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Permit OP CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit#: ELC2014-00504 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/25/2014 Parcel: 1 S 135BA00102 Jurisdiction: Tigard Site address: 10108 SW WASHINGTON SQUARE RD Project: World Market Subdivision: OAKBURG Lot: 9 Project Description: Sign lighting for(1)wall sign above main entrance. Contractor: VANCOUVER SIGN COMPANY INC Owner: PPR SQUARE TOO LLC 2600 NE ANDRESEN RD#50 PO BOX 847 VANCOUVER,WA 98661 CARLSBAD, CA 92018 PHONE: 360-693-4773 PHONE: FAX: 360-693-2747 FEES Quantity Description Date Amount 1 ea Sign or Outline Lighting 09/25/2014 $67.84 Specifics: 1 ea 12%State Surcharge- 09/25/2014 $8.14 Electrical Type of Use: COM Class of Work: ALT Type of Const: Occupancy Grp: Total 575.98 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 thr R 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: ���C-d!(.4=a/G_9--i{ 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 Application FOR OFFICE USE ONLY City of Tigard pRia ed q AMU., Permit No.: _f '2j±' 6/fatt lig 13125 SW Hall Blvd.,Tigard,OR ' Plan Review ti✓�� ' Phone: 503.639.4171 Fax: ' : 'd ` p Date/B : Other Permit: Inspection Line: 503.639.41 3 r�o1vt Date Ready/By: ® See Page 2 for Internet: www.tigard-or.gov ��QQ �, �., Notified/Method: !UM Supplemental Information TYPE OF WOi& �� t PLAN REVIEW ❑New construction ®Addition/alter :, ���'-' 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: 1 where the available fault current ❑Marinas and boatyards. EXTFGORV I ' * " ' "" -`_)CThX 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 75 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived system. ❑Addition of new motor load of ❑"A","E","1-2","I-3", Job no.: Job site address: 100HPormore. occupancy. /0/0 S 't.-) l t)& t 1 n qto t7 5 ❑Six or more residential units. 0 Recreational vehicle parks. City/State/ZIP: Cr 7 Z Z-, tJ C� ❑Health-care facilities. ❑Supply voltage for more than I C1 of t Q ?is ❑Hazardous locations. 600 volts nominal. Suite/bldg./apt.no.: U Project name: tA)j i'I L /1/10,f ..t- ❑Service or feeder 600 amps or more. Cross street/directions to job site: Description FEE SCHEDULE j I Qty. I Fee. l 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'l 500 sq.ft.or portion 33.92 1 Tax map/parcel no.: / S/3 S L/0010 Z A I ii 1(Do 40 Limited energy,residential 67.84 DESCRIPTION OF WORK (with above sq.ft.) _ 11 e C 1 Limited energy,multi-family 67.84 O t1.Q, t f L 1,111(11 YLLL1-e G(, w 5i9 n On JO ud yf residential(with above sq.ft) Services or feeders installation,alteration,and/or relocation 200 amps or less 100.70 2 ❑ PROPERTY OWNER I til TENANT 201 amps to 400 amps 133.56 2 Name: World, Mai k eat 401 amps to 600 amps 200.34 2 1- 601 amps to 1,000 amps 301.04 2 Address: /0/0 8 5 GO i Wank;l v ton St Over 1,000 amps or volts 552.26 2 City/State/ZIP: �J V v Temporary services or feeders installation,alteration,and/or i D,,T a ©I`j g 7 2 Z 3 relocation Phone:( ) tJ I 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 ❑ APPLICANT I ❑ CONTACT PERSON above service or feeder fee, each branch circuit 7'42 2 Business name:Vancouver Sign B.Fee for branch circuits Contact name:Reid Storm without service or feeder fee,first 56.18 2 st branch circuit Address:2600 NE Andresen Rd#50 Each add'1 branch circuit 7.42 2 Miscellaneous(service or feeder not included) City/State/ZIP:Vancouver WA 98661 Each manufactured or modular 67.84 2 dwelling,service and/or feeder Phone:(360)693-4773 I Fax: :(360)693-2747 Reconnect only 67.84 2 E-mail:reids @vansignco.com Pump or irrigation circle (I) (r 67.84 2 CONTRACTOR Sign or outline lighting 67.84 7. 2 Signal circuit(s)or limited- Business name:Vancouver Sign energy panel,alteration,or Address:2600 NE Andrense Rd#50 extension.Describe: Page 2 2 City/State/ZIP:Vancouver WA 98661 Each additional inspection over allowable in any of the above Phone:(360)693-4773 I Fax:(360)693-2747 Per inspection 66.25 Investigation per hour(1 hr min) 66.25 CCB Lic.: 63951 Electrical Lic: 37-46CLS Suprv.Lic.rp(/fi.S(� Industrial plant per hour 78.18 ��y—� `'� �� ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: J�('`'C ) Subtotal: 6 - Print name: a Date: (,/ / Plan review(25%of permit fee): �^ LLB ` `r - State surcharge(12%of permit fee): 0 , (y Authorized signature: 7....--- TOTAL PERMIT FEE: ` . Print name: R 'd 5to r rY1 Date: �5/ /�/ This permit application expires if a permit is not obtained within 180 I // days after it has been accepted as complete. * Number of inspections allowed per permit. I:\Building\Permits\ELC-PennitApp.doc 10/01/09 440-4615T(11/05/COM/WEB