Loading...
Permit (63) CITY OF TIGARD ELECTRICAL PERMIT P Permit#: ELC2017-00136 ``��� COMMUNITY DEVELOPMENT 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/15/2017 Tff1x, Parcel: 1S136AD04000 Jurisdiction: Tigard Site address: 11525 SW PACIFIC HWY Project: Emerald Outdoor Subdivision: VILLA RIDGE Lot: 7 Project Description: Sign light for(2)internally illuminated wall signs. Contractor: SALEM SIGN CO INC Owner: MCLELLAN ESTATE CO 1825 FRONT ST NE 707 OLD COUNTRY RD SALEM, OR 97303 BELMONT, CA 94002 PHONE: 503-371-6362 PHONE: FAX: 503-371-0901 FEES Quantity Description Date Amount 2 ea Sign or Outline Lighting 03/01/2017 $135.68 Specifics: 1 ea 12%State Surcharge- 03/01/2017 $16.28 Electrical Type of Use: COM Class of Work: ALT Type of Const: Occupancy Grp: Total $151.96 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 copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: /- ,-.... _ Permittee Signature: G-t/11 tees 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 • .-�e FOR OFFICE LSE ONLv City of Tigard * ��-� ' RecDate/B d:eiveji _ 13125 SW Hall Blvd.,Tigard,OR 97223 N . Plan Review Phone: 503.718.2439 Fax: 503.598.1960 m AR 1 .til/ Date/B : Related Permit#: i 7.,— _i1 Inspection Line: 503.639.4175 Ready Date/By: Juris: Ed See Page 2 for TI G A R D Internet: www.ti and-or. ov ti .;tied/Method: -MO g $ ,, *V e t k �' Supplemental Information '''''.477111:.':'''''';" 7/'''. :7:7:1'7.::::;°7::": "':'''''''''' ,LG W'';" " : ::: .rxA1'•Y„a.4 t h.tt' . - `" ',ed$ r a !._ ! l; ❑New construction P.l Addition/alteration/ s . - - Please check all that apply(submit a sets of plans w/items checked): ❑Service or feeder 400 amps or more ❑Building over three stories. ❑Demolition 0 Other: where the available fault current ❑Marinas and boatyards. ..,,mac ,,, ., a vn?: „b �. Sc4 g & ,i 4 / t4<3 ?^ "' exceeds 10,000 amps at 150 volts or ❑Floating buildings. ri Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural ❑ 1-and 2-family dwelling amps for all other installations. buildings. ❑Multi-family • Masterbuilder, ❑Other: 0 Fire pump. 0 Installation of 150 KVA or m p; ,77.1,,:117,..::: :',1:7a. , 0 Emergency system. larger separately derived Job#: Job site address:11505 ❑Addition of new motor load of system. 1505 SW �t 1F le_ a kj r 100HP or more. 0"A","E","1-2","1-3", City/State/ZIP: �J ❑Six or more residential units. occupancy. Ti fit ACRD t c(1 2Z3 ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name:ENE-RAI-13 OUTD 0012 ❑Hazardous locations. ❑Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: , ,. II:15,t 1 r ,' Description I Qty. Each 1 Total New residential single-or multi-family dwelling unit. Subdivision: 1 Lot#: Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'l 500 .ft.or portion 33.92 1 �t sq �",. „.,�� ''::•/-::$•. ,-, �„ . °; Limited energy,residential IN75.00 �© with above s..ft. L L15 M J_ C2 S(/I ti.LE VAc.E- t LLU r-t i nt k Tt„D Limited energy,multi-family ■ 75.00 © residential(with above sq.ft.) • 1, - � qq ppii Renewable Ener�, 0See Pa�e 2 : • $ # a 6 .x . �'ca'„3'.r . �4'rS 4Par`�a,,, ,3k a M;'7;.y. •` Services or feeders installation,alteration,and/or relocation Name: E\ v-a l f -, ` ' %( 200 amps or less 100.70 � Address: 1 ax; PQc,('f'(._ k-\,...,, 201 amps to 400 amps 133.56 —© 401 amps to 600 amps 200.34 City/State/ZIP: `c cY� c/2�'”) ( On •3 601 amps to 1,000 amps Il 301.04 Phone:( , )5-is. 334 I I 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 c= - r Branch circuits—new,alteration,or extension, •er •anel A.Fe:for branch its 17.42 III Business name: ���,� ��� CE.:- service orcircufeeder feewith, each branch circuit Contact name: ‘ ^ ',IL "� . t,. E B.Fee for branch circuits without IN vnxrat '_�. Address: _A C) 6- `13v branch circuit 56.18 City/State/ZI'. —.j)(( :..1 W_/ / ,� Each add'I branch circuitIII 7.42 111 V • "� _ ,_ Miscellaneous(service or feeder not included) Phone:()3 )311 —(0�� I Fax: : j ) 5 7' - U i Each manufactured or modular 67.84 2 Email: j\ YNS l�il ` (-XYY� dwellin_,service and/or feeder � `e- t 5I • Reconnect only Mill67.84 —B :' a :0,,,..?„. -,x,,,--,1::,-t.,,..-„,-,„�_ ..a -,; -. „ ' w Pump or irrigation circle 67.84 Business name: L�4 S(i� ',4 Sign or outline lighting 67.84 Signal circuit(s)or limited-energy 0 See Page 2 �Qj�_ 1P .Op.J Si- /�� .anel,alteration,or extension. �� Address: I Each additional ins•ection over allowable in any of the above City/State/ZIP:S & O� 7-73 o 1 Additional inspection(1 hr min) 66.25/hr Phone: yZ ) 311. i:,TS / Z Fax:(s3) 3I i. •O 90 1 Investigation(1 hr min) 90.00/hr C Industrial plant(1 hr min) 78.18/hr Email:S, `O 1/�S 1'�.S l� S t g Il..(X{M �1 Inspections for which no fee is III 90.00/hr -. no CCB Lie.:b SZq -, Electrical Lic.:zlr„�_ Suprv.Lic.: j S s.eclficall listed('%hr min Suprv.Electrician signature,required:(� Q �1 I Subtotal: Print name A<fl y �'_ Date: /.7.f 7 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): r ko, j "`_..,- �- TOTAL PERMIT FEE: C Authorized signature' .___.. t�(�c.\to This permit application expires if a permit is not obtained within 180 Print name: eY1n yN, ^��p-- Date: tg or,1)--"? days after it has been accepted as complete. �+t v�✓/t�_ * Number of inspections allowed per permit. I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB