Permit n CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: ELC201500589
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/06/2015
Parcel: 1S134BC00200
Jurisdiction: Tigard
Site address: 12196 SW SCHOLLS FERRY RD
Project: Mod Pizza Subdivision: GREENWOOD TERRACE CONDO Lot: 17
Project Description: (2)sign lighting.
Contractor: RAMSAY SIGNS INC Owner: ATLAS GREENWAY LLC
9160 SE 74TH AVE 333 NW NINTH AVE, STE 1009
PORTLAND, OR 97206 PORTLAND, OR 97209
PHONE: 503-777-4555 PHONE:
FAX: 503-777-0220
FEES
Quantity Description Date Amount
2 ea Sign or Outline Lighting 08/06/2015 $135.68
Specifics:
1 ea 12%State Surcharge- 08/06/2015 $16.28
Electrical
Type of Use: COM
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $151.96
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 a • - with approved plans. This permit will expire if work is not started within 180 days of issua e, or if work is suspended for more the 180
days. AT NTION: Oreg• law requires you to follow the rules adopted by the Oregon Utility Notification enter. Those rules are set forth in OAR
952-001 .010 through OAR 95 .01- You may obtain a copy of the rules or direct questions to OUNC by calling 503.2 .1987 or 1.800. 4.
Issu=• By: Permittee Signature: at atb.14.10.
SIBIIi
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 Applicat j C� v p FOR OFFICE USE ONLY
si
City of Tigard JGJ B.7/�/,f Permit No.�/�q.s—/����
13125 SW Hall Blvd.,Tigard OR 97223 Plan Re ' (� Other Permit:
`-(pw
Phone: 503.718.2439 Fax: 503.59�4j 0 2 9 2 015
Date/By:
Inspection Line: 503.639.4175 Date Ready/By: lug: El See Page 2 for
Internet: www.tigard-or.gov I;ITYL ] ,,c11tU Notified/Method: 77(- Supplemental Information
TYP PLAN REVIEW
®New construction ❑Addition/alteratio l2t'ik 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.
❑ 1- 2-family dwelling Commercial/industrial less to ground,or exceeds 14,000 ❑Commercial-use agricultural
y g ® ❑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.
r� An , l r ❑Addition of new motor load of ❑••A"'•E "1-2""1-3"
Job no.: Job site address: U. `-'1 'W scoot is Six or or o more. occupancy.
r� ❑Six or more residential units. ❑Recreational vehicle parks.
City/State/ZIP:Tigard,OR 97223 ❑Health-care facilities. ❑Supply voltage for more than
❑Hazardous locations. 600 volts nominal.
Suite/bldg./apt.no.: I Project name: tkJ1Od Q Luz, ❑Service or feeder 600 amps or more.
nC. Al) Qha'm)jq FEE SCHEDULE
Cross street/directions to job site: Description I Qty. I Fee. ► Total I •
New residential single-or multi-family dwelling unit.
Includes attached garage.
Subdivision: I 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 75.00 2
DESCRIPTION OF WORK (with above sq.ft.)
Limited energy,multi-family
`nC' a 1 (a ) wan signs residential(with above q.ft.) 75.00 2
Services or feeders installation,alteration,and/or relocation
200 amps or less 100.70 2
❑ PROPERTY OWNER l ❑ TENANT 201 amps to 400 amps 133.56 2
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 2
Temporary services or feeders installation,alteration,and/or
City/State/ZIP: relocation
Phone:( ) I 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,per 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:Ramsay Signs Inc B.Fee for branch circuits without
service or feeder fee,first 56.18 2
Contact name:c)RSS 1 LlifisitrivaS branch circuit
Each add'/branch circuit 7.42 _ _ 2
Address:9160 SE 74th Ave Miscellaneous(service or feeder not included)
Each City/State/ZIP:Portland,OR 97206 dwelling,manufactured service and/or or r feeder 67.84 2
dwelling,service and/or feeder
Phone:(503)777-4555 J Fax::(503)777-0220 Reconnect only 67.84 2
�eSS 1 La n aim S`,, ,T . (Dry,
Pump or irrigation circle 67.84 2
E-mail: '`(�l! l 1
Sign or outline lighting 67.84 2
CONTRACT 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) 6625/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 I Fax:(503)777-0220 Inspections for which no fee is 90.00/hr
specifically listed(Vs hr min)
CCB Lie.: 63422 Electrical Lic.• 261 'S Suprv.Lic.: 493Sig ELECTRICAL PERMIT FEES
Subtotal: /3s: 4,p
Suprv.Electrician signature,requi o
% Plan review(25%of permit fee):
Print name: Phil Steiger Date. _c73—'s State surcharge(12%of permit fee): / a2ef
TOTAL PERMIT FEE: /57, `?p
Authorized signatur- t. 'ê to This permit application expires If a permit is not obtained within 180
Print name ess 1 e.o1 I%os nlac Date: 1 2 days after it has been accepted as complete.
Number of inspections allowed per permit.
I:,Building\Permits\ELC-PermitApp.doc 07,01/10 440-4615T(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
12196 SW SCHOLLS FERRY RD, TIGARD, OR,
97223
Commercial - Electrical
199 Electrical final
PASS - No C of O
ELC2015-00589
Chip Barnett
Violation Summary:
Inspector Contractor