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Permit (16) t .41CITY OF TIGARD ELECTRICAL PERMIT ;Pi COMMUNITY DEVELOPMENT Permit#: ELC2016-00670 T WARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/30/2016 Parcel: 1S1260000300 Site address: 9312 SW WASHINGTON SQUARE RD W01 Jurisdiction: Tigard Project: Kay Jewelers Project Description: Sign lighting for(3)signs. Subdivision: None Lot: None Contractor: VANCOUVER SIGN COMPANY INC Owner: PPR WASHINGTON SQUARE LLC 2600 NE ANDRESEN RD#50 PO BOX 847 VANCOUVER,WA 98661 CARLSBAD, CA 92018 PHONE: 360-693-4773 PHONE: FAX: 360-693-2747 FEES Quantity Description Date Amount Specifics: 3 ea Sign or Outline Lighting 08/30/2016 $203.52 1 ea 12%State Surcharge- 08/30/2016 $24.42 Type of Use: COM Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $227.94 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 •..licable 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 su.pended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Tho-- r -s are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain: ., of the rules or direct questions to OUNC by calling 503.232.19 7 r ; Issued By: "`` ��-� Permittee Signature:40,0 \` X OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale,lease or rent. OWNER'S SIGNATUREJ 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 City of Tigard «" , ReceivedDateB 13125 SW Hall Blvd.,Tigard,OR 972kt""► g 1111 ■ E li Permit#: Phone: 503.718.2439 Fax: 503.598. ,� Plan Review `-C-s- 101 r T I G A R O Inspection Line: 503.639.4175 Date/B : Related Permit#: /� I )�— ,. Internet: www.tigard-or.gov G 3 d X016 Ready Date/By: �� U Notified/Method: H See Pane 2 nt TYPE OF WORK � Supplemental Information ®New construction ` a® PLAN REVIEW 0 Addition/alteratio ❑Demolition 0 �,rg 4 g* lP Please check all that apply(submit 2 sets of plans whtems checked): %11 0 Service or feeder 400 amps or more CATEGORY Other:OF COIVSTR(1CTIUN where the available fault current 0 Building overb boatyards.dories. 1-and 2-family dwellingexceeds 10.000 amps at 150 volts or 0 Marinas and boatyards. ®Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 ❑Floating buildings. ❑Multi-family0 Commercial-use agricultural 0 Master builderamps for all other installations. buildings. JOB INFO 0 Other: ENATION AND LOCATION 0 Fire pump. 0 Installation of 150 KVA or Job#: ❑Emergency system. larger separately derived Job site address:9757 SW Washington Square Road ❑Addition of new motor load of system. City/State/ZIP: loollP or more. ❑"A","E","1-2","1-3", ❑Six or more residential units. occupancy. Suite/bldg./apt.#:Wl-W3 ❑Health-care facilities. Project name:Kay Jewelers 0 Recreational vehicle parks. ❑Hazardous locations. 0 Supply voltage for more than Cross street/directions to job site: ❑Service or feeder 600 amps or more. 600 volts nominal. FEE SCHEDULE Desert.don ` Subdivision: New residential single-or multi-family dwellingEach unitTota� 111 Lot#: Includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less - _� 168.54 DESCRIPITON OF WORK Ea.add'l 500 sq.ft.or portion 33.92 _a (3)illuminated signs Limited energy,residential 1111(with above si.ft.) 75.00 -© Limited energy,multi-family ■ residential(with above s..ft.) 75.00 -© [) PROPERTY OWNER 0 TENANT RenewableEner� Services or feeders installation,alter tion,and/or relocation• Address:9757 SW Washington Square Road 200 amps or less 1111 100.70 _© 201 amps to 400 amps 1111133. City/State/ZIP:Portland OR 97223 _© 401 amps to 600 amps - 200.34 34 _© Phone:( ) 601 amps to 1,000 amps 301.04 B Over 1,000 amps or volts - 552.26 _© Owner installation:This installation is being made on property that I own which is not Temporael cati or le less or feeders installation,alteration,and/or relocation 0 amp intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 - 59.36 _0 Owner signature: amps to 400 amps 1111 125.08 _al Date: 401 amps to 599 amps - ® APPLICANT 168.54 _© CONTACT PERSON Branch circuits—new,alteration,or extension, •er .and Business name:Vancouver Sign Co A.Fee for branch circuits with Contact name:Taylor Ruby above service or feeder fee, . each branch circuit 7.42 .© Address:2600 NE Andresen Rd STE 50 B.Fee for branch circuits without IIIservice or feeder fee,first City/State/ZIP:Vancouver,WA 98661 branch circuit 56.18 Each add'1 branch circuit Phone:(360)693-47737.42 _� Fax: :(360)693-2747 Miscellaneous(service or feeder not included) Email:TaylorR@vansignco.com Each manufactured or modular 1111dwelhn•,service and/or feeder 67.84 -II CONTRACTOR Reconnect only 1111 67.84 _© Business name:Vancouver Sign Co Pump or irrigation circle 67.84 11111111111113 Address:2600 NE Andresen Rd STE 50 Sign or outline lighting ® 67 8 � n Signal circuit(s)or limited-energy © City/State/ZIP:Vancouver,WA 98661 •oriel,alteration,or extension. 0 See Page 2 Each additional ins.ection over allowable in an of the above Phone:(360)693-4773 Additional inspection(1 hr min) 1111166.25/hr _■ Fax:(360)693-2747 Email:TaylorR@vansignco.com Investigation t hr min) 90.90.®-■ Industrial plant(1 hr min) ■ CCB Lic.: 63951 Electrical Lica 37-46CLS Su Irv.Lic.: 648SIG s.ecificallInss lifsted(11rhhr minis III 90.00/hr -. Suprv.Electrician signature,required: Attain El,ECTItICAL P "■�� EMIT FEES Mallial Print name: Adam Wallis Subtotal: Date:6M/69 0 Plan Review Required(25%of permit fee): Authorized signature: `+/ State surcharge(12%of permit fee): Adhillarir4)5 h Man 11.111111111111 �.� TOTAL PERMIT FEE: Print name: Taylor Ruby d / This permit application expires if a permit is not obtained within 180 sir Date: O (� days after it has been accepted as complete. I:\Building\Permits\ELC_Permi[App_ELR_E• .doc Rev 06/17/2015''. (X * Number of inspections allowed per permit. 440-4615T(11/05/COM/WEB