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Permit (116) CITY OF TIGARD ELECTRICAL PERMIT : ■ COMMUNITY DEVELOPMENT Permit#: ELC2018-00717 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/08/2018 T f C.;1 R Dg Parcel: 1 S134BC00300 Jurisdiction: Tigard Site address: 12272 SW SCHOLLS FERRY RD Project: McMenamins Subdivision: None Lot: None Project Description: Sign lighting for Installation of logo sign. Contractor: SECURITY SIGNS INC Owner: FW OR-GREENWAY TOWN CENTER LLC 2424 SE HOLGATE BLVD PO BOX 790830 PORTLAND, OR 97202 SAN ANTONIO,TX 78279 PHONE: 503-546-7114 PHONE: FAX: 503-230-1861 FEES Quantity Description Date Amount 1 ea Sign or Outline Lighting 11/08/2018 $67.84 Specifics: 1 ea 12%State Surcharge- 11/08/2018 $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 OARS -001-0090. You,ro-y obtain /aa c py of the rules or direct questions to OUNC by calling 503 .i.2.1987 or 1.800.332.234'. Issued By: !�" - 41—/a Permittee.��2��' 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 Applicatioi�Cr TOR OTTICE USE ONLY City of Tigard OCT 3 © 2018 Received Date/B : II N 13125 SW Hall Blvd.,Tigard,OR 97223411PPlan - j Mll ' Phone: 503.718.2439 Fax: 503.598.190r(OF TIGARD ReviewDate/B Inspection Line: 503.639.4175 BUILDING DIVISION Ready : ,, / _,I TIGARD p Date/By: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information y tie _ k ti, _'� E<<o -'-'4' 0 1' MVV fro � _ i ,;=tiip f'1t i 44 . ,, New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ❑Service or feeder 400 amps or more ❑Building over three stories. ❑Demolition ❑Other: where the available fault current 0 Marinas and boatyards. ,i le`47-„,-477i,ViAtieleriA:t T 'otfo. _ 0xia1' ( ' ° ' 1 ` exceeds 10,000 amps at 150 volts or ❑Floating buildings. ❑ 1-and 2-family dwelling Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 ❑commercial-use agricultural amps for all other installations. buildings. ❑Multi-family ❑Master builder ❑Other: ��tt� ❑Fire pump. 0 Installation of 150 KVA or 1"ka _ 4 `I i--,l i OR14 t tlpi� '11�9� - .,d ;' i - y � O `�� ❑Emergency system. larger separately derived Job#: Job site address: t er, ❑Addition of new motor load of system. 12,27 Z SW SC.b4a6J1-S Ft.. 1 100HP or more. ❑"A" "E" "1-2" "1-3„ City/State/ZIP: j eQ, e.. 1--1 223 ❑Six or more residential units. occupancy. B ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: 1 Project name: tikekeKsAtkokNes� ❑Hazardous locations. ❑Supply voltage for more than 0 Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: P B B DU.LE ,i , , DescriptionI Qty. I Each I Total I * New residential single-or multi-family dwelling unit. Subdivision: "4,1g0,2,_ pS'1 Lot#: Includes attached garage. Tax map/parcel#: ‘S 1-3%-k 6 L dp 3BEJ 1,000 sq.ft.or less 168.54 4 Ea.add'l 500 sq.ft.or portion 33.92 1 fin« �P' P `I„ I ,. an ,, �ip :e Limited energy,residential 75.00 2 1.44,71/W114:1‘644 O 11-1..-� c L (with enabergy, , ft.) vV4 ,vA�t"'b� l�c� �j ^� Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy ❑ See Page 2 ' r'Rofo y O �a li , 0!F � ) _ } TENANT �ti" . Services or feeders installation,alteration,and/or relocation Name: INA (� amps'�'ntJ4tM.tr'S /�(1�,3Lr1v.1A►1 \'J� 200 or less 100.70 2 12212E SW SC.#o 4.J ` — 1 6Z p 201 amps to 600 amps 133.56 2 Address: 401 amps to 600 amps 200.34 2 City/State/ZIP: 'i L,AftD ort- 11 T-1.--z? 601 amps to 1,000 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,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: W(A Date: 401 amps to 599 amps 168.54 2 * _ Branch circuits—new alteration or extension,per panel Al'P a �' '' 19TC 1' RSo A.Fee for branch circuits with Business name:SECURITY SIGNS,INC above service or feeder fee, 7A2 2 each branch circuit Contact name: CYNDI STOCKS B.Fee for branch circuits without Address:2424 SE HOLGATE BLVD service or feeder fee,first 56.18 2 branch circuit City/State/ZIP:PORTLAND,OR 97202 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(503)546-7102 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 E. , fib'? CO _ , " ;'' k Pump or irrigation circle 67.84 2 Business name:SECURITY SIGNS,INC Sign or outline lighting 1 67.84 (01.0.1 2 Address:2424 SE HOLGATE BLVD Signal circuit(s)orlimited-energy 0 See Page 2 2 panel,alteration,or extension. 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 Fax:(503)230-1861 Investigation(1 hr min) 90.00/hr Email:permits@securitysigns.com Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90 00/hr CCB Lic.: 122809 Electrical Lic.: 26-560CL Suprv.Lic.: 383-SIG specifically listed(i/Z hr min) ml nj Suprv.Electrician signature,required: Subtotal: Print name: MARC LINDQU I.T I Date: ‘of al /2t1 t% 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: // TOTAL PERMIT FEE: j `t�� /� This permit application expires if a permit is not obtained within 180 Print name: CYNDI STOC Date: da se after it has been accepted as complete. * Number of inspections allowed per permit. I:\Building\Permits\ELC_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: 12272 SW SCHOLLS FERRY RD, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Electrical ELC2018-00717 Inspection Type: Inspector: 199 Electrical final Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor