Permit CITY OF TIGARD ELECTRICAL PERMIT
1,1
COMMUNITY DEVELOPMENT Permit#: ELC2013-00611
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/17/2013
TWAR O 9 Parcel: 1 S 136DCO2504
Jurisdiction: TIGARD
Site address: 7275 SW DARTMOUTH ST 120
Project: Great Clips Subdivision: HUNTER POLLOCK NO.2 Lot: G
Project Description: Sign lighting for a new wall sign,approximately 21 square feet,(13'x 2'2"),located at 7275 Dartmouth Street,suite
120 for Great Clips.
Contractor: E S&A SIGN&AWNING Owner: AMERICAN INDUSTRIES INC
89975 PRAIRIE RD 1750 NW FRONT AVE STE#106
EUGENE, OR 97402 PORTLAND,OR 97209
PHONE: 541-485-5546 PHONE:
FAX: 541-485-5813
FEES
Quantity Description Date Amount
1 ea Sign or Outline Lighting 10/17/2013 $67.84
Specifics:
1 ea 12%State Surcharge- 10/17/2013 $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 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 952-001-0090. You may obtain a copy of the rule questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: i - Permittee Signature: �i /�_�./
/.
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
Received
III . City of Tigard Date/B : ` / i1� Permit No.: „`t1 �Y) •
° 13125 SW Hall Blvd.,Tigard,OR 97223 \iv �,t. Plan Review Other Permit: SC9N _�'��
Phone: 503.718.2439 Fax: 503.591f (�\,r Date/By:
Inspection Line: 503.639.4175 �� -` Date Ready/By: Jurls: ® See Paget for
Internet: www.tigard-or.gov \�\. -k 1O Notified/Method: �� Supplemental Information
TYPE OF WORKO ' (r „0,\A PLAN REVIEW
❑ ® ( ��` Please check all that apply
New construction Addition/alteration/rMkke % pp y(submit 2 sets of plans w/items checked below):
(('�\�®� j �!' ❑Service or feeder 400 amps or more ❑Building over three stories.
❑Demolition ❑Other: `x_L",° where the available fault current ❑Marinas and boatyards.
CATEGORY OF CONSTIU C1"ION 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 150 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived system.
❑Addition of new motor load of ❑"A","E","I-2",'l-3",
Job no.: Job site address:7275 Dartmouth SE STE 120 l0OHP or more. occupancy.
❑Six or more residential units. ❑Recreational vehicle parks.
City/State/ZIP:Tigard/OR/97223 ❑Health-care facilities. ❑Supply voltage for inure than
❑Hazardous locations. 600 volts nominal.
Suite/bldg./apt.no.: 120 Project name:Great Clips ❑Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site:
J Description I Qty. 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 75.00 2
DESCRIPTION OF WORK (with above sq.ft.)
Limited energy,multi-family 75.00 2
Install(1)One internally illuminated wall sign on West elevation residential(with above sq.ft.)
_ Renewable Energy ❑ See Page 2
P
— L O I r y(■rt$ rW ci'yam, NtIN ..V-cG-lii`gAIS L. &- a.d 14 Services or feeders installation,alteration,and/or relocation
❑ PROPERTY OWNER ® TENANT 200 amps or less 100.70 2
201 amps to 400 amps 133.56 2
Name:Great Clips 401 amps to 600 amps 200.34 2
. Address:7275 Dartnouth SE 601 amps to 1,000 amps 301.04 2
Over 1,000 amps or volts 552.26 2
City/State/ZIP:Tigard/OR/97223 Temporary services or feeders installation,alteration,and/or
Phone:( ) Fax:( )
relocation
200 amps or less 59.36 1
Owner installation:This installation is being made on property that 1 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
Owner signature: Date: Branch circuits-new,alteration,or extension,per panel
® APPLICANT ❑ CONTACT PERSON A.Fee for branch circuits with
above service or feeder fee,
7.42 2
Business name: ES&A Sign&Awning each branch circuit
B.Fee for branch circuits without
Contact name:Jenny Oberst service or feeder fee,first 56.18 2
branch circuit
Address:89975 Prairie Rd Each add'l branch circuit 7.42 2
City/State/ZIP: Eugene/OR/97402 Miscellaneous(service or feeder not included)
Each manufactured or modular 67.84 2
Phone:(541)485-5546 Fax: :(541)485-5813 dwelling,service and/or feeder
Reconnect only 67.84 2
-
E-mail:joberst @esasigns.com Pump or irrigation circle 67.84 2
CONTRACTOR Sign or outline lighting I 67.84 67.84 2
Business name:ES&A Sign&Awning Signal circuit(s)or limited-energy See
panel,alteration,or extension. Page 2 2
Address:89975 Prairie Rd Each additional inspection over allowable in any of the above
City/State/ZIP: Eugene/OR/97402 Additional inspection(I hr min) 66.25/hr
Investigation(I hr min) 66.25/hr
Phone:(541)485-5546 Fax:(541)485-5813 Industrial plant(I hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lic.: 163470 Electrical Lic.: 20543 CL Suprv. Lic.: 514 SIG specifically listed(%hr min)
Suprv. Electrician signature,required: ELECTRICAL PERMIT FEES
Subtotal: 67.84
Print name: Gordy Roseboro / / Date: 10/1/13 Plan review(25%of permit fee):
t State surcharge(12%of permit fee): 8.14
Authorized signal / TOTAL PERMIT FEE: 75.98
-Print name: Jenny Oberst Date: 10/1/13 This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
/ • Number of inspections allowed per permit.
I:\Building\Perm its'lr._•e nApp_ELR_ER/d.. Re I 3 440-4615T(I I/05/COM/WEB
fir
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
7275 SW DARTMOUTH ST 120, TIGARD, OR,
97223
Commercial - Electrical
199 Electrical final
2013-11-21 00:00:00
ELC2013-00611
PASS - No C of O
Violation Summary:
Inspector Contractor