,1 r'�. .+.,S�ii:1111yV1.t-t'omli1r, l-w`ll i:1 a k./- 8: l}t'fr ). 3 tth� I i 1... �!.ir {{'o',,i 200 amps or less 100.70 �T.w., u,,,.,,1!I,IC., �t,,,•ni.3,L,rr-� Name: ( F �. 401 amps to 400 amps 133.56 2- U -\ 401 amps to 600 amps 200.34 2 Address: 601 amps to 1,000 amps 301.04 2 City/5tatelZ Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Phone:( ) I Fax:( ) relocation Owner installation;This installation is being made 200 amps Or less 59.36 1 g 9n property that I own which is not 201 amps to 400 amps 1 125.08 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, '7 -r , ?t ,1ii"+„,=r1 rm rRl , , + ,Or eXtenSlgn,_per panel ll,#{lt r 1:7P{{ � 11^& ,I 1 Lr+ l!t i.(�t1( 'I t i{{1A ip,it ,! :zil w[, 1 }'}i+,',3.,�l ill 5 I r.l{tic,ll;{ x i1N A.Fee for branch cif wins with 11171•,.111::111.is..a 1I.,, -,i,,,lorf 1}rt},f 10:4rill,,31: l?{.t: 1,11{!il{,::0I f,,11.,:4I1...111 1 a.,)10,6.5J Li.. 1.. Iii:1:!{� l ]n i... T ,.! ..!d.c ii,.tsp11 above service or feeder fee, Business name: j► A-it Go 0 A i� ,�, each branch circuit 742 2 �i- E„ E.Fee for branch circuits without Contact name: -�42.44,v t�i'n, J service or feeder fee,first Address: <r � branch circuit 56.18 2 . • r . Each add'I branch circuit 7.42 2•City/State/ZIP: i Miscdlaneous(service or feeder not Included) - �l.�` '..-- ' I.a1�. ° Each manufactured or modular Phone;(, 0 T 3 ) `Z _ 'r -o c Fax;:( ) dwelling,service and/or feeder 67.84 2 3 1` Reconnect only 67.84 2 _ �t jtj p°"1 E-mail:it , t{tt 11( IF+lrv1 t t�pTtt ,r{<- <a: n}-,r l,•i , :f,I>,,,,� a •Yk r r r I {�' ,1 ,t� Pump or irrigation circle 67.84 2 rullli{EYi,1.i�. it:.1l{�i itr:rt+lFa..11L110 three(- 1,�h�w� 114,,._,5 -' 'ii ,�7 n e. 'Pl l�rl�]txA it rlli:r}d:`�.��1 111�p`( li ,lug; �7 .. . ., i it....tr, u.4, .-'.. sign m outline lighting gilt 67.84 2 Business name: f j��a 1 �` ft f Signal circuit(s)or limited-energy See panel,alteration,or extension. MI Page 2 2 Address: - �r(�o `1 t 1 + ,� _ �! Ave,p f Each additional runs ecdon over allowable in an of the above I. City/State/ZIP: "( N V c^K(� ! N Additional inspection(1 hr mm) 66.25/in ME `;.a_ -_ O . b 0 Investigation(1 hr min) 66.25/hr MO Phone:( t- ) O 0 I la Industrial plant(1 hr min) 78.18/hr CCB Lie.: , Inspections for which no fee is ■ ' er Suprv.Lie.: , s r ifical�" fisted 55 br thin 90.00/hr {{ �t��� �� Suprv.Electrician signature,rag. .. �TtT � `?°1 4,�!e�l YI:+,�1�11 ' {. 1 i�., �ait1ll 1.....1 n 1 :: 11f tf:l�il61;u'rl t�fifltl�la. .t 34, ...ir Subtotal: Print name: ---''� r _ 'C � rill f Plan review(25%of permit fee}: �sr State surcharge(12%of pemnt fee): r Authorized signature: 1VL .f4' �. Ike s1rJ TOTAL PERMIT FEE: 1 Li Date: Thi permit application expires if a permit is not obi �-�� t. ►r► . days after it has been accepted as comp) I:ult,iidinPlpermitelE[,�itApp ELF�1tEAoe Rev 05/212013 440-46151( , • Number of inspections allowed per permit. �i - 0.46151( /05/COM/WEB /