Permit CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: ELC2016-00021
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/03/2016
Parcel: 2S101ABO1600
Jurisdiction: Tigard
Site address: 7405 SW BEVELAND RD
Project: On-Line Ed Subdivision: HERMOSO PARK Lot: 18
Project Description: Sign lighting for new wall sign with halo illuminated channel letters.
Contractor: MEYER SIGN CO OF OREGON Owner: SPAAN, HARLOW TWIGHT
15205 SW 74TH AVE SORG, N JEFFREY
TIGARD, OR 97224 24 AQUINAS
LAKE OSWEGO, OR 97035
PHONE: 503-620-8200 PHONE:
FAX: 503-620-7074
FEES
Quantity Description Date Amount
Specifics: 1 ea Signor Outline Lighting 01/13/2016 $67.84
1 ea 12%State Surcharge- 01/13/2016 $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. ATT ON: Ore n law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-007010t hrough OAR 9 2-001 You may obtain a copy of the rules or direct questions to OUNC by calling 50 32.1987 or 1.800.332.2344.
t
Issu By: Perm ittee 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
City Of Tigard 5 b Det Bed Permit#:
A 13125 SW Hall Blvd.,Tigard,OR Plan Review
anPhone: 503.718.2439 Fax: 503.5 Date/By: Related Permit#:
Inspection Line: 503.639.4175 �� Ready Date/By: JnriS: H See Page 2 for
Internet: www.tigard-or.gov w\ Notified/Method: Supplemental Information
�`�# _110N
sc
❑New construction ® Addition/alteratia Please check all that apply(submit 2 sets of plans w/items checked):
❑Service or feeder 400 amps or more El Building over three stories.
❑ Demolition E]Other: where the available fault current ❑Marinas and boatyards.
exceeds 10.000 amps at 150 volts or ❑Floating buildings.
F-11-and 2-family dwelling ®Commercial/industrial ❑ Accessory building less to ground.or exceeds 14.000 ❑Commercial-use agricultural
amps for all other installations. buildings.
❑ Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of Iso KVA or
;� .,. ,; „x t _.. ❑Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: Job site address: 7405 SW Beveland St. IOOHP or more. ❑"A-...E,,.-1-2",••1-Y.
City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy.
❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: Project name:Online Ed ❑Hazardous locations. ❑Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: �, ' �.
Description ty. I Each Total
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
Tax map/parcel# 1.000 sq.ft.or less 168.54 4
Ea.add'I 500 sq.ft.or portion 33.92 1
- s .. ,+.atm r.•`.� Limited energy,residential
connect 1 Halo Illuminated Logo display to existing electrical.
(with above sq.ft.) 75.00 2
Limited energy,multi-family
75.00 2
residential(with above sq.ft.)
x f Renewable Ener ❑ See Pa e 2
• `" Services or feeders installation,alteration,and/or relocation
Name:Harlon Twight Spaan&N.Jeffery Sorg 200 amps or less 100.70 2
Address:20 Aquinas 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP:Lake Oswego,OR 97035 601 amps to 1.000 amps 301.04 2
Phone:( ) Fax: ( ) Over 1.000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Owner signature: Date: 401 amps to 599 amps 168.54 2
Branch circuits—new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name:Meyer Sign Co.of Oregon above service or feeder fee. 7.42 2
each branch circuit
Contact name:Tony McCormick B.Fee for branch circuits without
Address: 15205 Sw 74th Ave. service or feeder fee,first 56.18 2
branch circuit
City/State/ZIP:Tigard,OR 97224 Each add]branch circuit 7.42 1 2
Miscellaneous(service or feeder not included)
Phone: (503)620-8200 Fax: : (503)620-7074 Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email:permits@meyersignco.com Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
Business name:Meyer Sign Co.of Oregon Sign or outline lighting 1 67.84 2
Signal circuitlimited-energy
s)or limited-ener
to ❑ See Page 2 2
Address: 15205 SW 74 Ave. anel.alteration,or extension.
City/State/ZIP:Tigard,OR 97224 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(503)620-8200 Fax: (503)620-7074 Investigation(I hr min) 90.00/hr
Email:permits@meyersignco.com Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lic.: 64014 Electrical Lic.: 2019 CLS Suprv.Lic.: 569SIG s ecificall listed(1/2hr min)
r
Suprv.Electrician signature,required: Subtotal:
Print name: Todd Barclay//" Date: 1/13/16 ❑Plan Review Required(25%of permit fee):
7K � State surcharge(12%of permit fee):
Authorized signature: TOTAL PERMIT FEE: ,
This permit application expires if a permit is not obtained within 180
Print name: Anthony G McCormick Dale: 1/13/16 days after it has been accepted as complete.
* Number of inspections allowed per permit.
1:AnuildingVPermitvVIiLC_PetmitApp_P:1.R_I'.RB.doc Rev 06/17/2015 440-4615T(I1/05/C0M/WI:B