Permit CITY OF TIGARD ELECTRICAL PERMIT
1111 a COMMUNITY DEVELOPMENT P ermit #: ELC2013 -00749
13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/30/2013
T t [; A u p 9 Parcel: 1 S135BC01000
Jurisdiction: Tigard
Site address: 10925 SW GREENBURG RD
Project: Kadel's Auto Body Subdivision: HILLSBORO Lot: PTS 1 -2
Project Description: (1) sign lighting for replacement of freestanding sign
Contractor: MEYER SIGN CO OF OREGON Owner: KADEL, RICHARD A
15205 SW 74TH AVE 9350 SW TIGARD ST
TIGARD, OR 97224 TIGARD, OR 97223
PHONE: 503 - 620 -8200 PHONE:
FAX: 503 - 620 -7074
FEES
Quantity Description Date Amount
Specifics: 1 ea Sign or Outline Lighting 12/23/2013 $67.84
1 ea 12% State Surcharge - 12/23/2013 $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 •the 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 w
i ' suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Ce T rules are set forth in OAR
952 - 001 -0010 through OAR 952- 001 -0090. You m= • • • - • •f the rules or •' ect questions to OUNC by calling : ,1
Issued B � t.� _� _ , Permittee Signature: II
/' 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.
RCEIV ►
Electrical Permit Application FOR OFFICE LSE (»L\
1111 City of Tigard DEC 2 3 2013 Received �5Z Permit No.: e��G /3-ee
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review /'���3 �a
a Phone: 503.718.2439 Fax: 503.598. DateB : Other Permit:
T 1 GARD Inspection line: 503.639.4175 Y OF TIG AR Date ReadyBy: Furls: ® See Page 2 for
Internet: www.tigard-or.gov RIM DING DIVISIO Notifie Supplemental Information
TYPE OF WORK PLAN REVIEW
❑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 ® 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"
100HP or more. occupancy.
Job no.: Job site address: 10925 SW Greenburg Rd
❑ 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: Kadel's Auto Body ❑ Sers' e or feeder 600 amps or more
FEE SCHEDULE
Cross street/directions to job site: ue.,ri 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 1 68.54 4
Ea. add'l 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
Connect (1) Replacement Monument Display to Existing Electrical Circuit 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: Kadel's Auto Body 401 amps to 600 amps 200.34 2
Address: 10925 SW Greenburg Rd 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 I
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125.08
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54
Owner signature: Date: Branch circuits — new, alteration, or ex tensio
n, per panel
® APPLICANT I ® CONTACT PERSON A. Fee for branch circuits with
above service or feeder fee,
7.42
Business name: Meyer Sign Co each branch circuit
B. Fee for branch circuits without
Contact name: Thad Firkins service or feeder fee, first 56.18
branch circuit
Address: 15205 SW 74 Ave Each add'I branch circuit 7.42 2
City/State/ZIP: Tigard OR 97224 Miscellaneous (service or feeder not included)
Each manufactured or modular 67.84 2
Phone: (503) 620 - 8200 Fax: : (503) 620 - 7074 dwelling, service and/or feeder .
Reconnect only 67.84 2
E - mail: permits @meyersignco.com Pump or irrigation circle 67.84 2
CONTRACTOR Sign or outline lighting 1 67.84 67.84 2
Business name: Meyer Sign Co Signal circuit(s) or limited energy See
panel, alteration, or extension. Page 2 2
Address: 15205 SW 74 Ave Each additional inspection over allowable in any of the above
Additional inspection (I hr min) 66.25/ hr
City /State/ZIP: Tigard OR 97224 Investigation (1 hr min) 66.25/ hr
Phone: (503) 620 - 8200 Fax: (503) 620 - 7074 Industrial plant (1 hr min) 78.18/ hr
Inspections for which no fee is 90.00/ hr
CCB Lic.: 64014 Electrical Li ' 20199OCLS S pry. Lic.: 566SIG specifically listed ('h hr min)
Suprv. Electrician signature, required: / / jj /j` t , /„ ELECTRICAL PERMIT FEES
Subtotal: 67.84
Print name: Phil Reynolds Date: i/„.. / ��� Plan review (25% of permit fee):
State surcharge (12% of permit fee): 8.14
Authorized signature: TOTAL PERMIT FEE: 75.98 ✓
This permit application expires if a permit is not obtained within 180
Print name: Thad Firkins Date:`Z /z/73
days after it has been accepted as complete.
* Number of inspections allowed per permit.
I: Building\ PermitssELC _PermitApp_ELR_ERE.doc Rev 05/21/2013 4404615T(11 /(15/COM/WEB