Permit y p CITY OF TIGARD ELECTRICAL PERMIT
! ' • COMMUNITY DEVELOPMENT Permit#: ELC2014-00394
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/21/2014
Parcel: 2S110DCO2200
Jurisdiction: Tigard
Site address: 15532 SW PACIFIC HWY C-7
Project: AT&T Subdivision: 1997-016 PARTITION PLAT Lot: 2
Project Description: Sign lighting for(2)signs.
Contractor: ELECTRIC AVENUE SIGN&LIGHTING Owner: TRC MM LLC
16005 NE 12TH ST 5973 AVENIDA ENCINAS STE 300
VANCOUVER,WA 98684 CARLSBAD,CA 92008
PHONE: 360-903-5447 PHONE:
FAX:
FEES
Quantity Description Date Amount
2 ea Sign or Outline Lighting 07/21/2014 $135.68
Specifics:
1 ea 12%State Surcharge- 07/21/2014 $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 t to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Cods = • all other applicable law. All work will
be done . accordance with a••roved plans. This permit will expire if work is not started within 180 days of issuan - r f work is suspended for more the 180
days. TENTION: Oregon law re•• you to follow the rules adopted by the Oregon Utility Notification 11 Tho - rules are set forth in OAR
952-##1-0010 throu.h OAR 952-00 A090. You,y obtain a copy of the rules or direct questions to OUNC by calling 503.2 I •r 332 2344.
Is ed By: AL Permittee Signature: A
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.
I __
Electrical Permit Application q -, ;,K r. I ()I( ()11 I( 1 I tiI (1\I 1
I ;.1" . Received ��.C�/ 3?
City of Tigard 1 Date/B : 7 a l /4 Permit No.: -eel
• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
il Phone: 503.718.2439 Fax: 503.598.1960 • Date/B : Other Permit:
i (, Inspection Line: 503.639.4175 Date Ready/By: Juris: 0 See Page 2 for
Internet: www.tigard-or.gov 14 ii I t V°„ 1,isii4 i k; Notified/Method: Supplemental Information
�t
TYPE OF lNf Vigil PL AN REVIEW
❑New construction ❑Addition/alteration/replacement Please check all that apply(submit a sets of plans w/items checked below):
❑Service or feeder 400 amps or more ❑Building over three stories.
❑Demolition gl Other: )1 f I Qe` u4". 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 1
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived system.
13 A Addition of new motor load of ❑"A" "E° "I-2"`•1-3"
Job no.: Job site address: S5�Z w 100HP or more. occupancy. N
/`v AL T7 ❑Six or more residential units. ❑Recreational vehicle parks.
City/State/ZIP: ��!1 w i t A ❑Health-care facilities. 0 Supply voltage for more than
t ❑Hazardous locations. 600 volts nominal.
Suite/bldg./apt.no.: C_7 Project name: m-1- 7— ❑Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: eAGAL ittor f Ro h 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'1 500 sq.ft.or portion 33.92 ,1-'
Tax map/parcel no.:
Limited energy,residential 75.00 2
DESCRIPTION OF WORK (with above sq.ft.)
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
Renewable Energy ❑ See Page 2
Services or feeders installation,alteration,and/or relocation
ZROPERTY OWNER I 0 TENANT 200 amps or less 100.70 2
201 amps to 400 amps 133.56 2
Name: '7 ''j-oleic_ R i,L C'6.-n J11-L S 401 amps to 600 amps 200.34 2
Address: 5/.73 /1I/e-MD0 20 30() 601 amps to 1,000 amps 301.04 2
Over 1,000 amps or volts 552.26 i 2
City/State/ZIP: en-g/56,„, nv /a�?.DO r Temporary services or feeders installation,alteration,and/or
Phone:(' "/'
) a0 g,00 Fax:( ) relocation
200 amps or less 59.36 l
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 ex tension,per panel
cgs APPLICANT 1 ❑ CONTACT PERSON A.Fee for branch circuits with
above service or feeder fee,
7.42 2
Business name: 6 EaTb09 5lg0s each branch circuit
B.Fee for branch circuits without
Contact name: m//4 f�v�n�o� service or feeder fee,first 56.18 2
N, branch circuit
Address: J Q 9 7 5 cti i_//r;!1 61...,v p Each add'l branch circuit 7.42 2
City/State/ZIP: Miscellaneous(service or feeder not included)
L/�l1(ilr7vH Q r( 77 O Each manufactured or modular
dwelling,service and/or feeder
67.84 2
Phone:( j3 ) 7 Z_ 037 Fax::( ) Reconnect only 67.84 2
E-mail: , i kt 74 g i 0 7 y7 5'enu5<<O" 7 Pump or irrigation circle 67.84 2
CONTRACTOR Sign or outline lighting 67.84 t3S I 2
Business name: ALzT�,.. ,Ift,4-5/40 Signal circuit(s)or limited-energy See
panel,alteration,or extension. Page 2 2
Address: /e)065 V.i t /241-1. .57- Each additional inspection over allowable in any of the above
(J / (, Additional inspection(I hr min) 66.25/hr
City/State/ZIP: � ��(� (j�► 9��� Investigation(1 hr min) 66.25/hr
Phone:(/5 0) -/tJ 3-'91(7 Fax:( ) Industrial plant(1 hr min) 78.18/hr
�� __ Inspections for which no fee is 90.00/hr
CCB Lic.: Electrical Lic.: 91&-(o// Suprv.Lic.:05-2 3 specifically listed(%:hr min)
ELECTRICAL PERMIT FEE_S
Suprv.Electrician signature,required: //lay 1'A5if13 rk Subtotal: /3S o Q Print name: M i 1131 l- "�/ Date: 5-23-i y Plan review(25%of permit fee):
'/ State surcharge(12%of permit fee): /(o.. g
Authorized signature: TOTAL PERMIT FEE: /57,94.
x,,014 1 19,x,AL177I Date: 1:27-'9f This permit application expires if a permit is not obtained within 180
Print name' days after it has been accepted as complete.
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
15532 SW PACIFIC HWY C-7, TIGARD, OR,
97224
Commercial - Electrical
140 Sign installation
PASS
ELC2014-00394
Jeff Grove
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
15532 SW PACIFIC HWY C-7, TIGARD, OR,
97224
Commercial - Electrical
199 Electrical final
PASS - No C of O
ELC2014-00394
Jeff Grove
Violation Summary:
Inspector Contractor