Permit CITY OF TIGARD ELECTRICAL PERMIT
' COMMUNITY DEVELOPMENT
Permit#: ELC2020-00161
Date Issued: 03/19/2020
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S136CD01700
Jurisdiction: Tigard
Site address: 11686 SW PACIFIC HWY
Project: Chase Bank Subdivision: None Lot: None
Project Description: Sign lighting for(4)signs.
Contractor: RAMSAY SIGNS INC Owner: NTN PACIFIC LLC
9160 SE 74TH AVE 19830 NW DIXIE MOUNTAIN RD
PORTLAND, OR 97206 NORTH PLAINS, OR 97133
PHONE:
PHONE: 503-777-4555
FAX: 503-777-0220
FEES
Quantity Description Date Amount
4 ea Sign or Outline Lighting 03/19/2020 $271.36
Specifics: 1 ea 12%State Surcharge- 03/19/2020 $32.56
Electrical
Type of Use: COM
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $303.92
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: r� �L%3Y Permittee Signature: 01
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale,lease cr 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.
ovyx
Electrical Permit Application y rz. t , ;Ys, '
�` Raecived
;tz ' City g `1'igitrd E Dateiuy. , y`dXf�dv 4f P"itII: ,-tt<ode, r�1
4, -1 't 13125 SW Hall Bhd.,Tigard,OR 97 Plat Review Related Pernik fl:
11 - Phone: 503.71 R.2439 Pax: 503.598.1960 Date/3y:
• AR L Z�� 2taiC 6f Sao Pngo2 for
,.. • Inspection Lino 503.6394175 Readyd dlby: L
iTI9f.a."c NotifiedMldbod. Supplementallnfemnnlielt
Itttemat• tvtvty Tigard or got a • I
ill p — x+ tc<r Wigt,,,prom ;, - +� .y}° t nti( `-gfD�ha'Wital tAtiV .cw'emy 4e'>
z t eayl-,,:,-," 't11w."r*"--•a•"5 r..,Lmi. �A 7;-1 k" ..a.Wa�S ,1,i ::Ili,1<x� IL P. ..,'4.r, rvc� • ,..�k.}!-,.. . .. q......
t"7.�, ' llift*4.. m w Please shock all that ripply(submit 2 acts of plans willemaotwcked):
[�NelvcoilSht�tiatt ®AdditiotJaltct I:I ctvkeerfeedar400m minor more 0 Building over three stories.
Demolition 0 Other. where the avoilable fault current Ohdatieas and boatyards.
a , t t }a 'n; -i ��a'tir rr; exceeds 10,000*imps at I50 togs or �]Floating bttildinga.
< t %b rct?ivy1tU42N. ��, -i � r.x'.
leas to ground or exceeds 14,000 ❑Conweroiel-ino eSticatfdrol
0 1-and 2-family dwelling ConulteJt iallhlchtstriAl ❑Aeeessoty building amps for all other ineteliellana. bolldings.
❑Multi-faun ❑Master builder Q Other: 0 Fira pump. U Installation oris0 KVA or
yI t 4 ; " 21S7IIO" fit'aZ tfc tig1 1,104GYit ❑Bmcgeny n rat"• larger se parately derived
0 Addition anew motor load of item'
Job II: Job site addresW Pacific iJtry 16011P or more ❑"A~'B 'i-a^,"1-3
Q Six or more residential unite. occupancy,
CityfState/ZlP:Tigard OR 97223 El Health-care facililiea. Ct Reerentlonal vehicle parks.
ElLinnMeto Waniione. 0 Supply voltage for more Ono
Suiteibldg.(apt #: Project name:Chase 6A0 volts
a nominal
0 Service orfeedar 00 maps u rnora.
Cross streetldirections to job site: Mgaitt-
`arurlPnon lAtr. 1 Eneh ( 7o1a1 I "
New realdenllnl single-artmtiti-ihmily duelilus unit.
Lot#: Includes attached gmage. .._
Subdivision: • 1,000 eq.ft.or law 168,54 4
Pax uutp/paiael# Ea,ndd'l soo aq.R.ur potion 33.9d 1
t,'t. . n r ' Ss^xr ,''.ys,°rft17$er?f 101.X`01Y O1!1I VQR1< •?n': r .,•',rek'�,.,'4`V .r 0:5d'.::r Limited attatgy,reeidenliel_.
(with above sy.n.)
Limited(4)alga circuits energy,iuutn-ltmily, 75.00 2
residonlie!(with above eq.ft.)
Renewable EnergyQ See Page 2
�fia�?�yt,`�=�*?Pl�t1tl?,�t'�'Kr',:�J1Y1'�R-::-:1. ���``'.�';;"�t�Y ,�7_ � ?7'1L1�i��A'r�r'+' zk�+.a::.+ sonic.m•feeders hastnllnflon,nItetnfim4 Hod/or rclocntinn
nine: 200 amps or kss 100.70 2
201 amps to 400 amps 133.56 2
Address: 401 amps to 600 maps _ 200.34 2
City/State/ZIP: 601 amps to 1,000 amps 301.04 2
Phone:( ) Fix:( ) Over 1,000 reaps or volts 552.26 2
Temporary services or fecdcra installation,nItolatitan,and/or
Email: relocation -
Owner installation:This installation is being made mlproperiy that I own which isuot
700 amps or loss 59.36 1
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,rand 701, 201 amps to 400 amps _ 123.08 2
Otvller signature: Date:
401 amps to 599 amps 168.54 2
1.1i7 n . < i u , u , ;ZA-d r ,�. `TiEf a ,V "�4 Bronchelvadia--new,alte alteration, extension, panel
l'n or 0 CI' A
„tza.:-r g 1 " _ : ...; :� _ ®( •Vl..•-..A.-....-i---, &Fee for brow:4( 0111swith
Business name:Ramsay Signs above service or feeder fee, 7A2 2
— each branch eimeit
Contact name:Chris Brown B.Pee for bisects witncts elscuits out
ten lcc or footles-fao.find 56.18 2
Address:9160 SE 7401 Ave bra cltabanit r
. Eachadd'I blanch oitcult 1 7.4'i - 2
• City/State/ZIP:Portland OR 97206 Miscellaneous(service or feeder not inchuled)
Phone:(503)777-4555 27ax::(5U3)777-022U dwelling,smoke a for modular
o ular 67's4 2
Email:CBrown@ramsayslga&cant Reconnect only 67.84 2
:fftL"x. , :GSNy£.2' r.:r t h3 x.:2 i ' ji 2' ,•I t y.* , , 67.84 2
�$'y? ,tt�:tG .i s-;ta. i,}"`rt,Q�I•ltl),�•�.�r?>�x��•y.�-+•r.-�-���.-ts.K_a,+rr.'t-,�;a.�t:-`�.,yr. Pomp or irrigation circle
Business name:Ramsay Signs Sign or outline lighting 4 67.84 27/-34 2
Signal cirauit(s)or limited-anetgy 0 See page 2 2
Address:9160 SE 74th Ave pmlol,alteration,or c7tcnaion.
— Each additional Ulla sectionhipee1IoItOvsritlhnYMbl0Ifl any of the nIovo
City/State/LIP:Portland OR 97206 Additional inspection(1 hi min) 66.25/hr
Fax:(503}777.0220 Investigation(I lirmin) 90.00/be
none:(SQ3)777-4555 hutuettia!pieta(1 hrmin) 78.18/hr
Entail:Cbrown®ralnsaysigns.com Inapoctionsfar which nofeats y0.001itr
e,,,,00�f-wallyHaled(15hrmin? „ ,.. , ...„�., ,h
CCI3l,ic.: 63422 ElectdcalLiC.: 26-I0 CL Snply.Lie 493StG r rk'i': rs.LrLlt, (XaP+ 5` s3WPDU :h t + t
Snprv.Electrician signature,required: t { subtotal: ?-7 f. 3L
PrintJtrtme: PhiltSteiger
ate: s l%, 7.- D Plan Review Required(25%ofpermit fee):
State surcharge(12%ofpermitfee): 3�SL _
j c 'TOTAL PERMIT NM:�3 03. p a
Authorized signature: J _ �J Aq� Tins permit application expire+if a permit Is not°biebwd trithbl 180
Date: ' \,q, , ,,ou days nftec it hoe been accepted as complete.
Print Warne: Chris Brown _ • TAtmbet of inspections Idiotved per pormiL
elgatditatrenaltesELCJaa itnpap&attaaoo Keetwr17r2ois 410-4615T(11105rea*lnvsa