Permit (132) CITY OF TIGARD ELECTRICAL PERMIT.111111 COMMUNITY DEVELOPMENT Permit#: ELC2018-00607
Date Issued: 10/02/2018
- [C A tt D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S134BC00200
Jurisdiction: Tigard
Site address: 12160 SW SCHOLLS FERRY RD 100
Project: Portland Window Coverings Subdivision: None Lot: None
Project Description: Sign lighting for(1)sign.
Contractor: SIGNCRAFT SIGNS LLC Owner: ATLAS GREENWAY LLC
8900 SW BURNHAM, E109 333 NW NINTH AVE, STE 1009
TIGARD, OR 97223 PORTLAND, OR 97209
PHONE: 503-639-4910 PHONE:
FAX: 503-639-4999
FEES
Quantity Description Date Amount
1 ea Sign or Outline Lighting 09/17/2018 $67.84
Specifics:
1 ea 12%State Surcharge- 09/17/2018 $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. You in a co es or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: firms Permittee Signature: ' 5•__-6,"
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 1 OR OI P1( 1. 1 'I:011
Received 71
City of Tigard . P Dates . iI / I /J __•
13125 SW Hall Blvd.,Tigard,OR 97223 .� 4 Plan Review / � '
a Phone: 503.718.2439 Fax: 503.598.1960 Date/8 : tri y �. _, b i.
Inspection Line: 503.639.4175 Ready Date/By: kris H See Page 2 for
11(,ARD
�
v Notified/Method: Supplemental
Internet: www.ti d r.g oInformation
�
TYPE OF WORK PLAN REVIEW -
®New construction 0 Addition/alteration/replacement Please check all that apply(submit l sets of plans w/items checked):
❑Demolition ❑Ot11eI;
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.
El1-and 2-family dwelling ®Commercial/industrial 0 Accessory building less to ground or exceeds 14,000 ❑Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
Job#: Job site address: 1 ❑Addition of new motor load of system.
of 14,0
4 D S io St.(n Al Is FG6(y I00HP or more. 0"A","E","1-2","1-3",
City/State/ZIP: '-1-'i 5 et r.! biz. �/ KG ❑Six or more residential units. occupancy.❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt#: Project name: ecrtl Mtn ^dew c&v srt^St 0 Hazardous locations. 0 Supply voltage for more than
1-4,-,4.-,- C t. t4 t 6...t I 4v7I 0 Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: .� ,
c t5 � sc.) is/.S,i_ FEESCHEDULE
Description I Qty. I tad) 1 Total I •
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
n( 1,000 sq.ft.or less 168.54 4
Tax map/parcel 4: f /3 i 13 C C G3Gc`.) Ea.add'l 500 ft.or
� � sq. portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
(with above sq.ft.) 75.00 2
QOI�-
tip t"tc U> t, Cit '
sissoft AEA I ttt.t., S t5,')S to zYL)4t:1$ Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
des 1. cr 'b kr.1-L'.4
n4-4-4- S t � C t
PROPER OWNER TENANT Renewable Energy 0 See Page 2
ad ! � Services or feeders installation,alteration,and/or relocation
Name' 14-4- 200 amps or less 100.70 2
A�-l�(S l� f te•t t_sC
Address: 201 amps to 400 amps 133.56 2
S (cru f 5 Si-Q a to 401 amps to 600 amps 200.34 2
City/State/ZIP: et)r lr\c r, D6Z t..l-7 0,)5.- 601 amps to 1,000 amps 301.04 2
Phone:(t=1-2 i ) fi.Li 9.23 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: V),D,14_ Q 0-4-5 p..c n v,•, relocation
Owner installation:This instflation is being made on property that I own which is not 200 amps or less 5936 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
13 APP)` CAN i [2.CONTACT'PEEN Branch circuits—new,alteration,or extension,per panel
A.Fee for branch circuits with
above service Business name:Pei f-1 anj_ W a,,,J.*" Cie.-.✓,54 -4/c.,,(r.,NN. A,-I 1 C,c;,t(s ri 1 each branch cio eerier fee, 7.42 2
rcuit
Contact name: I JJJ B.Fee for branch circuits without
cb: (,S .r �.,.s for... service or feeder fee,first
Address: I 1 t Coo s .-' S, In,14Ljr cc,dr., RL branch circuit 56.18 2
City/State/ZIP: "r t'c rct, 02.. 9 1. 3 Each add'l branch circuit 7.42 2
S Miscellaneous(service or feeder not included)
Phone:( j ) 4,3.i_tq to Fax::( ) Each manufactured or modular 67.84 2
Email: dwelling,service and/or feeder
kRFv 5trnc,-�-..4-4- p&v.. lx,„., Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name:SignCraft Signs Ile Signer outline lighting /<,slr4i.1 d 67.84 6,,-zy a1 2
Address:PO Box 23636 Signalnel,alct
eration,
ti n or extension. 0 �Page 2 2
panel,alteration,or extension.
City/State/ZIP:Tigard OR 97281 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(503)639-4910 Fax:(503)620-9568 Investigation(1 hr min) 90.00/lir
Email:info@signcraftpdx.com Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lic.: 155420 Electrical Lic.: 724SIG Suprv.Lic.:3t}.i.)4 Cis specifically listed(Y:hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,require( / Subtotal:
(v?.Y`l
Print name: Keith Cox Date: lit( !IP 0 Plan Review Required(25%of permit fee):
�
` State surcharge(12%of permit fee): i'.I N
Authorized signature: 1 -q TOTAL PERMIT FEE: 7S t`j 2
This permit application expires if a permit is not obtained within 180
Print name: John Sc Date: q ill I r gdays after it has been accepted as complete.
” Number of inspections allowed per permit.
I:\Building\Perntits\FLC 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:
12160 SW SCHOLLS FERRY RD, TIGARD,
OR, 97223
Record Type: Record ID:
Commercial - Electrical ELC2018-00607
Inspection Type: Inspector:
199 Electrical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor