Permit (42) CITY OF TIGARDELECTRICAL PERMIT
r 74 a.. . COMMUNITY DEVELOPMENT Permit#: ELC2017-00039
T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/18/2017
Parcel: 2S110DCO2200
Jurisdiction: Tigard
Site address: 15660 SW PACIFIC HWY A-8
Project: Hops on Tap Sign Permit Subdivision: 1997-016 PARTITION PLAT Lot: 2
Project Description: (1)sign lighting for new sign
Contractor: SIGNCRAFT SIGNS LLC Owner: ROIC OREGON LLC
8900 SW BURNHAM, E109 ATTN: SCHOEBEL, RICHARD
TIGARD, OR 97223 8905 TOWN CENTRE DR, STE 108
SAN DIEGO, CA 92122
PHONE: 503-639-4910 PHONE:
FAX: 503-639-4999
FEES
Quantity Description Date Amount
1 ea Sign or Outline Lighting 01/18/2017 $67.84
Specifics:
1 ea 12%State Surcharge- 01/18/2017 $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 ac • +-nce wi -pproved 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. ATT ION: Oregon I- re• ires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-1410 through OAR 952-I• -0091. •u may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issue. By: ' t i//A ��/ Permittee Signature: 4_1),/01-
-
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale,lease or rent.
OWNER'S SIGNATURE ®S.sid 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.
EIectrical Permit Application l()►z()►I It I I �l.O\I.1
City of Tigard � l Affi Arl Permit#: ekCaot7-coo39
III u 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review -`
i Phone: 503.718.2439 Fax: 503.598.1960 Dat r : Related Permit#: N Ol7--onn/
Inspection Line: 503.639.4175 Ready Date/By: turis. 0 See Page 2 for
T I GA GARD Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
®New construction 0 Addition/alteration/replacement Please check all that apply(submit a sets of plans w/items checked):
❑Demolition Other:
0 Service or feeder 400 amps or more ❑Building over three stories.
where the available fault current 0 Marinas and boatyards.
CATEGORY OF.CONSTRIJCI1ON exceeds 10,000 amps at 150 volts or 0 Floating buildings.
❑ 1-and 2-family dwelling i4 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family 0 Master builder 0 Other: 0 Fire pump. ❑Installation of 150 KVAor
JOBSITEINFORMATION AND LOCATION ❑Emergency system larger separately derived
❑Addition of new motor load of system.
Job#: Job site address: is bac 5 t P .r t�Nr, y 100HP or more. El"A."E","1-2","1-3",
City/State/ZIP: ❑Six or more residential units. occupancy.
ty '� Recreational vehicle
i t ct Ofd 7 ,� 0 Health-care facilities. 0 parks.
Suite/bldgJapt.#: g Project name:PD ?,1 0 Hazardous locations. 0 Supply voltage for more than
P$ Tot-P ❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE
Description f Qty. I Each 1 Total J *
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
Tax map/parcel#: 1,000 sq.ft.or less 168.54 4
,2 5j j 0 ac,O.1 a OQ Ea.add'!500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
75.00 2
Hookup new sign to designated sign cprcuit
(with above sq.ft.)
Limited energy,multi-family 75.00 2
residential(with above sq.ft.) ,
Renewable Energy 0 See Page 2
0 PROPERTY OWNER
CI TENANT Services or feeders installation,alteration,and/or relocation
Name: RD(c Oce LL( (T't5ek(aa &t:i n e n1 200 amps or less 100.70 2
Address: (b J 201 amps to 400 amps 133.56 2
rYr7pS` i Glu;,a C_an4r� Di 401 amps to 600 amps 200.34 2
City/State/ZIP: Safy n 1y0 C 4 Clira 601 amps to 1,000 amps 301.04 2
it
Phone:q6—s)) 3 5g, Li 11,, Fax:( ) Over 1,000 amps or volts 552.26 2
Email: Temporary services or feeders installation,alteration,and/or
cif Cg f i;r,4.1)4- relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 5936 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
raAPPLICANT I:3 CONTACT; PERSON Branch circuits—new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name: 1,,iD�.S c,y\ .� p above service or feeder fee, ?42 2
each branch circuit
Contact name: SJ B.Fee for branch circuits without
service or branch circuit feeder fee,first 56.18 2
Address:
(cipt,0 Sty 1,4,,,c(c, N,)y • c+� A8
City/State/ZIP: -p (17.? „ Each add'I branch circuit 7.42 2
is n rd Cil J Miscellaneous(service or feeder not included)
Phone:(z3 ) 4,.7,3 (p 1,1 Fax::( ) Each manufactured or modular 67.84 2
Email: dwelling,service and/or feeder
jl(a p s i,,, rp tit-02- S cv,.,ii .z.,..,"- Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name:SignCraft Signs Ile Sign or outline lighting I 67.84 Lelsy 2
Signal circuit(s)or limited-energy 0 Page See 2 2
Address:PO Box 23636 panel,alteration,or extension.
City/StateJZIP Tigard OR 97281 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/1n-
Phone:
625/hrPhone:(503)639-4910 Fax:(503)620-9568 Investigation(1 hr min) 90.00/hr
Email:info®signcraftpdx.com Industrial plant(1 hr min) 78.18!hr
Inspections for which no fee is 9000/hr
CCB Lic.: 155420 Electrical Lic.: 724SIG Suprv.Lic.:-34.j,'4 cis specifically listed(Y:hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,require( Subtotal: 10-1,rtt.
Print name: Keith Cox Date: I-h:),‘-2 ❑Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee): (,1
Authorized signature: 4 � I TOTAL PERMIT FEE: -7,..;-,rib
This permit application expires if a permit is not obtained within 80
Print name: John Sc.1 Date: /../a,i 7 days after it has been accepted as complete.
* Number of inspections allowed per permit.
I:\BuildingPerrnits\ELC permitApp FLA ERE.doc Rev 06117/2015 440-46151(11/05/COM/WEB ...2G/' de
13125 SW Hall Blvd.
Tigard, OR 97223
City of Tigard
Location:
15660 SW PACIFIC HWY A-8, TIGARD, OR,
97224
Record Type:
Commercial - Electrical
Inspection Type:
199 Electrical final
Result:
PASS- NoCofO
Comments:
Violation Summary:
Inspector
Tel: 503.718.2439
Inspection Date:
Record ID:
ELC2017-00039
Inspector:
Jeff Grove
Contractor