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Permit (9) CITY OF TIGARD ELECTRICAL PERMIT• COMMUNITY DEVELOPMENT Permit#: ELC2017-00152 T 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/21/2017 (GA ' Parcel: 1 S135BC01000 Jurisdiction: Tigard Site address: 10925 SW GREENBURG RD Project: Abra Subdivision: None Lot: None Project Description: Sign lighting for(3)signs(2 wall signs&1 monument sign) Contractor: HANNAH SIGN SYSTEMS INC Owner: RICHARD A KADEL PROPERTIES I LLC 1660 SW BERTHA BLVD 4651 HIGEL AVE PORTLAND, OR 97219 SARASOTA, FL 34242 PHONE: 503-946-8373 PHONE: FAX: 503-206-4900 FEES Quantity Description Date Amount 3 ea Sign or Outline Lighting 03/21/2017 $203.52 Specifics: 1 ea 12%State Surcharge- 03/21/2017 $24.42 Electrical Type of Use: COM Class of Work: ALT Type of Const: Occupancy Grp: Total $227.94 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 952-001-009 .eHta' of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.p —� Issued By: Permittee Signature: J2 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 503.639.4176 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 A lication FOR OFFICE [:SE ONEv Cityof Tigard 3 fi f:" Received © / /� /L g MDateB Permit No.: X/`7`00/J ,71 ' 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review /�!-ll✓�1 nvS_ S" Phone: 503.718.2439 Fax: 503 598 1960 Date/B : Other Permit: /S - . Tit It O Inspection Line: 503.639.4175 E ,2 !'1 Date Ready/By: Sufis: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information oi/ ', o'r� "� f '% O 0. 000 as . //,''/' %///,/,/,i��,',,,�':::%1 t�/ �������� i� ����� / %�i,.�%�/ii % % i z,../ IA New construction ❑Additio 9 hii ia&relplactl''ellt?"'.''''' Please check all that apply(submit 2 sets of plans w/items checked below): ❑Service or feeder 400 amps or more ❑Building over three stories. ❑Demolition ❑Other: where the available fault current ❑Marinas and boatyards. Oy ;^ j��j� exceeds 10,000 amps at 150 volts or 0 Floating buildings. „' „���� j„ j /��0,4-1'.i,://""""'moi �m����'�0% 0� 't/.1%,/,-����"y,-,/ less to ground,or exceeds 14,000 0 Commercial-use agricultural ❑ 1-and 2-family dwelling ,K]Commercial/industrial ❑Accessory building amps for all other installations. buildings. 0 Multi-family ❑Master builder 0 Other: ❑Fire pump. 0 Installation of 150 KVA or %%% !i!i� /i/ :0/�0//i//����� / � /// ❑Emergency system. larger separately derived system. j/��//,V%i '''''/'''///%D-x'',%�ie/6%G G i i%%������ �/ ❑Addition of new motor load of ❑"A" "E","1-2" "1-3» Job no.: Job site address:/ 10011P J'� li2��N4v zz, 1Z or more. occupancy. EISSix ix oorr more residential units. 0 Recreational vehicle parks. El facilities. 0Supply voltage for more than City/State/ZIP: n442,5 Gam.. C9`7zZ? 0 Hazardous locations. 600 volts nominal. Suite/bldg./apt.no.: I Project name: Atg/zA ❑Service ��jicceor feeder 600 amps or more.Fix Cross street/directions to job site: Description Qty. Fee. Total * 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'l 500 sq.ft.or portion 33.92 1 Tax map/parcel no.: Limited energy,residential �� i l /%i%%/////j%j % /� (with above sq.ft.)family 75.00 2 ( Limited energy,multi- 3 d/"/ J / � tri residential(with above sq.ft.) 75.00 2 Renewable Energy 0 See Page 2 Services or feeders installation,alteration,and/or relocation T100.70 y %0 o;o, ��� ,%%!!ii/%0! 200 amps or less 100.70 2 ii thi;io D ��/ y �� /a"'�/O/%% ��i;.'F,'�/ 201 amps to 400 amps 133.56 2 Name: 4_ '1e4q 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:( ) I Fax:( ) relocation 200 amps or less 59.36 1 Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2 intended for sale,lease,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 � % �%''tt�iim 1� x„�/%/� p,,vo,,d / ! %!! j A.Fee for branch circuits with / // above service or feeder fee, Business name: Hannah Sign Systems, Inc. each branch circuit 7.42 2 B.Fee for branch circuits without t _ service or ee.er ee, ars 56.18 2 branch circuit Address: 1660 SW Bertha Blvd. Each add'l branch circuit 7.42 2 City/State/ZIP: Portland, OR 97219 Miscellaneous(service or feeder not included) Each manufactured or modular 67.84 2 Phone:( 503)946 8373 I Fax: :(503 )206 4900 dwelling,service and/or feeder Reconnect only 67.84 2 E-mail: Pump or irrigation circle 67.84 2 A Sign or outline lighting 3 67.84 ,5 i5%`1'2 Business name: Hannah Sign Systems, Inc. Signal circuit(s)or limited-energy See panel,alteration,or extension. Page 2 2 Address: 1660 SW Bertha Blvd. Each additional inspection over allowable in any of the above Portland, OR 97219 Additional inspection(1 hr min) 66.25/hr City/State/ZIP: Investigation(1 hr min) 66.25/hr Phone:( 503 )946 8373 Fax:( 503 )206 4900 Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lic.: 203638 I Electrical Lic.: CLS34 1 Suprv.Lic.: SIG676 s,ecificall listed(%z hr min) syr„1r i y o Suprv.Electrician signature,required: , Ar/ Subtotal: abpj, Print name: David P Demuth Date: Plan review(25%of permit fee): �^ State surcharge(12%of permit fee): ).G1, h% Authorized signature: ' TOTAL PERMIT FEE:40947,Q+ This permit application expires if a permit is not obtained within 180 Print name: David P Lanphere Date: 'Z--/is--''1'1 days after it has been accepted as complete. * Number of inspections allowed per permit. I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 05/21/2013 440-4615T(11/05/COM/WEB