Permit (24) „I CITY OF TIGARD ELECTRICAL PERMIT
11 COMMUNITY DEVELOPMENT
Permit#: ELC2017-00448
T[CAD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/03/2017
.
Parcel: 2S 110AA00500
Jurisdiction: Tigard
Site address: 10580 SW MCDONALD ST 102
Project: Allstate Subdivision: None Lot: None
Project Description: Sign lighting for(1)new illuminated wall mounted sign.
Contractor: HANNAH SIGN SYSTEMS INC Owner: LEVI PROPERTY LLC
1660 SW BERTHA BLVD 8839 SW FIRVIEW PL
PORTLAND, OR 97219 BEAVERTON, OR 97007
PHONE: 503-946-8373 PHONE:
FAX: 503-206-4900
FEES
Quantity Description Date Amount
Specifics: 1 ea Sign or Outline Lighting 06/29/2017 $67.84
1 ea 12%State Surcharge- 06/29/2017 $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 rk is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. ose rules are set forth in OAR
952-001-0010 ugh 952- 090.,fou may obtain a copy of the rules or direct questions to OUNC by calling 503.232. 987 r . 0.332.2344.
' /�
Issued B ��;%�1'L�,./ Permittee Signature: V / � -�'-rt
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 oR OH It i 1; 1 et's! t
City of Tigard nmrkcutil
/ Wit :
- 13125 SW hall Blvd.,Tigard,OR 97223gum 'f � �=l C11 7'.C.- iI
503.598.196°
I pe 'iLine: 30.3,639.4175 JUN 1 3 2091 oY' , .. c pt 1 72yer
!
Intern : w ry regard-or gov €x echo
f4:,; ,r o„/fir /�/i/ ✓ �i / ✓, /%%/"Oj �o/i soivir' i�;
Eg New construction 0Addition/alteratit.' !Aw1 r r elseolcanthat ! dfpla� 8048 ):
appy(subit2 s of plans Widows cbeclted);
0 Demolition 0 Other: u vice or fir 400 arr or more C Ilailding oyer three `ies.
+ire the available fault curet � ami :
150 yells or 0
%
RRouuintbuildings,
0i-and 2-fail dwelling � m �ialfincIgtrl Accessory bi�i l $to ground,or exceeds 168 3 lm -
agricultural
�
, for all other installations, buildings,Multi=t tly 0 Master builder 0 Other: 3 0rite"�m� CI In �' 3?rt�I50 I(VA 3r/'/::%moan !ii///,te 7 v /„l//%/a/i /%u /i '�4r i /�77
lawr t el eed
Iola 1oh siteZiress: .11,) /11cJo�pru Sr- C Anion orricmotor 1 of systemo toolil'or owe, CQ"A',,FP,"1=2"',"1'.3,,,
City/ 'ate/ZI : $i4/* R&ea or more .at uz nYa.
au� t /Oz Projecte' f-(�r�-� 3� doua!nations, CSupply volt
s i
bieleps.
for more than
street directit is to jai site: Cl Service Of f 600 amps more, 600 vcsltx nominal-
Cross
nisch tits. 144 Tera
New residential since or rnuidwfamily dwelling unit
Subdivision: Lot tl: Includes attached gara;e.
• �1,t,t sqit or
less
168,54 4Tax ml/larrel#° a 'l 500 sq, torp bon 33.92 Iop %i%/j'% r/ / yr/;,;i477,7/",r rir%�7 % Lathed enemy,2 "iei"
al
Cp Limited
above sq.ft,) 75,00 2
mited energy,inulti-fhrrosly
it r
rad/dm-lel(with above sq,it) 75,00 2
yr e� ;
/
Renewable ner Cl flee e2
/j
" Sere Bets installation,alteration,and/or r loestion
Name: ( 200 amps or less 100,70 2
ddrt sss: <Co M�� � S 201 amps to amps 13336 ; 2
City/State/ZIP: 77/741,2) g 7Z2 401 snips to 600
2 ,
2
601 snips to 1,t=amps 301.04 2
Phone:e:( ) C3111111.11.1111111111111111111111111111111.11 Over 1,000
amps.or volts 552,26' 2
Email: Temporary servims or feeders instalistiem alteration,and/or
relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or lets 59.36 1
intended for sale,lei,rent,or exchange,according to ORS 447,449;670,and 701, 201 amps to 400 anms125,08 2
Owner si attire: Date: 401 to 599 amPIIMMI 2
r rj�/' yy � /',7 / /7 /file:�-0, 3 si::::77,: ji //
����� „�/�� //�!��� �� �;��� � /iii/j�,,� amuck circuits-new,alteration,or extension,, r panel
/�, /� a,, � A,pee for branch circuits with l
Business name:Hannah Sign Systents above service or feeder
branch circuit7.32 2
each
Contact name:Dave Lamphere
B.Fee for branch circuits wit ui
Address:1661)SW Bertha Blvd service or feeder fee,first
56,18 2
. _ branch circuit
City/State/ZIP:Portland,OR 97219 Each midi branch circuit ail 7,42 amen 2
one:
3 ' 373 ielineons(service or feeder not included)
{ ) Pax:'( 't)2
_....,, -.� ' Eachmanufactured or modular
ltzlal:
.....
._ .,. 61
2dlli; service and/or feederdaYClhannahsignsystenrs.eo fit only 67.84 2,�'//r/%�7aow:/y �/ »74/i747:ri // F,7s/ .7 Pump id llT3"�(n circle
57.E 2
Business name:Hannah Sign Systems Sign or outline lighting 67,84 4. ).J 2
Address:1660 SW Bertha Blvd Signal irwit(s)or limited-energyrage
2 2
panels alteration,or� i ,...._
Dity/ �e1 1P:.1'arttand,OR97219 Each addition ins,, lion over affable a•_ 'i a eve
Addltionaiins, tion(1 hr mm) 66,25/ r
Phone:(503)9464373 Fox:(503)206-4900 In ti tion(1 hr min) 90,001 hr
Email:davel®bannahsi nsyst res eoi Industrial plant(1 brr 778-1S/or
inspections for which no fee is br
CCB Lb .: 203638 Flectri., tic.: LS34 Suprv.tic.: 510676 ',Y ifical list hrmirz
rra/i '11„:
//„/
Sts .pltrcian signature,rc; ��� ET:,/sr
Subtotal: 4 7Ts'Ll
Print name: Dave Demuth Dec: to I% r-7 C1 Plan Review Required(25%of permit fee):
Suite surcharge(12%ofpermft fee): ir
J y
Authorized signature: L TOTAL PERMIT FEE: 7.5-. i/
"...-.. Th14 pejmat sr pi permit is nut awned rw In 180
Print name: Dave Lamphere Date: pys'Ate
ex a
Cat(Fit f("� days sftxa'it bat been accepted as complete..
* Numberofiins
inspections allowed per permit
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