Permit CITY OF TIGARD ELECTRICAL PERMIT
• ' COMMUNITY DEVELOPMENT Permit#: ELC2019-00811
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/20/2019
Parcel: 2S101 DB00200
Jurisdiction: Tigard
Site address: 7582 SW HUNZIKER RD 1
Project: York Subdivision: None Lot: None
Project Description: Sign lighting for(1) illuminated monument sign.
Contractor: RAMSAY SIGNS INC Owner: HILLCREST HOLDINGS LLC
9160 SE 74TH AVE 9 SE 3RD AVE, STE 100
PORTLAND, OR 97206 PORTLAND, OR 97214
PHONE: 503-777-4555 PHONE:
FAX: 503-777-0220
FEES
Quantity Description Date Amount
1 ea Sign or Outline Lighting 11/20/2019 $67.84
Specifics:
1 ea 12%State Surcharge- 11/20/2019 $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 may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
�--� .___.__
Issued By: - Permittee Signature: 1'
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
RECCity of Tigard E Received
a 13125 SW Hall Blvd.,Tigard,OR 97223 12 2019 Date/B r r�
b' `' 1121111
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Nov
�V Date/B : t �y;yq
Inspection Line: 503.639.4175 -�- �-:F�OD,.•eady Date/By: H See Page 2 for
TEGARD Internet: www.tigard-or.gov CITY F *tl l 2�tt£iedMethod Illi��y Supplemental Information
1t TYPE.��' =s.x ; hi . '' . . ' ff l7"I.4N REVIEW
❑New construction ®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.
❑Demolition ❑ Other: where the available fault current ❑Marinas and boatyards.
[;�iTEGORY OF CONSTRUCTION` s exceeds 10,000 amps 150 volts orFloatingbuildings.
:...............
P 0 g
❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or
JOB,SITE INFORMATION AND LOCATION -, : 0 Emergency system. larger separately derived
El Addition of new motor load of system.
Job#: Job site address:7582 SW Hunziker St
100HP or more. ❑"A","E","1-2","1-3",
City/State/ZIP: Tigard OR 97223 El Six or more residential units. occupancy.
El Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt #: Project name:York ❑Hazardous locations. ❑Supply voltage for more than
El Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site:....... FEE SCHEDULE
Description 1 Qty. 1 Each I_. Total 1
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'1500 sq.ft or portion 33.92 1
�-
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 Energy ❑ See Page 2
,,. ❑ PROPERTY OWNER ; ,,:„ „ ,,, ,', - Services or feeders installation,alteration,and/or relocation
Name:York 200 amps or less 100.70 2
Address: 7582 SW Hunziker St 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
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
El APPLICANT ! )� CONTACT PERSON ` Branch circuits—new,alteration,or extension, r panel
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
servAddress: 9160 SE 74th Ave branche or feederitfee,first 56.18 2
branch circuit
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
CONTRACTOR Pump or irrigation circle 67.84 2
Business name:Ramsay Signs Sign or outline lighting 1 67.84 (j 7,vi 2
Address: 9160 SE 74th Ave Signal circuit(s)or limited-energy El 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 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 Elec al L' .: 26-10/6 Suprv.Lic.: 493SIG specifically listed 1/2hr min) 4O
Suprv.Electrician signature,require `(/�Al Subtotal: 'j- 7i
Print name: Phill Steiger Date: ❑Plan Review Required(25%of permit fee):
[ State surcharge(12%ofpemlit fee): `ii(
TOTAL PERMIT FEE: j
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\Pemuts\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB