Permit (116) �
CITY OF TIGARD
; ELECTRICAL PERMIT
l COMMUNITY DEVELOPMENT ELECTRICAL
ELC2019-00565
Date Issued: 09/12/2019
T i C,A It f7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 1S135AC04100
Jurisdiction: Tigard
Site address: 9010 SW OAK ST
Project: Oak street apartments Subdivision: OAK STREET APARTMENTS Lot: 15
Project Description: Sign lighting.
Contractor: SECURITY SIGNS INC Owner: OAK STREET AGS LLC
2424 SE HOLGATE BLVD 10100 TRINITY PKWY 5TH FLOOR
PORTLAND, OR 97202 STOCKTON, CA 95219
PHONE: 503-546-7114 PHONE: 503-272-8833
FAX: 503-230-1861
FEES
Quantity Description Date Amount
1 ea Sign or Outline Lighting 09/12/2019 $67.84
Specifics: 1 ea 12%State Surcharge- 09/12/2019 $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: Orlaw 1-5,. ires y,u to fol- the/ es adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through O' - -52-C>,':090. Yo j ay obi/ /
a cod/ the rules or direct questions to OUNC by calling 503.232.19 or 1.800.332.
Issued By:/ 7/i/ /110' /APP.411.41.".-411.41.".- Permittee Signature: /r71"' )
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 TigardReceived
ntramixii
-
lig . 13125 SW Hall Blvd.,Tigard,OR 97223 _. DateB : /Plan Review ,, ��//!J '... hPhone: 503.718.2439 Fax: 503.598.1960 Date/B : 1r.
Inspection Line: 503.639.4175 Ready Date/By: Jens: 0 See Page 2 for
1 1 G A R U Internet: www.tigard-or.gov Notified/Method: Supplemental Information
.cili -i.-3-'11':,"'14:, ^ i s :7m 0
New construction El Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
❑Service or feeder 400 amps or more ❑Building over three stories.
O Demolition ❑Other: where the available fault current 0 Marinas and boatyards.
@RY F' *�o � �QN` �m y exceeds 10,000 amps at 150 volts or ❑Floating buildings.
❑ 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building
less to ground,or exceeds 14,000 ❑Commercial-use agricultural
amps for all other installations. buildings.
14 Multi-family ❑Master builder 0 Other: ❑Fire pump. ❑Installation of 150 KVA or
I P
X03 : . its _ ">*aii.S'rE'� h, (a ; a •"j ON ANB dp;0 a ) r i ❑Emergency system. larger separately derived
Job#: 425501 Job site address: e0,O Sly 6fi-� Si— 100H
❑100H oo of oew motor load of ❑"AYe E","1-2","1-3",
P or more.
❑Six or more residential units. occupancy.
City/State/ZIP: 776#172,0 IA 72.2.-3 ❑Recreationalvehicle arks.
❑Health-care facilities. P
Suite/bldg./apt.#: Project name: 7q/ e,..aS LO7-5 ❑Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: .li
�� h
Description I Qty. i Each I Total I *
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#: Ea.add'!500 sq.ft.or portion 33.92 1
4, ;ate $4 'i1'' :*' "'f ,rPr�, p��
... ^ rte. r. � .r Limited energy,residential
75.00 2
Madl&en I LL(/, 1�/Nl[ �Gv) NAIL. Si6�� (with above sq.ft.)
� Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
Renewable Energy ❑ See Page 2
OPER D ` . �1 7��i ZT 'k i N '� Services or feeders installation,alteration,and/or relocation
Name: D 3-� mss)gee //`�1 5 [Le-. 200 amps or less 100.70 2
Address: lO/C,b p miry �U 1 1 t� 5/ _ Gj% 201 amps to 400 amps 133.56 2
[/�-� ^ pG,!�-W 7 Tom-7 C. 401 amps to 600 amps 200.34 2
City/State/ZIP: 5Tz 7 J/.1 C" 3.-1 9 601 amps to 1,000 amps 301.04 2
Phone: (67,32� rag33 Fax:( ) Over 1,000 amps or volts 552.26 2
J Y & 5 J"4/'t 0 5 •Cin 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,rQQ ,en or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
//((
Owner signature' 0 ate: 401 amps to 599 amps 168.54 2
. p: itOoN Branch circuits-new,alteration,or extension, s er panel
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
service or feeder fee,first
Address:2424 SE HOLGATE BLVD branch circuit 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
dwelling,service and/or feeder
Email:permits@securitysigns.com Reconnect only 67.84 2
Iii:'''''-:,,,,u ,Av: Pump or irrigation circle 67.84 2
_.. --Brigittess-ftameSECURFM ;-iNe.. ,.. __,. - -3igtr oranffttie figh7ilg-<-. t_: 6714 jr 2_
_-
Signal circuit(s)or limited-energy
Address:2424 SE HOLGATE'BLVD panel,alteration,or extension. ❑ See Page 2 2
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.: 26-5�60C' Suprv.Lic.: 383-SIG specrfrcally listed(t/:hr min) _
Suprv.Electrician signature,required: �%� ` y - ' s ( ' -_ .4,) '
/ / Subtotal:
Print name: MARC LINDQUIST Date: 0e7-2,...-7//
f/ ❑Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: CYNDI ST KS 4Date: 2,7/9 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
i
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
f ,kiaiv
Description m I Qty. I Each I Total
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
5 kva or less 100.70 2
Check Type of Work Involved:
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
552.26 2
with OAR 918-309-0040)
❑ Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System* Each additional kva over 25 7.42 3
❑ Vacuum Systems* >100 kva—no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
El 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(th hr min)
WO ; b*VC
Subtotal(Enter on Page 1):
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
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015