Permit — CITY OF TIGARD ELECTRICAL PERMIT
• COMMUNITY DEVELOPMENT Permit#: ELC2014-00319
T I G A R 1) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/11/2014
Parcel: 1 S135BA00102
Jurisdiction:
Site address: 10100 SW WASHINGTON SQUARE RD
Project: Scottrade Subdivision: OAKBURG Lot: 9
Project Description: Sign lighting for wall sign.
Contractor: VANCOUVER SIGN COMPANY INC Owner: PPR SQUARE TOO LLC
2600 NE ANDRESEN RD#50 PO BOX 847
VANCOUVER,WA 98661 CARLSBAD,CA 92018
PHONE: 360-693-4773 PHONE:
FAX: 360-693-2747
FEES
Quantity Description Date Amount
1 ea Sign or Outline Lighting 06/11/2014 $67.84
Specifics:
1 ea 12%State Surcharge- 06/11/2014 $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 a••• -• by the Oregon Utility Notification Center. Those ules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may ob '• . •• oft -rules or direct q estions to OUNC by calling 503.232.1r 987 or :00 2.2344.
Issued By: C/ _ - Permittee Signature: //i
•WNER 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
City of Tigard Dateived Cv m/'1 6'77 „
SW Blvd.,Tigard . _ _.
13125 S Hall Bl d.,T gard `� Plan Review
Phone: 503.718.2439 Fax: i r:, : A Other Permit: /
o1�t Date/B (f it nil
T I c n Iz I Inspection Line: 503.639.417 1 1`� Date Ready/By: lotus: B See Page 2 for
Internet: www.tigard-or.gov JAN 1 x.°16) Notified/Method: Supplemental Information
TYPE OF W e ' 1 ‘I i KW PLAN REVIEW
IS,New construction ❑Addition/alt• \.• e'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.
❑ Demolition ❑Other: *1t where the available fault current ❑Marinas and boatyards
.
A 'GORY 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
❑Emergency system larger separately derived system.
JOB SITE INFORMATION AND LOCATION ❑Addition of new motor load of ❑'A",`E","1-2", '1-3",
1- <" Act or more. occupancy.
Job no.: Job site address:ID 14y 5� zL f4 1 fL({t li Sy Act ❑Six or more residential units. ❑Recreational vehicle parks.
City/State/ZIP: q 7 J � ❑Health-care facilities. ❑Supply voltage for more than
y l U T'r�,, 0 ( [ ZZ 11 ❑Hazardous locations. 600 volts nominal.
Suite/bldg./apt.no.: I Project name: S co-t'tCcte�t,e.. ❑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.
61. ertil us q 4- (A)Ok St Ad, Includes attached garage.
Subdivision: tJ t� I 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
DESCRIPTION OF WORK (with above sq.ft.) 75.00
Limited energy.multi-family 75.00 2
fn residential(with above sq.ft.)
1, 1l �l iYV1 i (tLL1't l�lie�l Si C(� Renewable Energy ❑ See Page 2
J Services or feeders installation,alteration,and/or relocation
❑ PROPERTY OWNER I 2f TENANT 200 amps or less 100.70 2
C- � I 201 amps to 400 amps 133.56 2
Name: O.t t cc�f�l'� 401 amps to 600 amps 200.34 2
Rd
i R 601 amps to 1,000 amps 301.04 2
Address:/a I ii q S 3 LOCt6il.l llt5t0 4 5 P P
t J Over 1,000 amps or volts 552.26 2
City/State/ZIP: -T-�3Q�,� 0 l Ci,Z1? Temporary services or feeders installation,alteration,and/or
t �? relocation
Phone:( ) I Fax:( ) 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 1 ® CONTACT PERSON A.Fee for branch circuits with
above service or feeder fee,
Business name: Vancouver Sign each branch circuit 7.42 2
B.Fee for branch circuits without
Contact name:Reid Storm service or feeder fee,first 56.18
2
branch circuit
Address:2600 NE Andresen Rd#50 Each add'l branch circuit 7.42 2
City/State/ZIP Vancouver WA 98661 Miscellaneous(service or feeder not included)
Each manufactured or modular 67.84 2
Phone:(360)693-4773 I Fax::(360)693-2747 dwelling,service and/or feeder
Reconnect only 67.84 2
E-mail:reids @vansignco.com Pump or irrigation circle (.I') 67.84 2
CONTRACTOR Sign or outline lighting 67.84 7_ 2
Business name: Vancouver Sign Signal circuit(s)or limited energy See
panel,alteration,or extension. Page 2 2
Address:2600 NE ANdresen Rd#50 Each additional inspection over allowable in any of the above
Additional inspection(I hr min) 66.25/hr
City/State/ZIP:Vancouver WA 98661 Investigation(I hr min) 66.25/hr
Phone:(360)693-4773 I Fax:(360)693-2747 Industrial plant(1 hr min) 78.18/hr
!may�,,_,.� Inspections for which no fee is 90,00/hr
CCB Lic.: 63951 I Electrical Lic.: 37-46CLS I Suprv.Lic.:�!�y i,,-,.2 listed(1 hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required - Subtotal:
.� ��-$y
Plan review(25%of permit fee):
Print name/� G — .0 G Date:clic tit State surcharge(12%of permit fee): 75--/if
Authorized signature: TOTAL PERMIT FEE: ?5
This permit application expires if a permit is not obtained within 180
Print name: Reid Storm Date: days after it has been accepted as complete.
* Number of inspections allowed per permit.
I:tBuildingl Permiu\ELC_PermitApp_ELR_ERE.doc Rev 05/21/2013 440-46I5T(1l/05/COM/WEB