Permit CITY OF TIGARD ELECTRICAL PERMIT
Ili >t. COMMUNITY DEVELOPMENT Permit #: ELC2013 -00759
13125 SW H Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/31/2013
7 t +C, A R D Parcel: 1 S 134AA01900
Jurisdiction: Tigard
Site address: 10115 SW NIMBUS AVE
Project: Scholls Business Center Subdivision: IKOLL BUSINESS CENTER, TIGARD Lot: B
Project Description: Electrical for (8) wall signs for entire Nimbus Center.
Contractor: VANCOUVER SIGN COMPANY INC Owner: ROBINSON, CONSTANCE A
2600 NE ANDRESEN RD #50 BY KILLIAN PACIFIC LLC
VANCOUVER, WA 98661 500 EAST BROADWAY, STE 110
VANCOUVER, WA 98660
PHONE: 360 - 693 -4773 PHONE:
FAX: 360 - 693 -2747
FEES
Quantity Description Date Amount
8 ea Sign or Outline Lighting 12/31/2013 $542.72
Specifics:
1 ea 12% State Surcharge - 12/31/2013 $65.13
Electrical
Type of Use: COM
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $607.85
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. T ose rules are set forth in OAR
952 -001 -0010 through OAR 952 - 001 -0090. You may obtain opy of the ru r direct questions to OUNC by calling 503.232.1987 or 1 :00.33 - • 4.
Issued By: Permittee Signature: ..41/ / . 411...1 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 ei \15) FOR OFFICE USE ONLY
Cit of Ti and Received
Y g Date /B : I r II Permit No.. r� 1 „
13125 SW Hall Blvd., Ti d 3
Plan Review
g Phone: 503.718.2439 Fax: 503.598.1 3 12013 Date/B : Other Permit: >(u>aat, t , Ce
1 I c \ P. D Inspection Line: 503.639.4175 QE Date Ready /By: ® See Page 2 for
Internet: www.tigard- or.gov D Notified/Method: if Supplemental Information
TYPE OF PLAN REVIEW
Please check all that apply (submit 2 sets of plans w /items checked below):
❑ New construction ❑ Additi replacement
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
CATEGO 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 150 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system
❑ Addition of new motor load of ❑ "A" "E" "1 -2" "1 -3"
C ,
IOOHP or more. occupancy.
Job no.: Job site address:
e) (1,..) 1 V I 01.160,_
❑ Six or more residential units. ❑ Recreational vehicle parks.
City/State/ZIP: ( ❑ Health -care facilities. ❑ Supply voltage for more than
k t f lt a {'I� r �I1 �, 2-7.- ❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: JJ Project name: 1V .teiNV Iv, C etntG`C 0 Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: 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'l 500 sq. ft. or portion 33.92 1
Tax map /parcel no.:
Limited energy, residential 7500 2
DESCRIPTION OF WORK (with above sq. ft.)
Limited energy, multi - family 75.00 2
•
w al l S 1 O� T S ' el\ ,t e_ 4i otv i n cl residential (with above sq. ft.)
J J Renewable Energy ❑ See Page 2
coin Op, Services or feeders installation, alteration, and/or relocation
❑ PkOPERTY OWNER ® TENANT 200 amps or less 100.70 2
201 amps to 400 amps 133.56 2
Name: Ali C e lytP C 401 amps to 600 amps 200.34 2
Address: 1 D it C 4 Lei t dYl Dl�.s 601 amps to L000 amps 301.04 2
Ti ver 1.000 amps or volts 552.26 2
City/State /ZIP: T r10.tYt 6 R 1 q ZZ 1 Temporary services or feeders installation, alteration, and/or
Phone: ( ) I Fax: ( ) relocation
200 amps or less 59.36 I
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 l g CONTACT PERSON A. Fee for branch circuits with
above service or feeder fee,
7.42 2
Business name: each branch circuit
vn (1eou,1P a t' 1 Q�l B . Fee for branch circuits without
Contact name: R e; ei S to C m J service or feeder fee, first
ts L branch circuit 56. l8 2
Address: Z CoCO me A 1t 4�J1 e s e n p i U O Each add'l branch circuit 7.42 2
City /State /ZIP: `� a co 1 �.v ex q $ L, 6, l Miscellaneous (service or feeder not included)
Each manufactured or modular 67.84 2
Phone: ( 3b0 ) VIZ i t 77 3 Fax: : (360 ) 03 3 ' .7 1{-7 dwelling, service and/or feeder
Reconnect only 67.84 2
E - mail: Pump or irrigation circle 67.84 2
CONTRACTOR Sign or outline lighting ($) 67.84 sc/ 7a 2
5 ,n Signal circuit(s) or limited- energy See
Business name:
U eva (.01 i , K) it I 1 , ^ panel, alteration, or extension. Page 2 2
Address: 2 ( Q Q e A t d � cc' e 1, A 4 � S ° Each additional inspection over allowable in any of the above
Additional inspection (1 hr min) 66.25/ hr
City /State/ZIP: Vaneo av .c 1,6 1$ /0 / Investigation (l hr min) 66.25/ hr
Phone: (366) 413 4177 Fax: (36'a) ( 3 Industrial plant (I hr min) 78.18/ hr
q ` / 7� Inspections for which no fee is
-3 1 s- 1 3 7 2) Suprv. .S 90.00/ hr
CCB Lic.: E l ectr i ca l Li c.: L Su rv. Lic.: specifically listed (th hr min)
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, require Subtotal: .. - 1 . - 4,1 7L
Print name: `�� _ / C Z.--1. Date : /.� / /g��? Plan review (25% of permit fee):
CJ
111111‘ "'- -5.0.7.----.----- State surcharge (12% of permit fee): . (P (e 5 . 13
Authorized signature: /Z TOTAL PERMIT FEE: C7 15
Print name: ti i� �.� C �/� Date: This permit application be if a is not obtained within 180
t ' L days ys after r it t has been accepted as coo mpleple te. .
* Number of inspections allowed per permit.
1:1Building\ ermiis :LC_PermitApp_ELR_ERE.dac Rev 05/21/2013 440- 4615T(I I /n5 /COht/WIEB
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
10115 SW NIMBUS AVE, TIGARD, OR, 97223
Commercial - Electrical
199 Electrical final
2014-02-20 00:00:00
ELC2013-00759
PASS - No C of O
Violation Summary:
Inspector Contractor