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Permit CITY OF TIGARD ELECTRICAL PERMIT s COMMUNITY DEVELOPMENT Permit#: ELC2014-00404 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/04/2014 Parcel: 2S102CC00500 Jurisdiction: Tigard Site address: 13600 SW PACIFIC HWY Project: Dotty's Subdivision: FREWING'S ORCHARD TRACTS Lot: 15 Project Description: Sign lighting for(1)sign. Contractor: SECURITY SIGNS INC Owner: ROIC OREGON LLC 2424 SE HOLGATE BLVD 8905 TOWNE CENTRE DR, STE 108 PORTLAND,OR 97202 SAN DIEGO,CA 92122 PHONE: 503-546-7114 PHONE: FAX: 503-230-1861 FEES Quantity Description Date Amount 1 ea Sign or Outline Lighting 07/31/2014 $67.84 Specifics: 1 ea 12%State Surcharge- 07/31/2014 $8.14 Electrical Type of Use: COM Class of Work: ALT Type of Const: Occupancy Grp: Total $75.98 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: Permittee Signature: t / r 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 Applicationo� j,, l O R OIII( t 1 ,1 ON I , City of Tigard ice'' \Ot Received ea -7 Permit No.: , 13125 SW Hall Blvd.,Tigard,OR 97223 '1l — SW III 8 J� 67It Alan Review Other Permit: /r aO ,' Phone: 503.718.2439 Fax: 503.598.1960 �. �atelB T I G A R D Inspection line: 503.639.4175 G�,lS� .. cady/By: See Page 2 for Internet: www.tigard-or.gov ` ��Y UV �`� tit`ed/Method: Supplemental Information TYPE OF WORK v S)1, 1 PLAN REVIEW KNew construction ❑Addition/alterationA cement 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. ❑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 NT Commercial/industrial ❑Accessory building amps for all other installations. buildings. El Multi-family ❑ Master builder ❑Other: ❑Fire pump. ❑Installation of 75 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: ��e�y� ,,,,(� �( IOOHPormore. occupancy. ' J �p�1TlGT1 ❑Six or more residential units. ❑Recreational vehicle parks. City/State/ZIP'T'I�r .�Z en QQ3 ❑Health-care facilities. ❑Supply 0volts voltage for more than ❑Hazardous locations. 600 volts nominal. Suite/bldg./apt.no.Gic Loki.Project name: Dottif.s ❑Service or feeder 600 amps or more FEE SCHEDULE Cross street/directions to job site: Description I Qty. I Fee. I Total i New residential single-or multi-family dwelling unit. 5W Pet rK et• Includes attached garage. Subdivision: Lot no.: 1,000 sq.ft.or less 168.54 4 Ea.add'l 500 sq.ft.or portion 33.92 1 Tax map/parcel no.: Limited energy,residential 75.00 DESCRIPTION OF WORK (with above sq.ft.) Limited energy,multi-family 75.00 2 I i I I N vy i slat 4 l WA ll sit-v-% residential(with above sq.ft.) Services or feeders installation,alteration,and/or relocation 200 amps or less 100.70 2 ❑ PROPERTY OWNER V TENANT 201 amps to 400 amps 133.56 2 �j�� /� 401 amps to 600 amps 200.34 2 Name:Dre�an IY�Jtzturri ht Sery t cPS 601 amps to 1,000 amps 301.04 2 Address: co i3c,dc 1+7, .. Over 1,000 amps or volts 552.26 2 I . ®� —1'71.� Temporary services or feeders installation,alteration,and/or City/State/ZIP: relocation Phone:qcra (q6pei .e01-6 Fax:( ) 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 Branch circuits—new,alteration,or extension,Qer panel Owner signature: Date: A.Fee for branch circuits with RAPPLICANT I X CONTACT PERSON above service or feeder fee, 7 42 2 each branch circuit Business name:sezur.i 1 cviCi1145 B.Fee for branch circuits without service or feeder fee,first Contact name: �/115$ 4.1A,Yd,�h branch circuit 56.18 2 v. PO Miscellaneous ellanbranchcircuit 7.42 2 Address: ��a� sE o A� Miscellaneous(service or feeder not included) City/State/ZIP: at Each manufactured or modular 67.84 2 y � _ Z.�oZ dwelling,service and/or feeder Phone:160'5)g yp • —7 f !( Fax: : ) ? 0 —t sb i Reconnect only 67.84 2 I`Cs�^ 'G� r I� Pump or irrigation lighting 1 67.84 6-7. 2 E-mail:� 7 (Gpsl 1 Slaws •� Sign or outline lighting 67.84 � 2 CONTRACTO Signal circuit(s)or limited-energy Business name: S W V{r I '$140 VLS panel,alteration,or extension. Page 2 2 Each additional inspection over allowable in any of the above Address: Additional inspection(1 hr min) 66.25/hr Investigation(1 hr min) 66.25/hr City/State/ZIP: Industrial plant(1 hr min) 78.18/hr Phone:( ) Fax:( ) Inspections for which no fee is specifically listed('h hr min) 90.00/hr CCB Lic.: 1 alt Oi Electrical Lic.ahor Ocietprv.Lic.:28 5let ELECTRICAL PERMIT FEES Subtotal: (,'l 9`l Suprv.Electrician signature,required: Plan review(25%of permit fee): Print name:w /qtr r ,&I5 Date:7/Z' 124 / State surcharge(12%of permit fee): f/if Iyl �1 ` `�' TOTAL PERMIT FEE: /7e1,eV Authorized signature: �� This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: A/1 i� is 1 1. t ley") Date:--11z4 r��1 4, . Number of inspections allowed per permit. ��iL l��il T1�l�hG.'l / 1 I:\BuildingWermits\E1.C-PcrmitApp.duc 07/01/I0 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 13600 SW PACIFIC HWY, TIGARD, OR, 97223 Commercial - Electrical 199 Electrical ﬁnal PASS - No C of O ELC2014-00404 Herb Stabenow Violation Summary: Inspector Contractor