Permit CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: ELC2014-00340
�
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/23/2014
TIGARD Parcel: 2S112AD00900
Jurisdiction: Tigard
Site address: 14800 SW SEQUOIA PKWY
Project: Home Depot Subdivision: PACIFIC CORPORATE CENTER Lot: 9
Project Description: Sign lighting for(5)signs.
Contractor: RAMSAY SIGNS INC Owner: HD DEVELOPMENT OF MARYLAND, INC
9160 SE 74TH AVE BY HOME DEPOT USA, INC
PORTLAND, OR 97206 PROPERTY TAX DEPT#4002
PO BOX 105842
ATLANTA, GA 30348
PHONE: 503-777-4555 PHONE:
FAX: 503-777-0220
FEES
Quantity Description Date Amount
5 ea Sign or Outline Lighting 06/23/2014 $339.20
Specifics:
1 ea 12%State Surcharge- 06/23/2014 $40 70
Electrical
Type of Use: COM
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $379 90
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 t.- • - • ect questions to OUNC by calling 503.232.1987 or 1 800.332.2344
• 4010/.--- i
Issued By: >�� =r — Permi ee-Signature: ��-
�l�
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.
5 NJa201 *- •. a5 5-- , , I ,
Electrical Permit Application ' FOR OFFICE USE ONLY
City of Tigard "'"' Received Permit No.:
13125 SW Hall Blvd.,Tigard,OR3 � '�Qt Plan Review /�
L Phone: 503.718.2439 Fax: 503.598.1960 ww\\ �31• Date/By: Other Permit:1%/v 41
Inspection Line: 503.639.4175 �\ \'t D Date Ready/By: Jam: ® See Page 2 for
T I G:1 F D *S Notified/ ethd: �4 " Supplemental Information
Internet: www.tigard-or.gov ` \
®New construction ❑Addition/alterat`l acement Please check all that apply(submit 2 sets of plans wiitems checked below):
❑Service or feeder 400 amps or more ❑Building over three stories.
❑Demolition ❑Other: where the available fault current ❑Marinas and boatyards.
I c r; „7 i r; - - 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.
❑Mrlti-family ❑Master builder ❑Other: - ❑Emergency system. ❑larger separately derived system.Installation of 75 KVA or
(;1;k i ; I`i 0 t0 t �(t)lt.:Xl 0 - i.t.1.1 a -4: ❑Addition of new motor load of ❑"A" "E" 1-2" 1.3"
100HP or more. occupancy.
Job no.: Job site address: 114$o 0 Si
'l c_ u o;U f r-,Y•. parks.
W c. ❑Six or more residential units. ❑Recreational vehicle
❑Health-care facilities. ❑Supply voltage for more than
City/State/ZIP:Tigard,OR 97223 ❑Hazardous locations. 600 volts nominal.
Suite/bldg./apt.no.: Project name: Ow,e f d-t ❑Service or feeder 600 amps or more.
1..,, s..;'t E IIED 1 t ar
Cross street/directions to job site: Description Qty. Fee. Total •
New residential single-or multi-family dwelling unit.
Includes attached garage.
Subdivision: 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
r { tI tiv with above ft. 75.00 2
Limited energy,multi-family
residential(with above sq.ft.) 75.00 2
5 Siyjr ���fCJ/�f
I� Services or feeders installation,alteration,and/or relocation
200 amps or less 100.70 2
* -19.4154,M4.#0.4 sf 1 t 201 amps to 400 amps 133.56 2
-"""'' 401 amps to 600 amps 200.34 2
Name:See Attached 601 amps to 1,000 amps 301.04 2
Address: Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
City/State/ZIP: relocation
( )
Phone:( ) Fax: 200 amps or less 59.36 1
201 amps to 400 amps 125.08 2
Owner installation:This installation is being made on property that I own which is not 401 amps to 599 amps 168.54 2
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701, Branch circuits—new,alteration,or extension,per panel
Owner signature: Date: A.Fee for branch circuits with
3r } „a, + v above service or feeder fee,
. Y Cam:„ ®:'CONTACT-PERSON :' 7.42 2
each branch circuit
Business name:Ramsay Signs Inc B.Fee for branch circuits without
service or feeder fcc,first 56.18 2
Contact name:Garrett Gibson branch circuit
Each add'l branch circuit 7.42 2
Address:9160 SE 74th Ave Miscellaneous(service or feeder not included)
Each manufactured or modular 67.84 2
City/State/ZIP: Portland,OR 97206 dwelling,service and/or feeder
Phone:(503)777-4555 I Fax: :(503)777-0220 Reconnect only 67.84 2
Pump or irrigation circle 67.84 �2
E-mail:GarrettG@RamsaySigns.com Sign or outline lighting 5 67.84 '3' •� 2
'£..t" z > ,+z CONTRACTOR - Signal circuit(s)or limited-energy
panel,alteration,or extension. Page 2 2
Business name:Ramsay Signs Inc
Each additional inspection over allowable in any of the above
Address:9160 SE 74th Ave Additional inspection(1 hr min) 66.25/hr
Investigation(1 hr min) 6625/hr
City/State/ZIP:Portland,OR 97206 Industrial plant(1 hr min) 78.18/hi-
Phone:(503)777-4555 Fax:(503)777-0220 Inspections for which no fee is 90.00/hr
specifically listed('/:hr min)
CCB Lic.: 63422 I Electrical Lic.: • 06CLS Suit-v.Lic.: 493Sig -•ELECTRICAL PERMIT:FEES
r Subtotal: 361• aQ
Suprv.Electrician signature,required: ��. �` Plan review(25%of permit fee): --'
Print name: Phil Steiger s ate: �,�1AI State surcharge(12%of permit fee): L(J-7e)
TOTAL PERMIT FEE: 3 7 9.10
Authorized signatur,L>.,4r This permit application expires if a permit is not obtained within 180
i days after it has been accepted as complete.
Print name: Garrett Gibson Date: (.9 MI + Number of inspections allowed per permit.
1r Building\Permits\ELC-PermitApp.doc 07'0110 4-t0-46I 5T(11%05/COMWEB
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
14800 SW SEQUOIA PKWY, TIGARD, OR, 97224
Commercial - Electrical
199 Electrical final
PASS - No C of O
ELC2014-00340
Herb Stabenow
Violation Summary:
Inspector Contractor