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Permit (115) CITY OF TIGARD ELECTRICAL PERMIT E.. •.. COMMUNITY DEVELOPMENT Permit#: ELC2017 00760 13125 SW Hall Blvd.,Ti and OR 97223 503.718.2439 Date Issued: 10/12/2017 TIGAR g Parcel: 2S102AB02401 Jurisdiction: Tigard Site address: 12511 SW MAIN ST Project: Kepler's Upholstery&Custom Furniture Subdivision:ELECTRIC ADDITION TO TIGARDVILLE Lot: 15 Project Description: Reinstallation of existing wall sign to exterior of building. Contractor: SIGNCRAFT SIGNS LLC Owner: ANKELE, BRIAN 8900 SW BURNHAM, E109 3570 SW RIVER PKWY UNIT 1703 TIGARD, OR 97223 PORTLAND, OR 97239 PHONE: 503-639-4910 PHONE: FAX: 503-639-4999 FEES Quantity Description Date Amount 1 ea Sign or Outline Lighting 10/11/2017 $67.84 Specifics: 1 ea 12%State Surcharge- 10/11/2017 $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 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 btain copy of the ules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: _ s&i.. Permittee Signature: C , 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 City of Tigard moi Cd *c Pennit#:DateBy: i(f it/17 .-'i.J ,2(�(7�c.ci•?Lc) 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ' S Phone: 503.718.2439 Fax: 503.598.1960 1� Date/By: Related Permit#: -u0,21.7 t Inspection Line: 503.639.4175 0 , Ready DateBy: Imis; H See Page 2 for lUAF.D / Internet: www.tigard-or.gov �c A eth+O l/� �4 r' '.�,, Supplemental Information TYPE OF WORK ciriNPLAN REVIEW ei? New construction ❑Addition/alteratioti> �s Please check all that apply(submit 2 sets of plans wlitems checked): ❑Demolition ❑Other. 0 Service or feeder 400 amps or more 0 Building over three stories. where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. ❑ 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building less to ground or exceeds 14,000 0 Commercialuse agricultural amps for all other installations. buildings. ❑Multi-family 0 Master builder 0 Other: 0 Fire pump. Q Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived Job#: ' Job site address: 1:3 Addition of new motor load of system. siI Sto pi 54 10011Pormore. 0"A,"E","1-2","1-3 City/State/ZIP: T Q Six or more residential units. occupancy.ZY 1 (5 exi- b(L, q')a.4,3 0 Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: I Project name: 1<,,tt� Q Hazardous locations. 0 Supply voltage for more than P kf UP no ISTer f I-4.ksli, Q Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: Mgirs s l -I turn it4,en FEE SCHEDULE Description 1 Qty. I Each 1 Total 1 * New residential single-or multi-family dwelling unit. Subdivision: I Lot#: Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: S ©a a[? o, y l Ea.add'!500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential Hook up new sign to designated sign curcuit (with above sq.ft.) 75.00 2 Limited energy,multi-family 75.00 2 residential(with above sq.ft.) j� PROPERTY OWNER 13TEt�iAN T Renewable Energy 0 See Page 2 Services or feeders installation,alteration,and/or relocation Name: Brian 5, An Ke.12_, 200 amps or less 100.70 2 201 amps to 400 amps 133.56 2 Address: L35--/i s W rylatO S-} 401 amps to 600 amps 200.34 2 City/State/ZIP:'i-t5w..at o, . Ct)a a3 601 amps to 1,000 amps 301.04 2 ^ Phone:(si)3 )(Q3et le 1 a I Fax:( ) Over 1,000 amps or volts 552.26 .,- 2 ' Temporary services or feeders installation,alteration,and/or Email: V•e.p lays tq ho/s 1-,r.., o oi Iwai 1.ice M 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 ® APPLICANT ❑ CONTACT PERSON Branch circuits-new,alteration,or extension,per panel A.Fee for branch circuits with Business name: K e p(.e r.< (Alp ho l5.4,4 r y above service or feeder fee, 7.42 2 each branch circuit Contact name: ()e bi (-kr Si crc, 4 uSns, B.Fee for branch circuits without Address: service or feederrust fee, /�Si, 5Li) IM0.ca" S} branch circuit 56.18 2 City/State/ZIP: "rt �i.` O y � <I-)�)3 Each add'I branch circuit I 7.42 2 S Miscellaneous(service or feeder not included) Phone:(So3 )639-`7 01 a Fax::( ) Each manufactured or modular dwelling,service and/or feeder 67.84 2 Email: ln‘1)9,,s3, .i�cr�: F� C Smc� Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name:SignCraft Signs Ile Sign or outline lighting t 67.84 t7 lt`} 2 ignal circuit(s) mited-energy Address:PO Box 23636 pa 1,alteration,or orlextension. 0 See Page 2 2 City/State/ZIP:Tigard OR 97281 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) J 66.25/hr Phone:(503)639-4910 Fax:(503)620-9568 Investigation(1 hr min) 90.00/hr Email:info@signcraftpdx.com Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 9000/hr CCB Lic.: 155420 Electrical Lic.: 724SIG Suprv.Lic.:34.1•'14 cis specifically listed(''/z hr min) ---- ELECTRICAL PERMIT FEES Suprv.Electrician signature,requirer 0,2 Subtotal: Li?.g 9 Print name: Keith Cox Date: Ito 1 l.3 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): SIel I Authorized signature: A�• +1 TOTAL PERMIT FEE: '15,elY This permit application expires if a permit is not obtained within 180 Print name: John S Date: VOI 10((7days after it has been accepted as complete. ' Number of inspections allowed per permit. I:\Building\PermitstE7.0 PermitApp_ELR ERE.doc Rev 06/17/2015 440.4615T(11/05/COM/WEB City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 12511 SW MAIN ST, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Electrical ELC2017-00760 Inspection Type: Inspector: 199 Electrical final Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor