Permit (130) CITY OF TIGARD ELECTRICAL PERMIT
14 • COMMUNITY DEVELOPMENT Permit#: ELC2018-00622
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/09/2018
T r c.1+ It n 9 Parcel: 2S113AB00700
Jurisdiction: Tigard
Site address: 16255 SW UPPER BOONES FERRY RD
Project: The Circuit Bouldering Gym Subdivision: CIRCUIT PARTITION Lot: 2
Project Description: Sign lighting for(2)signs:(1)illuminated wall sign and(1)freestanding sign.
Contractor: SECURITY SIGNS INC Owner: COLEMAN BOULDERING LLC
2424 SE HOLGATE BLVD ATTN:ANDY COLEMAN
PORTLAND, OR 97202 16255 SW UPPER BOONES FERRY RD
TIGARD, OR 97224
PHONE: 503-546-7114 PHONE:
FAX: 503-230-1861
FEES
Quantity Description Date Amount
2 ea Sign or Outline Lighting 10/01/2018 $135.68
Specifics:
1 ea 12%State Surcharge- 10/01/2018 $16.28
Electrical
Type of Use: COM
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 y. to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR -001-0 90. Yo'.y obtain a c.•y of the rul/.r direct questions to OUNC by calling 503.23 .1987 or 1.800.33 4.
/ f
Issued By: /,- Permittee 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 Eta 1 V .. FOR OFFICE USE ONLY
City of Tigard Received ,/
. 1 9 DateB : `f / lI�
rISIMMININIMM
N 13125 SW Hall Blvd.,Tigard,OR 97223 SEP 2018 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Related Permit#:/7 w ?,, -a,2....77 6,
Inspection Line: 503.639.4175 CITY OF IIGARD Ready Date/By: VI See Page 2 for
TIGARD Internet: www.ti and-or. ov �Iotified/Method: �` Su lementalInformation
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BUILDING DIUISI0 pp
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, k 1 „i'libIGA*t�l! 01 I,lSm' KIt lrk a
kj"New construction ❑Addition/altera.on/re•lacement Please check all that apply(submit 2 sets of plans w/items checked):
['Service or feeder 400 amps or more IDBuilding over three stories.
❑Demolition El Other:
where the available fault current ❑Marinas and boatyards.
h
it x A •Rt';' CSTR11 q:.:77-4!!. .s = ' - exceeds 10,000 amps at 150 volts or ❑Floating buildings.
El 1-and 2-family dwelling 4 Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family ❑Master builderOther:
❑ 0 Fire pump. 0 Installation of 150 KVA or
firr: 1 B k ---47 ho(,,,,,,t'ils it11410W1-., °' 'I 0 Emergency system. larger separately derived
Job#: L D 3'9m I Job site address: /( 2c5 Slit) / 10 ' / Add'' new motor load of system.
Job 1v v � e ❑•'A„ '•E„ •'l 2,> x•13„
City/State/ZIP: �`4 4/' / ?22 y --- 7." ❑Six or more residential units. occupancy.
v! \ 'M�i( 0 Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: I Project name: 6/ ��1 5Jy Jeal dour locations. 12 Supply voltage for more than
{ •"��� erv' a or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: 6tYm ,0 i ., E l I ' K e,
Description r Qty. I Each I Total
New residential single-or multi-family dwelling unit.
Subdivision: I Lot#: Includes attached garage.
Tax map/parcel#: 2 5113 J ODZOL9 1,000 sq.ft.or less 168.54 4
. .._ Ea.add 1500 sq.ft.or portion 3 .92 1
0
lh --',':':,111*---- 1 °#t iT� �i�'� Limited energy,residential 75.00 2
f L L-
IJA T ,/ t ,(/) 1 ill C.�L/ / / / (with above sq.ft)
� Limited energy,multi-family
75.00 2
$ //1l I / 517411/40 /Alfresidential(with above sq.ft.)
.0_,00,j,0[4;9.7,,,„4:::
0`St'"0 , lH, um4 5ii ra _ .7:7,:,,,,i7:!„ ,,,,,I.,,,_
Services orRenewable Energy feeders installation,alteration,❑ SeePage and/2
or relocation
Name: G/��j r gl Lof/A6, 4\//'). )/ 200 amps or less 100.70 2
Address: // / i 1dp:dz to 400 amps 133.56 2
•City/State/ZIP: 7-1/
' 6j�� g� Q 7 14 ps to 1,0006 0 amps 200.341 2
L/,-� j [f�4 ! 601 amps to amps 301.04 2
Phone:( ) I Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email:
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, r xchange,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
!,'i ,,,ri ;a', �` • ��,���t � 1 A °*=i I n , Branch circuits-new,alteration,or extension,per panel
t ... `- �bibw (( -� 1�l�I;, 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 eor ueder fee,first
brananicech circcuit
56.18 2
b
City/State/ZIP:PORTLAND,OR 97202 Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(503)546-7102 I Fax: :(503)230-1861 Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email:permits@securitysigns.com
�� Reconnect only 67.84 2
— , h'h.,h Pump or irrigation circle 67.84 2
Business name:SECURITY SIGNS,INC Sign or outline lighting 2 67.84 /E-, C'.,3 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 I Fax:(503)230-1861 Investigation(1 hr min) 90.00/hr
Industrial plant(1 hr min) 78.18/hr
Email:permits@securitysigns.com
Inspections for which no fee is 90.00/hr
CCB Lic.: 122809 I Electrical Lic.: 26-560C Suprv.Lic.: 383-SIG specifically listed ph hr min)
Suprv.Electrician signature,required: Subtotal: )' 5.-,(f,
Print name: MARC LINDQUIST Date: / //6-5/e/73 ❑Plan Review Required(25%of permit fee): —
State surcharge(12%of permit fee): , ,.i
Authorized signature: ��� TOTAL PERMIT FEE:� i_c �. 10
This permit application expires if a permit is not obtained within 180
l
Print name: CYNDI ST4-1aL)
Date: e , , after it has been accepted as complete.
* Number of inspections allowed per permit.
l:Building\Permits\ELC_PermitAppELR_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:
16255 SW UPPER BOONES FERRY RD,
TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Electrical ELC2018-00622
Inspection Type: Inspector:
199 Electrical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor