Permit CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: ELC2010 00499
T I G A R D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 09/15/2010
Parcel: 2S102CB00300
Jurisdiction: Tigard
Site address: 13145 SW PACIFIC HWY
Subdivision: Lot: 0
Project: O'Reilly Automotive Inc
Project Description: Sign lighting for (3) signs.
Owner: FEES
CHUNG, HENRY & COMPANY Quantity Description Date Amount
BY CSK AUTO, PROP MGMT, PO BOX 19063
PHOENIX, AZ 85005 3 ea Sign or Outline Lighting 09/15/2010 $203.52
PHONE: 1 ea 12% State Surcharge - 09/15/2010 $24.42
Electrical
Contractor:
RUDNICK ELECTRIC SIGNS LLC
11401 FINNEGANS WAY
OREGON CITY, OR 97045
PHONE: 503 - 655 -2610
FAX: 503 - 980 -7919
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp:
Total $227.94
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 B �� �i — _ -- P S Permittee Signature: OP
l � "
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 503.839.4175 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.
RECEIVEO .
Electrical Permit Application S E P 1 4 2 01 x „�: ,_ 1 1. 1
c
City of Tigard CITY OF TIGAR ® �� pear! y 9 — �i '
13 125 5W Hall Blvd. Tigard, OR
Phone: 503.639.4171 Fax: 503.5 11`GIEPIGII�IEE•` :y otberl :
inspection Line: 503.639.4175 Date Ready/By: .. � . .� I H Sae Page t'or
Internet www.tigard-or.gov Notified/Method: 3applemeatal ieformeeon
nu or wovic i151
❑ New construction it Addition /eltefation/replacement Please check ail that apply (submit t sae of plans writcros climbed belt w): Service or feeder 400 arnm or more 0 Building over thee stories
❑ Demolition ❑ Other. O where the evadable huh current O Marines and boatyards.
010711511WCEIRM exceeds 10.000 amps at 150 wits or 0 Floating build np.
leas to ground, or exmods 14.000 0 Coatdmacial -use agricultural
❑ 1- and 2- family dwelling as CornmerciaVindustrial ❑ Accessory building =Pe for se other installations. buildings.
❑ Multi - family 0 Master builder ❑ Other: DPI= pump 0 installation of 75 xvA or
ass . ;� 1tA4CA91[ 0 Emergent" sY m. larger scowl:Mk derived eys.m.
Addition of new motor Iced of 0 - A ", "E"."1 -2" w -3'.
Job no.: 1 Job site address 5• / f /14.44k 100i1P or more. may.
a� ���7 •�i+Y l�ht O Six or more rest al units, ❑ Recreational ve: isle maim.
City/State/ZIP: ti toQ �� /7221 O Health-cam locations. s 0 Supply voltage . more than
I ❑ ibumdons letiona 600 yobs nomir. at.
Suite/bldgJapt no.: !ta
Project me: o e e a 1( 0AA-' Ott � 4 O service err tbeder 600 amps Cr mere.
SCIMME
Cross street/directions to job site: 5' f r'V (f/ a a�f J0/ X / ". 1 Q. 1 � t Totem /' 1 FJl
�J ( J_
New residential single- or multi- t)tntily dwelling at it.
Includes attached garage.
Subdivision: I Lot no.: 1.000 sq. d or less J 168.54 T4 - I
Ea. add'1500 sq. R. or portion 33.92
Tax map /parcel no.:
Limited clingy, residaxial
PlEgaarnOri OW (with above sq. ft.) 75.00 ri J
1 ` /� ✓� ) Limited energy. multi - family I 75.00 2�
t�. lr's9a1 tC't s,, tF- g /�r�¢ rf+C i V0/ � J si
Services or (tiked> f don on, and/or reloads a _,
�/ 200 amps or les 100.70 j 2
1_ fl =tow 201 amps to 400 amps 133.56 12
401 amps to 600 amps 200.34 1 2
Name: Henry Chung & Company 601 snips to 1,000 amps it 301.04 I 2
Address: 1188 Bishop Street, #1205 Over l,000 amps orvoita J 552.26 J1-2.
City/StateJZ1P: Honolulu s HI 96813 Temporary serer or feeders Installation, alteration, aad'or
relocation
Pisone :(808 )523 -3534 I Fax: ( ) 200 tallaS or less 1 5936 77--
Owner installation: This installation is being made on property that 1 own which is not 201 > rot 125.08 2
O
intended for sale, lease, rem, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 168.54 J 2
Branch circuits— new, aiteradon, or extension, per panel .
Owner signature: Date: A. Fee for branch cinema with I
Q ANi 1 )41 RUMEN alcove service or feeder fee, 7.42 2
each branch circuit
Business name: O' Reilly Auto Parts 13. Fee for hunch circuits w hour
service or feeder fee, first 56.18 J 2
Contact name: Saundra Wilkinson, Dir /Store Administration lmadtexrcuit
Each add'1 branch circuit 1 7.42 - 1 - 2 - z
ch
Address: 233 S Patterson Ave Miscellaneous (service in. feeder not Included) _
Each meandlictured City/State/ZIP: Springfield, MO 65802 dial oc 1
aeniaraVorf�rr eede j 67'84 l 2
Phone:(4174874 -7203 Fax: :( 417) 874 -7168 _ Reconnect only 67'84 ` 2
Pump or irrigation circle an 67.84 2
E -mail: swilkinson@oreillyauto. Sign or outline lighting IMICEIlk , .S2?
r Yi1�1R:E Signal circuit(s) or limited-enerev
Business name: R 4 k C ierri-4r .4 fgs1i' L I-- l� poet � addition, or extension. Pane 2 ?
l Each adilioaal tnsptet�n over allowable is any o'tbe ,r+Duw �
Address: MIA A <- �+ t inspection hr min) 66.25/ hr
Ain,�f' iS R:• sty Additional insection {i —1—
City/5tattJZIP: n C investigation (I hr min) 66.251 hr
a n e dl r t, 9 7g Indtutriel plait (I hr min)
78.18/ hr I
Inspections tar which no fee is t
cser3 fSr �� l / Felt: ( 03) 9X9---)9/1 rodileally listed (h hr min) 90.00/ hr 1 I
CCB Lit.: IOirc RI j Electrical Lie.: (L-,.� -7 I Suprv. Lie.: 7 ' . E .SAIL )i?BIQS 7:gilt 7h /n lour Subto J — Suprv. Eleextician s .. r required "w�. ,a� a� >
Ptah review (25% of omit fee): J Print name: .. ' L k Date: l g-- f� Site surdtarge (t2%of permit fie):
TOTAL PERMIT FEE: 1 . /II I
Authorized signature: Mb permit application expires tf a permit b cot attain 5 within 189
days after It bas been accepted es complete.
Print name: Date: • Number ofiropection% allowed per person.
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