Permit (45) . CITY OF TIGARD ELECTRICAL PERMIT
. ' COMMUNITY DEVELOPMENTIN
Permit#: ELC2019-00521
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/02/2019
Parcel: 1 S 1260000300
Jurisdiction: Tigard
Site address: 9753 SW WASHINGTON SQUARE RD D02
Project: 85C Baker Subdivision: None Lot: None
Project Description: (5)sign lighting
Contractor: RAMSAY SIGNS INC Owner: PPR WASHINGTON SQUARE LLC
9160 SE 74TH AVE PO BOX 847
PORTLAND, OR 97206 CARLSBAD, CA 92018
PHONE: 503-777-4555 PHONE:
FAX: 503-777-0220
FEES
Quantity Description Date Amount
5 ea Sign or Outline Lighting 08/02/2019 $339.20
Specifics:
1 ea 12%State Surcharge- 08/02/2019 $40.70
Electrical
Type of Use: COM
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $379.90
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through R 95 -1'1-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: j Permittee
e
� Permittee Signature: �/°L-f C'e1-%fid
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale,lease or rent.
OWNER'S SIGNATURE Date:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR.ELEC' Date:
LICENSE NO.
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Electrical Permit Application �+ FOR OFFICE USE ONLY
City of Tigard
RECEIVE /99. :,if i -Permit#(.`. 0i " 4051/
1111 a 13125 SW Halt Blvd.,Tigard,OR 97223 G 2 2019 Plan Review
Duelsg AlA
Phone: 503.718.2439 Fax: 503.598.1960 Da Related Pcmhit#:
Inspection Line: 503.639.4175 ReadyDate/By: hes;
Page 2 forTIGARDCITY OF TICARD Vofcd/Mehod:Internet www.tigard-or.gov Supplemental
Information
a y* ' 4A5.STs _ _ It k f i>r
❑New construction )2Addition/altt Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
0 Demolition 0 Other
0 Service or feeder 400 amps or more 0 Building over three stories.
sxzs �,�;� -� ch where the available fault current 0 Marinas and boatyards.
j..-..:�..3;�E + `'"- '� '^. :s -., s '... �,.,$iA, sty. 13:47-1.* exceeds 10,000 amps>�,,. �.� .�._�. �� at ISO volts or ❑Floating buiktings.
❑1-and 2-family dwelling ®Commercial/industrial 0 Accessory building h,ss to ground,or exceeds 14,000 0 Commercial-use agricultural
ampsall other i
nstailattons.
buildings.Fire❑Multi family 0 Master builder0 Other: pump.
ap 03Instllation of 150 KVA or
f� . � _ 110 i le � _ . �af � � nwll El ErncrgencYsystem-
larger separately derived
Job#: Job site address:p5"2 SW Washington SqRd 0 OOHPAddition moref .motor load of system.A"
100HP or more. 0"A","R","1-2","1-3",
City/State/ZIP; Tigard OR 97223 (M5,5 ❑Six or more residential units. occupancy,
❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#:D02 Project Mune:85c ['Hazardous locations. ❑Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal
Cess street/directions to job site: _s ; N-. SOCWOTOS , ,, M
il
Description 1 Qty. I Each I Total I
New residential single-or mrilti-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
Tex map/parcel#: 1,000 sq.ft.or less 168.54 4
,�sz 1 -�— r e)[^ i 3�t•; 4 e,•.e 1 a --=4.1,-.7'''.4":: '' i - Ea.Limitedaddenergy,
sq.esft.or portion 3392 1
:� r 3.:Y ,.,. energy,residential 75.00 2
Install(5)sign circuits (with above sq.ft.)
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
H �'7ERT ' Q 'kEI2' ';Fa a 4 Renewable Energy ❑ See Page 2
"``r" - � � =x' =4 Services or feeders installation,alteration,and/or relocation
Name:85c 200 amps or less 100.70 2
Address:9752 SW Washington Sq Rd 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP:Tigard OR 97223 601 amps to 1,000 amps 301.04 2
Phone:( ) Fax:( ) Over 1,000 amps or volts 552.26 2
Email: Temporary services or feeders installation,alteration,and/or
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: I)ate: 401 amps to 599 amps 168.54 2
E . t `ISel �""de�t ;; Branch circuits—new,alteration,or extension, r
' `=':.-w-'^� ,`=' �;*m-••,""., h ,.. 0.---.�P .W:„,;_ .? ,R" ] !la F:r 40 A.Fee for branch circuits with 1ranHl
Business name:Ramsay Signs above service orfeeder fee, 7.42 2
each branch circuit
Contact name:Chris Brown B.Fee for branch circuits without
Address:9160 SE 74th Ave service or feeder fee,first 56.18 2
branch circuit
C ity/State/ZIP:Portland OR 97206 Each add'!branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(503)777-4555 Fax::(503)777-0220 Each manufactured or modular
Email CBrown@ramsaysigns.com
dwelling,service and/or feeder 67.84 2
, -*. ,; :... .'a -�' _ '. i
r'.. -r '41 �t11 � s 4":.,�- - " pump or: irrigation circle _n_.
Reconnect 67.84 2
67.8.84 2
Business name:Ramsay Signs Sign or outline lighting 5 67.84 2
Address:9160 SE 74th Ave Signal circuits)or limited energy ❑ See Page 2 2
panel,alteration,or extension.
City/State/ZIP:Portland OR 97206 Each additional inspection over allowable in any of the above
Additional inspection(1 lir min) 66.25/hr
Phone:(503)777-4555 Fax:(503)777-0220 Investigation(1 hr min) 90.00/hr
Email:Cbrown(Quramsaysigns.com Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is
CCB Lie,: 63422 I Electrical • .: 26-106CL Suprv.Lic.: 493SIG a..iGcall listed h'Ahrmin 90.00/hr
r. '7M:
W4: *xSuprv.Electrician signature,required: Subtotal:
Print name: Phill Steiger Date: 0 Plan Review Required(25%of permit fee):
atA" V State surcharge(12%of pennitfee):
Authorized signature: ZJ TOTAL PERMIT 1'EE:
This permit application expires If a permit is not obtained within 180
Print name: Chris Brown Date: days after it has been accepted as complete,
* Number of inspections allowed per permit.