Permit (75) CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: ELC2017-00604
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/16/2017
Parcel: 1S134BC00300
Jurisdiction: Tigard
Site address: 12220 SW SCHOLLS FERRY RD
Project: Greenway Town Center Subdivision: None Lot: None
Project Description: (1)sign lighting for replacement of existing freestanding sign.
Contractor: SECURITY SIGNS INC Owner: FW OR-GREENWAY TOWN CENTER LLC
2424 SE HOLGATE BLVD PO BOX 790830
PORTLAND, OR 97202 SAN ANTONIO, TX 78279
PHONE: 503-546-7114 PHONE:
FAX: 503-230-1861
FEES
Quantity Description Date Amount
1 ea Sign or Outline Lighting 08/16/2017 $67.84
Specifics:
1 ea 12%State Surcharge- 08/16/2017 $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 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 R 9 0 . You may obtain a copy of the rules or direct questions to OUNC by calling 503.23 87 or 1.800.332.2
Issued By: Permittee Signature: i/
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 }�'+, >, FOR OFFICE USE ONLY
City of Tigard 1 �j Received permit#: /-
III n 13125 SW Hall Blvd.,Tigard,OR 97 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Related Permit#: 061,41080/7--00d2a 8:'1
Inspection Line: 503.639.4175 A i J( Ready Date/By:p// '17urs: 0 See Page 2 for
T I GAR D Internet: www.tigard-or.gov l] 2017 Notified/Methocr/ �� Supplemental Information
iiii A ..... , ,i _ . ' ,.l 1“ , '. GA -,,Or', ,f 4 =�.®/� 7 - 9 - l === si c..., � SII
D New construction kAdditron/ o e t Please check all that apply(submit 2 sets of plans w/items checked):
ljt1� ! $' i 1 ❑Service or feeder 400 amps or more ❑Building over three stories.
0 Demolition El Other: " where the available fault current El Marinas and boatyards.
lJ r1 li .,D047O _- 11';; IR exceeds 10,000 amps at 150 volts or El Floating buildings.
0 1-and 2-family dwelling WCommercial/industrial 0 Accessory building
less to ground,or exceeds 14,000 El Commercial-use agricultural
amp
❑Multi-family ❑Master builder Other: Fire forallother installations. Inbustdings.
❑ ❑Fire pump. ❑Installation of 150 KVA or
a III G a ,ii,,,:1.. i i 1 1 M #/'''I' J-i `i aE 1 i Jll�h/I ;''''!5 ❑Emergency system. larger separately derived
327 /x/42.) „Zeta.ai. ❑Addition of oew motor load of ❑system
Job#: (�� Job site address: �,� 100HP or more.
City/State/ZIP: 7 6R� £ '7 Z_Z ?,1. I 2ey ,o ❑Six or more residential units. occupancy.
/ ' � ❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: I Project name /Lt✓
orty D/w•Q� s locations. ❑Supply voltage for more than
S ce or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: -SII ---'7646(‘':;_'Alli E 2n
Description I Qty. Each I Total I *
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#: 51 coo exp Ea.add'I 500 sq.ft.or portion 33.92 1
l(`1,ff%,11---, nit-f;,,,::' TM----, �,iL e --' ,Uio Limited energy,residential
75.00 2
!�- / 6� f�T!/1l4 r Jl� (with above sq.ft.)
� � Limited energy,multi-family 75.00 2
$i&'[ fig°I)NT— O4W7' gri SP /�Tesidential(with above sq.ft.)
t r--_,,!,04:0,: j.'.
�, Renewable Energy ❑ See Page 2
or feeders installation,alteration,and/or relocation
4: Services
Fit) Di2 v/ GGk/W�.(0 it 1/ /V/�N-ter Latins or less 100.70 2
pD / qc 710 '�`� w cmc t 201 amps to 400 amps 133.56 2
Address:
401 amps to 600 amps 200.34 2
City/State/ZIP: SA-A// �)V 0/ -T�1/ 7Q2 601 amps to 1,000 amps 301.04 2
Phone:( Q��' t, to,� l( Fax:( � )(� V Over 1,000 amps or volts 552.26 2
Email:
i � N Temporary services or feeders installation,alteration,and/or
relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 I
intended for sale,lei rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Owner signature: V Date: 401 amps to 599 amps 168.54 2
,l Ip 9 Branch circuits-new,alteration or extension,per panel
_ � `r r -� - A.Fee for branch circuits with
Business name:SECURITY SIGNS,INC above service or feeder fee,
7.42 2
each branch circuit
Contact name:CYNDI STOCKS B.Fee for branch circuits without
service or feeder fee,first
Address:2424 SE HOLGATE BLVD branch circuit 56.18 2
City/State/ZIP:PORTLAND,OR 97202 Each add'!branch circuit 7.42 2
Phone:(503)546-7102 Fax: :(503)230-1861 Miscellaneous(service or feeder not included)
Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email:permits@securitysignscom Reconnect only 67.84 2
1 s �_ l; l Pump or irrigation circle 67.84 2
Business name:SECURITY SIGNS,INC Sign or outline lighting 1 67.84 (07.fq 2
Address:2424 SE HOLGATE BLVD pinnal circuit(s)or extension. ❑ See Page 2 2
panel,alteration,or extension.
City/State/ZIP:PORTLAND,OR 97202 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(503)546-7102 Fax:(503)230-1861 Investigation(1 hr min) 90.00/hr
Industrial plant(1 hr min) 78.18/hr
Email:permits@securitysigns.com Inspections for which no fee is
CCB Lic.: 122809 Electrical Leif"i'� .^ ,uprv.Lic.: 383-SIG _ spectficall fisted(t/z hr min) 90.00/hr
Suprv.Electrician signature,required: ' '�' ;'� tet-IN6J
Subtotal: 7, c.v.-
Print name: MARC LINDQUIST / Date: gift/``7 0 Plan Review Required(25%of permit fee): --
State surcharge(12%of permit fee): Y,/4
TOTAL PERMIT FEE: 9 Authorized signature: 7 5. r T
// // This permit application expires if a permit is not obtained within 180
Print name: CYNDI STO D S Date: CGJ(!!h j`7 days after it has been accepted as complete.
* Number of inspections allowed per permit.
I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-46151(11/05/COM/WEB