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Permit CITY OF TIGARD ELECTRICAL PERMIT I COMMUNITY DEVELOPMENT Permit#: ELC2014-00697 T IGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/10/2014 Parcel: 1 S134BC00200 Jurisdiction: Tigard Site address: 12186 SW SCHOLLS FERRY RD Project: Mud Bay Subdivision: GREENWOOD TERRACE CONDO Lot: 17 Project Description: (2)sign lightings Contractor: 15 DESIGN&MANUFACTURE INC Owner: ATLAS GREENWAY LLC 8751 COMMERCE PLACE DR NE 333 NW NINTH AVE,STE 1009 LACEY,WA 98516-1326 PORTLAND,OR 97209 PHONE: 800-459-2967 PHONE: FAX: FEES Quantity Description Date Amount 2 ea Sign or Outline Lighting 12/10/2014 $135.68 Specifics: 1 ea 12%State Surcharge- 12/10/2014 $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 a copy of direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: _ ee 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_ 1.0R I)F L I( I 1 cx1 t,.1 1 City of Tigard RECEIVED )e eived ��© Permit No �����, —���� 13125 SW Hall Blvd,Tigard,OR 97223 Plan Review �i r UPI II Phone: 503.718 2439 Fax: 503598 1960 8 DateB Other Permit. Mr-eV od I Inspection Line: 503.639.4175 DEC V 2014 Date Reedy/13y. yetis ® See Paget for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYP1044 610 1 6AR° PLAN REVIEW ❑New construction ❑ AddimmofialaSION Please check all that apply(submit 2 sets of plans wiitems checked below) ❑Service or feeder 400 amps or more ❑Building over three stones t),: ❑ Demolition ®Other:Sign 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 tkl ❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building amps for all other installations buildings ❑ Multi-family ❑ Master builder ❑Other: ❑Fire pump ❑Installation of 150 KVA or N. JOB SITE INFORMATION AND LOCATION ❑Emergency system larger separately derived system.'t,,, ❑Addition of new motor load of ❑"A","E","I-2","I-3", ‘ Job no.: Job site address: 12186 SW Scholls Ferry Rd t or more occupancy a ❑Six x o or r more residential units ❑Recreational vehicle parks • City/State/ZIP:97223 ❑Health-care facilities ❑Supply voltage for more than v -- ❑Hazardous locations. 600 volts nominal 1.71 Suite/bldg./apt.no.: Project name:Mud Bay-Tigard ❑Service or feeder 600 amps or more FEE SCHEDULE 4 Cross street/directions to job site:on SW Scholls Ferry Rd &SW 121'1 Ave Description I Qty. I Fee. I Taal I • N. New residential single-or multi-family dwelling unit. 4 Includes attached garage. Subdivision:General Commercial Lot no.: 1,000 sq.ft or less 168 54 4 Tax map/parcel no.: IS134BC00200 Ea.add'I500sq.ft.or portion 33.92 1 Limited energy,residential 75 00 2 DESCRIPTION OF WORK (with above sq ft.) . Limited energy,multi-family installing 2 illuminated sets of channel letters reading"Mud Bay"on raceways residential(with above sq.11.1 7s 00 2 Renewable Energy ❑ See Page 2 Services or feeders installation,alteration,and/or relocation ❑ PROPERTY OWNER I ® TENANT 200 amps or less 100 70 2 201 amps to 400 amps 133 56 2 Name:Mud Bay - 401 amps to 600 amps 200 34 2 Address: 12186 SW Scholls Ferry Rd 601 amps to 1,000 amps 30104 2 Over 1,000 amps or volts 552 26 2 City/State/ZIP:Tigard 97223' Temporary services or feeders installation,alteration,and/or Phone:(800)459.2967 Fax:( ) relocation 200 amps or less 59 36 1 a •• r.''n• is not 201 amps to 400 amps 125.08 2 '• • • : , rte_ , a• _ . , .... ... 401 amps to 599 amps 168 54 2 anaz,r i u Iur . 1�a F- t -___ .��ur MrlD( i3 �1 Date: 11 1Y Branch circuits-new,alteration,or extension,per panel ® APPLICANT I ® CONTACT PERSON A Fee for branch circuits with above service or feeder fee. Business name:1-S Design& Manufacture each branch circuit 7 43 B Fee for branch circuits without Contact name:Susie Hier service or feeder fee,first 56 18 2 branch circuit Address:8751 Commerce Place Drive Each add'l branch circuit 7 42 2 City/State/ZIP: Lacey,WA 98516 Miscellaneous(service or feeder not included) _ Each manufactured or modular 67 84 Phone:(800)4592967 Fax: :( ) dwelling,service and/or feeder Reconnect only 67 84 2 E-mail:susan@i5design.eom Pump or irrigation circle 67 84 2 CONTRACTOR Sign or outline lighting 2 67 84 2 Business name: 1-5 Design& Manufacturesign _ _ l35 6 Signal circuit(s)or limited-energy See Address:8751 Commerce Place Drive 1� panel,alteration,or extension. Page 2 2 Each additional inspection over allowable in any of the above City/State/ZIP:Lacey,WA 98516 •-i 6.;.te Additional inspection(1 hr min) 66 25/hr - Phone:(800)4592967 Fax:( 1�111 Investigation(1 hr min) 66 25/hr \ 'i Industrial plant(l hr min) 78 18/hr• CCB Lie.: 64900 �`c\l' I Electrical I,ic.: 371515CLS Suprv. L.ic.: 0;3/ , Inspections for which no fee is 90 00/hr specifically listed(i:hr min) Suprv. Electrician signature,required ci ELECTRICAL PERMIT FEES Subtotal. —1-3-5767(5SAA Print name: Jack Frost Date: 11/24/14 Plan review(25%of permit fee): o--J•3-yet--v Authorized signature: � State surcharge(12°' of permit fee): 46ter /47.4 ilk.., TOTAL PERMIT FEE: J7' Print name: Susan Hier Date: 11/24/14 This permit application expires if a permit is not obtained within ISO days after it has been accepted as complete. (o I.\Buitding\Permits\ELC_PemhiiApp ELR_ERE doe Rev 05/21/2013 440-I61ST(I I/05/COM/W£B /51r/ 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 12186 SW SCHOLLS FERRY RD, TIGARD, OR, 97223 Commercial - Electrical 199 Electrical final PASS - No C of O ELC2014-00697 Chip Barnett Violation Summary: Inspector Contractor