Permit (268) CITY OF TIGARD ELECTRICAL PERMIT
• COMMUNITY DEVELOPMENT Permit#: ELC2016-00932
T I(;A R 1) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/08/2016
Parcel: 2S112DA00300
Jurisdiction: Tigard
Site address: 15230 SW SEQUOIA PKWY 150
Project: Fly Boy Brewing Sign Permit Subdivision: PACIFIC CORPORATE CENTER Lot: PTS 6-7
Project Description: (1)sign lighting
Contractor: MEYER SIGN CO OF OREGON Owner: PACIFIC REALTY ASSOCIATES
15205 SW 74TH AVE ATTN: N PIVEN
TIGARD, OR 97224 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-620-8200 PHONE:
FAX: 503-620-7074
FEES
Quantity Description Date Amount
Specifics: 1 ea Sign or Outline Lighting 12/08/2016 $67.84
1 ea 12%State Surcharge- 12/08/2016 $8.14
Type of Use: COM Electrical
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. ATTEN : Ore n law re uires you to follow the rules adopted by the Oregon Utility Notification nter. Those rules are set forth in OAR
952-001-001 through OAR 9 2-001 90. Yo may obtain a copy of the rules or direct questions to OUNC by calling 503 2. 87 or 1.800.332.2344.
Issued B • — Permittee Signature: „of-4_7 6 7 2
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 USE ONLY
City of Tigard Received
Daecte/B : / 9 /ti A,' Permit 4: eLC /e0 _Oo 93 -,
13125 SW Hall Blvd..Tigard,OR 97223 Plan Review
■ Related Permit 4: ga,lJ (et.�O/a
Phone: 503.718.2439 Fax: 503.598.1960
Date/B .
T t G A R D Inspection Line: 503.639.4175 Ready Date/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
x:. w ;,�taiIltfr : . Wr%: ,d' x 'n;f M`ie i, i'.. "`"s ,.t.,k,.9:S:C `,. iii i C r"m a "sm r" *'
Please check all that apply(submit 2 sets of plans w/items checked):
❑New construction ®Addition/alteration/replacement
❑ Demolition ❑Other: ❑Service or feeder 400 amps or more ❑Building over three stories.
where the available fault current CIMarinas and boatyards.
``` :tai yid. x mt 7 6,.; : <. t,.m " x�"'-y'
. t4'"v"�^ r,, exceeds 10.000 amps at ISO 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: D Fireum .
P p 0 Installation of 150 KVA or
RWFIMITLIGTTt" .6'ff t'°' § M t JI ' t- ❑Emer coyf'ystem. larger separately derived
Job#: Job site address: 15230 SW Sequoia Pkwy ❑Addition of new motor load of system.
100HP or more. ❑"A" "E" "I-2" "1-3".
City/State/ZIP: Tigard,OR 97224 ❑Six or more residential units. occupancy.
0 Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#:150 I Project name:Fly Boy brewing ❑Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site:
a Ir. tom,¢ e .
Description Qty. Each 1 Total
New residential single-or multi-family dwelling unit.
Subdivision: I Lot#: Includes attached garage.
Tax map/parcel#: 1,000 sq.ft.or less 168.54 4
ri Y j Ea.add'l 500 sq.ft.or portion 33.92 1
.. ,. : ,: =:,�.md .. .¢�..�'fr1 F, .,.., 't qac a `. + -z . 'r'
��.� �tir«'t �� � : � e;<. O ,a Limited energy,residential
Connect 1 internally illuminated wall sign to existing electrical. (with above sq.ft.) 75.00 2
Limited energy,multi-family
residential(with above sq.ft.) 75.00 2
v ;" '' t' ritagwthICZEariaMia Renewable Energy ❑ See Page 2
Services or feeders installation,alteration,and/or relocation
Name:Pacific Realty Assoc. 200 amps or less 100.70 2
Address: 15350 SW Sequoia Pkwy Suite 300 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP:Tigard,OR 97224 601 amps to 1,000 amps 301.04 2
Phone: ( ) i Fax: ( ) Over 1,000 amps or volts 552.26 2
Email: Temporary services or feeders installation,alteration,and/or
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
M< `. "` Et =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,
each branch circuit 7.42 2
Contact name: Tony McCormick B.Fee for branch circuits wirhour
Address:15205 SW 74th Ave. service or feeder fee,first 56.18 2
branch circuit
City/State/ZIP:Tigard,Or 97224 Each add'I branch circuit 7.42 2
Phone: (971)232-5021 I Fax: : Miscellaneous(service or feeder not included)
( ) Each manufactured or modular
Email:permits@meyersignco.com
dwelling,service and/or feeder 67.84 2
Reconnect only 67.84 2
gifkr,MSaeakerlgatr41EEZErGIEZrtralffDVilnaniaSCAI Pump or irrigation circle 67.84 2
Business name:Meyer Sign Co.of Oregon Sign or outline lighting 1 67.84 (u 7,DSL 2
Address: 15205 SW 74th Ave. Signal circuits)or III-Med-energy 3
panel,alteration,or extension. ElSee Page 2 2
City/State/ZIP: Tigard,OR 97224 Each additional inspection over allowable in any of the above
Additional inspection(1 hrmin) 66.25/hr
Phone:(971)232-5021 Fax:( ) Investigation(1 hr nein) 90.00/hr
Email:permits@meyersignco.com Industrial plant(l hr min) 78.18/hr
Inspections for which no fee is
CCB Lic.: 64014 Electrical Lie.: 20190CLS Suprv.Lie.: 569 SIG s.ecificall listed(�1 2 hr nun) 90.00/hr
Suprv.Electrician signature,required: ,Ay&
Subtotal: 4,7,g
Print name: Todd Barclay ate: 12/8/16 0 Plan Review Required(25%of permit fee):
` � State surcharge(12%of permit fee): g./Cei
Authorized signature: V TOTAL PERMIT FEE: 75-. 7
> /� This permit application expires if a permit is not obtained within 180
Print name: Date: G 6- Aj_ days after it has been accepted as complete.
��PP Number of inspections allowed per permit.
LVBuilding\Permits ANLC_I erni6App_F,I,R&ERE Rev 06/17/2015 440-4615T(11/05/COM/W1113