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Permit CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit #: ELC2013 -00085 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/04/2013 Parcel: 1 S127DD01200 Jurisdiction: Tigard Site address: 10031 SW CASCADE AVE Project: ORCHARD SUPPLY HARDWARE WALL SIGN Subdivision: NIMBUS INDUSTRIAL PARK Lot: PT 21, 2 Project Description: (4) sign or outline lighting for NEW WALL SIGNS FOR MAIN ENTRY OF ORCHARD SUPPLY HARDWARE. Contractor: VANCOUVER SIGN COMPANY INC Owner: KRAUSZ PUENTE LLC 2600 NE ANDRESEN RD #50 BY THE KRUASZ COMPANIES INC VANCOUVER, WA 98661 44 MONTGOMERY ST STE 3300 SAN FRANCISCO, CA 94104 PHONE: 360 - 693 -4773 PHONE: FAX: 360 - 693 -2747 FEES Quantity Description Date Amount 4 ea Sign or Outline Lighting 02/04/2013 $271.36 Specifics: 1 ea 12% State Surcharge - 02/04/2013 $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 5 -001-0 0. You m obtain a opy of the rules or direct questions to OUNC by calling 503.232.1987 or .800 .2 44. Issued By: Permittee Signature: V2-'t ' 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 Application FOR OFFICE USE ONLY City of Tigard RECEIVED Received • y g Da te/B n Permit No.: EL C 3 -000 8' V 13125 SW•Hall Blvd., Tigard, OR 97223 . III C Plan Review • Phone: 503.639.4171 Fax: 503.598.196 Date/B : Other Permit: . • T I G A R D Inspection Line: 503.639 EB 4 2013 013 Date Ready/By: Page 2 for Internet: www.tigard - or.gov Notified/Method: — ® • Supplemental Information CITY OFT . TYPE OF DING DIVISION , . , ` PLAN REVIEW c g, 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: 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 ❑ 1- and 2- family dwelling J Commercial/industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. ❑ Addition of new motor load of ❑ "A ", "E "1 - ", "I - ", Job no.: Job site address: / 7 1 � � � IOOHP or more. occupancy. t5 1.1 �.C_rit. r t 0.C. ❑ Six or more residential units. ❑ Recreational vehicle parks. City / State/ZIP: 7 {, a >f O f ❑ Health -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: 0/(110.34S 5 ' ❑ Service or feeder 600 amps or more. .FEE SCHEDULE ' Cross street/directions to job site: Description I on. I Fee. I Total I • I _" r New residential single- or multi- family dwelling unit. �, a..SC.0 Cl e■ c5 G U.S f ex c 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 I Tax map /parcel no.: Limited energy, residential DESCRIPTION OF WORK (with above sq. ft.) 67.84 2 (24) limited energy, multi - family 67.84 2 I t t. U .01 vl ze twin , rt c) !A it . ; a A residential (with above sq. ft.) Services or feeders installation, alteration, and/or relocation 200 amps or less 100.70 2 ❑ PROPERTY OWNER : . :r TENANT 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 Name: 0 e G a(' A C,t' 5 LA.? P l 601 amps to 1,000 amps 301.04 2 Address: /DO 3 j LJ (.o r a p � A V F Ov er 1,000 amps or volts 552.26 2 City /State/ZIP: 1 5 ,, ( , C i, Q g 1 -r Z Z 3 Temporary services or feeders installation, alteration, and/or relocation Phone: ( ) 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, 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 la APPLICANT I ® CONTACT PERSON above service or feeder fee, each branch circuit 7.42 2 Business name: VcAAA o`er €. Si�� B. Fee for branch circuits without service or feeder fee, Contact name: RP.i St() C first branch circuit 56.18 2 Address: 26,00 NF. AYIil le , sem a A s a Ea ch add'I branch circuit 7.42 2 Miscellaneous (service or feeder not included) City /State/ZIP: (Jo e IA) A '78 I Each manufactured or modular 67.84 dwelling, service and/or feeder Phone: (3,o) (q 3 L177 3 Fax: : ( 360 6q 3 Z7 `i 7 Reconnect only 67.84 2 E - mail: Pump or irrigation circle 67.84 2 CONTRACTOR Sign or outline lighting ( hf) 67.84 2 • Business name: � Signal circuit(s) or limited - � 1'(,Gl1 IAVP�t� t�ig17 energy panel, alteration, or Address: u R / y sO extension. Describe: Page 2 2 z (on 6 N E A1/l.o City / State/ZIP: V4.)1 G O t Aoes., IA) i $, („ I Each additional inspection over allowable in any of the above • Per inspection 66.25 Phone: ( 36,0) b9 3 11 7 7 3 Fax: ( 360) 69,3 17!17 Investigation per hour (1 hr min) 66.25 CCB Lic.: aC/ 5 Electrical Lic.: 37_ y(o 6151 Su v. Lic.: 52( - 516 Industrial plant per hour 78.18 ELECTRICAL PERMIT FEES • Suprv. Electrician signature, required: 5t/ Subtotal: ' - Plan review (25% of permit fee): . Print name: 8t � Date: 2 / / State surcharge (12% of permit fee): Authorized signature: �� � TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: cto r Date: 7/10; ! � • days after it has been accepted as complete. • t • Number of inspections allowed per permit. 3 0 C? I:tBuilding l'crmits\EI.C- PcrmitApp.doc 10/01/09 440-4615r 11 /05/CObt/WBB