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Permit • CITY OF TIGARD ELECTRICAL PERMIT 2 - COMMUNITY DEVELOPMENT f Permit#: ELC2014-00674 11111 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/11/2014 M' Parcel: 2S102BD02600 Jurisdiction: Tigard Site address: 12955 SW PACIFIC HWY Project: Cricket Subdivision: NORTH TIGARDVILLE ADDITION Lot: 37 Project Description: Sign lighting for a new internally-illuminated wall sign,2'4.6"x 9'3"on southeast face of building. 3/3/2015: REPRINT permit to change contractor. DLH Contractor: HANNAH SIGN SYSTEMS INC Owner: KIM, PENNEY 1660 SW BERTHA BLVD 395 NW SILVERADO DR PORTLAND, OR 97219 BEAVERTON, OR 97006 PHONE: 503-946-8373 PHONE: FAX: 503-206-4900 FEES Quantity Description Date Amount 1 ea Sign or Outline Lighting 11/25/2014 $67.84 Specifics: 1 ea 12%State Surcharge- 11/25/2014 $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'•R 95 I'1-00•1. You may obtain a copy of the rules or direct questions to OUNC by calling 501232.1987 or 1.800.332.2344. Issued By: g ,(� Permittee Signature: Z// 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 603.639.4175 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. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT I al Request for Permit Action 1 1,„N I:I 13125 SW Hal! Blvd. •Tigard,Oregon 97223 • 503-718-2439 • www.tigard-or.gov TO: CITY OF TIGARD Building Division 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits @tigard-or.gov FROM: ❑ Owner ❑ Applicant Contractor ❑ City Staff Check(1)one REFUND OR Name: INVOICE TO: (Business or Individual) CO tt..) Mailing Address: I (f1 U F C/1'1/(Uf.,S Kt,. / ' / ft City/State/Zip: e c i & UV+E tJ!Il+4 ie J �4- 0 7 Phone No.: Si4644 Siii tiusc+n• -P,e36- l Miwarrt 7Z7- 373- 2OY2 PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1): A ��w� !S47 (031-3Z 8L9 AY, �� Er CANCEL/VOID PERMIT APPLICATION. C' FUND PERMIT FEES (attach copy of original receipt and provide explanation below). e. INVOICE FOR FEES DUE (attach case fee schedule and provide explanation below). r X REMOVE/REPLACE CONTRACTOR ON PERMIT(do not cancel permit). , Permit#: by 9 2.6 VA'UG7 '1 / Iic& Z of kk--06(07`l ZA\k{-661y1/4( Site Address or Parcel#: 12515$ SW R a Ck C. \AwA.A 1 T4J OrZ Project Name: C,(L∎�,k -�' J Subdivision Name: Lot#: EXPLANATION: SCfc.. mcrc -w0 - '&V _ '7O322'1 b 1�. •� — Signature: / Date: 212-7/15- Print Name: 5'/f K.{ ram 44,5a4-, Refund Policy 1. The city's Community Development Director,Building Official or City Engineer may authorize the refund of: • Any fee which was erroneously paid or collected. • Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort has been expended. • Not more than 80%of the application or permit fee for issued permits prior to any inspection requests. 2. All refunds will be returned to the original payer in the form of a check via US postal service. 3. Please allow 3-4 weeks for processing refund requests. I ()It 01 1 1111 1 ',I. 0\,l.l Route to Sys Admin: Date B_y Route to Records: Date By Refund Processed: Date By Invoice Processed: Date By Permit Canceled: Date By Parcel Tag Added: Date By 1:\Bull ding\Forms\RegPcrmitAction_M2314.doc I Sherri Stephenson To: Betsy Galicia Subject: RE: Request for permit action - SGN2014-00144 Betsy, Thank you for the link. Please find attached your form, permits already paid for and copy of this email with explanation of situation: Icon is an international sign company that hire's contractors to permit and install signage around the US. Icon hired Quicksilver Neon and Signs to permit and install the location— 12955 SW Pacific Hwy,Tigard with new Cricket signage for their national rebranding program. Please see attached PO for permit procurement from Icon to Quicksilver Quicksilver has declined to work for us, and we have hired a new contractor in the area to change the signage and permit the location. New contractor- -- Hannah Sign Systems—Dave Lanphere -503-946-8373 (CCed on this email) Quicksilver has refused to send a letter releasing the permits to Hannah Icon sent the checks to Quicksilver for the exact amounts for the permits made out to the city of Tigard. Basically Icon paid you for the permits directly. Quicksilver walked in with these checks and retrieved the permits. There has been no change to the signage or the work other than the contractor doing it. In a perfect would—I would just love to have the permits changed over to Hannah for completion of my job. As a secondary plan, if I can't get the permits changed over, please refund the permit money and we will have Hannah apply for new permits. Please feel free to call or email with any questions, or let me know which is going to happen so I can start the process asap. Thank you for your assistance with this process. Thank you for your time and help in this situation. Sherri Stephenson—Icon Project Manager—727-373-2042 From: Betsy Galicia (mailto:BetsyG @tigard-or.govj Sent:Thursday, February 26, 2015 5:14 PM To: Sherri Stephenson Subject: Request for permit action -SGN2014-00144 Meghan, 1 Remit To: PURCHASE ORDER 1418 Elmhurst Road Elk Grove Village, IL 60007 icon 847.364.2250 DATE : 11118/2014 Identity Solutions PURCHASE ORDER NO: 1.299824 Quicksilver Neon and Signs Inc. Location#70324118 2325 NW 154th PI SW Pacific Hwy 12955 SW Pacific Hwy Beaverton, OR 97006-5546 Phone : (503)626-7020 Tigard, OR 97223-5032 Order Date Ship Via F.O.B Terms Wanted Date X Taxable 11/13/14 NET75 11/13/2014 IL Resale No.2803-9955 -- "' FL Resale No.62-8012394662-9 Dept. No. Job No Promised Date Accounting Code CA Resale No.SR-OHA-97051550 1080107 SC Resale No.1936051-00 Procure&secure all permits INSTALL THE FOLLOWING Qty Size Rem code Description Total 1 PERMIT PERMIT PROCUREMENT 25500 ADDITIONAL INFORMATION The Icon Companies does not imply or require any activity or the use of any equipment that violates any and all federal and/or state and/or local safety regulations that apply to the requirements stated in this purchase order. The recipient of this purchase order assumes controlling contractor status for any and all work performed at the job site identified on this purchase order. SUBMITTED BY: Sherri Stephenson Cost not to exceed : $255.00 CHICAGO: CLEARWATER: LEXINGTON. MOORESTOWN: RANCHO: IRVING 1418 Elmhurst Road 14055 48th St.North Ste 1106 147 Litton Drive 1247 N.Church St. 10156 Sharon Circle 4343 W.Royal Lane.Ste 114 E&Grove Village,IL 60007 Clearwater,FL 33762 Lexington,SC 29073 Moorestown,NJ 08057 Rancho Cucamunga,CA 91730 Irving,TX 75063 847.364.2250 727 536,8646 803.359 2525 215.781.8500 909.942.5100 972.929.2840 CITY OF TIGARD ELECTRICAL PERMIT 11111 _ a COMMUNITY DEVELOPMENT Permit#: ELC2014-00674 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/11/2014 Parcel: 2S102BD02600 Jurisdiction: Tigard Site address: 12955 SW PACIFIC HWY Project: Cricket Subdivision: NORTH TIGARDVILLE ADDITION Lot: 37 Project Description: Sign lighting for a new internally-illuminated wall sign,2'4.6"x 9'3"on southeast face of building. Contractor: QUICKSILVER NEON AND SIGNS LLC Owner: KIM, PENNEY 2325 NW 154TH PL 395 NW SILVERADO DR BEAVERTON, OR 97006 BEAVERTON, OR 97006 PHONE: 503-626-7020 PHONE: FAX: FEES Quantity Description Date Amount 1 ea Sign or Outline Lighting 11/25/2014 $67.84 Specifics: 1 ea 12%State Surcharge- 11/25/2014 $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 suspen•-d for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Cent-'. T se rule e set forth in OAR 952-001-0010 through • 1,90: -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.19 •r 1.8A32. '-•' + • i ti Issued By: L Ammar 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 ‘NtV FOR OFFICE USE ONLY City of Tigard ('�� Received v Date/B ii r _ 1 l --11 13125 SW Hall Blvd.,Tigard,OR Plan Review 7 Other Permit: / Phone: 503.718.2439 Fax: 503.5 60 t, DateB T I GA R D Inspection Line: 503.639.4175 p 51,-0\ Date Ready/By: 1urig ® See Page 2 for Internet: www.tigard-or.gov Nov p ,�C` 101 Notified/Method: Suppkmental Information TYPE OF WORIc.1 ^�' As,V 1�7 PLAN REVIEW ❑New construction ❑Addition/alterati 1� � Please check all that apply(submit 2 sets of plans w/items checked below):g��`` ❑Service or feeder 400 amps or more ❑Building over three stories. ❑Demolition [Other: 17v"� where the available fault current ❑Marinas and boatyards. CATJ��/"EGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings. less to ground,or exceeds 14,000 ❑Commercial-use agricultural 1=1 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","1-3", Job no.: Job site address:/2 9_0-A1 /I 4oc kra Six or or more. occupancy. ❑ ❑Six or more residential units. Recreational vehicle parks. City/State/ZIP: f4XJ,�v .,c.-frG..4/ 9'7 Zy,-' ❑Health-care facilities. ❑Supply voltage for more than ❑Hazardous locations. 600 volts nominal. Suite/bldg./apt.no.: Project name: C.:421€.e ❑Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Description I Qty. I Fee. I Total 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.: Limited energy,residential DESCRIPTION OF WORK (with above sq.ft.) 75.00 2 Limited energy,multi-family 75.00 2 /4/57-4J—L4 P7di✓)1ti9 c—!//i✓tL/7vA /U .t-fi fS774/4 residential(with above sq.ft.) Services or feeders installation,alteration,and/or relocation f6,0l41t7t C/ ) /1-4-1.1`1/,41-0'1 b ./G 07 200 amps or less 100.70 2 ❑ PROPERTY OWNER I TENANT _ 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 Name: Gt2/co 601 amps to 1,000 amps 301.04 2 Address: /2 , Sr s,f AQG/wiG Over f Over 1,000 amps or volts 552.26 2 y / r 4� / 67Z,4 -7.0C44/ Temporary services or feeders installation,alteration,and/or City/State/ZIP: 1Z/) relocation Phone:(ce.7 ) 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 401 amps to 599 amps 168.54 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. Branch circuits-new,alteration,or extension, l er panel Owner signature: Date: A.Fee for branch circuits with *APPLICANT I ❑ CONTACT PERSON above service or feeder fee, 7 42 2 each branch circuit Business name: , ,G./G/Gd'iL I/:e A/�,4,,/ /j/��1 L�C B.Fee for branch circuits without / service or feeder fee,first 56.18 2 Contact name: I/i/� �14,4� t ft/ branch circuit • Each add'l branch circuit 7.42 _ 2 Address: Z 372____ _/✓b(/ /sr.f 2-2.,___- Pt Miscellaneous(service or feeder not included) _ City/State/ZIP: 13�,Di/ jZi7�'t/ 9740-g- Each manufactured or modular 67.84 2 J �l�Zs�X� dwelling,service and/or feeder Phone:6;3) 6.2-6.-702_0 Fax: :( ) Reconnect only 67.84 2 Pump or irrigation circle 67.84 (,(� 2 E-mail: ei(//Cry/L�� .. [,w� �xv�mei �c,.(-I Sign or outline lighting j 67.84 Cy7 a 2 CONTRACTOR Signal circuit(s)or limited-energy Business name: <4(&-e dr � 1 4./"L-! C II0-7 panel,alteration,or extension. Page 2 2 r Each additional inspection over allowable in any of the above Address: Additional inspection(1 hr min) 66.25/hr City/State/ZIP: Investigation(1 hr min) 66.25/hr Industrial plant(1 hr min) 78.18/hr Phone:( ) Fax:( ) 1//5/6 Inspections for which no fee is specifically listed(/hr min) 90.00/hr CCB Lic.:/ /SZ Electrical Lic.: Suprv.Lic.:J ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: Plan review(25%of permit fee): Print name: 2l0 aV//N W-,fv,tt/ Date: /0 '-7-/el State surcharge(12%of permit fee): F-. I y TOTAL PERMIT FEE: ?5_ it' Authorized signature: This permit application expires if a permit is not o twined within 180 Print name: ,25?,/V ,' /)Q14/sv/�/ Date: /0-17_5/ • days Lion it has allowed been accepted as complete. 1 Number of inspections allowed per permit. t.\Building\Permits\ELC-PennitApp.doc 07/01/10 440-4615T(I1/05/COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for all residential systems combined ... $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* n Heating,Ventilation and Air Conditioning System* n Vacuum Systems* ❑ Other: COMMERCIAL WORK ONLY: 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 n HVAC ❑ Instrumentation n Intercom and Paging Systems n Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* n Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 1.'Building'Permits1ELC-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 12955 SW PACIFIC HWY, TIGARD, OR, 97223 Commercial - Electrical 199 Electrical ﬁnal PASS - No C of O ELC2014-00674 Jeff Grove Violation Summary: Inspector Contractor