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Permit ,, CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit#: ELC2013 00622 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/21/2013 Parcel: 1 S134BC00300 Jurisdiction: Tigard Site address: 12272 SW SCHOLLS FERRY RD Project: Greenway Pub-McMenamin's Subdivision: GREENWOOD TERRACE CONDO Lot: 17 Project Description: Reconnect existing signage Contractor: TUBE ART SIGNS&SPORTS DISPLAYS Owner: FW OR-GREENWAY TOWN CENTER LLC 4243-A SE INTERNATIONAL WAY PO BOX 790830 MILWAUKIE,OR 97222 SAN ANTONIO,TX 78279 PHONE: 503-653-1133 PHONE. FAX: 503-659-9191 FEES Quantity Description Date Amount - 2 ea Sign or Outline Lighting 10/21/2013 $135.68 Specifics: 1 ea 12%State Surcharge- 10/21/2013 $16 28 Electrical Type of Use: COM Class of Work: ALT Type of Const: Occupancy Grp: Total $151 96 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. A ION on law r-• es you to follow the rules adopted by the Oregon Utility Notification/renter Those rules are set forth in OAR 952-0 -0010 through OAR 2-0' -0090_Y• ay obtain a copy of the rules or direct questions to OUNC by calling 503.2'i2 1987 or 1 800 332 2344 Iss ed By: ,� .� Permittee Signature: 1--L/-3NY\135- "*..) 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. Electrical Permit Application - ' .FOR OFFICE USE ONLY Cl of Tigard Received �J permit No t� 0� ° 13125rS W Hall Blvd,Tigard,OR 9�i�23q r- Plan Review O a/ / �� a 2.- ', ' `' Phone: 503.718.2439 Fax: 503.598.1960 VED Date/B Other Permit Ti G A K D Inspection Line: 503.639.4175 OCT 2 1 Date Ready/By. Iuris lI See Page 2 for Internet' www.tigard-or gov 2013 Notified/Method Supplemental Information TYPE 01..Wi 1f F TIGARD PLAN REVIEW ❑New construction ®Addition aiteratt'o aria nI 9 Please check all that apply(submit 2 sets of plans whtems checked below) Jr'v t I V I U ❑Service or feeder 400 amps or more ❑Building over three stories ❑Demolition ❑Other: where the available fault current ❑Mannas 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 ®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","l-3", Job no.: 121023 Job site address: 12272 SW Scholls Ferry Rd S or more occupancy ❑Six ix or or more residential units ❑Recreational vehicle parks City/State/ZIP:Tigard,OR 97223 ❑Health-care facilities ❑Supply voltage for more than ❑Hazardous locations 600 volts nominal Suite/bldg./apt.no.: Project name:McMenamin's ❑Service or feeder 600 amps or more FEE SCHEDULE Cross street/directions to job site:SW Scholls Ferry Rd&SW Springwood Dr Description I Qty. i Fee. I Total I • New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq ft or less 168 54 4 Ea add'1500 sq ft or portion 33 92 1 Tax map/parcel no.:R983537 Limited energy,residential 75 00 2 ' DESCRIPTION OF WORK (with above sq.ft.) Limited energy,multi-family 75.00 2 Re-connect existing signage residential(with above sq.ft) — Renewable Energy ❑ See Page 2 Services or feeders installation,alteration,and/or relocation ❑ PROPERTY OWNER I ❑ TENANT 200 amps or less 100 70 2 201 amps to 400 amps 133 56 2 Name: 401 amps to 600 amps 200.34 2 Address: 601 amps to 1,000 amps 301 04 2 Over 1,000 amps or volts 552 26 2 City/State/ZIP: Temporary services or feeders installation,alteration,and/or 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 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 I ❑ CONTACT PERSON A.Fee for branch circuits with above service or feeder fee, 7 42 2 Business name:Tube Art Group each branch circuit B Fee for branch circuits without Contact name:Jessica Kosmas service or feeder fee,first 56 18 2 branch circuit Address:4243-A SE International Way Each add'I branch circuit 7 42 2 City/State/ZIP:Milwaukie,OR 97222 Miscellaneous(service or feeder not included) Each manufactured or modular 67 84 2 Phone:(503)6531133 ex 1217 I Fax: :(503)6599191 dwelling,service and/or feeder Reconnect only 67 84 2 E-mail:jkosmas @tubeart.com Pump or irrigation circle 67 84 2 CONTRACTOR Sign or outline lighting 2 67 84 /M,41 2 Business name:Tube Art Group Signal circuit(s)or limited-energy See panel,alteration,or extension Page 2 2 Address:Same As Above Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66 25/hr City/State/ZIP: Investigation(1 hr min) 66 25/hr Phone:( ) Fax:( ) Industrial plant(1 hr min) 78 18/hr Inspections for which no fee is CCB Lic.: 70956 1 Electrical Lic.: 37554CLS I Suprv.Lic.: 366SIG specifically listed(/Z hr mm) 90 00/hr ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: yd` �3,� Subtotal: lv Print name: Ken Schultz / Date: 10/21/2013 Plan review(25%of permit fee). / State surcharge(12%of permit fee). /Co• V Authorized signature: ,i TOTAL PERMIT FEE: !rJ. / 7t Print name: Jessica Kos Date: 10/21/2013 This permit application expires if a permit is not obtained within rot/ days after it has been accepted as complete. • Number of inspections allowed per permit I\Bui ldm g\Permis\ELC_PermiApp_ELR_ERE doc Rev 05/21/2013 440-4615T(11/05/COWWEB 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 200 34 2 ❑ Burglar Alarm Wind generation systems in excess of 25 kva: 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 n 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 ❑ Vacuum Systems* >IOOkva—noadditionalcharge 00 3 nEach additional inspection over allowable in any of th e a_bove: Other: Each additional inspection is 66 25/hr charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically listed(%2 hr mm) 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 n 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 n HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls n Outdoor Landscape Lighting* n Protective Signaling n Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I\Building\Permits\ELC_PermitApp_ELR_ERE doc Rev 05/21/2013 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 12272 SW SCHOLLS FERRY RD, TIGARD, OR, 97223 Commercial - Electrical 199 Electrical ﬁnal 2014-02-25 00:00:00 ELC2013-00622 PASS - No C of O Violation Summary: Inspector Contractor