Permit 14
it CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT ELECTRICAL
ELC2014-00418
TICARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/29/2014
Parcel: 2 S 113AA00100
Jurisdiction: Tigard
Site address: 16358 SW 72ND AVE
Project: LAMAR ADVERTISING Subdivision: ROSEWOOD ACRE TRACTS Lot: PTS A,B
Project Description: (1)60-amp service and(2)branch circuits for billboard illumination.
Contractor: DAVID STUCK ELECTRIC LLC Owner: PACIFIC REALTY ASSOCIATES
PO BOX 2582 ATTN: N PIVEN
EUGENE, OR 97402 15350 SE SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE 541-542-0618 PHONE'
FAX
FEES
Quantity Description Date Amount
1 ea Services or Feeders-200 07/29/2014 $100.70
Specifics: amps or less
2 crt Branch Circuits w/Purchase 07/29/2014 $14.84
Type of Use: COM Service or Feeder
Class of Work: ALT 1 ea 12%State Surcharge- 07/2912014 $13.86
Electrical
Type of Const:
Occupancy Grp:
Total $129.40
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 obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800 332 2344
Issued By: / 6 r-M! Permittee Signature:
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 A licat' ~ ‘StS) FOR IC s O\l 1
PP ��K�pv��� OFFICE .F.
City of Tigard 0 k ev� /r. �I/ Permit No _ , r
1 " 13125 SW Hall Blvd.,Tigard,OR 97223 it% Plan Review �� __
I Phone: 503.718.2439 Fax: 503.598.19166 t� O Date/B : Other Permit.
T I G A R D Inspection Line: 503.639.4175 t�C�,G,r`�`O gate Ready/By: See Page 2 for
Internet: www.tigard-or.gov .0 VC �I�S1 Notified/Method: Supplemental Information
TYPE OF W lt4 Ulu PLAN REVIEW
❑New construction Et Addition/alterdlion/replacement Please check all that apply(submit 2 sets of plans w/items checked below):
El Demolition ❑Other: ❑Service or feeder 400 amps or more ❑Building over three stories.
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","1-2 "1-3
Job no.: Job site address: /6 3$~• $w 72 fteI _ IOOHPor more. occupancy.
_ _ /qY'z ❑Six or more residential units. 0 Recreational vehicle parks.
City/State/ZIP: 77G9 A a 0A q 72 2 y ❑Health-care facilities ❑Supply voltage for more than
❑Hazardous locations 600 volts nominal.
Suite/bldg./apt.no.: Project name: 1.4MA Q B)<L a 4- R 0 ❑Service or feeder 600 amps or more
Cross street/directions to job site: r�•( FEE SCHEDULE
J SLt1 72 �v� Su✓TFF .lav0 cw�T. Description 1 Qty. I Fee- I rout I
New residential single-or multi-family dwelling unit.
POPO- 10/m r S'"fi u'/r-1P 44c•Ikisr Rirttl2y, Lir i7' i/'(t0 /i'f d.sr, 1014K Includes attached garage.
Subdivision: CS°I r. 3 O'/' , 27S4 Ar4--)r 1 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
17 0_.4 /J ,g''Q y c, ..*pt residential(with above ft.) 75.00 2
D w;.�/.�G co/1 �1
Renewable Energy ❑ See Page 2
0 i44 304 RIO I s i v,„i/A4.ri GA/ Services or feeders installation,alteration,and/or relocation
❑ PROPERTY OWNER 1 ® TENANT 200 amps or less / - 100.70 z c.G,V 2
Name: 201 amps to 400 amps 133.56 2
4 s t15/ �' 401 amps to 600 amps 200.34 2
Address: 6 eve /2 rst sr. t S•/Gi 5-id/hr. / 3e, 601 amps to 1,000 amps 301.04 2
Over 1,000 amps or volts 552.26 2
City/State/ZIP: Sad-ern col q 7 3 0/ Temporary services or feeders installation,alteration,and/or
Phone:(.6/11 ) SJ'-/ -- 7 q/V 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
2
Owner signature: Date: Branch circuits-new,alteration,or extension, •er panel
Sr APPLICANT I ❑ CONTACT PERSON A Fee for branch circuits with
above service or feeder fee,
Business name: 6 4 t//� s'rti e t< e L L.-+ie,G f L./.G. each branch circuit Z 7.42 % 1_ i i 2
B Fee for branch circuits without
Contact name: 6 A//4 s ruG.< service or feeder fee,first
-- branch circuit 56.18 2
Address: jo 0 17 6x' 23"e 2 Each add]branch circuit 7.42 2
City/State/ZIP: A` ,4 7.1 4e- G A 11.40 Z Miscellaneous(service or feeder not included)
t Each manufactured or modular 67.84 2
Fax:: dwelling,service and/or feeder
Phone:(5,141) sy 3 - 061 5" ( ) Reconnect only 67 84 2
E-mail: 5 .'i 2 S•�'Z 6v C ri t/c -
�K, GdM Pump or irrigation circle 67.84 2
CONTRACTOR Sign or outline lighting 67.84
2
Business name: d A 1,/ID sr,,,,c/4- a«R'-A2/G, 1-�L G Signal circuit(s)or limited-energy See
panel,alteration,or extension. Page 2 _ _ 2
Address: PO e0,V 2-5-"Er , Each additional inspection over allowable in any of the above
E
Additional i inspection(I hr tin) 66.25/hr
City/State/ZIP: t flg4e1/ t G r 17*0 Z Investigation(1 hr min)
66.25/hr
`
Phone:( 1) .5-4-t 3 _a 6/ g Fax:( ) Industrial plant(I hr nun) , 78.18/hr
SH .5-4-t
Inspections for which no fee is 90.00/hr
CCB Lie.: /S 8/ 77 Electrical Lie.: ZG-,S/2 C.. Suprv.I.ic_: /x+4..2$ specifically listed(%]hr min)
� ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: �t/� Subtotal: //,r..S"t
Print name: Q 4-4.-/o A ...s -K Date: ,17%23-/i y
Plan review(25%of permit fee):
State surcharge(12%of permit fee): /3. 8•:
Authorized signature: 1je ,er TOTAL PERMIT FEE: /2 9• HO
This permit application expires if a permit is not obtained within 180
Print name: (1.4.1//0 eta- _r m. Date: • /25-//10 days after it has been accepted as complete.
• Number of inspections allowed per permit
1/Building\Pmmita\ELC_PermitApp ELR_ERE.doc Rev 05/21/2013 440.4615T(11/05/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
16358 SW 72ND AVE, TIGARD, OR, 97224
Commercial - Electrical
199 Electrical final
PASS - No C of O
ELC2014-00418
Jeff Grove
Violation Summary:
Inspector Contractor