Permit (136) INCITY OF TIGARD ELECTRICAL PERMIT
�r.. ' COMMUNITY DEVELOPMENT Permit#: ELC2018 00163
Tt GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/20/2018
Parcel: 1 S136CD01000
Jurisdiction: Tigard
Site address: 11745 SW PACIFIC HWY 100
Project: 4 Wheel Parts Subdivision: None Lot: None
Project Description: Sign lighting for(2)illuminated wall signs.
Contractor: SECURITY SIGNS INC Owner: MONAGHAN FARMS, INC
2424 SE HOLGATE BLVD 1950 E PRETICE AVE, STE 101
PORTLAND, OR 97202 GREENWOOD VILLAGE, CO 80111
PHONE: 503-546-7114 PHONE:
FAX: 503-230-1861
FEES
Quantity Description Date Amount
Specifics: 2 ea Sign or Outline Lighting 03/07/2018 $135.68
1 ea 12%State Surcharge- 03/07/2018 $16.28
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $151.96
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. You ma •b ain a co• _ - -s or direct questions to OUNC by calling 503.232.198 or 1.800.332.2344.
Issued By: ...„., „..---1 --.-- –
- - — Permittee Signature: /�zil 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.
I
Electrical Permit Application . FOR OFFICE USE ONLY
City of Tigard 3 ,
71 - 13125 SW Hall Blvd.,Tigard,OR 9722E Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Related Permit#: 7 ♦' 11.. f
s
T I G A R D Inspection Line: 503.639.4175 2018 Ready Date/By: El See Page 2 for
Internet: www.tigard-or.gov MAR Notified/Method: MIMI Supplemental Information
=litl iii = `�` M .i-i _. !r * �i `=.: �,�� rte! `y1 m�I is °r X141 P° l
'21.C.7,':; 1:7 :0---:t; - fi - i -. `_ D s i � moi= +� i� �� _ . �' � + � ,Ili
I�t New construction 0 Addition/alter„"t .to r: ,. $ . .$.' Please check all that apply(submit 2 sets of plans w/items checked):
❑Service or feeder 400 amps or more ❑Building over three stories.
0 Demolition 0 Other where the available fault current ❑Marinas and boatyards.
o_ a� o s `i = # "Y 1f 1 r xi u p ❑Floating buildings.
0 1-and 2-family dwelling 04 Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family ❑Master builder ❑Other: 0 Fireum .
p p 0 Installation of 150 KVA or
JoB ", ❑Emergency system. larger separately derived
ase
❑Addition of new motor load of system.
Job#: C Job site address: 100HP or more.
t l y5 51,E ��� �-�t,.� ❑"A","E","1-2","1-3",
City/State/ZIP: "r16n�o �� ' 7'LZ3 ❑Six or more residential units. P Y
"/—"� ❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: pr Project name: Ll L(/rl _- loA9zS 0 Hazardous locations. ❑Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: ,i,^ -i EB ;I
Description I Qty. I Each I Total I *
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
Tax map/parcel#:
1,000 sq.ft.or less 168.54 4
,pt--§ OND,t WORK ;' „.
Ea.add'l 500 sq.ft.or portion 33.92 1
_ � Limited energy,residential 75.00 2
/lel io TA i ,1/L/ / 5// A/S �n/ , AXP-1—
n 1 P 1__ (with above sq.ft.)
/'►�-+�/v /yV/'1(i(� c7 f Li�V h /I�7 Limited energy,multi-family 75.00 2
a�n l f , J�(/c -- ,2f.�� residential(with above sq.ft.)
L� Renewable Energy
0 See Page 2
" - y"1'ItdPT+.. TY i_ Services or feeders installation,alteration,and/or relocation
Name: i 14)krea. Pitik7 200 amps or less 100.70 2
Address: 1 171Js SJ PrficL Fi-- MLitt' 201 amps to 400 amps
401 amps to 600 amps 133.56
200.34 2
2
City/State/ZIP: 7761 OR_ .572_20 601 amps to 1,000 amps 301.04 2
Phone:( ) Fax:( ) Over 1,000 amps or volts 552.26 2
Email:
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 1
intended for sale,least,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Owner signature: IW I//I-- Date: 401 amps to 599 amps 168.54 2
" **IIC CQI 'AC'T"PE O f` Branch circuits—new,alteration,or extension,per panel
"° �' 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
Address:2424 SE HOLGATE BLVD service or feeder fee,first 56.18 2
branch circuit
City/State/ZIP:PORTLAND,OR 97202 Each add'1 branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone: (503)546-7102 Fax: :(503)230-1861 Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email:permits@securitysigns.com Reconnect only 67.84 2
= f ONT`F Ui if:-.4,'' Pump or irrigation circle 67.84 2
Business name:SECURITY SIGNS,INC Sign or outline lighting .2„, 67.84 2
Signal circuit(s)or limited-energy
Address:2424 SE HOLGATE BLVD panel,alteration,or extension. ❑ See Page 2 2
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
Email:permits@securitysigns.com Industrial plant(1 hr nun) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lic.: 122809,h‘i, Electrical Lic.: 26- 6 L Suprv.Lic.: 383-SIG s?eciftcally fisted(1/: min)
Suprv.Electrician�'1/1418Z,required: �' � hr � „ _:."::,70.,:„,,
��.
Subtotal. 1', 5”. ( 8
Print name: MARC LINDQUI T I Date: 02174%�j 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
ry21
Ct--
Authorized signature: TOTAL PERMIT FEE: 15 j,iThis permit application expires if a permit is not obtained within 180
Print name: CYNDI STOCK Date: //g, 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 440-4615T(11/05/COM/WEB
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
J. @4
Description I Qty. Each I Total
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 133.56 2
❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
❑ Burglar Alarm 25.01 to 50 kva 301.04 2
50.01 to 100 kva 552.26 2
❑ Garage Door Opener* >100 kva(fee in accordance
with OAR 918-309-0040) 552.26 2
❑ Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System* Each additional kva over 25 7.42 3
❑ Vacuum Systems* >100 kva—no additional charge 0.0 3
Each additional inspection over allowable in anyof the above:
❑ Other: Each additional inspection is 66.25/hr I
charged at an hourly(1 hr min)
Inspections for which no fee is 90.00/hr
specifically listed(t hr min)
E -R GAL,P Rtikattioc
Fee for each commercial system: $75.00
Subtotal allowedper permnter t.oPage 1):
y * Number of inspections per permit
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other:
Total number of commercial systems: _
*No licenses are required. Licenses are required for all
other installations
I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
11745 SW PACIFIC HWY 100, TIGARD,
OR, 97223
Record Type: Record ID:
Commercial - Electrical ELC2018-00163
Inspection Type: Inspector:
199 Electrical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor