Permit n CITY OF TIGARD ELECTRICAL PERMIT
Ill COMMUNITY DEVELOPMENT Permit#: ELC2015-00006
T WARE) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/06/2015
Parcel: 1 S134BC00300
Jurisdiction: Tigard
Site address: 12268 SW SCHOLLS FERRY RD
Project: ORANGE THEORY FITNESS LOGO WALL SIGN Subdivision: GREENWOOD TERRACE CONDO Lot: 17
Project Description: Connecting new signs to existing circuit.
Contractor: SIGNCRAFT ELECTRICAL ADVERTISING LLC Owner: FW OR-GREENWAY TOWN CENTER LLC
8900 SW BURNHAM, E109 PO BOX 790830
TIGARD, OR 97223 SAN ANTONIO,TX 78279
PHONE: 503-639-4910 PHONE:
FAX: 503-639-4999
FEES
Quantity Description Date Amount
1 ea Sign or Outline Lighting 01/06/2015 $67.84
Specifics:
1 ea 12%State Surcharge- 01/06/2015 $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 OAR 952-001-0090. You ma ••-in a copy of th-•-ct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: `ire -__ - Permittee Signature: rf-
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 i��1� FOR OFFICE USE ONLY
Cl of Tigard 6CV) Received Permit No.: (�
71 g
Date/By: 1 i 4 1 " 4_ au`k'
13125 SW Hall Blvd.,Tigard,OR 97 Plan Review '
I Phone: 503.718.2439 Fax: 503.598.1960 b' 101 Date/By: Other Permit:
I I G A It a Inspection Line: 503.639.4175 ,\N Dater ReadyBy: Juri.: ® See Page 2 for
Internet: www.tigard-or.gov ������►`l`oixtied/Method: 7'�� Supplemental Information
TYPE OF WORT S N 1� PLAN REVIEW
Et New construction ❑Addition/alteratioi Please check all that apply(submit 2 sets of plans w/items checked below):
VV� ❑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 10,000 amps at 150 volts or ❑Floating buildings.
less to ground,or exceeds 14,000 ❑Commercial-use agricultural
❑ 1-and 2-family dwelling El Commercial/industrial ❑Accessory building amps for all other installations. buildings.
❑Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 150 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: r Ferri I OOHP or more. occupancy.
tau, S W ��na((1 p� ❑Six or more residential units. 0 Recreational vehicle parks.
City/State/ZIP: q l ❑Health care facilities. ❑Supply voltage for more than
�l Cr 1- �L' l�nZ�3 ❑Hazardous locations. 600 volts nominal.
Suite/bldg./apt.no.: Project name:OrretSe_ 7 c L(-- f t 0 Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description I Qty. I Fee. I Total I *
New residential single-or multi-family dwelling unit.
la3 Includes attached garage.
Subdivision: Lot no.: 1,000 sq.ft.or less 168.54 4
Ea,add'1 500 sq.ft.or portion 33.92 1
Tax map/parcel no.: Limited energy,residential
DESCRIPTION OF WORK (with above sq.ft.) 75.00 2
1/ 'CV-W - - Limited energy,multi-family
75.00 2
Poo II- i� 5 r-4 7 e iCfs 4,✓t ( .5 t s r1 cite_ck sty r� residential(with above sq.ft.)
_ T S' S .. • Renewable Energy ❑ See Page 2
C\r!tee.4, 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:
u2CC.0 A LJ al Ib(.>.1 Cei r 401 amps to 600 amps 200.34 2
Address: i 2?d 0 5 Li_) S�,vi i) k�rJ RA, 601 amps to 1,000 amps 301.04 2
Over 1,000 amps or volts 552.26 2
City/State/ZIP: t 0, DR- i, 3 Temporary services or feeders installation,alteration,and/or
J relocation
Phone:(S123 ) 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
Owner signature: Date: Branch circuits—new,alteration,or extension,per panel
A APPLICANT I ❑ CONTACT PERSON A.Fee for branch circuits with
above service or feeder fee,
7.42 2
Business name: D trams 1Cc / �r each branch circuit
' `7 B.Fee for branch circuits without
Contact name: 56c./p,) lc_Cep, / service or feeder fee,first
M branch circuit 56.18 2
Address: Each add'l branch circuit 7.42 2
i. les S t..w SrJtali.) cwt R
City/State/ZIP: Miscellaneous(service or feeder not included)
T 54_,_ CR 11 1,?3 Each manufactured or modular
67.84 2
dwelling,service and/or feeder
Phone:( )gycl_ 7. �rj 35 Fax: :( ) Reconnect only 67.84 2
E-mail: 5IC lernt-na trans, rout .j-t�aor. •c....� Pump or irrigation circle 67.84 2
CONTRACTOR n Sign or outline lighting 67.84 l�rl.�� 2
Business name: `j L 5`1 c ret- �%tc fir t C_�1 IT V�r t St_ LLL Signal alteration,or limited-energy See
panel,alteration,or extension. Page 2 2
Address: �� �?3c��•o
Each additional inspection over allowable in any of the above
ar
Additional inspection(I hr min) 66.25/hr
City/State/ZIP: 7-1_5,ev_e e:;4 L_ 9 P J Investigation(1 hr min) 66.25/hr
Phone:(S03) 6,39-4°f o I Fax:(503 )(0I 9 Sfa? Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lic.: '5—st{1 7 Electrical Lic.: 40 t��/ prv.Lic.: tr.&51 G specifically Iisted(v:hr min)
�" ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Subtotal: (G7
Print name: Q('�► Date: 11 I / Plan review(25%of permit fee): -
J State surcharge(12%of permit fee):
Authorized signature: TOTAL PERMIT FEE: 75-, 54"
This permit application expires if a permit is not obtained within 180
Print name: ,�A\4\ Date: f�I3I I q days after it has been accepted as complete.
!^ * Number of inspections allowed per permit.
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Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Fee for all residential systems combined ... $75.00 Description I Qty. I Fee I Total
Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
•
5.01 to 15 kva 133.56 2
•
❑ Audio and Stereo Systems*
15.01 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
❑ Burglar Alarm
25.01 to 50 kva 301.04 2
❑ Garage Door Opener* 50.01 to 100 kva 552.26 2
>100 kva(fee in accordance with 552.26 2
El Heating, Ventilation and Air Conditioning OAR 918-309-0040)
* Solar generation systems in excess of 25 kva:
System*
additional kva over 25 7,42 3
❑ Vacuum Systems* >100 kva—no additional charge 0.0 3
❑ Each additional inspection over allowable in any of the above:
Other: Each additional inspection is 66.25/hr f
charged at an hourly(1 hr min)
Inspections for which no fee is 90.00/hr
specifically listed(V2 hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Fee for each commercial system $75.00 Subtotal:
(SEE OAR 918-309-0000) Plan review,if required(25%of permit fee):
State surcharge(12%of permit fee):
Check Type of Work Involved: TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
❑ Audio and Stereo Systems days after it has been accepted as complete.
* Number of inspections allowed per permit.
❑ Boiler Controls
❑ Clock Systems •
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
El Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
El Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
1:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 05/21/2013