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Permit
n CITY OF TIGARD ELECTRICAL PERMIT "! a COMMUNITY DEVELOPMENT Permit#: ELC2014-00425 T t C;A:R.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/14/2014 Parcel: 1 S134BC00100 Jurisdiction: Tigard Site address: 12122 SW SCHOLLS FERRY RD Project: Scotty's Subdivision: GREENWOOD TERRACE CONDO Lot: 17 Project Description: Sign lighting for(2)wall signs Contractor: MEYER SIGN CO OF OREGON Owner: ATLAS GREENWAY LLC 15205 SW 74TH AVE 333 NW NINTH AVE, STE 1009 TIGARD, OR 97224 PORTLAND,OR 97209 PHONE: 503-620-8200 PHONE: FAX: 503-620-7074 FEES Quantity Description Date Amount iI 2 ea Sign or Outline Lighting 08/14/2014 $135.68 Specifics: 1 ea 12%State Surcharge- 08/14/2014 $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 r. Those rules are set forth in OAR 952-001-0010 thr OA' '•2-00 You may obtain a copy of the rules or direct questions to OUNC by calling 503.2 .190 o 00.332 23 Issued By: .r _ / Permittee Signature: lln, 7,1 C-C., J 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' r C`c 7e d `,--_____ 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 Applica - FOR OFFICE USE ONI,I ECEIUFt R eceived City of Tigard Plan Review 7 3i �i SA._ Permit No.. LCoa6/V-00 y/..„:12_ :. i •• 13125 SW Hall Blvd.,Tigard,OR 972 1L Plan Review • Phone: 503.718 2439 Fax: 503.598 YYDDht 3 1 2014 Date/By: Other Permit: 1, 1 Inspection Line: 503.639.4175 Date Ready/By: tans: ® See Page 2 for Internet: www.tigard-or.gov CITY OF WARD Notified/Method: Supplemental Information TYPE t PLAN REVIEW ❑ New construction ®Addition/alteration/replacement 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 CONST'RUCT'ION exceeds 10.000 amps at 150 volts or ❑Floating buildings. • less to ground.or exceeds 14.000 ❑Commercial-use agricultural ❑ I-and 2-family dwelling ®Commercial/industrial ❑Accessory building amps for all other installations. buildings. ❑ Multi-family ❑ Master builder ❑Other: ❑Fire pump. ❑Installation of 75 KVA or ❑Emergency system. larger separately derived system. JOB SITE INFORMATION AND LOCATION ❑Addition of of new motor load of ❑"A"."E"."1-2","I-3", Job no.: 13463 Job site address: 12122 SW Scholls Ferry Rd. I or ore. occupancy. ❑Six ix or 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:Scottys ❑Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site:SW 121St Ave. 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'I 500 sq.ft.or portion 33.92 1 Tax map/parcel no.: Limited energy.residential 2 DESCRIPTION OF MURK (with above sq.ft.) 75.00 Limited energy,multi-family 75.00 2 Install(2)sets of reverse pan channel letters on building walls residential(with above sq.ft.) Services or feeders installation,alteration,and/or relocation 200 amps or less 100.70 2 0 PROPERTY OWNER I ® TENANT 201 amps to 400 amps ___133.56 2 401 amps to 600 amps 200.34 2 Name:Steve Michaud 601 amps to 1.000 amps 301.04 2 Address: 12122 SW Scholls Ferry Rd Over 1.000 amps or volts 552.26 2 City/State/ZIP:Tigard,OR,97223 Temporary services or feeders installation,alteration,and/or Y g relocation Phone: (503)313-7120 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,per panel Owner signature: Date:__ A.Fee for branch circuits with laj above service or feeder fee. APPT.ICANT t © � A � � each branch circuit 7.42 Business name:Meyer Sign Co B.Fee for branch circuits without service or feeder fee,first 56.18 2 Contact name:Mason Finnerty branch circuit Each add'/branch circuit 7.42 2 Address: 15205 SW 74th Ave Miscellaneous(service or feeder not included) City/State/ZIP:Tigard,OR 97224 Each manufactured or modular 67.84 2 y g dwelling,service and/or feeder _ Phone:(503)620-8200 Fax: :(503)620-7074 Reconnect only _ 67.84 2 Pump or irrigation circle 67.84 2 E-mail:permits@ meyersignco.com y Sign or outline lighting 67.84 /35 2 CONTRACTOR Signal circuit(s)or limited-energy Business name:Meyer Sign Co panel,alteration,or extension. Page 2 2 Each additional inspection over allowable in any of the above Address: 15205 SW 74th Additional inspection(1 hr min) 66.25/hr City/State/ZIP:Tigard,OR 97224 Investigation(1 hr min) 66.25/hr Industrial plant(I hr min) 78.18/hr Phone:(503)620-8200 Fax:(503)620-7074 Inspections for which no fee is 90.00/hr specifically listed(V2 hr min) CCB Lic.: 64014 Electrical Lic.: 2 -19OCL Suprv.Lic.: 566 SIG RLECrRICAL PERMIT FEES Suprv.Electrician signature.require \ /) Subtotal: /3 5•--- vt"�"``-'1�.,� Plan review(257r of permit fee): Print name: Phil Reynolds Date: 7/29/14 State surcharge(12%of permit fee): /6•a ir TOTAL PERMIT FEE: /S/•y 4, Authorized Signature: This permit application expires if a permit is not obtained within 180 Print name: Mason Finnerty Date: 7129/14 days after it has been accepted as complete. y * Number of inspections allowed per permit. I:/Building 1 Permits 1ELC-PermitApp.doc 07/01/10 44(646IST(I1/05/COsi/WEB