Permit CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT10111
Permit#: ELC2019-00586
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/04/2019
-FIG Alt f f 9 Parcel: 1 S135BA00100
Jurisdiction: Tigard
Site address: 10125 SW WASHINGTON SQUARE RD
Project: Jaguar/Land Rover Subdivision: None Lot: None
Project Description: Sign installation.
Contractor: RAMSAY SIGNS INC Owner: PPR SQUARE TOO 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
1 ea Sign or Outline Lighting 09/04/2019 $67.84
Specifics:
1 ea 12%State Surcharge- 09/04/2019 $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 folio the ' les adopted by the Oregon Utility Notification Center. Th• rules are set forth in OAR
952-001-0010 through •2-001-0090. Yo na-y obtain cop •f the rules or direct questions to OUNC by calling 51/.1987c(.1987 q(1.81..2.2344.
Issued By: �, /r /err Permittee Signature.• irf i
OOWNER 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 603.639.4175 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 ra - FOR OFFICE USE ONLY
City of Tigard Received
Date/B : G z.i Mii'' _� Air /_1 ��
ii„," . 13125 SW Hall Blvd.,Tigard,OR 97223 SEP [. 2019 Plan Review A �,�
fa Phone: 503.718.2439 Fax: 503.598.1960 Date/B : �[� �9 �. -
iM
Inspection Line: 503.639.4175 {'"'; , 7 Ready Ddate/By: EMI H See Page 2 for
T 16 A R D Internet: www.tigard-or.gov z! Notified Method: Supplemental Information
-i
❑New construction ®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.
❑Demolition El Other:
where the available fault current ❑Marinas and boatyards.
t : S '4l `O C s - exceeds 10,000 amps at 150 volts or ❑Floating buildings.
1111-and 2-family dwelling E 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: ❑Fireum
p p. 0 Installation of 150 KVA or
WitaintWrinitglialikifilidiakiat irail BENESJIANNIMIMIIV—ip ❑Emergency systemlarger separately derived
system.
Job#: Job site address: 10125 Washington SqRd ❑Additioo of new motor load of
g IOOHP or more. ❑«A» .<E„ <`1-2" •`1-3"
City/State/ZIP:Portland OR 97223 ❑Six or more residential units. occupancy.
❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt #: Project name:Jaguar 0 Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: ,
Description I Qty. I Each I Total *
New residential single-or multi-family dwelling unit.
Subdivision: 1 Lot#: Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#: Ea.add'l 500 sq.ft.or portion 33.92 1
i° , '. l P . 7i!1 I7:Yii. Ecs,iA;-,tt'----•L'iligrig Limited energy,residential
Install(1)sign circuit (with above sq.ft.) 75.00 2
Limited energy,multi-family
residential(with above sq.ft.) 75.00 2
Renewable Ene 0 See Page 2
€' .i}.:l rt ' T-O • wa..
. - - `` _. 4 -- ry Services or feeders installation,alteration,and/or relocation
Name: 200 amps or less 100.70 2
Address: 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP: 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
�- � Branch circuits—new,alteration,or eatensio pa
l n-I E K. MONA . I. , 9 �< n Per ne
w - <r -_ '� - A.Fee for branch circuits with
Business name:Ramsay Signs above service or feeder fee, 7 42 2
each branch circuit
Contact name: Chris Brown B.Fee for branch circuits without
service or feeder fee,fust
Address:9160 SE 74th Ave branch circuit 56.18 2
City/State/ZIP:Portland OR 97206 Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(503)777-4555 Fax: : (503)777-0220 Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email:CBrown@ramsaysigns.com Reconnect only 67.84 2
',: .. — -.-..-. . . ! Pump or irrigation circle 67.84 2
Business name:Ramsay Signs Sign or outline lighting 1 67.84 2
Signal circuit(s)or limited-energy
Address: 9160 SE 74th Ave panel,alteration,or extension. 0 See Page 2 2
City/State/ZIP:Portland OR 97206 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone: (503)777-4555 Fax:(503)777-0220 Investigation(1 hr min) 90.00/hr
Email: Cbrown@ramsaysigns.com Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lic.: 63422 Electric Lic.: 26-106CL Suprv.Lic.: 493SIG specifically listed(`/2 hr ` '
min)
C-,1
.. .. -1 RWiI', T` ' h7f8 _ . ._T_ .
C
Suprv.Electrician signature,required: r v Subtotal:
_
Print name: Phill Steiger Date: 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
:
�y
�y l TOTAL PERMIT FEE:
Authorized signature
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.
1:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB