Permit 74 "`n CITY OF TIGARD ELECTRICAL PERMIT
a COMMUNITY DEVELOPMENT Permit #: ELC2010 00089
..TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 02/23/2010
Parcel: 1S1260000300
Jurisdiction: TIGARD
Site address: 9702 SW WASHINGTON SQUARE DR F10
Subdivision: Lot: 0
Project: Sprint
Project Description: Sign lighting for (1) sign.
Owner: FEES
Quantity Description Date Amount
1 ea Sign or Outline Lighting 02/23/2010 $67.84
PHONE: 1 ea 12% State Surcharge - 02/23/2010 $8.14
Electrical
Contractor:
CARLSON SIGN CO
1605 NE FORBES RD
BEND, OR 97701
PHONE: 541- 382 -2182
FAX: 541 -382 -2196
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp:
Total $75.98
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 through OAR 952-001-0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: `_ 4l • r 1 0 1 ■ Permittee Signature:
Nur
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease or rent.
OWNER'S SIGNATURE Date:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC' Q Q _� - 1 Date:
LICENSE NO. �� ✓✓ ���_JJ
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
02/23/2010 14:32 541 - 382 -2196 CARLSON SIGNS PAGE 02/03
i Hi I.1
Electrical Permit Applicat ►d1 j ` , . ;' -1 FoR OI rlc i': tisr. (wl,v•
City of Tigard Received
. 13125 SW Hall Blvd., Tigard, OR 9722FEB 2 3 2010 pntcB : i ®' eat PcrmitN &_: Eittag0 /0-0402
Plan
• 1 ' Phone: 503.639.41 Fax: 503.59$ DateB
,1960 at&B view 44 o
111 „A 1; 1 Inspection Line: 503.639.4175 n'• , : Other Permit,
1 4 , �,:- , . < �'f' - Date Ready/By; hos: ® See Page 2 for
internee wwwugard orgov ., Ir 3 Notified /Method;
t , i •i t d Supplemental fnrlrcmaHon • I I l l i ! . � I,Ifi 1 �..c v� .J I 7W I Iii re �bb�y��, ` ,�p
r l.,., .:.v a 44 V ,k , �RK I q L rr .,, r i I r i,l , 4. p ;., ;#0 l 'F r i I I
,,.I .I I. ::,i ., ,, r Il'`� 'I I .' .rli�!i _PII {ipl {k l I 1 .. ... t � ;i[fldl r ', , !l = 1 l !i � ,: Iii
(,'New construction ❑ Addition /alteration /replacement Please check all that apply (submit 2.8C(5 of plans w /items checked below);
❑ Demolition
13 Service or fccdcr 400 amps or more El Building over throe stones.
❑ Other: where the available fault currant ❑ Marinas and boat ards.
I ll hl .'ri 1n.a1 .' ! { �' •u n i iii lr r : , Y
I,, I. !CA`If'EC.OR ,' IOF Y1$4,M c'�iO1V ' or I If1'., ,' I I '14,II ',.1 i, i exceeds 10,000 amps at 150 vans or Q Floating bulldinn,
less to ground, or exceed, 14,000 Cl Commercial. agricultural
❑ ] - and 2- family dwelling 0 Commercial /industrial ❑ Accessory building amps for all other installations. buildings..
0 Multi- family ❑ Master builder ❑ Other: ID Fire pump,
❑ installation of 75 KVA or
� l�B STP$ 1 p mer n
I j °J ai " n a, ge cY sYSMm. !argot E., .9.2-. ..craved system.
d �` 'YbO;R •N i L,bCA71b1�I I
� , .., . � _.. � , l.,. Illi I l i',i � .,., .: ❑ A of new motor oad Of Li „ •2 .... 1 .
Job no.: Job site address: '° !y �� w � n �7 I 0 c or or mote. occupancy.
C� !!!1:- ❑ Six or more residential units. ❑ Recreational vehicle parks.
City /State /ZIP: 1I.9 4- f?r! CK 9 7.30, 5 ❑ Health -calm facilities, ❑Suppl volra2e for more than
Ff � 0 1 tit � T E c e. ' 0,2!22 jk Hazardous Iier6 locations, I amps or more 600 voles nominal
SUitc/bldg. /ape. no.: Project name: ❑ Scrvlca or feeder 600
Cross street/directions to job site: te r. r 1 1 I 1 kl: , �,iSHtIAIL.. Via; i °'1 tI } T':
`� ��� �/ et. •e.. -...4 ./-0 - i.45 ' 61 '" 6 " 141x. ( Foe j Toed 1
4' S-► New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot n0.; ScC) 1,000 sq. ft, or less 1 68.54 4
Tax map /parcel no / ' - La, add'/ no y, e s de or tial portion 33.92 1
lair ; t : . , I • - ... / =- ,... Limited energy, residential
,� � ra r n, l I I �'.I)c$CI p kVL� :Qj 1 io r 1 ! 1'I; I'll I'. {I : I with obovc s R . 67.84 2
�,;, :1 22421 d II I : ( )
r L energy, multi -fbmil 67,84 2
-y / 1 e '
l : T G1 S c �+c_�.1 t s T i /y i d tt ! r - /5 residential (with above sq. 11.)
(/ Services or feeders installation, alteration and/or relocation
O V� /� - 1 - s._ r- lo r r j ]gip re ' j # 200 amps or less 100.70 2
i fr x141 1 I`1ttiO i RTX JWN4R 1 i ;I ll ; I . I 1' IIII 'a'1 TENAI I I : : ;({ { niil','�:1 201 amps to 400 amps 133.56 2
•
Name: M 0 ; . 401 amps to 600 amps 200.34 2
•
, ■ 601 amps to i amps 301.04 2
Address: i •7 r r'r. • _. LA_ Ovcr 1,000 amps or volts 552.26 2
City/State /ZIP: ( �t Temporary services or feeders inatallation, alteration. and /or
!q''4 \ P. 9 7 ), T relocation
Phon ( - SAS Fax ( ) 200 amps or less 59.36 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2
intended for sale, Icase, rent, or exchange, according to ORS 447, 449, 670. and 701. 401 amps t o 599 amps 168.54 2
Branch circuits- new, alteration, or extension, per pane
Owner signature: Date: A. Fcc for branch circuits with
91I',;111 l ( 1 '!' .1 'u2 P7 lie N'j ., n l 'li ";' , ll CO 0tA �`U�rJ''f0.S0N a::; ', :11l above service or feeder fee.
Business name; each branch circuit 7.42 2
� ` e .� C 1 6 v> A, Fee for branch circuits without
Contact name: l r S service or feeder fee, first 56.18 2
U ~, i„,„ .,(1(A _branch circuit
-- Fnch a dd'I branch circuit 7.42 2
Address:
1 U t ` k1t', ‘2_c{ _ Miacellaneoua (service nr feeder not included)
City /State /ZIP: Each manufactured or modular
67.84 2
7 dwelling, service and/or feeder
Phone: (y/ ) Z 2 1 Z Fax: : Kg / ) ' 1 . Z i 9 . Reconnect only 67.84 2
Pump orirrigaticm circle 67.84 2
E K(l/p- f Cl) l 'cA. (
l li ry q '7,:' t tl I 1 I u 1' .. ; 1 ` ....0 / Sign or outline lighting 67,84 `'/ sc/ 2
i� 1 (164 � ( � � COI�T G
RACTAIi ik I a :: 1 :. a ;i'il ��_ Signal circtti[(s) or limited-energy
BuSinCSS name: , panel, alteration, or extension. Page 2 2
1 - Each additional inspection over allowable any of the above
Address: 411 6c 2c Additional inspection (1 hr min) 66.25/ hr
•
City /State /ZTP: d �D investigation (1 hr min) 66.25/ hr
industrial plant (1 hr min) 78.18/ hr
Phone: b'; ) - 2_ - Z_ Fax; (, / ) 3 ?Z. • Z 1 Inspediona for which no fec is 90.00 / hr
, - L specifically listed (/ hr min)
CCB Lic.: ./_.5 9, Electrical Lie.: _ Supra•. Lic.: < ! z ._ 5 -, 6 . I.I t 1 :� rn;ii# r Ail+ r>C;'SmicAL 1thJY'f.'•.`E u ,' i : ItEf?1'!:':
Suprv. Electrician signature, required: I /o�Il / � Subtotal: �(/
/ / ` �7 l.t.trt�ltn Plan review (25% of permit fcc):
Print name: C . ' . r ,� LAa., Date: f / e 21 Statc surcharge (12% of permit fee): L 1 y ri,
• / / / TOTAL PLRMfT FEE: - 7 � yf
Authorized signature: T Q
This permit nppllcadon expiree ifs permit Is not ohtaxord within 180
Pant name; Date: days after it has been accepted as complete.
• o _ r • Number of inspections allowed per P ermit.
1:1Bui!dinglPer* a3CLC- Prrmitrlp dnc !0/01/09 4'I -46157(1 105 /COM/WFR