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Permit CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit#: ELC2016-00754 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/26/2016 T t tk - g Parcel: 2S 110AA00600 Jurisdiction: Tigard Site address: 10650 SW MCDONALD ST Project: Seven Eleven Free Standing Sign Subdivision: None Lot: None Project Description: (1)internally illuminated pole sign. Contractor: MEYER SIGN CO OF OREGON Owner: 7-ELEVEN INC 15205 SW 74TH AVE BY TEXLAND PROPERTIES CORP TIGARD, OR 97224 TAX DEPT#16394 PO BOX 711 DALLAS, TX 75221 PHONE: 503-620-8200 PHONE: FAX: 503-620-7074 FEES Quantity Description Date Amount 1 ea Sign or Outline Lighting 10/04/2016 $67.84 Specifics: 1 ea 12%State Surcharge- 10/04/2016 $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. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notifi, o Center. Those rules are set forth in OAR 952-001-0010 through 0''952-001-0090. You - -copy= s or direct questions to OUNC by calli _503.'3 .1987 or 1.800.332.2344. ;Ce; Issued By: Permittee Signatur . / 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:t'sF:ONLY' �1 _.�1AF City of Tigard Date/Bed i.„ AIIIMINFM, Ili 111 13125 SW Hall Blvd.,Tigard,OR 972234 Plan Review 11 Phone: 503.718.2439 Fax: 503.598.1960 �r `' _U I II Date/B : Related Permit#: / /,' , _, Inspection Line: 503 639.4175Ready Date/By: ® See Page 2 for TI G A R D Internet: www.tigard-or.gov .1..s:i,ed/Method: Supplemental Information T 'E:OF:WORE G OMSION Lq lv REAR'... 1=1 New construction ®Addition/alteration/rpFdC' thorn Please check all that apply(submit 2 sets of plans w/items checked): ❑Service or feeder 400 amps or more ❑Building over three stories. ❑Demolition ❑Other: where the available fault current ❑Marinas and boatyards. X,iaA 1zt':OF C€)NSTRIJCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings. ❑ 1-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: 0 Fire pump. ❑Installation of 150 KVA or JOB'#I`TE' Rl 1A 1 1,*ANPi..0CATION 0 Emergency system. larger separately derived ❑Addition of new motor load of system. Job#: Job site address:10650 SW McDonald 100HP or more. ❑"A"."F °`1-2° °`I-3°°, City/State/ZIP:Tigard,OR 97224 El Six or more residential units. occupancy. ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name:7-11 ❑Hazardous locations. ❑Supply voltage for more than 0 Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: EE S �t1LyE, ;<( Description I Qty. I Each I Total I 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'1500 sq.ft.or portion 33.92 1 DESC i;01c �1'�01 W 3R1, Limited energy,residential : �� _ (with above sq.ft.) 75.00 2 Connect 1 Internally Illuminated Pole Sign to existing electrical. Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy 0 See Page 2 ►e P 1 RT ©WlNER ❑`TENANTi. Services or feeders installation,alteration,and/or relocation Name:7-11 Inc.C/O Texland Prop.Corp. 200 amps or less 100.70 2 Address:PO Box 711 207 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Dallas,TX 75221 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 P� -,, t — ew,alt tion,or extension,per panel Branch circuits n era" ' ®•. ... ., "``'' A.Fee for branch circuit 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. eaor cueder fee,first branicech circuit 56.18 2 bn 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: :( ) Each manufactured or modular dwelling,service and/or feeder 67.84 2 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 6)4j 2 th Signal circuit(s)or limited-energy ❑ See Page 2 2 Address: 15205 SW 74 Ave. panel,alteration,or extension. Each additional inspection over allowable in any of the above City/State/ZIP:Tigard,OR 97224 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(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lic.: 64014 Electrical Lie.: 20-190C-1..5 Suprv.Lie.: 569S1G specifically listed(h/hr min) �I t Suprv.Electrician signature,required: 49j Subtotal: (y'7. y�� 1 Print name: Todd Barclay 10/4/16 ❑Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): til Authorized signature: (-77ice-----,_. TOTAL PERMIT FEE:`•-7 Jf` 1 This permit application expires if a permit is not oCtained within 180 PP P Print name: Tony McCormick Date: 10/4/16 days after it has been accepted as complete. * Number of inspections allowed per permit. 1:A Building V Permits Ot:LC_PcrntitApp_I'LR_ERE.doc Rev 06/17/2015 440-46.15T(t1/05/COM/WER