Permit (114) CITY OF TIGARD ELECTRICAL PERMIT
' e ' COMMUNITY DEVELOPMENT Permit#: ELC2018-00716
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/08/2018
T r�_ ARD g Parcel: 2S113BA00400
Jurisdiction: Tigard
Site address: 7632 SW DURHAM RD 125
Project: Heritage Bank Subdivision: None Lot: None
Project Description: Sign lighting for new wall sign.
Contractor: SECURITY SIGNS INC Owner: PORTLAND SW CENTER LLC
2424 SE HOLGATE BLVD BY FELTON PROPERTIES INC
PORTLAND, OR 97202 ATTN: FELTON, MATT
520 SW 6TH AVE, STE 610
PORTLAND, OR 97204
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 C�ter. Those rules set forth in OAR
952-001-0010 through 0 952-001-009,.. You may o in a copy of the rules or direct questions to OUNC by calling 503.23 . 87 or 1.80 .33 .23
Issued By: ''� ( '�(A� ��ii Permittee Signature: 71
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 RECEIVE FOR OFFICE USE ONLY
IP/ 111 City of Tigard Received
OCT 3 n 2018 Date/B : , F2 .et21- ,` -0, -7/C.
13125 SW Hall Blvd.,Tigard,OR 97223 ® J..•0-0,
� _
g Plan Revie
, Phone: 503.718.2439 Fax: 503.598.1960,, Date/B : g(Y,',� �,�„__, , -003
Inspection Line: 503.639.4175 CITY OF TIGARD Ready Date/By: Juris: H See Page 2 for
1 I GARP, Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information
,, 74W- 71 ars mpar7ieln_'mnp14 „?i*CH n i1i111111 ;i1311 (h�i”' 0(lii,,04rMir ._.i:.. . o-; i fiy iem I6, 1 , '-M'I 1i� ���i�
Dia.New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items chiecked):
❑Service or feeder 400 amps or more 0 Building over three stories.
0 Demolition ❑Other: where the available fault current ❑Marinas and boatyards.
'-.0:1" # ' ° _� exceeds amps at 150 volts or ❑Floating buildings.
��IN'l
❑ 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:
s -'::,11C;:11';'1' $ P iw ❑Fire pump.
0 Installation of 150 KVA or
'' ii 0. . r1c 6 ,� r
❑Emergency system. larger separately derived
Job#: Job site address: 13(,p 2. �3 DSS(-V.* (Z0 ❑Addition of new motor load of system.
100HP or more. ❑"A" "E" "1-2" "1-3„
City/State/ZIP: 1 C, -11.2.)--k ❑Six or more residential units. occupancy.
Y T n4A ea IRecreational vehicle parks.
❑Health-care facilities. ❑
Suite/bldg./apt.#: /42 S---- 1 Project name: µ t2 CrAcoc ( ❑Hazardous locations. ❑Supply voltage for more than
ElService or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: ''''-11.M.I. i.- Iii,,,,,-7--''A'''': 4:6I 'll
ite: ;: l)y
Descriptions �I Qty. Bach Total
New residential single-or multi-family dwelling unit.
Subdivision: I Lot#: Includes attached garage.
Tax map/parcel#: 1,000 sq.ft.or less 168.54 4
Ea.add'l 500 sq.ft.or portion 33.92 1
4�i���iii 1'� 11 410 1� 6 . T 1s,I{ter1 _ ,` i(I =_ Limited energy,residential
(with above sq.ft.) 75.00 2
1lV l f_. ,:its,.7 CC— w0W Sq,IJ 6%..1.,1/4.)Nle 4441x, '7 Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
�� ili iq r 1 �r Renewable Energy ❑ See Page 2
'i� it t r 1*RO `ER N - - _ 0-_ ��' _-= Services or feeders installation,alteration,and/or relocation
Name: c)t��p„J,0 S W �1 2 LL„C. 200 amps or less 100.70 2
Address: ' 2_,c, W (o+ Age (0 1 201 amps to 400 amps 133.56 2
n 401 amps to 600 amps 200.34 2
City/State/ZIP: \i M1- Ot._ 9 12.0 Li 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: Date: 401 amps to 599 amps 168.54 2
w�,i �i q, v Branch circuits-new,alteration,or extension, .er panel
"lt ' 1 .;���,M,'bi ��'g'�s I M at t t. P o
•• 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
sAddress:2424 SE HOLGATE BLVDbranch circuit feeder fee,first
56.18 2
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
Email:permits@securitysigns.com dwelling,service and/or feeder
Reconnect only 67.84 2
'' _ i C Pump or irrigation circle 67.84 2
Business name:SECURITY SIGNS,INC Sign or outline lighting i 67.84 2
Address:2424 SE HOLGATE BLVD Signalnel, lteaiio)or extension. ❑ 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 jecifically listed(t/hr min)
Suprv.Electrician signature,required: Subtotal:
Print name: MARC LINDQUIST I Date: k,011,cb/tote, ❑Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: , f TOTAL PERMIT FEE:
�� /����� This permit application expires if a permit is not obtained within 180
Print name: CYNDI STOCK Date: `/ days 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
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•
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
egg!n L P 3 ° _
Description I Qty. I Each Total *
FeeRenewable all residential systems combined: $75.00 enewI
Renwable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 133.56 2
❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
❑ Burglar Alarm 25.01 to 50 kva 301.04 2
50.01 to 100 kva 552.26 2
❑ Garage Door Opener* >100 kva(fee in accordance
with OAR 918-309-0040) 552.26 2
❑ Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System* Each additional kva over 25 7.42 3
❑ Vacuum Systems* >100kva—noadditional charge 0.0 3
Each additional inspection over allowable in any of the above:
❑ Other: Each additional inspection is 66.25/hr 1
charged at an hourly(1 hr min)
Inspections for which no fee is 90.00/hr
specifically listed(1 hr min) q�
=VINI = 1' li���l i• iv F �i' 1,+� i � :t, __
Subtotal Enteron Pagel):
Fee for each commercial system: $75.00 * Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ O• utdoor Landscape Lighting*
❑ Protective Signaling
i] O• ther: $ ants
Total number of commercial systems: l
*No licenses are required. Licenses are required for all
other installations
I:\Building\Permits\ELC_PermitApp_ELR_ERE.doe Rev 06/17/2015 ',,
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
7632 SW DURHAM RD 125, TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Electrical ELC2018-00716
Inspection Type: Inspector:
199 Electrical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor