Permit •
CITY OF TIGARD ELECTRICAL PERMIT
Permit
111
s . COMMUNITY DEVELOPMENT #: ELC2009 -00150
T I GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 04/07/2009
Parcel: 151260000300
Jurisdiction:
Site address: 9724 SW WASHINGTON SQUARE RD F06 & F07
Subdivision: • - - Lot: 0
Project: GAP
Project Description: Sign lighting for (7) signs.
Owner: FEES
PPR WASHINGTON SQUARE LLC Quantity Description Date Amount
BY THOMPSON PROPERTY TAX SERVUCES, 7 ea Sign or Outline Lighting 04/07/2009 $373.80
2235 FARADAY AVE STE #0 1 ea 12% State Surcharge - 04/07/2009 $44.86
PHONE:
Electrical
Contractor:
MEYER SIGN CO OF OREGON INC
15205 SW 74TH AVE
TIGARD, OR 97224
PHONE' 503 - 620 -8200
FAX:
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp:
Total $418.66
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 a h approved plans This permit will expire if work is not started within 180 days of issuance, or rf work 's suspended for more the
180 days ENTION Oreg. . , - •uires you to follow the rules adopted by the Oregon Utility Notification Center T. • . . are set forth in OAR
952 -001 010th.ough OAR 9: -)01- 10 • You may obtai a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.: • 0. 3- -
Ism, By: I/ ' Permittee Signature: �y�7 ��►�
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'N
•
Date:
LICENSE NO.
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.
N.
Electrical Permit A licati FOR OFFICE USE ONLY
� CEIVED
City of Tigard Receiv ' Qy Permit No G'` ( �—t/d ed /�
l�
II
° 13125 SW Hall Blvd , Tigard, OR 972/18 - 7 2009 Plan Review
C ` Phone 503.639.4171 Fax. 503 598 19 j60 Date /B Other Permit
T I G A R D Inspection Line 503 639 CITY OF TIG ARD Date Ready /By pm. ® See Page 2 for
Notified/Me
Internet: www tigard -or gov (}UU,DIN DIVI SION Supplemental Information
TYPE OF WORK PLAN REVIEW
El New construction ❑ Addition /alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked below)
❑ Service or feeder 400 amps or more ❑ Building over three stories
❑ Demolition ❑'Other: 6 f 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 2- Commercial /industrial ❑ Accessory building amps for all other installations buildings
❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump ❑ Installation of 75 KVA or
❑ Emergency system larger separately derived system
JOB SITE INFORIVTION AND LOCATION ❑ Addition of new motor load of ❑ "A ", "E", "I - ", "I -3 ",
Job no.: Job site address: 7 � - � 100HP or more occupancy
�W ❑ Six or more residential units ❑ Recreational vehicle parks
City/State /ZIP: — FL Cs p 2 Cl ^ 2Z� ❑ Haz Hazardous facilities on ❑ Supply voltage for more than
1 0 locations 600 volts nominal
Suite /bldg. /apt. no.: f —ilc (, Project name: t. ❑ Service or feeder 600 amps or more
1 FEE SCHEDULE
Cross street/directions to job site: t f ) 5 5 p^
- ` K �� ( Description I Qty. Fee. Total
v v` New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq ft. or less 145 15 4
Ea add'l 500 sq. ft or portion 33 40 1
Tax map /parcel no.: Limited energy, residential
DESCRIPTION OF WORK (with above sq ft.) 75 00 2
Limited energy, multi - family
A\ C- ,y
,02fPryLl 1 NhikCnM (f..- residential (with above sq ft.) 75 00 2
Services or feeders installation, alteration, and /or relocation
`c't■r- 200 amps or less 80.30 2
Et-PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106 85 2
Name: I � 401 amps to 600 amps 160 60 2
r ) l� _ 601 amps to 1,000 amps 240 60 2
Address: at/ W 7 7 C-1 d '� P-cL ' Over 1,000 amps or volts 454 65 2
City /State /ZIP: [ f-lL�� ` Oil. ct 1 2Z Temporary services or feeders installation, alteration, and /or
relocation
Phone: ( ) Fax: ( ) 200 amps or less 66 85 l
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100 30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133 75 2
Branch circuits - new, alteration, or extension, per panel
Owner signature: Date: A Fee for branch circuits with
APPLICANT „ErCONTACT PERSON above service or feeder fee, 6.65 2
_ (
each branch
Business name: CO C am`� Fee
\ B Fee for branch circuits
Contact name: without service or feeder fee, 46 85 2
first branch circuit
Address: Each add'l branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City/State /ZIP: Each manufactured or modular 90 90 2
dwelling, service and /or feeder
Phone: ( ) Fax: : ( ) Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 7 53 40 37 3 ,sib 2
Signal circuit(s) or limited -
Business name: py �, a„ . C. (�R ,, _
C energy panel, alteration, or
Address: 15,4o r i ,5s-,- g -7 „ I 7 L y _ v extension Describe Page 2 2
City /State /ZIP: 77 2 2 Each additional inspection over allowable in any of the above
/ Per inspection 62.50
Phone: ( 5 9 3 ) 6 2 . 0 _ g - j' 3 Fax: ( b ) 6 2.J -70 7 Investigation per hour (I hr min) 62 50
CCB Lic.: 6, (J ( l J Electrical Lic.: Z) —IQod( 5 Suprv. Lic : 5‘6, 5(4_ Industrial plant per hour 73 75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required:
//(Z-- - Subtotal 57 3 -
��((�� L ► , Date: Plan review (25% of permit fee)
Print name'
FII I ).-)0 ' _ b State surcharge (12% of permit fee). 4.4.8C.
Authorized signature. — 416. TOTAL PERMIT FEE o777s V il ( g , I. ,
` AC This permit application expires if a permit is not obi tried within 180
Print name: /� 1 B �,D Date: (� _' ` p 4 days after it has been accepted as complete.
D V"� V / * Number of inspections allowed per permit
1 \Bwldmg\Permns\ELC- PermiiApp doe 05/23/06 440 - 461ST( I 1 /05 /COM/WEB