Permit y n I CITY OF TIGARD ELECTRICAL PERMIT
�` - g COMMUNITY DEVELOPMENT 9444 Permit #: ELC2012 -00536
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 09/17/2012
Parcel: 151260000300
Jurisdiction: Tigard
Site address: 9455 SW WASHINGTON SQUARE RD A15
Project: Things Remembered Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: 108
Project Description: Installation of (1) sign lighting. 9/19/12, Reprinted to correct address from 9712 to 9455 SW Washington Sq Rd.
Contractor: RAMSAY SIGNS INC Owner: . PPR WASHINGTON SQUARE LLC
9160 SE 74TH AVE PO BOX 847
PORTLAND, OR 97206 CARLSBAD, CA 92018
PHONE: 503 - 777 -4555 PHONE:
FAX:
FEES
Quantity Description Date Amount
1 ea Sign or Outline Lighting 09/17/2012 $67.84
Specifics:
1 ea 12% State Surcharge - 09/17/2012 $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 issue. • - 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 a • •ance with app -•ved 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. ATT ' TION: Oregon law r= • uires you to follow the rules adopted by the Oregon Utility Notifi - • -nter. Those rules are set forth in OAR
952- 001 -0 thro gh OAR 952- 001 -00 • . Yo btain a copy of the rules or direct questions to OUNC by ing 1987 or 1.800.3322344,,
Issueq By: Permittee Signature: � f
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.
:i r
'� CITY OF TIGARD ELECTRICAL PERMIT
'' . g COMMUNITY DEVELOPMENT Permit #: ELC2012 -00536
T I G AR D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 09/17/2012
Parcel: 1S1260000300
- Jurisdiction: Tigard
Site address: 9712 SW WASHINGTON SQUARE RD F03
Project: Things Remembered Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: 108
Project Description: Installation of (1) sign lighting.
Contractor: RAMSAY SIGNS INC Owner: PPR WASHINGTON SQUARE LLC
9160 SE 74TH AVE PO BOX 847
PORTLAND, OR 97206 CARLSBAD, CA 92018
PHONE: 503 - 777 -4555 PHONE:
FAX:
FEES
Quantity Description Date Amount
1 ea Sign or Outline Lighting 09/17/2012 $67.84
Specifics:
1 ea 12% State Surcharge - 09/17/2012 $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 isssu -• 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 wi 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 I- . r=gire you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 1 -0010 through OAR 952 -0 • -0090 may obtain a • py of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Iss ed By: /� /� / Permittee Signature: X t'6
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 Appli FOR OFFICE USE ONLY
Received
City of Tigard Date /By: 9 /7 / c / Permit No.: c /A- 00536
1 e 1 3125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date /By: Other Permit: e , p O a—exv
TI G A R D Inspection Line: 503.639.4175 Date Ready /By: Juris: El See Page 2 for
Internet: www.tigard - or.gov Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
Please check all that apply (submit 2 sets of plans w /items checked below):
® New construction ❑ Addition/alteration /replacement
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ I - and 2- family dwelling ® Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
JOB SITE INFOR ON D LOCATION ❑ Emergency system. larger separately derived system.
❑ Addition of new motor load of ❑ "A ", "E ", "I -2 ", "1 -3 ",
Job no.: Job site addre : • VA ',V ASA 6 100HP or more. occupancy.
❑
❑Six or more residential units. Recreational vehicle parks.
City/ State/ZIP: 14 �'' ',a. 3 ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /a. o.: 4 / • roject name: „'inq S 1C-/-> ew j2e7) ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/dir- • • . : '.. Si e: 7 Description
1 Qtv. I Fee. I Total I
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 168.54 4
Ea. add'I 500 sq. ft. or portion 33.92 1
Tax map /parcel no.: Limited energy, residential
sq. 75.00 2
DESCRIPTION OF WORK ( with above q• ft. )
Limited energy, multi - family 75.00 2
residential (with above sq. ft.)
Services or feeders installation, alteration, and/or relocation
. (( ) Sign Circuits 200 amps or less 100.70 2
❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
Name:
601 amps to 1,000 amps 301.04 2
Address: Over 1,000 amps or volts 552.26 2
City/State/ZIP: Temporary services or feeders installation, alteration, and/or
ty relocation
Phone: ( ) Fax: ( ) 200 amps or less 59.36 1
201 amps to 400 amps 125.08 2
Owner installation: This installation is being made on property that I own which is not
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2
Branch circuits — new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
❑ APPLICANT ❑ CONTACT PERSON above service or feeder fee 7.42 2
each branch circuit
Business name: B. Fee for branch circuits without
service or feeder fee, first 56.18 2
Contact name: branch circuit _
Each add'I branch circuit 7.42 2
Address: Miscellaneous (service or feeder not included)
City/State/ZIP: Each manufactured or modular 67.84 2
h dwelling, service and/or feeder
Phone: ( ) Fax: : ( ) Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
E-mail: Sign or outline lighting I 67.84 �9 S, 2
CONTRACTOR Signal circuit(s) or limited- energy
Business name: Ramsay Sign Co. panel, alteration, or extension. Page 2 2
Each additional inspection over allowable in any of the above
Address: 9160 S.E. 74 AVE. Additional inspection (I hr min) 66.25/ hr
City/State/ZIP: Portland OR. 97206 Investigation (1 hr min) 66.25/ hr
Industrial plant (1 hr min) 78.18/ hr
Phone: (503) 777 - 4555 Fax: (503) 777 - 0601 Inspections for which no fee is 90.00 / hr
specifically listed (' /: hr min)
CCB Lic.: 63422 Electrical Lic.: 26 -106 c Suprv. Lic.: 493 sig ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: ° Subtotal: 7 Q'f
J Plan review (25 /o of permit fee):
Print name: Phill Steiger Date: 9 / /y /-_f /Z State surcharge (12% of permit fee): g.
0 , TOTAL PERMIT FEE: '7 � • q'
Authorized Signature: This permit application expires if a permit Is not obtained within 180
days after it has been accepted as complete.
Print name: Date: • Number of inspections allowed per permit.
1:\ Building \Permits\ELC- PermitApp.doc 07/01 /10 440- 4615T(11 /05 /COMJWEB