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Permit (41) CITY OF TIGARD ELECTRICAL PERMIT 11114 COMMUNITY DEVELOPMENT Permit#: ELC2019-00596 'TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/11/2019 Parcel: 1 S 135AB04500 Jurisdiction: Tigard Site address: 10250 SW GREENBURG RD 110 Project: MiaDonna Subdivision: 1991-055 PARTITION PLAT Lot: 1 Project Description: Sign lighting. Contractor: SIGNCRAFT SIGNS LLC Owner: LINCOLN CENTER LLC 8900 SW BURNHAM, E109 BY SHORENSTEIN PROPERTIES LLC TIGARD, OR 97223 555 CALIFORNIA ST 49TH FL SAN FRANCISCO, CA 94104 PHONE: 503-639-4910 PHONE: FAX: 503-639-4999 FEES Quantity Description Date Amount 1 ea Sign or Outline Lighting 09/11/2019 $67.84 Specifics: 1 ea 12%State Surcharge- 09/11/2019 $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 rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You tain a c•- • e ru es• ••rect questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: �3�Z� ��— ,,� - 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 Application I,`p Al ►OR o 1 I 1 U ►_ 1 S 1:0\11 City of Tigard Receiver' � Dat-c 7 JZji1241iIf�- a II 111 13125 SW Hall Blvd.,Tigard,OR 97223 SEP 4 c 019 Plan Review ' a Phone: 503.718.2439 Fax: 503.598.1960 Date/B : 1I .ii L Inspection Line: 503.639.4175 i - Ready Date/By: Ions: H See Pa: 2 for T I G A R D Internet: www.tigard-or.gov a� , Notified/Method: Supplemental Information k 6 TYPE OF WORK PLAN REVIEW ►:4 New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans wfdems checked): ❑Demolition QQther 0 Service or feeder 400 amps or more ❑Building over dame stories. where the available fault current ❑Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or D Floating buildings. ❑ I-and 2-family dwelling ®Commercial/industrial 0 Accessory building to0und or exceeds 14,000 0 Commaciat-use agricultural El Multi-family ❑Master builderamps for all other installations. buildings. 0 Other: ❑Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system- larger separately derived Job#: Job site address: 0 Addition of new motor load of system. ©aSv 5L> f�eti btJ5c' (L� 100HPormore. 0"A,"E","1_2 ,"1_3 , City/State/ZIP: Pbr) � a,r. t `11-1 a a 3 ❑Hx It more farecilities. units. n- ❑Health-care facilities. ❑Recreational vehicle parks. uit bldg./apt.#: t, t tO Project name: m-je o e N), IA 0 hazardous locations. ❑Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: far b„,5 /L>4tlt Sib FEE SCHEDULE / V Description I Qty. 1 Each I Total I 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#: ` (S (3 S A t30 LiSDC) Ea.add'l 500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential 75.00 2 Hookup new sign to designated sign curcuit (with above sq.ft.) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) fa PROPERTY OWNER 0 TENANT Renewable Energy 0 See Page 2 I Services or feeders installation,alteration,and/or relocation Name: titlGdlh c€Fir — .5hoc e.S#e%n LL` 200 amps or less 100.70 2 201 amps to 400 amps 133.56 2 Address: 1 pax > s w G CGc_s-,h`,a-9 12.c.t S�-t— .11.t. . 401 amps to 600 amps 200.34 2 City/State/ZIP: PO,r4 l Q.r1z 9 '1.223 601 amps to 1,000 amps 301.04 2 Phone:(5'a,3 ) te l 9. 3 1.1)a ( 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 0Branch circuits—new,alteration,or extension, ' r panel -APPLICANT 0 CONTACT PERSON A.Fee for branch circuits with Business name: f in O z)toh) above service or feeder fee, 7.42 2 each branch circuit Contact name: D,2_,, CS lsn cr S(r- S t ) B.Fee for branch circuits without service or feeder fee,first Address: (o a5p S la 6C'e_e_el.h u,r5 2a- 5 i-c- (L 5- branch circuit 56.18 2 City/State/ZIP: Pr, -,�l � -1 3 Each add'l branch circuit 7.42 2 Phone: Miscellaneous(service or feeder not included) (<-r''3 )(03 1_4.1A t o Fax::( ) Each manufactured or modular dwelling service and/or feeder 67.84 2 Email:l rt f Q S t$r)C.14.4-)-pay, C.cs Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 ..m `.t ,, t a l ,� i , - ��_ -. .._. Sign or outline ligTnmg 4-- i 67.84 J� 2 Address:PO Box 23636 Signal circuit(s)or limited-energy 0 See Page 2 2 panel,alteration,or extension. City/State/ZiP:Tigard OR 97281 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.251 hr Phone:(503)639-4910 Fax:(503)620-9568 Investigation(1 hr min) 90.00/hr Email:info@signcraftpdx.com Industrial plant(1 hr min) 78.181 hr Inspections for which no fee is CCB Lic.: 155420 Electrical Lic.' 724SIG Suprv.Lic.:34.l�744 Cis specifically listed(h hr min.) - hr Suprv.Electrician signature,require( /7.. ELECTRICAL PERMIT FEES �[- _ Subtotal: (�?�(f Print name: Keith Cox Date: sr�a/15 0 Plan Review Required(25%of permit fee): • State surcharge(12%of permit fee): Authorized signature: TOTAL PERMIT FEE: t/L 4�' i Print name: John Sc Date: p This permit applicationrhas been permit is not obtained within 180 e l3o/I Cjaccepted as complete: I:18ui1 ' t * Number of inspections allowed per permit. ding\Pe mitslQ C PermitApp ELR ERndoc Rev 06/17/2015 440-4615Tq 1/O5ICOM/WEB