Permit CITY OF TIGARD ELECTRICAL PERMIT
E'1 = COMMUNITY DEVELOPMENT Permit#: ELC2014-00728
T i G AR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/23/2014
Parcel: 2S102CB01804
Jurisdiction: Tigard
Site address: 13305 SW PACIFIC HWY
Project: Taco Bell Subdivision:RTH TIGARDVILLE ADDITION,AMENC Lot: 32
Project Description: Retrofitting pylon sign with LED
Contractor: MEYER SIGN CO OF OREGON Owner: WEBER COASTAL BELLS LIMITED
15205 SW 74TH AVE WEBER, EDUARD
TIGARD,OR 97224 840 CONGER ST
EUGENE, OR 97402
PHONE: 503-620-8200 PHONE:
FAX: 503-620-7074
FEES
Quantity Description Date Amount
1 ea Sign or Outline Lighting 12/23/2014 $67.84
Specifics:
1 ea 12%State Surcharge- 12/23/2014 $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 .- ubject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be do • in accordance WI approved plans. This permit will expire if work is not started within 180 days of issu- c , or if work is suspended for more the 180
days ATTENTION: Oregon .w -• es_you to follow the rules adopted by the Oregon Utility Notificati, C nt= . Those rules are set forth in OAR
952 601-0010 through OAR 952 :61-0090 ou may obtain a copy of the rules or direct questions to OUNC by calling .23 9' or 1.800.332.23�44.
Is ed By: 40 l/ / Permittee Signature: / / 7
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' - � -��c 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 Tigard Received
DatelBv: 023 (A.449-
.g Pe
rmit No.:&die/ /b g
III13125 SW W Hall Blvd..Tigard.OR 97223 Plan Review
Phone: 503.718 2439 Fax: 503.598.1960 Date/Bv: Other Permit:
Inspection Line: 503.639.4175 Date Ready/By: Juri El See Page 2 for
t■ r1) Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
❑ New construction ®Addition/alteration/replacement Please check all that apply(submit 2 sets of plans whtems checked bcl oc r
❑Service or feeder 400 amps or more ❑Building over three stories.
❑ Demolition ❑Other: where the available fault current ❑Marinas and boatyards.
CATEGORY Of CONSTRUCTION exceeds 10.(XX)amps at ISO voles 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 rest motor load of ❑'A °E°. I-2", 1-3".
IOOHP or more. occupancy.
Joh no.: Job site address: 13305 SW Pacific Hwy
❑Six or more residential units. ❑Recreational vehicle parks.
City/State/ZIP:Tigard,OR 97224 ❑Health-care facilities. ❑Supply voltage for more than
❑Hazardous locations. 600 volts nominal.
Suite/bldg./apt.no.: Project name:Taco Bell ❑Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description I Qt,. 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]500 sq.ft.or portion 33.92 1
Tax map/parcel no.: Limited energy.residential
DESCRIPTION OF WORK (with above sq.ft.) 75.1)( 2
Limited energy.multi-family 7500 2
Retrofitting pylon sign with LED residential(with above sq.ft.)
Services or feeders installation,alteration,and/or relocation
200 amps or less 100.70 2
PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 133.56 2
Name:Weber Coastal Bells Ltd.
401 amps to 600 amps 2()0.34 2
601 amps to I.0)5)amps 301.04 2
Address:840 Conger St. Over 1.0(X)amps or colts 552.26 2
Temporary services or feeders installation,alteration,and/or
City/State/ZIP: Eugene,OR 97402 relocation
Phone: ( ) Fax:( ) 200 amps or less 59.36 1
201 amps to 400 amps 125.08 _
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 l0 599 amps 168.54
Branch circuits—new,alteration,or extension,per panel
Owner signature: Date: A.Fee for branch circuits with
13 APPLICANT I ® CONTACT PERSON above service or feeder fee. 7 4,
each branch circuit
Business name: Meyer Sign Co B.Fee for branch circuits without
service or feeder fee.first 56.1
Contact name:Tony McCormick branch circuit
Each add I branch circuit 7.42
Address: 15205 SW 74th Ave Miscellaneous(service or feeder not included)
Each manufactured or modular
67.84 2
City/State/ZIP:Tigard,OR 97224 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
Sign or outline lighting I 67.84 67
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
Investigation(I hr min) 66.25/hr
City/State/ZIP:Tigard,OR 97224
Industrial plant(I hr min) 78.18/hr
Phone: 503 620-8200 Fax:(503 620-7074 I��7 Inspections for which no fee is
( ) ) I b / specifically listed('/ hr min) 90.(1(11 hr
CCB Lie.: 64014 Electrical Lie.: 20-190CL Suprv.Lie.: 569 SIG ELECTRICAL PERMIT FEES
Subtotal: (07- gq
Suprv.Electrician signature.required: , �-
Plan review I_5/•of permit feel:
Print name: Todd Bard ale: 12/23/14 State surcharge(12e4 of permit fee): S. 141
6 e TOTAL PERMIT FEE: 75-' q g
Authorized signature: (( This permit application expires if a permit is not obtained sithin I8(1
days after it has been accepted as complete.
Print name: Tony McCormick Date: 12/23/14 - Number of inspections allowed per permit.
I:A Building VPerm itsAIII C-Penn it App.doc n7/oI/In 440.4615Ti I l/lK/COM/Atli