Permit CITY OF TIGARD ELECTRICAL PERMIT
11. ' COMMUNITY DEVELOPMENT Permit#: ELC2014-00520
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/22/2014
T I
G A F2)? g Parcel: 1 S135BA00102
Jurisdiction: Tigard
Site address: 10218 SW WASHINGTON SQUARE RD
Project: DXL Men's Apparel Subdivision: OAKBURG Lot: 9
Project Description: Sign lighting for(2)illuminated channel letersets.
Contractor: RUDNICK ELECTRIC SIGNS LLC Owner: PPR SQUARE TOO LLC
1625 WASHINGTON ST PO BOX 847
OREGON CITY, OR 97045 CARLSBAD,CA 92018
PHONE: 503-655-2610 PHONE:
FAX: 503-980-7919
FEES
Quantity Description Date Amount
2 ea Sign or Outline Lighting 09/22/2014 $135.68
Specifics:
1 ea 12%State Surcharge- 09/22/2014 $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._may obtain- or direct questions to OUNC by callin 32.1987 or 1.800 32. • .
Issued By: %tl�� - __ Permittee Signature: A. .
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 Applicati fe EIVED FOR OFFICE USE ONLY City of Tigard Received
Date/I3 : /1 I�I I IF Permit No.: a. - d. 4./....Co jp
13125 SW Hall Blvd.,Tigard,OR 9722 EP 11 2014 Plan Review
Other Permit
Phone: 503.639.4171 Fax: 503.598.1960 Date/B : , • `i 6. l
1 \I,I Inspection Line: 503.639.4175 ('
CITY(�.r' D Date Ready/By: 0 See Page 2 for
Internet: www.tigard-or.gov V 1 1 v>f Notified/Methad: Supplemental Information
■ a,∎ , 1.6 i11►1
REVIEW
7.4 New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans whtems 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 CONSTRUCTIO 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 CommerciaUindustrial ❑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.
❑Addition of new motor load of ❑"A","E","1-2","1-3",
Job no.: Job site address: o?\' J 11 Six or or more. occupancy.
..A t tJi 1 ❑Six or more residential units. ❑Recreational vehicle parks.
CI /State/ZIP: -J r ❑Health-care facilities. ❑Supply voltage for more than
' _ 600 volts nominal.
❑Hazardous locations.
Suite/bldg./apt.no.: 111,` Project name: , Av. , I. L ❑Service or feeder 600 amps or more.
Cross street/directions to job site: Description Qty. Fee. Total i.
�� New residential single-or multi-family dwelling unit.
ne"4_ ∎- \ Cass �115JA_ , E1r Includes attached garage.
Subdivision: • 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 75.00 2
DESCRIPTION OF WORK (with above sq.ft.)
1` Limited energy,multi-family 7500 2
_ , Xtl, i I�j M _�` residential(with above sq.ft.)
• _ u .1.' tl. .tl 1
- 1 - Services or feeders installation,alteration,and/or relocation
(y(\ - 'P__ c 200 amps or less 100.70 2
❑ PROPERTY OWNER [TENANT 201 amps to 400 amps 133.56 2
, 401 amps to 600 amps 200.34 2
. _ !►� 601 amps to 1,000 amps 301.04 2
_
Address: `0 (E, , 'N ,t. ; - ` - .14: ► 0 Over 1,000 amps or volts 552.26 2
- Temporary services or feeders installation,alteration,and/or
City/State/ZIP:
l u . r• .. relocation
Phone:( ) 1 Fax:( ) 200 amps or less 59.36 1
201 amps to 400 amps 125.08 2
Owner installation:This installation is being made on property that I own which is not
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, er panel
Owner signature: Date: A.Fee for branch circuits with
CONTACT PERSON
►: W.: above service or feeder fee, 7 42 2
r each branch circuit
•
c=pli B.Fee for branch circuits without
service or feeder fee,first
Contact name: ‘ 1 • branch circuit 56.18 2
` '�`�— e.,L. '� Each add'I branch circuit 7.42 _ 2
Miscellaneous(service or feeder not included)
2: ( )
City/State/ZIP: G�� Each manufactured or modular 67.84 2
tY �. 8 r dwelling,service and/or feeder
Phone:(5?5 ) •SS- */ O Fax: :(Si.) ) 't - C2 L Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
E-mail: ■�-e_elaTga Sign or outline lighting C. 67.84 /3 i•, Lit 2
CONTRACT 0' Signal circuit(s)or limited-energy
Business name: 1 \ ' 1 ti C t panel,alteration,or extension. Page 2 2
rs .l - -u �- Each additional inspection over allowable in any of the above
�� Additional inspection(1 hr min 66.25/hr
Address: '` t Pe ction( )
City/State/ZIP: ■ , to , , a Investigation(1 hr min) 66.25/hr
moo\' 'j■A r. u Industrial plant(1 hr min) 78.18/hr
Phone:(563 ) 63--s-
_lb I d Fax:(13:SIV • :11,S — . 14' Inspections for which no fee is 90.00/hr
sr: ificall listed %2 hr min
CCB Lic.. $tds--80 IMEICIPME11 Suprv.Lic.. • SV( , i t 1 •i'.
Subtotal: ( ,4 y
Suprv.Electrician signature,required: —_ o
Plan review(25%of permit fee):
Print name: C� I `\ t Date: Ole Nis State surcharge(12%of permit fee): ((o.
_J •l ..►. _ ti
- / - TOTAL PERMIT FEE: 1 "---1,q(0
Authorized signature:
— 410 This permit application expires if a permit is not obtained within 180
`.I `. a eY� • ��
days after has been accepted as complete.
Print name: Date: ` Number of inspections allowed per permit.
V
i\Building\Permits\ELC-PermitApp.doc 07/01/10 440-4615T(11/05/COM/WEB
Electrical Permit Application - City of Tigard
Page 2- Supplemental Information
LIMITED ENERGY PERMIT FEES:
RES PP,. 4 WORK ONLY:
Fee for all residential systems combined ... $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
❑ Heating,Ventilation and Air Conditioning System*
❑ Vacuum Systems*
❑ Other:
i C` `L OI _ -"'W'
Fee for each commercial $75.00
system
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
71\Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
1:\Building\Permits\ELC-PermitApp.doc 07/01/10
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
10218 SW WASHINGTON SQUARE RD,
TIGARD, OR, 97223
Commercial - Electrical
199 Electrical final
PASS - No C of O
ELC2014-00520
Chip Barnett
Violation Summary:
Inspector Contractor