Permit (67) CITY OF TIGARD ELECTRICAL PERMIT
14I.; COMMUNITY DEVELOPMENT Permit#: ELC2016-00465
T F c3ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/06/2016
Parcel: 2S110DCO2200
Jurisdiction: Tigard
Site address: 15532 SW PACIFIC HWY C-1
Project: Miracle Threading Salon Subdivision: 1997-016 PARTITION PLAT Lot: 2
Project Description: (1)sign lighting for wall sign
Contractor: MEYER SIGN CO OF OREGON Owner: ROIC OREGON LLC
15205 SW 74TH AVE ATTN: SCHOEBEL, RICHARD
TIGARD, OR 97224 8905 TOWN CENTRE DR, STE 108
SAN DIEGO, CA 92122
PHONE: 503-620-8200 PHONE:
FAX: 503-620-7074
FEES
Quantity Description Date Amount
1 ea Sign or Outline Lighting 06/06/2016 $67.84
Specifics:
1 ea 12%State Surcharge- 06/06/2016 $8.14
Electrical
Type of Use: COM
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $75.98
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issua --, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notificatio Ce er. Those rules are set forth in OAR
952-001-0010 rough R 952-la1-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503 32. : ,r 1.800. -2.2344.
Issued By: C 1_,GU -ki Permittee Signature: / 7 _
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale,lease or rent.
OWNER'S SIGNATURE Date:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC' Date:
LICENSE NO.
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Electrical Permit Applica FOR OFFICE USE ONLY
City of TigarRECEIVED Received Permit#:
Date/By: 0 �-0��������
I =" 13125 SW Hall Blvd.,Tigard,OR 97$ M 6 2016 Plan Review
Phone: 503.718.2439 Fax: 503.59 ( U Date/By: Related Permit#:
Inspection Line: 503.639.4175 ReadyDate/By: 1,,,k: ® See Page 2 for
TIGARD Internet: www.tigard-otgov CITY OF TIGARD Notified/Method: Supplemental Information
.,,. 01110PPLAN REVIEW
❑ New construct ® Addillon/alleralion/1'ehlacemrnt I'Ie,oe check all that apply(submit 2 sets of plans w/items checked):
❑Service or feeder 400 amps or more 0 Building over three stone..
❑ I)enrol i l i Im El Other: where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10.000 amps at 150 volts or 0 Floating buildings.
111I-and 2-fancily dwelling ®Commercial/industrial CI Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural
amps for all other installations. buildings.
El Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or
JO 1 0 Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: Job site address: 15532 Sw Pacific Hwy 100HP or more. ❑"A","E","t-2°',"1-3^,
City/State/ZIP:Tigard OR 97224 ❑Six or more residential units. occupancy.
' ❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#:C-la I Project name:Miracle Threading Salon 0 Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site:
I escription �,I Qh.- Each 1 7uta1 f
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#: Ea.add')500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK I.imited energy,residential
(with above sq.ft.) 75.00 2
Connect 1 internally illuminated wall sign to existing electrical. Limited energy,multi-family
residential(with above sq.ft.) 75'00
Renewable Energy 0 See Page 2
® PROPERTY OWNER I4 ,i'ris;> Services or feeders installation,alteration,and/or relocation
Name:ROIC Oregon LLC. 200 amps or less 100.70 2
Address:8905 Town Center Dr.#108 201 amps[0 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP:San Diego,CA 92122 601 amps to 1,000 amps 301.04 2
Phone:( ) I 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 I
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
1111111.11111111.11111111111.111 . ® N7 AC 1 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
seAddress: 15205 SW 74th Ave. branch
circuit
fee,first 56.18 2
branch circuit
City/State/ZIP:Tigard,OR 97224 Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(971)232-5021 Fax: : ( 1 Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email:permits@meyersignco.com Reconnect only 67.84 2
IIIIIIIMIIIIIIIMIWRACT()R Pump or irrigation circle 67.84 2
Business name:Meyer Sign Co.of Oregon Sign or outline lighting 1 67.84 2
Address: 15205 SW 74th Ave. Signalncircuit(s)or extension. 0 See Page 2 2
panel,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:(971)232-5021 Fax:( ) Investigation(1 hr min) 90.00/hr
Email:permits@meyersignco.com Industrial plant(I hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lie.: 64014 Electrical Lie.: 20-190CL Suprv.Lic.: 569SIG specificallylisted V2hr min
Suprv.Electrician signature,required:..!'a da of % Subtotal: 1,
Print name: -1;A 4.7 ` Date: 6/6/16 0 Plan Review Required(25%of permit fee):
�� State surcharge(12%of permit fee): -2,,l
Authorized signature: (in C` �_ TOTAL PERMIT FEE: --75-7;Y
�
This permit application expires if a permit is not obtained within 180
Print name: Tony McCormick Date: 6/6/16 days after it has been accepted as complete.
* Number of inspections allowed per permit.
1:\Building\I'crmits\El.C_l'ermitApp_I:I.R_ttRI:.Joc Rev 116/17/21115 4411-4615T(11/115/COM/WPm
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
15532 SW PACIFIC HWY C-1, TIGARD, OR,
97224
Commercial - Electrical
199 Electrical final
PASS - No C of O
ELC2016-00465
Chip Barnett
Violation Summary:
Inspector Contractor