Permit CITY OF TIGARD ELECTRICAL PERMIT
11111 ' • COMMUNITY DEVELOPMENT Permit#: ELC2015-00548
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/20/2015
Parcel: 151358800800
Jurisdiction: Tigard
Site address: 10655 SW GREENBURG RD
Project: IFLY Subdivision: OAKBURG Lot: 27
Project Description: Installing(4)wall signs.
Contractor: RAMSAY SIGNS INC Owner: EWING IRRIGATION PRODUCTS INC
9160 SE 74TH AVE 3441 E HARBOUR DR
PORTLAND,OR 97206 PHEONIX,AZ 85034
PHONE: 503-777-4555 PHONE:
FAX: 503-777-0220
FEES
Quantity Description Date Amount
4 ea Sign or Outline Lighting 07/15/2015 $271.36
Specifics:
1 ea 12%State Surcharge- 07/15/2015 $32.56
Electrical
Type of Use: COM
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $303.92
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 opy of le r direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. •
Issued By: 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 r... ': FOROFI IC_E USE ONLY
City of Tigard � t 1 ., , 'j Received
IV Date.Bv: 7 S /11� r
a 13135 S\\'Hull Blvd..T Hard.OR 07, ' Plan itcvicx
E I Phone: 503 718.243') Fax: 503.50S.19at) r ^l� bate 8t: INIMIREMANAMISEMII
TICiARD Inspection Line: 503.639 41 75 l I.1. Ready[fate'Ety: el See Paget for
Internet; www.tigatxi-ar.00v ,'•_ 3 Notified Method: I� Supplemental Information
19
. Tt OF WOR , _Of P ' }Nrt _ t , : t AV REY1EW _ ,
r \141✓'' Please cheek all that a ..,.t.-
N(submit 2 sets of lanes items checked):
❑ �tvt construction dtiition1)Iteratt n re 13 t .1\141•V' r pp- ( 1'
❑ ❑Other: .\‘V tl ['soviet ur feeder Ann amps or move ❑Building over three dories.
De111c11i1i011 t :there dte anaiiable fault carer' ❑Marinas and hoat■anjs
CATEGO OF CONSTRUCTION creed,+10.1304)amps at 150):ohs or ❑Floating buildino5.
❑ I-and 2-family dwelling Commercial-industrinl U Accessory building toss to ground aresco i I ROW 7 ❑Corn+nercial•tueaaricultuttl
amps for all other Installations. buildings
❑Multi-family ❑ Master builder ❑Other: 01,irc pump 0 installation or ISO KvA or
JOB SITE. INFORMATION AND LOCATION 0 Emergency system. larger sepal-Mel;derived
f ( �^ ❑addition of new motor land of system.
Job lob site address: \b f s Stu c—Qc o(.:t L� . I•.
IWFIPorumra, �_', r° °I•..•._ t
C mry 5tat4Zll : oecueanes
>� ( �C,y-...� (2,Q ❑Six or mart resictentiaE units.
U �! _ 0 Health-care la:a:tics. ❑Recreational vehicle parts.
Suite-bldg.-apt. Project name: l•c---t( 1 ❑Hazarduu Itkanons ❑yurphtalc[ For mom tiara
1J ❑Service or feeder bun amps or mare-. 61)11%1,1u,nominal
Cross street directions to job site: • FEE.SCHEDULE
DL,crtptton.. i Ot.. I Fut 1 Th+nl j
New residential single-or multi-family dwelling unit:.
Suhditision: 1 Lot-: Includes attached garage.
' 1 lam sq.0..e legs 1 i 68.:-I -- 4
Tax map parcel¢: Fa add'i 300 so it or portion 33.9' I
DESCRI PTION OF WORK Limited energy.residential
75.00 me t' \\ y (,J 1 I Si are taith above so. i.l
Limited
energy.multi-homily—_c ut3
residential(with above sq.11.) -
Renewn hie Enerttp 1 See Paget 1
❑ .PROPERTY OWNER 0 TENANT Services or feeders installation.alteration,and/or reloe tlon
Name: 2110 1
e amps or Ices 100.70
-u I amps to 430 amps 133.:6 _Address:
-pl amps to 4el()amps 2011.34
City State.ZIP: i 601 amps to Ln00amps 301.114
Phone:( ) Fax;( ) Over I,O7U amps orvolts 552:26 2
Email:
Temporary services or feeders installation.alteration,and/or
relocation
Owner installation:This installation is being,made on property that I own which is not 2110 amps or less 1 5'),34 1 1
intended for sale. lease.rent or exchange.according to ORS 447.449.670.and 701. 2.01 amps to 401)amps 12.+.03
Ow ner signature: Date: 401 amps to:09 amps 1 166.54
❑ APPLICANT circuits-new,alteration,or extension.per panel
r I I ❑ CONTACT PERSON A.Fee Inc branch circuits with
Business name; abtteocrt ice or feeder lee.
each branch circuit ' =
-
Contact name: B.Fee tier branch circuits wiriwrrr
Address: service or feeder fie.first {r;.l
branch circuit -
City-State ZiP: Each add'l branch circuit I 7.-1 I ( 2
Miscellaneous(service or feeder not included)
Phone:I ) Fax::( ) Each manuf=actured or modular
-
Email:
dweitmo,set,ice and or feeder 6".,4 7
Reconnect only 67.54 2
CONTRACTOR Pump or irrit Lion circle 6;.81
i
Business name: Sign or outline lighting 67.84 ;.477i
[( I , s ifr -7 � Sisal cite gins)e limited-energy S Page_
Address: "( t✓(J panel.alteration•or extension. 2
City:State.ZIP: r /r 1 Each additional inspection over allowable In any of the above
�{� s' V �f Additional inspection(I hr mini 1 6615:hr
Phone:{' L')1 Ci 2) (2 Ll)3 t1 Li Fax:I ) Investi 'ion i i hr mini 1 90.00 hr Email:
Industrial plant t i hr mini t
75.13•hr
l Inspections ter which no ice is i
CCB Lie.:�k 5L�L Electrical ' . ,t.. r4 { Su,rv.Lic,L4G7� S 1 /� +t tcitidall}listed(':hr mm) J `x)•Ud)'hr
` ELECTRICAL PERMIT FEES •
Supra.Electrician sianaturc. required r r � I`
Subtotal:
Print nurse: VI)1(I I Die; - 15,• 0 Plan Review Required(25%u oi'prnuit fee):
)17�'1� nY�/ t1] State surcharge t12%of permit feet: 3a,
Authorized signature rTt+:1.A, \. (mil� �� 6 TOTAL PERMIT FEE: ,303• 1 aG
/� This permit applicatinn expires if a permit is tint obtained%%Rhin 1811
Print nume: 3 e5 )(.0 �„t'lf- s Date: -7 '-(f 15 days after it has been accepted as complete.
f V t"V 't Number of impeetions allowed per penult
I Building Peones BLC_Permit%pp Pi R Pr.F J.0 Ro-9r•1" a 140-d61ST(I I us r nvi vitas