Permit (84) CITY OF TIGARD ELECTRICAL PERMIT
7,1 ..
` COMMUNITY DEVELOPMENT Permit#: ELC2017-00496
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/20/2017
Tt[ 1�a�° 9 Parcel: 1S135BD00100
Jurisdiction: Tigard
Site address: 9600 SW OAK ST
Project: Altierus Subdivision: ASHBROOK FARM Lot: 5
Project Description: Sign lighting for(1)wall sign
Contractor: HANNAH SIGN SYSTEMS INC Owner: PLAZA WEST OWNER LLC
1660 SW BERTHA BLVD BY CHIEF FINANCIAL OFFICER
PORTLAND, OR 97219 680 FIFTH AVE 20TH FL
NEW YORK, NY 10019
PHONE: 503-946-8373 PHONE:
FAX: 503-206-4900
FEES
Quantity Description Date Amount
1 ea Sign or Outline Lighting 07/20/2017 $67.84
Specifics:
1 ea 12%State Surcharge- 07/20/2017 $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 accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if 4•rk is suspen•-d for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. ose rules =re set forth in OAR
952-001-001* •ug : '' 952-00 •090. ou may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987.r I.:,1.332.234'.
Issued :y: AIL / ir' ' Permittee Signature: , •
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.
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City if Ti rd DateaRea.i, e/
13125 SW Hall Blvd.,Tweed,OR 972 3 2017 7/3/176-„,,a//2 : �C' r'—GYM � i
Phone: 503,718.2✓139 Fax: 503,598.9b may: ttetated? it ti, IA ,r 7 - /5S
��pr xit Line: 5°1639'4175 ti , Reedy Y: 63 1ler
Internet: �d nrd-or CITY O TI >r ,Y �t
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17I New construction �.Add tionlalterationlreplacement Ply dee&all thug,*(submit sets of pleas wiitems cam);
,z,% /,Y rO/if' i�'{ji„r,.r rir i' ;./rrr//�✓ipari, / �, r /„ri /y =r /ii/i �i///-, Q Service or feeder amps or more 0 Budding over three
.0 Demolition Other: utere l available fa3t current 0, and ds.
// i//: / %o% //%, w ,r. / rw», `/ rr i/%i,—,,?-,-7,„ii !/i', ,,,',,•";,t ,
eateeds aamS at 150 volts tfY' Floating i11ii'fY#g5a,
1_and 2-family dwelling r Commercial/industrialCommercial/industrial 0 Accessory building less se:oand or ee eeede 1:4,O00 0 nmercialayse 884"cnitt ral
0 Multi-family 0 Master builder 0Other: ll crn�tr it all tions, buitaitsgs,
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q Q Addie on of nemotor load of system
Job : Job site address: /(O se I Oar._ 10011P or more. 0"A”,"L'”,"1-2","1-3"
CitytStatelZiP -72 6A.2/,j fez_ 97223 0 8649t more resa .ural vim. ‘2,"8888,qQ -
CH��facilities rnalveoepam,
Suite/bldg,/apt. €: LProject name: f}trpeA,r 0 ilarardoas locations, 0 Sly vol for more tinat
(Service or feeder 600 amps or more690 volts nominal.
Cross streettdirections to job site: %'/•i/ ,/ i,Jp/�/ 4'/'' //// /�// //r
Qta. tadi Teau M _.
New resident tl single-or multi-family dwelling unit
Subdivision: I Lot#: includes attached -r.
Tax rnapiparcel
1,000 sq,ft,or less 4
Fa,marl 500
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(with above so:£1.)
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� Limited energy,multi-Enemy
residential with above •.ft,;
i; ,/%//// ,,,✓i,,,,'/ o l// /i ;.,. % /% / /,'''',%/%%%i,�„ii;.,dor;, '' ' r////�// �y// % Services or feeders installe r alteration,and/or relocation
Name: A.(-T/Ei2Us200 amps or l100;70 2
Address: 9(c0 .4,..) Oq d� " 201 az u >� t ...
401 arm to 600 amps 200.34 2
City/State/ZIP: 77 c .-- 972.2. 601 amps to 1,000 amps 301.04 2
Phone:( ) Fax:( ) Over 1,000 amps or volts 552.262
Email: relocation Vi
Vices or faders instaEllatl< ,alteration,and/or
relocation
Owner installation:This installation is being made on property that I own which Ls not 200 amps or less iji
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701, 201 amps to 400 amps
Owner signatur :z Date: 401 a, to 599amps
/,te7,67/,,''" r ;, ;7,Y7'''''''� -��r/r,.._� , _, ,. ;
!%%/ �Q�/�l/�i -�%n�n�ij�r/�iiiva/����� r��/ ,-,'";,;;1;;;;;77''''' /��i /i�`�// r„ - .$�ral"t11C1 Uflt� r
j,//./'i% �liri�rii .6/�� e%a�fi //r/ „�6, ,,P fir branch circuits with
Business name:Hannah Sign Systems or feeder fee, 111111111111
each branch circuit
Contact name:Dave Lanphere 13.Fee for branch circuits wawa r
Address:1660 SW Bertha Blvd service or feeder fee,first 36. 8
_branch circuit
City/ rate/ZI F..Portland,O :97219 c'i branch circuit
Miscellaneous(service or feeder not Included)
Phone:(503)946-8373 Fax::(503)206-4900 Each manufactured or modular 67,84 2
dBrcaroralweliint,service andor feederlrat2.caves"lnnahslnsystemcam �Y 1111 5 $ IIIIIIIIEI
Di�%i///( r/�i�/�77/', 1%// ,/ai/ drrmr7f2:7%����/.�"ii/o��� a7rr--717
Pump or irrigation circle67,8timom
Business name:Hannah Sign Systems Sign m outline li ting l 67.84
IIIIIMEI
Signal ctreuit(s)or shaded-enter me
Address:1660 SW Bertha Blvd' anal alteration or extension Q Set Page 2
City/State/ZIP:Portland,OR 97219 Each additional lns,,, tion over allowable in a, -of the above
Addmonal Inspection(l lir nun) fie=251 hr
Phone:(503)9464373 `ax:(503)2€h6-491113 Inv ti tion(1 hr thin) 90,00/hrIII
Email:davel(hannabsi nsy�ms.cocn
Industrial n�(1 terrain) rg.t8/hr
Inspections for which no fee III 90"hr
CCEtLie,: 203638 Elect' Lie,: CLS34 Su rv.Lie.: 510676 .v1hs l listed fa hr min 1111111•
'7 �'4//4Y;% o ail';'i ;•,,' '; , /%/4'!1/ /
Suprv,Electrician signature,required: 1 ;;
ar, AAAA, ;,
Subtotal: aIMMIIIIII
Print name: Dave Demuth Date: 7,3-t-7 0 Plan Review Required(25%of permit foe):
State surchar (12%ofpermit fee):
Authorized signature: TOTAL PERMIT FEE:
Print name: Dave Lanphere — This sit as�shien expires if a permit is t strained within lab
p Date: "7-3-17 days after it hos been accepted as enmptete
' Number of inspoetions allowed per permit,
tusettdett iPetrrxlfx« rt P simpp MR;ERE.d Rey 06/171201S 440-441$1131ios'co w1 n