Loading...
Permit (265) 111 CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit#: ELC2016-00870 Date Issued: 12/13/2016 1 h GA t L 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S101 BA00600 Jurisdiction: Tigard Site address: 7700 SW DARTMOUTH ST 190 Project: Verizon Subdivision: 1995-013 PARTITION PLAT Lot: 1 Project Description: sign lighting for(1)internally lit wall sign on north facade. Contractor: E S&A SIGN&AWNING Owner: WAL-MART REAL ESTATE BUSINESS TR 89975 PRAIRIE RD BY PROPERTY TAX DEPT STORE 5935-00 EUGENE, OR 97402 PO BOX 8050 ATTN MS 0555 BENTONVILLE, AR 72716 PHONE: PHONE: 541-485-5546 FAX: 541-485-5813 FEES Quantity Description Date Amount 1 ea Sign or Outline Lighting 12/13/2016 $67.84 Specifics: 1 ea 12%State Surcharge- 12/13/2016 $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. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through/ OAR 952-001-0090. You may obtain a ��t-he rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344., ' Issued By: / �e� Permittee Signature: r I/ ..s,) 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. StIA, a .,t, TAYA-i Electrical Permit Applicatio 118N LA i,' FOR OFFICE osc°NEI' City of Tigard Received �1 i Permit No.: 4 — 7 Date/BY: �JO y 477 Ca--�U l ck�a v illi 13125 SW Hall Blvd.,Tigard,OR 97223 ty qc Plan Review /� ^ , a Phone: 503.718.2439 Fax: 503.598.1960�1 `1 A V O\ 11te/By: OtherPermitl3L'if' % 'a--Cr):IA Ins atom Line: 503.639.4175 1W N s > ate Ready/By: lar s: ®See Page 2 for TIC ARD f /M li d t II f t Internet www.tigard-or.gov ��a".N oh ted et o ��,� Supplemen a norma ron , �*�s .' i n c - °TYPE ©F;1'(f 0 Its \f :. $, .;l v x ; -6AZ.vew construction ❑Addition/alteraan}/ 1' Please check all that apply(submit 2 sets of plans w/items checked below): y3\� j ❑Service or feeder 400 amps or more ❑Building over three stories. Demolition ❑Other: i7 where the available fault current ❑Marinas and boatyards. , ` 3 r- exceeds 10,000 amps at 150 volts or 0 Floating buildings. O - �- _-�- � � � �- � � �� •�� - -- less to ground,or exceeds 14,000 ❑Commercial-use agicultural ❑ 1-and 2-family dwelling Commercial/industrial ❑Accessory building amps for all other installations. buildings. ❑Multi-family Master builder ❑Other: ❑Fire pump. 0 Installation of 150 KVA or ,,,:, _ ❑Emergency system. larger separately derived system. e) sJ?, .E. :. ? TE-**04::*- ,*1--, L914#0,$:,� ,. ❑Addition of new motor load of ❑"A" "E""l-2""1-3" Job no.. !/o Job site address: ?OC) 100 or or more. Recreation. 1�p``��� �'�./ � ❑Six or more residential units. ❑Recreational vehicle parks. City/State/ZIP: ( � ❑Healthcare facilities. 0 Supply voltage for more than ❑Hazardous locations 600 volts nominal Suite/bldg./apt.no.: Q Project name: ) �j ' ❑Servwe or feeder 600 amps or more Cross street/directions to job site: \4Ae (..)31:;c( —k--- Descr Description FEE$c E I Qtr. Pee I w Teal I * New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq.ft.or less 168.54 4 Ea.add'I 500 sq.ft.or portion 33.92 1 Tax map/parcel no Limited energy,residential 75.00 2 ' x ) ifi.ffKR ° t 10-0.% f,,: 1V.E1 1} } r ; 4' i i F.t 'Js (with above sq.ft.) i', -TYL5 A\( l t.( S) Ltmued en 3(iWri ltt r:/7Z. 75.00 2 residential(with above sq.ft.) 43 Renewable Energy ❑ Scerage2 Services or feeders installation,alteration,and/or relocation 1 , NAS. 200 amps or less 100.70 2 '",�` d. ' 201 amps to 400 amps 133.56 2 Name: 401 amps to 600 amps 200.34 2 Address: 601 amps to 1,000 amps 301.04 2 Over 1,000 amps or volts 552.26 2 City/State/ZIP: Temporary services or feeders installation,alteration,and/or Phone:( ) r ) relocation 200 amps or less 59.36 1 Owner installation: ation is being made on pros- . at I own which is not 201 amps to 400 amps 12508 2 intended . -.+ ease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps 168.54 2 Owner signature: Date Branch circuits-new,alteration,or extension,per panel s zy e s ,„ x- r A.Fee for branch circuits with �{ 1TAI°t I' 1 above service or feeder fee, Business name: "� V ^ 4— each branch circue 7.42 2 ��/ 11111 �� ,` f�� B.Fee for branch circuits without Contact name: ,es-(—A As '{- service or feeder fee,first 56.18 2 '�° I branch circuit Address: �qq 9,5 ' 7 t"rl� Each add'I branch circuit 7.42 2 City/State/ZIP: '�V L� © q'7-(o Miscellaneous(service or feeder not included) ty � l Each manufactured or modular dwelling,service and or feeder 67.84 2 Phone:(st{( ) Q( z Fax: ( ) Reconnect only 67.84 2 CJ Q E mall a€t' ! ec5 i� CU""1 Pump or irrigation circle 67.84 2 (( .,,,:,,:;7.1.;1:- . . „ Sign or outline lighting I 67.84 64,814 2 C Business name: 7_s...f S( t/'1 -f- n l� Signal circuits)or limited-energy See "' 111^ 1 Panel,alteration,or extension. Page 2 2 Address: $qg 'S �V�'� l e_ Each additional inspection over allowable in any of the above 111 Additional inspection(1 hr min) 66.25/hr City/State/ZIP: - enc DMZ q---1—(-(07_ Investigation(1 hr min) 66.25/hr Phone:(54(5 ) g"' 73 —` / ( ) Fax: Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is CCB Lie.: 1&3 Li--10Electrical Lie.: . —S S et5'Suprv.Lic. ,j S/6_ specifically listed(1/2 hr min) 9000/hr >.R7.ECIT.1,.AIG.r'~_ISE t'l<-FEgS, Suprv.Electrician signature,required: ASubtotal: b' gp Print name: Y� (pl-s Date: 1 L -I/, Plan review(25%of permit fee): �- Y�S I v 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:ea a C S- (� Date: // /-�/n days after it has been accepted as complete. (Y • Number of inspections allowed per permit. t:\Building\Permits(ELC_Pe pp_ELR_ERE.doc Rev 0521/2013 440-4615T(t t/05/COM/WEB City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 7700 SW DARTMOUTH ST 190, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Electrical ELC2016-00870 Inspection Type: Inspector: 199 Electrical final Chip Barnett Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor