Permit y q CITY OF TIGARD ELECTRICAL PERMIT
I COMMUNITY DEVELOPMENT Permit#: ELC2015-00067
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/04/2015
Parcel: 151260000300
Jurisdiction: Tigard
Site address: 9650 SW WASHINGTON SQUARE RD G15
Project: Iviwa Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S
Project Description: Sign lighting for(3)signs.
Contractor: RAMSAY SIGNS INC Owner: PPR WASHINGTON SQUARE LLC
9160 SE 74TH AVE PO BOX 847
PORTLAND, OR 97206 CARLSBAD, CA 92018
PHONE: 503-777-4555 PHONE:
FAX: 503-777-0220
FEES
Quantity Description Date Amount
3 ea Sign or Outline Lighting 02/04/2015 $203.52
Specifics:
1 ea 12%State Surcharge- 02/04/2015 $24.42
Electrical
Type of Use: COM
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $227.94
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 Notificati•n Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-000090. You may obtain a copy he foros or direct questions to OUNC by calling 5o .232.1987 or 1.809 332.2344.
Issued By: Permittee Signature: ... AW—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 Application FOR OFFICE USE ONLY Ci of Ti and Dateiv`d Permit No.:1111 . 13125 SW Hall Blvd.,Ti and,ORaCtIN-V11
Dam: .4 LI /5— /g77- la-C�-is'003 67
Tigard, Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 20 Other Permit ( (,f—trj9Vt'3,�5 DateBy: ''A
TIGARD Inspection Line: 503.639.4175 CEg Date Ready By: 65 See Page 2 for
Internet: www.tigard-or.gov `` �� � Notified/Method. supplemental Information
TYPE OF Wti " .ww '16
i S%O1 PLAN REVIEW
®New construction ❑Addition/alt �� Please check all that apply(submit 2 sets of plans w/items 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 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 ®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.A
❑Addition of new motor load of ❑"A" "E",'•1-2"•'1-3"
Job no.: Job site address: (3 C 'A!t QS'1 ,/� 10011P or more. occupancy.
V J 1t V •,�' \ ' 1
0 Six or more residential units. ❑Recreational vehicle parks.
City/State/ZIP:Tigard,OR 97223 rd., ❑Health-care facilities. ❑Supply voltage for more than
❑Hazardous locations. 600 volts nominal.
Suite/bldg./apt.no.: Project name:Tf i V Y t./1 ❑Service or feeder 600 amps or more.
FFE Cross street/directions to job site: At Cl S toc,a-k-e d ‘r -ee Description SCHEDULE Qty.P 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 I
Tax map/parcel no.: Limited energy,residential 75.00 2
DESCRIPTION OF WORK (with above sq.ft.)
�� I �� �� Limited energy,multi-family
t-q I (3) signs I n S i�1-e, residential(with above sq.ft.) 75.00 2
w���(���� ��1�/1�� ' Services or feeders installation,alteration,and/or relocation
200 amps or less 100.70 2
❑ PROPERTY OWNER f ❑ TENANT 201 amps to 400 amps 133.56 '-
Name:See Attached 401 amps to 600 amps 200.34 2
601 amps to 1,000 amps 301.04 2
Address: Over 1,000 amps or volts 552.26
City/State/ZIP: Temporary services or feeders installation,alteration,and/or
relocation
Phone:( ) 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,Owner signature: Date: A.Fee for branch circuits w'ithratton,or extension,per panel
® APPLICANT I ❑ CONTACT PERS9N above service or feeder fee, 7.42 2
each branch circuit
Business name:Ramsay Signs Inc B.Fee for branch circuits without
service or feeder fee,first 56.18 2
Contact name:eitssfeabeilit J e55 Ica I .(iS rh c kS branch circuit
Each add'I branch circuit 7.42 2
Address:9160 SE 74th Ave Miscellaneous(service or feeder not included)
Each manufactured or modular
City/State/ZIP:Portland,OR 97206 67.84 2
dwelling,service and/or feeder
Phone:(503)777-4555 Fax::(503)777-0220 Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
E-mail:GarrettG @RamsaySigns.com
CONTRACTOR Sign or outline lighting '5 67.84 2e3.5-2. 2
Signal circuit(s)or limited-energy
Business name:Ramsay Signs Inc panel,alteration,or extension. Page 2 2
Each additional inspection over allowable in any of the above
Address:9160 SE 74th Ave Additional inspection(1 hr min) 66.25/hr
City/State/ZIP:Portland,OR 97206
Investigation(1 hr min) 6625/hr
Industrial plant(1 hr min) 78.18/hr
Phone:(503)777-4555 Fax:(503)777-0220 inspections for which no fee is
90.00/hr
specifically listed('h hr min)
CCB Lic.: 63422 Electrical Lic.: 26106CLS Suprv.Lic.: 493Sig ELECTRICAL PERMIT FEES
Subtotal: s2o3.
Suprv.Electrician signature,requir : Plan review(25%of permit fee):
Print name: Phil Steiger Date(_4_t5 State surcharge(12%of permit fee): al 11."j .
r TOTAL PERMIT FEE: 1 -/,qy
Authorized signature.ip I-
#1 e` 1 This permit application expires if a permit is not obtained within 180
Print name: 3eSs I La l/ c, MaS Date: a -u ` 5 0 days after it has been permit
as complete.
' L Number of inspecttb4s allowed per permit.
I:Building\Permits\ELC-PermitApp.doc 07/01/10 440.461ST(I1/05/COM/WEB
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
13210 SW WATKINS AVE, TIGARD, OR, 97223
Residential - Electrical
199 Electrical final
PASS - No C of O
ELC2015-00670
Jeff Grove
Violation Summary:
Inspector Contractor