Permit CITY OF TIGARD ELECTRICAL PERMIT
i. COMMUNITY DEVELOPMENT ELECTRICAL
ELC2020-00135
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/11/2020
TIGARf) g Parcel: 1S135AB01006
Jurisdiction: Tigard
Site address: 10500 SW GREENBURG RD 200
Project: Edelman Financial Engines Subdivision: ASHBROOK FARM Lot: 6
Project Description: Sign lighting for Installation of (2)customer provided LED channel letter signs on raceway to exterior wall.
Contractor: SIGNCRAFT SIGNS LLC Owner: LINCOLN CENTER LLC
8900 SW BURNHAM, E109 BY SHORENSTEIN PROPERTIES LLC
TIGARD, OR 97223 235 MONTGOMERY ST, 16TH FLOOR
SAN FRANCISCO, CA 94104
PHONE: 503-616-3100
HONE: 503-639-4910
FAX: 503-639-4999
FEES
Quantity Description Date Amount
1 ea Sign or Outline Lighting 03/11/2020 $67.84
Specifics:
1 ea 12%State Surcharge- 03/11/2020 $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 yo to follow e r es adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through 0 52-001-0 . You obtain copy he rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: /�i Permittee Signature: DJ- -
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 rc),:or, I( I I .1 o v 1.,
City of Tigard Received I MAW)
III % 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ,
z Phone: 503.718.2439 Fax: 503.598.1960 Date/B : E .' ,I e
Inspection Line: 503.639.4175 Ready Date/By: Imia: 0 See Page 2 far
-IY R[GA Internet: sv v.tigard-orgov Notified/Method: Supplemental I.formation
TYPE OF WORK PLAN REVIEW
►// New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
0 Service or feeder 400 amps or more ❑Building over three stories.
❑Demolition ❑-Otlter
where the available fault current ❑Marinas and boatyards_
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings.
❑ 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 0 Master builder 0 Other 0 Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
Job#: Job site address ❑Addition of new motor load of system.
I�SC3o Si.) Core'¢,-.bt,.r1 2Z I00HP or more. 0"A,"F","1-2","1-3",
City/State/ZIP: q o Six or more residential units. occupancy.
Por k� 0.1)L. �� 17 a a� Recreational vehicle
0 Health-care facilities. o Pam.
Suite/bldgJapt.#: a0Q Project name:ESei man Fi✓tw,c t<t k yr as/ 0 Seeanteuleeations. ❑Sun* millal-
voltage more than
Cross street/directions to job site: ❑Service or feeder 600 amps or more
so G:e. lows -L S w faa.lc_ S 1' FEE SCHEDULE
Description I Qtr. 1 xsd, I Total I *
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
T 1,000 sq.ft.or less 168.54 4
ax map/parcel#:
�.S r3s- pp t. IL`C 4' Ea.add'1500 sq.ft.orportion 33.92 1
DESCRIPTION OF WORK Limited energy,residential 75.00 2
Hook up new sign to designated sign curcuit (with above sq.ft.)
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
jJ PROPERTY OWNER ❑ TENANT Renewable Energy ❑ See Page 2
Services or feeders installation,alteration,and/or relocation
Name: In(.oIer Cc. v CL<- 1✓1e. Share-,si rn aa.-\1-y 5e-.V 200 amps or less 100.70 2
p d O S 1.-. 201 amps to 400 amps 133.56 2
Address:
6-qr.,...h,.r s2d SI-4 3io
$ 401 amps to 600 amps 200.34 2
City/State/ZIP: Pc^+i.,,,z c(^4 4i1 ].�] 601 amps to 1,000 amps 301.04 2
Phone:(Sc3 )314,,3i„ 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: Date: 401 amps to 599 amps 168.54 2
0 APPLICANT ❑ CONTACT PERSON Branch circuits—new,alteration,or extension,per panel ,
C A.Fee for branch circuits with
Business name: G 4,\ r._rt F t Jl c n[_I_si.l E t151.rl e_S above service or feeder fee, 7.42 2
each branch circuit
Contact name: k)eb•i ( 5,S,‘c r }+ B.Fee for branch circuits without
) service or feeder fee,first
Address: 4diaeop 1 c5c,0 4 W (i ee,--, bw�r 2 oG branch circuit 56.18 2
City/State/ZIP: Pv rA`an Eachadd'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(5,3 )(43 41-`[ t I O Fax::( ) Each manufactured or modular
Email: d dwelling,service and/or feeder 67.84 2
lr\(ntzstyncrcif4FA%, Cc'+ry Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name:SignCraft Signs Ile Sign or outline lighting I 67.84 ,7,Jt/ 2
Address:PO Box 23636 Signal circuits)or limited-energy 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) 6625/hr
Phone:(503)639-4910 Fax:(503)620 9568 Investigation(1 in min) 90.00/hr
Industrial plant(I hr min) 78.18/hr
Email:info@signeraftpdx.eom Inspections for which no fee is
specifically listed(%hr min) 90.001 hr
CCB Lic.: 155420 Electrical Lic.: 724SIG Suprv.Lic.:34.611( 1 g ELECTRICAL PERMIT FEES
Suprv.Electrician signature,require( Subtotal:
Print name: Keith Cox Date: 17 (2.0z ❑Plan Review Required(25%of permit fee):
t , State surcharge(12%of permit fee):
Authorized signature , ova , / TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: John ScJohn Seolitj Date: ,2(?/iaL-o days after it has been accepted as complete.
- ' Number of inspections allowed per permit.
l:\Building\PmmitslELC PermitApp ELR_EREdoe Rey 06/7a015 440-4615TO 1/051COMIWEB