Permit CITY OF TIGARD ELECTRICAL PERMIT
''11! _ ' COMMUNITY DEVELOPMENT Permit#: ELC2014-00396
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/05/2014
Parcel: 2S113AC01201
Jurisdiction: Tigard
Site address: 7331 SW BRIDGEPORT RD 103
Project: Pizzasmith Subdivision: COUNCIL VIEW ACRES(LOTS 1-20) Lot: 18
Project Description: Sign lighting for(2)wall signs.
Contractor: TUBE ART SIGNS&SPORTS DISPLAYS Owner: BV CENTERCAL LLC
4243-A SE INTERNATIONAL WAY ATTN: FRED BRUNING
MILWAUKIE, OR 97222 7455 SW BRIDGEPORT RD
TIGARD, OR 97224
PHONE: 503-653-1133 PHONE:
FAX 503-659-9191
FEES
Quantity Description Date Amount
2 ea Sign or Outline Lighting 08/05/2014 $135.68
Specifics:
1 ea 12%State Surcharge- 08/05/2014 $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 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 You may obtain a co of the les or direct questions to OUNC by calling 80 232.1987 or 1.800.332.2344.
Issued By:� `'1�� —� _ _ Permittee Signature: I► 4
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 Applic CEjVEP FOR OH.,cI l 51 I)\l.l
Received r1 1„ `,/
City of Tigard Date/By:
/� l�L-tJ Permit No.: Y��� 3�(!/
i 13125 SW Hall Blvd.,Tigard,0111972239 1 2014 Plan Review
Phone: 503.718.2439 Fax: 501M:1960 Date/By: Other Permit:
I Inspection Line: 503.639.4175 Date Ready/By: Juris ® See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental Information
TYLI*DIVISION Authorized signature:
®New construction ❑Addition/alteration/replacement Print name: Deborah Tolke
❑Demolition ❑Other:
CATEGORY OF CONSTRUCTION PLAN REVIEW
❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building Please check all that apply(submit 2 sets of plans w/items checked below):
❑Service or feeder 400 amps or more ❑Building over three stories.
❑Multi-family ❑Master builder ❑Other: where the available fault current ❑Marinas and boatyards.
JOB SITE INFORMATION AND LOCATION exceeds 10,000 amps at 150 volts or ❑Floating buildings.
less to ground,or exceeds 14,000 ❑Commercial-use agricultural
Job no.: 124316 Job site address:7331 SW Bridgeport Rd. amps for all other installations. buildings.
❑Fire pump. ❑Installation of 150 KVA or
City/State/ZIP:Tigard,OR 97224 ❑Emergency system. larger separately derived system.
Suite/bldg./apt.no.:J3 Project name:Pizzasmith ❑Addition of new motor load of ❑°A", E",°1-z^, t-3
J 100HP or more occupancy.
Cross street/directions to job site: ❑Six or more residential units. ❑Recreational vehicle parks.
❑Health-care facilities. ❑Supply voltage for more than
Lower Boones Ferry Rd and SW Bridgeport Rd. ❑Hazardous locations. 600 volts nominal.
❑Service or feeder 600 amps or more
Subdivision:Bridgeport Village Lot no.: FEE SCHEDULE
Description I Qty. I Fee. I Total I •
Tax map/parcel no.:2S113AC01201 New residential single-or multi-family dwelling unit.
DESCRIPTION OF WORK Includes attached garage.
1,000 sq.ft.or less 168.54 ' 4
2 wall signs with neon and halo illumination Ea.add'I 500 sq.ft.or portion 33.92 1
Limited energy,residential 75.00 2
(with above sq.ft.)
❑ PROPERTY OWNER ❑ TENANT Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
Name:CenterCal Properties,LLC Renewable Energy ❑ See Page 2
Address:7455 SW Bridgeport Rd. Services or feeders installation,alteration,and/or relocation
200 amps or less 100.70 2
City/State/ZIP:Tigard,OR 97224 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
Phone:(503)968-8940 Fax:( ) 601 amps to 1,000 amps 301.04 2
Owner installation:This installation is being made on property that I own which is not Over 1,000 amps or volts 552.26 2
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. Temporary services or feeders installation,alteration,and/or
Owner signature: Date: relocation
® APPLICANT ❑ CONTACT PERSON 200 amps or less 59.36 1
201 amps to 400 amps 125.08 2
Business name:Tube Art Group 401 amps to 599 amps 168.54 2
Contact name:Debbie Tolke Branch circuits—new,alteration,or extension,per panel
A.Fee for branch circuits with
Address:4243-A SE International Way above service or feeder fee, 7.42 2
each branch circuit
City/State/ZIP:Milwaukie,OR 97222 B.Fee for branch circuits without
- service or feeder fee,first 56.18 2
Phone:(503)653-1133 Fax: :(503)659-9191 branch circuit ,
Each add'l branch circuit 7.42 2
E-mail:dtolke @tubeart.com Miscellaneous(service or feeder not included)
CONTRACTOR Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Business name:Tube Art Group
Reconnect only 67.84 2
Address:4243-A SE International Way Pump or irrigation circle 67.84 2
City/State/ZIP:Milwaukie,OR 97222 Sign or outline lighting 67.84 3SLo$ 2
Signal circuit(s)or limited-energy See
Phone:(503)653-1133 Fax:(503)659-9191 panel,alteration,or extension. Page 2 2
Each additional inspection over allowable in any of the above_
CCB Lic.: 70956 Electrical Lic.: 37554CLS Suprv.Lic.: 366 SIG Additional inspection(1 hr min) 66.25/hr
Investigation(1 hr min) 66.25/hr
Suprv.Electrician signature,required Q/ „ Industrial plant(1 hr min) 78.18/hr
Print name: Ken Schultz �Y----�� Date: 7/17/2014 Inspections for which no fee is 90.00/hr
specifically listed(%Z hr min)
ELECTRICAL PERMIT FEES - 6.S
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Location:
Record Type:
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Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
7331 SW BRIDGEPORT RD 103, TIGARD, OR,
97224
Commercial - Electrical
199 Electrical final
PASS - No C of O
ELC2014-00396
Chip Barnett
Violation Summary:
Inspector Contractor