Permit (168) CITY OF TIGARD ELECTRICAL PERMIT
1r COMMUNITY DEVELOPMENT Permit#: ELC2019-00238
Date Issued: 04/25/2019
11(1ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S115BA02500
Jurisdiction: Tigard
Site address: 16200 SW PACIFIC HWY Q2
Project: 22 Below Subdivision: 2004-015 PARTITION PLAT Lot: 1
Project Description: (1)LED illuminated wall sign .
Contractor: SIGNCRAFT SIGNS LLC Owner: SN PROPERTIES PARTNERSHIP
8900 SW BURNHAM, E109 1121 SW SALMON ST
TIGARD, OR 97223 PORTLAND, OR 97205
PHONE: 503-639-4910 PHONE:
FAX: 503-639-4999
FEES
Quantity Description Date Amount
1 ea Sign or Outline Lighting 04/11/2019 $67.84
Specifics:
1 ea 12%State Surcharge- 04/11/2019 $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 rul- -•••ted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You ma •• - a a copy• the rule •r direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Aile. Permittee Signature: V 1--L--""
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 \\Ie�" f O u v l r! !. t ,, i)�,! ,
City of Tigard .� `i°�
�9 DatelB : 'I' '
alil
iii 13125 SW Hall Blvd.,Tigard,OR 9 �. plan Review
I Phone: 503.718.2439 Fax: 503.598.1960 Q� �� DateB : Related Permit#: ; / ✓ ��
Inspection Line: 503.639.4175 I,‘ Q'`•w, Date/By: '' See•age 2 for
IIUAARll
Internet www.tigard-or.gov ,�� OT ".....,‘\11p1—��`� NotifiedJMethod: IMM Supplemental Information
TYPE OF Welratil1 PLAN REVIEW
el New construction 0 Addition/alt replacementk all that apply(submit 2 sets of plans w/items checked):
13 Demolition ['Other:
0 Service or feeder 400 amps or more 13 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.
❑ 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps ElMulti-family 0 Master builderforall other installations. buildings.
0 Other: ❑Fire pump. ❑Installation of 150 KVA or
JOB SITE INFORMATION:AND LOCATION ❑Emergency system larger separately derived
/ /� - ❑Addition of new motor load of system.
Job#: Job site address:
/4,206 Si`� re,,Gtk:G Hwy ? wow ormore. 0"A","E","1-2","1-3",
City/State/ZIP: -�-^
CI Six or more residential units. may.
1 t Qcxrd, q-I 2,z 4 ❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: /Q, Project name: ,5 ,2 flP I,,,' , 0 Hazardous locations. 0
Supply 600 volts voltage for
more than
❑Service or feeder 600 amps or more.
Cross street/directions to job site: FEE SCHEDULE
Description I Qty.I Each.. I Toted I *
P'`i.cAt P LL 1,0 ci 4 D Lr!lc-1v' R _ New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
1,000 sq.R.or less 168.54 4
Tax map/parcel#: 5 115 R 1l b L j`C7ca Ea.add'I 500 sq.R or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
Hook up new signItto designated sign curcuit (with above sq.ft.) 75.00 2
Limited energy,multi-family
75.00 2
residential(with above sq.ft.)
0 PROPERTY OWNER ❑ TENANT Renewable Energy 0 See Page 2
Services or feeders installation,alteration,and/or relocation
Name:') 0 Q �p 200 amps or less 100.70 2
- g'rte[ `�'��� — 201 dales to 400 amps 133.56 2
Address: t t I Sc S_!' V s^+:I.`\ s:9— ,.., 401 amps to 600 amps 200.34 2
City/State/ZIP: "C.)r--- i F,+'— C.):1--- 04 %?J 601 amps to 1,000 amps 301.04 2
Phone:(503 ) Lf St• . in t)t,; , Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: &.bif" Q h kr jc.(, C.>,+‘ 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
2 APPLICANT 0 CONTACT PERSON Branch circuits—new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name: oe1a(t) aabboovb ceoranch orfeeder fee, 7.42 2
chit
Contact name: hi CC� (�r lZ 13 4_D' B.Fee for branch circuits without
Day;
Address: service or feeder fee,first 56.1 S 2
t 2 3 0 e+-t-t rt,, l`n/,t41 Q2 branch circuit
City/State/ZIP: -r,5', Each add'!branch circuit 7.42 2
ct r^iZ. g?a 4 Miscellaneous(service or feeder not included)
Phone:(5 ) (3ti-Li 91 co Fax::( ) Each manufactured or modular 67.84 2
Email: dwelling,service and/or feeder
MA, tt 51fd►CI"t+--(4-Pclyc.Ln ON Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name:SlgnCraf Signs Ile Sign or outline lighting t) 67.84 (b z A,y 2
Address:PO Box 23636
Signal ee,calteration,
or extension. ❑ See Page 2 2
panel, or extension.
City/State/ZIP:Tigard OR 97281 Each additional inspection overallowable in any of the above
Additional inspection(I hr min) 66.25/hr
Phone:(503)639-4910 Fax:(503)620.9568 Investigation(1 hr min) 90.001 hr
Industrial plant(1 hr min) 78.18/hr
Email:info@signeraftpdx.eom Inspections for which no fee is
hr
CCB Lic.: 155420 Electrical Lic.: 724SIG Suprv.Lic.: �}.�)�C-I_S
specifically listed('A hr min) 90 00/
3
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,requires 417
Subtotal: ('7.y y
Print name: Keith Cox Date: 4 I f4 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee): V.i y
Authorized signature: AIL, TOTAL PERMIT FEE: 'j S,e i
Print name: John ►r ` A/7 t This permit application expires if a permit is not obtained within 180
Date: (, of is * Number of days after it has been accepted as complete.
inspections allowed per permit.
L'BuildinglPermits,F1.0 PermitApp EIR_ERE.doc Rev 06/17/2015 440.4615T(I1w5/COAt)WES
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
16200 SW PACIFIC HWY Q2, TIGARD, June 6, 2019 at 12:20:42 PM
OR, 97224
Record Type: Record ID:
Commercial - Electrical ELC2019-00238
Inspection Type: Inspector:
199 Electrical final Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor