The URL can be used to link to this page

Permit CITY OF TIGARD ELECTRICAL PERMIT — • 11 COMMUNITY DEVELOPMENT Permit#: ELC2014-00189 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/24/2014 Parcel: 2S110DCO2200 Jurisdiction: Tigard Site address: 15570 SW PACIFIC HWY Project: Wells Fargo Subdivision: 1997-016 PARTITION PLAT Lot: 2 Project Description: Sign lighting for(1)exterior sign and(2)interior signs. Contractor: VANCOUVER SIGN COMPANY INC Owner: TRC MM LLC 2600 NE ANDRESEN RD#50 5973 AVENIDA ENCINAS STE 300 VANCOUVER,WA 98661 CARLSBAD, CA 92008 PHONE: 360-693-4773 PHONE: FAX: 360-693-2747 FEES Quantity Description Date Amount 3 ea Sign or Outline Lighting 04/24/2014 $203.52 Specifics: 1 ea 12%State Surcharge- 04/24/2014 $24.42 Electrical Type of Use: COM Class of Work: ALT Type of Const: Occupancy Grp: Total $227.94 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 ob 'i co.y of •_ =s or direct questions to OUNC by calling 503.232.1987 or 00. . 344. ��'JIssued By: _� _� __ — Permittee Signature: �iY.l 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 .l` ,V FOR OFFICE USE ONLY Received City of Tigard Permit No. Y g Date/B : . U 13125 SW Hall Blvd.,Tig: .'.4V Plan Review Phone: 503.718.2439 Fax: .t .598.1960 Q,k Date/By: Other Permit: l i t `It 1 Inspection Line: 503.639.4175 p l k Date Ready/By: _furls: ® See Page 2 for Internet: www.tigard-or.gov P` P % Notified/Method: y Supplemental Information TYPE OF,,IVO 1�1�N PLAN REVIEW ❑New construction ®Addition/a ent Please check all that apply(submit 2 sets of plans w/items checked below): x,0 �''`` ❑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 ®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 derived system. ❑Addition of new motor load of ❑"A" "E" "I-2" "1-3" Job no.: Job site address. 15570 SW Pacific HWY IOOHP or more. occupancy. ❑Six 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:Wells Fargo ❑Service or feeder 600 amps or more. Cross street/directions to job site:SW Royalty Pkwy FEE SCHEDULE J y �' y Description l Qh. I Fee. I Total New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1.000 sq.ft.or less 168.54 4 Tax map/parcel no.: Ea.add'l 500 sq.ft.or portion 33.92 I Limited energy,residential 7500 2 DESCRIPTION OF WORK (with above sq.ft.) Limited energy,multi-family 7500 2 1 exterior illuminated sign residential(with above sq.ft.) - Renewable Energy ❑ See Page 2 _ 2 interior illuminated signs Services or feeders installation,alteration,and/or relocation ❑ PROPERTY OWNER ® TENANT 200 amps or less 100.70 2 201 amps to 400 amps 133.56 2 Name:Wells Fargo 401 amps to 600 amps 200.34 2 Address: 15570 SW Pacific HWY 601 amps to 1,000 amps 301.04 2 Over 1,000 amps or volts 552.26 2 City/State/ZIP:Tigard OR 97223 Temporary services or feeders installation,alteration,and/or Phone:( ) Fax:( ) 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 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, Business name: Vancouver Sign each branch circuit 7.42 B.Fee for branch circuits without Contact name:Reid Storm service or feeder fee,first 56.18 — branch circuit Address:2600 NE Andresen Rd#50 Each add'I branch circuit 7.42 City/State/ZIP:Vancouver WA 98661 Miscellaneous(service or feeder not included) Each manufactured or modular 67.84 2 Phone:(360)693-4773 Fax: :(360)693-2747 dwelling,service and/or feeder Reconnect only 67.84 2 E-mail:reids @vansignco.com Pump or irrigation circle 67.84 2 CONTRACTOR Sign or outline lighting 3 67.84 9J) 2 Business name:Vancouver Sign Signal circuit(s)or limited-energy See panel,alteration,or extension. Page 2 2 Address:2600 NE ANdresen Rd#50 Each additional inspection over allowable in any of the above City/State/ZIP:Vancouver WA 98661 Additional inspection(1 hr min) 66.25/hr Investigation(1 hr min) 66.25/hr Phone:(360)693-4773 Fax:(360)693-2747 Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90,00/hr CCB Lic.: 63951 Electrical Lic.: 37-46CLS Suprv.Lic.:4ii—5//, specifically listed(t hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: (Q*{_9a-- Subtotal: _5'1- Print name: /� L(5' Date: Z lY Plan review(25%of permit fee): `, State surcharge(12%of permit fee): Ph .Ha Authorized signature: TOTAL PERMIT FEE , a 7 A Ay This permit application expires if a permit is not obtained within 180 Print name: Reid Storm Date: days after it has been accepted as complete. • Number of inspections allowed per permit. IABuilding\P ermitstELC_PennitApp_ELR_ERE.doc Rev 05/21/2013 440-4615T(1I/05/COM/WEB Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 15570 SW PACIFIC HWY, TIGARD, OR, 97224 Commercial - Electrical 199 Electrical ﬁnal PASS - No C of O ELC2014-00189 Herb Stabenow Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 15570 SW PACIFIC HWY, TIGARD, OR, 97224 Commercial - Electrical 199 Electrical ﬁnal PASS - No C of O August 6, 2014 at 12:10:32 PM ELC2014-00189 Herb Stabenow Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 15570 SW PACIFIC HWY, TIGARD, OR, 97224 Commercial - Electrical 199 Electrical ﬁnal PASS - No C of O August 6, 2014 at 2:19:20 PM ELC2014-00189 Herb Stabenow Violation Summary: Inspector Contractor