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Permit CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit#: ELC2013 00625 T IGARD 13125 SW Hall Blvd,Tigard OR 97223 503.718.2439 Date Issued: 10/21/2013 Parcel: 1 S 134BC00300 Jurisdiction: Tigard Site address: 12260 SW SCHOLLS FERRY RD Project: M&S Nails Subdivision: GREENWOOD TERRACE CONDO Lot: 17 Project Description: Reconnect existing signage Contractor: TUBE ART SIGNS&SPORTS DISPLAYS Owner: FW OR-GREENWAY TOWN CENTER LLC 4243-A SE INTERNATIONAL WAY PO BOX 790830 MILWAUKIE,OR 97222 SAN ANTONIO,TX 78279 PHONE: 503-653-1133 PHONE FAX: 503-659-9191 FEES Quantity Description Date Amount 1 ea Sign or Outline Lighting 10/21/2013 $67 84 Specifics: 1 ea 12%State Surcharge- 10/21/2013 $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 rf 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 ugh 0 952-0 -0090 You may obtain a copy of the rules or direct questions to OUNC by calling 503 23 1987 or 1 800 332 2344 Issued By Permittee Signature: ��9"v'•uW 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 • I I Received III City of Tigard RECE!VE{ 1 DateB io SY 3 n„/I Permit No. &f s,d13...er 6a S • 13125 SW Hall Blvd.,Tigard,OR 97223 `� Plan Review !'g '- Phone: 503.718.2439 Fax 503.598.1960 OCT 2 ][ Z 013 DateB . Other Permit. • Inspection Line 503.639 4175 Date Ready/By Juris El See Page 2 for TIGARD I Internet' www.ti ard-or. ov CITY Notified/Method Supplemental Information g g lr�i 1 ��r"l�lla.Df`, TYPE OF WO ®In�O Minn a,na PLAN REVIEW El New construction ®Addition/alteration/replaeemerit`7`vl t! 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 El 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 E Commercial/industrial ❑Accessory building amps for all other installations buildings El 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","1-2","I-3", Job no.: 121023 Job site address: 12260 SW Scholls Ferry Rd Six or or more occupancy ❑Six or more residential units ❑Recreational vehicle parks City/State/ZIP:Tigard,OR 97223 ❑Health-care facilities ❑Supply voltage for more than ❑Hazardous locations 600 volts nominal Suite/bldg./apt.no.: Project name:M&S Nails ❑Service or feeder 600 amps or more FEE SCHEDULE Cross street/directions to job site:SW Scholls Ferry Rd&SW Springwood Dr 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']500 sq ft.or portion 33 92 l Tax map/parcel no.:R983537 Limited energy,residential 75 00 2 DESCRIPTION OF WORK (with above sq ft) Limited energy,multi-family 75 00 2 Re-connect existing signage residential(with above sq.ft) Renewable Energy ❑ See Page 2 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: 401 amps to 600 amps 200 34 2 Address: 601 amps to 1,000 amps 301 04 2 Over 1,000 amps or volts 552 26 2 City/State/ZIP: 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 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 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:Tube Art Group each branch circuit B Fee for branch circuits without Contact name:Jessica Kosmas service or feeder fee,first 56 18 2 branch circuit Address:4243-A SE International Way Each add'I branch circuit 7 42 2 City/State/ZIP:Milwaukie,OR 97222 Miscellaneous(service or feeder not included) Each manufactured or modular 67 84 2 Phone:(503)6531133 ex 1217 Fax: :(503)6599191 dwelling,service and/or feeder Reconnect only 67 84 2 E-mail:jkosmas @tubeart.com Pump or irrigation circle 67 84 2 CONTRACTOR Sign or outline lighting 1 67 84 67.$5' 2 Business name:Tube Art Group Signal circuit(s)or limited-energy See panel,alteration,or extension Page 2 2 Address:Same As Above Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66 25/hr City/State/ZIP: Investigation(1 hr mm) 66 25/hr Phone:( ) Fax:( ) Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90 00/hr CCB Lie.: 70956 Electrical Lie.: 37554CLS Suprv.Lie.: 36651G specifically listed(%:hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal 67•sy Print name: Ken Schultz fil Date: 10/21/2013 Plan review(25%of permit fee). ` State surcharge(12%of permit fee). I'-iV Authorized signature: �' I , • u TOTAL PERMIT FEE. '75.9' Print name: Jessica Kosma Date: 10/21/2013 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\Permns\ELC_PermitApp_ELR_ERE doc Rev 05/21/2013 440-4615T(11/05/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Fee for all residential systems combined ... $75.00 Description I Qty. I Fee I Total I • Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100 70 2 5.01to15kva 133.56 2 n Audio and Stereo Systems* 15 01 to 25 kva zoo 34 2 ❑ Burglar Alarm Wind generation systems in excess of 25 kva: 25.01 to 50 kva 301 04 2 n Garage Door Opener* 50 01 to 100 kva 552 26 2 >100 kva(fee in accordance with 552.26 2 111 Heating,Ventilation and Air Conditioning OAR918-309-0040) System* Solar generation systems in excess of 25 kva: Each additional kva over 25 7.42 3 n Vacuum Systems* >100 kva—no additional charge 0 0 3 Each additional inspection over allowable in any of the above: ElOther: Each additional inspection is charged at an hourly(1 hr mm) 66 25/hr Inspections for which no fee is 90.00/hr specifically listed(%3 hr min) _ COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system $75.00 Subtotal: (SEE OAR 918-309-0000) Plan review,if required(25%of permit fee). State surcharge(12%of permit fee). Check Type of Work Involved: TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 ❑ Audio and Stereo Systems days after it has been accepted as complete. • Number of inspections allowed per permit. ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC n Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls n Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I\Build mg\Permits\ELC_PermitApp_ELR_ERE doc Rev 05/21/2013 Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 12260 SW SCHOLLS FERRY RD, TIGARD, OR, 97223 Commercial - Electrical 199 Electrical ﬁnal 2014-02-25 00:00:00 ELC2013-00625 PASS - No C of O Violation Summary: Inspector Contractor