Permit (115) CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: ELC2018-00698
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/31/2018
TEL 9 Parcel: 1S135BC01100
Jurisdiction: Tigard
Site address: 11117 SW GREENBURG RD
Project: AZ Wire and Cable(1 of 2) Subdivision: None Lot: None
Project Description: Sign lighting for(2)signs.
Contractor: TUBE ART SIGNS&SPORTS DISPLAYS Owner: GREENBURG SPACE CENTER LLC
4243-A SE INTERNATIONAL WAY PO BOX 91305
MILWAUKIE, OR 97222 PORTLAND, OR 97291
PHONE: 503-653-1133 PHONE:
FAX: 503-659-9191
FEES
Quantity Description Date Amount
2 ea Sign or Outline Lighting 10/22/2018 $135.68
Specifics: 1 ea 12%State Surcharge- 10/22/2018 $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 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 may obtain- ules or direct questions to OUNC by calling 503. 3 .1987 or 1.800.332. 344.
Issued By: _ Permittee Signature: `'�11J►///�
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 ApplicatioiRECEIVED FOR OFFICE USE ONLY
y od Received
p DateB l�
y _ t.
1114 4 Cit
13125 SWf HallTigarBlvd.,Tigard,OR 97223 o C T 201u
C Date/B ReviewPlan Related Permit#:� i , Ca
' Phone: 503.718.2439 Fax: 503.598.1960
Inspection Line: 503.639.4175 CITY OF TIGARD Ready Date/By: n See Page 2 for
T I G A 11 D Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information
nNg�)r r" n,�i',I eP Gl) 'IG P G ° is t G €
i�iil��N�N„ �uiG�, . TYLi°"`'���,t;F�WORT{ .iN� u� 7;�r��". ���Gi ��,i �'1AN'RE'Sr ``
®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
0 Service or feeder 400 amps or more 0 Building over three stories.
0 Demolition ❑Other: where the available faultcurrent Marinas and boatyards.
annas
PI inti rl a li (7 __ .� s.
iO F N�1 EG"OIt 011:0 TRI) 01� �0 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 0 Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family ❑Master builder 0 Other: 0 Fire pump. ❑Installation of 150 KVA or
iii lNIGi
iØ1g rfTE Il4FOR F1ON IANTI L , AnoI NiiGBN ❑Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: 134715/1 Job site address: 11117 SW Greenburg R.d I00HP or more. ❑"a","E "1-z","1-3",
City/State/ZIP:Tigard OR 97223 0 Six or more residential units. occupancy.
0 Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name:AZ Wire&Cable 0 Hazardous locations. 0 Supply voltage for more than
0 Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site:SW Tiedeman Ave
till CIIEi? 4tl0:
Description I Qty. I Each I Total
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#
Ea.add'1500 sq.ft.or portion 33.92 1
(jttw l'xGGahai'" tDES J TION O1AX * -77 -17,:-.110;A:: iii Limited energy,residential
Connect Two(2)Illuminated Sign Cabinets
(with above sq.ft.) 75.00 2
Limited energy,multi-family
residential(with above sq.ft.) 75.00 2
_71 � 4� iyiyl-� w le E2
a _ P3� „ � r ServicesRenewabor feedersnergy installation,alteration,❑ SeePage and/or relocation
Name:AZ Wire&Cable 200 amps or less 100.70 2
Address: 11117 SW Greenburg Rd.
201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP:Tirgard OR 97223 601 amps to 1,000 amps 301.04 2
Phone:( ) 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,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
R = :,,,,,,- ,101 Branch —new,alteration or extension,per panel
r CONTACT yQN;
A.Fee forcircuits branch circuits with
Business name:Tube Art Group above service or feeder fee, 7 42 2
each branch circuit
Contact name:Haley Arnell B.Fee for branch circuits without
service or feeder fee,first
Address:4243-A SE International Way branch circuit 56.18 2
City/State/ZIP:Milwaukie OR 97222 Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(503)653-1133 Fax: :(503)659-9191 Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email:harnell@tubeart.com a, _ O _ 'i 6Reconnect only 67.84 2
8���1i',c r.f �li�ili�J i O NN�NNG�u'91 IGiy� Pump or irrigation circle 67.84 2
Business name:Tube Art Group Sign or outline lighting 2 67.84 135.68 2
Signal circuit(s)or limited-energy
Address:4243-A SE International Way panel,alteration,or extension. 0 See Page 2 2
City/State/ZIP:Milwaukie OR 97222 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(971)205-7780 Fax:(503)659-9191 Investigation(1 hr min) 90.00/hr
Industrial plant(1 hr min) 78.18/hr
Email:harnell@tubeart.com
.57`5571 rd Inspections for which no fee is 90.00/hr
CCB Lic.: 70956 Electric.. Lic.: SIG 61 Suprv.Lic.: SIG 761 specifically listed(%hr min)
Suprv.Electrician signature,require.,
Subtotal:
Print name: Jesse Yankee / Date:/0_—t'l—t 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
/ t TOTAL PERMIT FEE:
Authorized signature:' i /57,,
�7 t1(,r
it This permit application expires if a permit is not obtained within 180
Print name: Haley Arnell Date: [b—l8_ 1 days after it has been accepted as complete.
�J * Number of inspections allowed per permit.
I:\Building\Permits\ELC_PermitApp_ELRERE.do :v 06/17/2015 440-46151(11/05/COM/WEB
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
11117 SW GREENBURG RD, TIGARD,
OR, 97223
Record Type: Record ID:
Commercial - Electrical ELC2018-00698
Inspection Type: Inspector:
199 Electrical final Jeff Grove
Result:
FA I L
Comments:
Not ready
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
11117 SW GREENBURG RD, TIGARD,
OR, 97223
Record Type: Record ID:
Commercial - Electrical ELC2018-00698
Inspection Type: Inspector:
199 Electrical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor