Permit (39) CITY OF TIGARD ELECTRICAL PERMIT
111-1 COMMUNITY DEVELOPMENT Permit#: ELC2018-00384
I f i;A It f) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/11/2018
Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9473 SW WASHINGTON SQUARE RD A08
Project: #10269 Jamba/Cinnabon Subdivision: None Lot: None
Project Description: Sign lighting for(3)sings.
Contractor: RAMSAY SIGNS INC Owner: PPR WASHINGTON SQUARE LLC
9160 SE 74TH AVE PO BOX 847
PORTLAND, OR 97206 CARLSBAD, CA 92018
PHONE: 503-777-4555 PHONE:
FAX: 503-777-0220
FEES
Quantity Description Date Amount
3 ea Sign or Outline Lighting 06/11/2018 $203.52
Specifics:
1 ea 12%State Surcharge- 06/11/2018 $24.42
Electrical
Type of Use:
Class of Work:
Type of Const:
Occupancy Grp:
Total $227.94
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 •• follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
,..----
Issued B OA -001-0090. You ma btain a copy? the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. ..
952-001-0010 t roug
_aye '. Iv.:
By: at A Permittee Signatur ==== iL-,0,.
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.
RECEIVE')
Electrical Permit Applicata - FOR OFFICE USE ONLY _ _
CI Of Tl and q Received -,„11:41p,„,11, PermitNo.:��� F��. Zr.
`� g �� / j f(,, Date/B
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
L _ Phone: 503.718.2439 Fax: 503.5 Date/By: Other Permit: 2 e /'y 3'�lL
TIGARD Inspection Line: 503.639.4175 � GARD Date ReadyBy: Juris: SeePage 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information
TYPE 1OF(WORK DIVISION l f PLAN REVIEW
®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked below):
❑Service or feeder 400 amps or more 0 Building over three stories.
0 Demolition ❑Other: where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
less to ground,or exceeds 14,000 0 Commercial-use agricultural
❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building amps for all other installations. buildings.
❑Multi-family ❑Master builder 0 Other: ❑Fire pump. 0 Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived system.
0 Addition of new motor load of ❑"A","E","I-2","1-3",
Job no.: ' Job site address: gy73 St., ) /43A,sri�giv,1. b4 rt.4, lixlr r . occupancy.
` ❑Six or more residential units. 0 Recreational vehicle parks.
1 City/State/ZIP:Tigard,OR 97223 / 0 Health-care facilities. 0 Supply voltage for more than
l ❑Hazardous locations. 600 volts nominal.
Suite/bldg./apt.no.:l as 1 Project name: e' � µy Iv._ Gt'i Lam. I 0 Service or feeder 600 amps or more.
14001,.."---164,
FEE SCHEDULE
Cross street/directions to job site: Description I Qty. 1 Fee. I Total
New residential single-or multi-family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq.ft.or less 168.54 4
' Ea.add'1500 sq.ft.or portion 33.92 1
Tax map/parcel no.: Limited enerIgy,residential
DESCRIPTION.OF WORK- (with above sq.ft.) 75.00 I 2
����� ,_5' Limited energy,multi-family 75.00 2
(f>,' H r/-`0, e residential(with above sq.ft.)
✓ Services or feeders installation,alteration,and/or relocation
200 amps or less I 100.70 2
0 PROPERTY OWNER 0 TENANT 201 amps to 400 amps 133.56 2
Name:See Attached 401 amps to 600 amps 200.34 2
601 amps to 1,000 amps 301.04 2
Address: Over 1,000 amps or volts 552.26 I 2
Temporary services or feeders installation,alteration,and/or
City/State/ZIP:
relocation
Phone:( ) Fax:( ) 200 amps or less 59.36 1
201 amps to 400 amps 125.08 2
Owner installation:This installation is being made on property that I own which is not
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps 168.54 2
Branch circuits—new,alteration,or extension,per panel
Owner signature: Date: A.Fee for branch circuits with
/Z4 APPLICANT ❑ CONTACT PERSON above service or feeder fee, 7.42 2
_ each branch circuit
Business name:Ramsay Signs Inc B.Fee for branch circuits without
service or feeder fee,first 56.18 2
Contact name:Garrett Gibson branch circuit
Each add'1 branch circuit 7.42 2
Address:9160 SE'74th Ave Miscellaneous(service or feeder not included)
City/State/ZIP:Portland,OR 97206 Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Phone:(503)777-4555 Fax: :(503)777-0220 Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
E-mail:GarrettG@RamsaySigns.com
Sign or outline lighting 3 67.84 263 Si. 2
CONTRACTOR Signal circuit(s)or limited-energy
Business name:Ramsay Signs Inc panel,alteration,or extension. Page 2 I 2
Each additional inspection over allowable in any of the above
Address:9160 SE 74th Ave Additional inspection(1 hr min) I 66.25/hr I
City/State/ZIP:Portland,OR 97206 Investigation(I hr min) 66.25/hr
Industrial plant(1 hr min) 78.18/hr
Phone:(503)777-4555 Fax:(503)777-0220 Inspections for which no fee is 90.00/hr
specifically listed(%Z hr min)
CCB Lie.: 63422 II Electrical Lie.: 22 106CLS 1 Suprv.Lic.: 493Sig ELECTRICAL PERMIT FEES
Subtotal: '9"3" -s 7—
Suprv.
Suprv.Electrician signature,required ,_' ,, '4 ` o f
----- Plan review(25%ofpermit fee):
Print name: Phil Steiger Date: G,/kJ'°e State surcharge(12%of permit fee): 2 -%,c-11..
4--a;A TOTAL PERMIT FEE: n.1 7 '-€
Authorized signature: te e % ' This permit application expires if a permit is not obtained within 180
r / days after it has been accepted as complete.
Print name: Garrett Gibson Date:(4_,ft f.. , i d'' * Number of inspections allowed per permit.
i/Building/Permits/F.LC-PermitApp.doc 07/01/10 440-4615T(11/05/COM/WEB
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9473 SW WASHINGTON SQUARE RD A08,
TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Electrical ELC2018-00384
Inspection Type: Inspector:
199 Electrical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor