Permit CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: ELC2018-00166
p BARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/15/2018
Parcel: 2S104BB08100
Jurisdiction: Tigard
Site address: 14250 SW BARROWS RD 2
Project: Farmers Insurance Subdivision: RUSSELL'S SCHOLLS FERRY Lot: 4
Project Description: Sign lighting for(1)illuminated wall sign.
Contractor: SECURITY SIGNS INC Owner: BARROWS PLAZA LLC
2424 SE HOLGATE BLVD PO BOX 8880
PORTLAND, OR 97202 KETCHUM, ID 83340
PHONE: 503-546-7114 PHONE:
FAX: 503-230-1861
FEES
Quantity Description Date Amount
Specifics: 1 ea Sign or Outline Lighting 03/08/2018 $67.84
1 ea 12%State Surcharge- 03/08/2018 $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 OAR• 2-001-0090, You may obtain a copy of th- . - . .•
= questions to OUNC by calling 503.23'87 or 32.2 4.
Issued By: - 'e -e 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.
Electrical Permit Application
IF FOR OFFICE USE ONLY
City of TigardREC ��'eeeived
' a 13125 SW Hall Blvd.,Tigard,OR 97223 Date/B : 3 7 yt�� - ` `
Phone: 503.718.2439 Fax: 503.598.1960 MAR b° (�10 Plan Review
t- Da[e/B Related Permit#:
7 I GA RD Inspection Line: 503.639.4175 Beady Date/By: !'
Internet www tigard-or gov a r' otified/Method ® See Page 2 for
1 OF a'IGA _ t Supplemental Information
P......"' - i : ." I °' 6 T rf
' tet.�. ,° �,It '
1: New construction D Addition/alteration/replacement Please check all that apply pp y(submit 2 sets of plans w/items checked):
0 Demolition ❑Other. ❑Service or feeder 400 amps or more ❑Building over three stories.
e ' -y4 643 IIS ®t'4 . where the available fault current 0 Mannas and boatyards.
exceeds 10,000 amps at 150 volts or ❑Floating buildings.
❑ 1-and 2-family dwelling [Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural
0 Multi-family 0 Master builderamps for all other installations. buildings.
❑Other: 0 Fire pump.
❑Installation of 150 KVA or
4`_a� , 98: r .Tr!! ,f , iNa' i s;zfi i;It f! -%} o '{ ,: 0 Emergency system. larger separately derived
Job#: (/ Job site address: /L,Z9) Gj.J `�/,0.9-72/2_,06.6
f9-,/J/) f1j J6 -J�J-{additionofnewmotorloadof system.
d(.�i re/L(/(J'� ��Jj 00HP or more. ❑..A„ ,.E„ ,.1-2„ .,1-3„
City/State/ZIP: �'+��W 172�i �/ i7 2 2-3j ❑Six or more residential units. occupancy.
�I � ) �}/y l,��,� ❑Health-care facilities. ❑Recreational vehicle parks.
/bldg./apt. 2 f�rt
#: I Project name: ! l/V5 azdous locations. 0
Supply voltage for more than
Cross street/directions to job site: ervice or feeder 600 amps or more. 600 volts nominal.
Description ... I:.Qt'',77:0'.':'
Each
y. I Total
New residential single-or multi-family dwelling unit.
Subdivision: I Lot#: Includes attached garage.
Tax map/parcel#: 1,000 sq.ft.or less 168.54 4
* `a�1,i A; it i01_4 ' Ea.add'1500 sq.ft.or portion 33.92 1
i "s , . Limited energy,residential
/n��'T / /LL�//J'I//l,!f}-r0 �� (with above sq.ft.) 75.00 2
ci 4 iv Oki Limited energy,multi-family 75.00
YV �1 ez 4Z���crresidential(with above sq.ft.) 2
!• , :1.'''.1,',-:f.: �t � pr Renewable Energy ❑ See Page 2
a 1 � s v 1 - Services or feeders installation,alteration,and/or relocation
Name: F iF�692./S /A/8-i�2,{'AlC-�
200 amps or less 100.70 2
Address: /L{z cc, .5/ 1 �d��hw�• Jf 201 amps to 400 amps 133.56 2
City/State/ZIP: -Y//,v'7Qe2 1� ,p//^-7�/-7W^7 3 7�` 401 amps to 1,600 amps 200.341 2
� �"t r�z`-""' ! !LAG 601 amps to 1,000 amps 301.04 2
Phone:( ) I 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
intended for sale,lease,rent, r exchange,according to ORS 447,449,670,and 701. 59.36 1
201 amps to 400 amps 125.08 2
Owner signat a•
. Date: 401 amps to 599 amps 168.54
� � 2
L � *kh . l a '' ' : 4 Branch circuits–new,alteration,or extension, er panel
Business name:S CURITY SIGNS,INC A.Fee for branch circuits with
above service or feeder fee,
Contact name:CYNDI STOCKS each branch circuit 7.42 2
B.Fee for branch circuits without
Address:2424 SE HOLGATE BLVD service or feeder fee,first
branch circuit 56.18 2
City/State/ZIP:PORTLAND,OR 97202 Each add'1 branch circuit 7.42
2
Phone:(503)546-7102 I Fax::(503)230-1861 Miscellaneous(service or feeder not included)
Each manufactured or modular
Email:permits@seeuritysigns.com dwelling,service and/or feeder 67.84 2
Reconnect only 67.84 2
t-tit Pump or irrigation circle 67.84 2
Business name:SECURITY SIGNS,INC / C1yaii 2
Sign or outline lighting 67.84
Address:2424 SE HOLGATE BLVD Signal circuit(s)or limited-energy
panel,alteration,or extension. 0 See Page 2 2
Each additional inspection over allowable in any of the above
City/State/ZIP:PORTLAND,OR 97202
Phone:(503)546-7102 Additional inspection(1 hr min) 66.25/hr
Fax:(503)230-1861 Investigation(1 hr min)
90.00/hr
Email:permits@securitysigns.com Industrial plant(1 hr min) 78.18/hr
CCB Lic.: 122809 I Electrical Lic.: 26-5:!". Inspections for which no fee is
Suprv.Lic.: 383-SIG s ecifically fisted(Si,hr min) 90 00/hr
Suprv.Electrician signature,required: �' , '+ l �ijj
AMP
Print name: MARC LINDQUIST Subtotal: (4' 7-,e1.(
Date: D..2afe0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee): T.:
Authorized signature: pi
tate:
TOTAL PERMIT FEE: '�'/? ePrint name: CYNDI STOCK — / / L This permit application expires if a permit is not obtained within 180
Q// 2, /a,* days after it has been accepted as complete.
L «< �Y * Number of inspections allowed per permit.
I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015
440-4615T(I1/05/COM/WEB