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Permit � p CITY OF TIGARDELEAEM "�! I ' COMMUNITY DEVELOPMENT Permit#: ELC2015-00968CTRICLPRIT TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/09/2015 Parcel: 2S104BB07800 Jurisdiction: Tigard Site address: 14350 SW BARROWS RD Project: Avalon Salon Subdivision: RUSSELL'S SCHOLLS FERRY Lot: 1 Project Description: Sign lighting for(1)27 sq.ft.wall sign on north-facing wall. Contractor: GARRETT SIGN CO INC Owner: ALULI REAL ESTATE HOLDINGS LLC 811 HARNEY STREET 415-C ULUNIU ST VANCOUVER,WA 98660 KAILUA OAHU, HI 96734 PHONE: 360-693-9081 PHONE: FAX: 360-693-5948 FEES Quantity Description Date Amount 1 ea Sign or Outline Lighting 12/09/2015 $67.84 Specifics: 1 ea 12%State Surcharge- 12/09/2015 $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 may obtain a co I s or direct questions to OUNC by calling 503.232 = o .800.332.2344. Issued By: Gj�.��r. 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 FOR OFFICE USE ONLY . Received City of Tigard ReRe Date/By: / �� 3� Permit No.: ��. 1 �) I C III • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review _o` l ` Phone: 503.718.2439 Fax: 503.598.1960Date/By: Other Permit: 50),,V2-0/.S 2 -0G i 73`ir TIGARD Inspection Line: 503.639.4175 Date Ready/By: furls: B See Page 2 for Internet: www.tigard-or.gov Notified/Method TIC Supplemental Information TYPE OF WORK PLAN REVIEW ❑New construction ❑Addition/alteration/replacement 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:Sign where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings. less to ground,or exceeds 14,000 0 Commercial-use agricultural ❑ I-and 2-family dwelling ®Commercial/industrial ❑Accessory building amps for all other installations. buildings. ❑ Multi-family ❑ Master builder CIOther: 0 Fire pump. ❑Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION CI Emergency system. larger separately derived system. ❑Addition of new motor load of ❑ A","E","1-2","l-3", Job no.: Job site address: 14350-1 SW Barrows Rd IOOHP or more. occupancy. 0 Six or more residential units. ❑Recreational vehicle parks. City/State/ZIP:Tigard,OR 97223 ❑Health-care facilities. ❑Supply voltage for more than 0 Hazardous locations. 600 volts nominal. Suite/bldg./apt.no.: Project name:Avalon Salon&Spa D Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Description I Qty. [ Fee. 1 Total 1 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'I 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 75.00 2 Installation of(1)single faced illuminated fascia sign. residential(with above sq.ft.) Renewable Energy ❑ See Page 2 Services or feeders installation,alteration,and/or relocation ❑ PROPERTY OWNER ® TENANT 200 amps or less 100.70 2 201 amps to 400 amps 133.56 2 Name:Avalon Salon&Spa 401 amps to 600 amps 200.34 2 Address: 14350-1 SW Barrows Rd 601 amps to 1,000 amps 301.04 2 Over 1,000 amps or volts 552.26 2 City/State/ZIP:Tigard,OR 97223 Temporary services or feeders installation,alteration,and/or Phone:( ) Fax:( ) relocation 200 amps or less 59.36 I 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 ® APPLICANT ❑ CONTACT PERSON A.Fee for branch circuits with above service or feeder fee, 7.42 2 Business name:Garrett Sign Company each branch circuit B.Fee for branch circuits without Contact name:Jesse Taylor service or feeder fee,first 56.18 2 branch circuit Address:811 Harney Street Each add'l branch circuit 7.42 2 City/State/ZIP:Vancouver,WA 98660 Miscellaneous(service or feeder not inducted) Each manufactured or modular 67.84 2 Phone:(360)693.9081 Fax: :(360)693.5948 dwelling,service and/or feeder Reconnect only 67.84 2 E-mail:jesse@garrettsign.com Pump or irrigation circle 67.84 2 CONTRACTOR Sign or outline lighting 67.84 6 7 jcil 2 Business name:Garrett Sign Company Signal circuit(s)or limited-energy See panel,alteration,or extension. Page 2 2 Address:811 Harney Street Each additional inspection over allowable in any of the above City/State/ZIP:Vancouver,WA 98660 Additional inspection(1 hr min) 66.25/hr Investigation(1 hr min) 66.25/hr Phone:(360)693.9081 Fax:(360)693.5948 Industrial plant(1 hr min) - 78.18/hr Inspections for which no fee is 90.00/hr CCB Lic.: 66826 Electrical ILie.137-2I CLS Suprv.Lic.: 700SIG specifically listed('/z hr min) Suprv. Electrician signature,required: y (L, b (!LL J ELECTRICAL PERMIT FEES Subtotal: C. 7 II Print name: Michael Simpson Date: !Z f e)/r'1/ Plan review(25%of permit fee): State surcharge(12%of permit fee): 5, / r�' Authorized signature: TOTAL PERMIT FEE: 75'6' (((/// This permit application expires if a permit is not obtained within 180 Print name: Jesse Taylor Date: I Z- I_ 15 days after it has been accepted as complete. Number of inspections allowed per permit_ L\Building\Permits\ELC_PermitApp_ELRERE.doe Rev 05/21/2013 440-4615T(11/05/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 14350 SW BARROWS RD, TIGARD, OR, 97223 Commercial - Electrical 199 Electrical ﬁnal PASS - No C of O ELC2015-00968 Jeff Grove Violation Summary: Inspector Contractor