Permit " , -- CITY OF TIGARD E LECTRICAL PERMIT
` ; ' COMMUNITY DEVELOPMENT Permit #: ELC2013 -00258
'D Date Issued: 05/14/2013
T IGAR 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439
Parcel: 1 S 135BA00102
Jurisdiction: TIGARD
Site address: 10124 SW WASHINGTON SQUARE RD
Project: Strada Street Food of Italy Subdivision: OAKBURG Lot: 9
Project Description: (1) sign or outline lighting
Contractor: MEYER SIGN CO OF OREGON Owner: PPR SQUARE TOO LLC
15205 SW 74TH AVE PO BOX 847
TIGARD, OR 97224 CARLSBAD, CA 92018
PHONE: 503 - 620 -8200 PHONE:
FAX: 503 - 620 -7074
FEES
Quantity . Description Date Amount
• 1 ea Sign or Outline Lighting 05/14/2013 $67.84
Specifics:
1 ea 12% State Surcharge - 05/14/2013 $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 issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes a • 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 i • - ce, • r if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notifi . ion Ce. e'. Those les are set forth in OAR
952 - 001 -0010 through OAR 952- 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by callin. 03.23'.1 :8 or 1.800.3 .2344 0
Issued B Permittee Signature: � _ /
___,24LtAiLlideAL--- 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 RECEIVED • FOR OFFICE USE ONLY
III City of Tigard jj�`�rjjw 1 �I �j Date / B Received S /t� �/3 Permit No -ot7 a�
• 13125 SW H Blvd., Ti OR 97223 MAY 2 013 Plan Review
Phone: 503.71 8.2439 Fax: 503.598.1960 6 Other Permit:
Date /B
T 1 GA RD Inspection Line: 503.639.4175 Date Ready /By: Juris: El See Page 2 for
Internet: www.tigard - or.gov CITY OFTIGARD Notified /Method: �a(o Supplemental Information
TYPE OF WILDING DIVISION 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
❑ 1- 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 INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system.
❑ Addition of new motor load of ❑ "A "E ", "I - ", "I - ",
Job no.: Job site address: 10124 SW Washington Square Rd IOOH more rest occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parks.
City /State /ZIP: Tigard, Oregon 97223 ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite /bldg. /apt. no.: A07 Project name: Strada Street Food of Ita ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Washington Square Too off Highway 217 Description I Qt 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
DESCRIPTION OF WORK (with above sq. ft.) 75.00 2
Limited energy, multi - family 75.00 2
Attach new illuminated sign to existing electrical residential (with above sq. ft.)
Services or feeders installation, alteration, and /or relocation
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: Strada (CCK Restaurants) 601 amps to 1,000 amps 301.04 2
Address: 15887 SW 72 " Ave Over 1,000 amps or volts 552.26 2
City /State /ZIP: Tigard, OR 97224 Temporary services or feeders installation, alteration, and /or
relocation
Phone: (503)747 -3974 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: Meyer Sign Co B. Fee for branch circuits without
service or feeder fee, first 56.18 2
Contact name: Lyn Davis branch circuit
Each add'I branch circuit 7.42 2
Address: 15205 SW 74 Ave Miscellaneous (service or feeder not included)
City /State /ZIP: Tigard, OR 97224 Each manufactured or modular 67.84 2
dwelling, service and/or feeder
Phone: (503) 620 - 8200 Fax: : (503) 620 - 7074 Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
E - mail: lyn @meyersignco.com
Sign or outline lighting 1 67.84 2
CONTRACTOR Signal circuit(s) or limited - energy
Business name: Meyer Sign Co panel, alteration, or extension. Page 2 2
Each additional inspection over allowable in any of the above
Address: 15205 SW 74 Additional inspection (I hr min) 66.25/ hr
City /State /ZIP: Tigard, OR 97224 Investigation (I hr min) 66.25/ hr
Industrial plant (I hr min) 78.18/ hr
Phone: (503) 620 - 8200 Fax: (503) 620 - 7074 Inspections for which no fee is 90.00 / hr
specifically listed ('/2 hr min)
CCB Lic.: 64014 Electrical Lic.: 20 -190CL Suprv. Li • ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: Subtotal:
Plan review (25% of permit fee):
Print name: Carey Rhoads Date: 1/30/13 State surcharge (12% of permit fee): �/
•
/ TOTAL PERMIT FEE: •7s 9 D
Authorized signature
This permit application expires if a permit is not obtained within 180
Print name: Lyn Davis Date: 1/30/13 days after it has been accepted as complete.
Number of inspections allowed per permit.
I:\ Building \Permits\ELC- PermitApp.doc 07/01/10 440 4615T(I I /05 /COM /WEB
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK ONLY:
Fee for all residential systems combined ... $75.00
Check Type of Work Involved:
n Audio and Stereo Systems*
n Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
n Vacuum Systems*
❑ Other:
COMMERCIAL WORK ONLY:
Fee for each commercial $75.00
system
(SEE OAR 918- 309 -0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
n Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I: \Building \Permits\ELC - PermitApp doc 07/01/10