Permit 44 z CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: ELC2015-01011
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/25/2016
Parcel: 2S1041BB07800
Jurisdiction: Tigard
Site address: 14350 SW BARROWS RD 3
Project: Growler's Doggy Day Care Subdivision: RUSSELL'S SCHOLLS FERRY Lot: 1
Project Description: (2)sign lightings for Growler's Doggy Day Care&Public House.
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
Specifics: 2 ea Signor Outline Lighting 01/25/2016 $135.68
1 ea 12%Slate Surcharge- 01/25/2016 $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 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
952-001-00throug AR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.19117-6t 1.80 32.2344.
Issuedy: 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 ApplicaiWCEIV,
Received
City of Tigard �teB : 3/ /S PermitNo.: �LLI sz /GL
as 13125 SW Hall Blvd.,Tigard,OR =3 12015 Plan Review 77
Phone: 503.718.2439 Fax: 503.5 Other Permit:
Date/By:: �P A<S—GO'37'3
Inspection Line: 503.639.4175 �(p1�,a W Y k'; Date Ready/By: Juris: F1 See Page 2 for
Internet: www.tigard-or.gov 0 I 116 1i� Notified/Method: Supplemental information
TYP 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
❑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 150 KVA or
dOS SITE iiNFURMATION !♦,I+III LOCATION ❑Emergency system. larger separately derived system.
❑Addition of new motor load of ❑"A","E","1-2","1-3",
Job no.: Job site address:14350 SW Barrows Rd 100HP or more. occupancy-
0 Six or more residential units. ❑Recreational vehicle parks.
Supply voltage for more than
❑Hazardous locations. 600 volts nominal.
Suite/bldg./apt.no.:3 Project name:Growler's ❑Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description I Qty. I Fee ITotal
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 1
Tax map/parcel no.:2S104BB07800 Limited energy,residential
DESCRIPTION`OF WORK with above sq.ft. 75.00 2
Limited energy,multi-family 7500 2
Installation of(2)illuminated fascia signs. residential with above sq.ft.
Renewable Ea I [3SeeP&ge 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:Growler's 401 amps to 600 amps 200.34 2
Address:14350 SW Barrows Rd#3 601 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:( ) Fes;( ) relocation
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,. er 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 5618 2
branch circuit
Address:811 Harney Street Each add'1 branch circuit 742 2
City/State/ZIP:Vancouver,WA 98660 Miscellaneous service or feeder not included
Each manufactured or modular 67.84 2
Phone:(360)6939081 Fax: :(360)6935948 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 2 67.84 2
Business name:Garrett Sign Company Signal circuit(s)or limited-energy See
panel,alteration,or extension. 1 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)6939081 Fax:(360)6935948 Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lic.: 66826 Electrical Lic.: 37-21CLS Suprv.Lic.:j specifically listed %hr min
Suprv.Electrician signature,required: , ),r� ,� ELECTRICAL PERMIT FEES
�,.���`) ., Subtotal: �S
Print name: ," ` ` Plan review(25%of permit fee):
t Date: G - o
State surcharge(12%of permit fee): /&.5.
FPrinna
signature: TOTAL PERMIT FEE: S ,,� This permit application expires if a permit is not obtained within 180
: (� Y Date: I z. l— days after it has been accepted as complete.
' Number of inspections allowed per permit.
I:�Building\Permits\ELC Permk4p_ELR_ERE.doc Rev 05/21/2013 440-615T(11/05/COM/WEB