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Permit 14 it CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT ELECTRICAL ELC2014-00418 TICARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/29/2014 Parcel: 2 S 113AA00100 Jurisdiction: Tigard Site address: 16358 SW 72ND AVE Project: LAMAR ADVERTISING Subdivision: ROSEWOOD ACRE TRACTS Lot: PTS A,B Project Description: (1)60-amp service and(2)branch circuits for billboard illumination. Contractor: DAVID STUCK ELECTRIC LLC Owner: PACIFIC REALTY ASSOCIATES PO BOX 2582 ATTN: N PIVEN EUGENE, OR 97402 15350 SE SEQUOIA PKWY#300 PORTLAND, OR 97224 PHONE 541-542-0618 PHONE' FAX FEES Quantity Description Date Amount 1 ea Services or Feeders-200 07/29/2014 $100.70 Specifics: amps or less 2 crt Branch Circuits w/Purchase 07/29/2014 $14.84 Type of Use: COM Service or Feeder Class of Work: ALT 1 ea 12%State Surcharge- 07/2912014 $13.86 Electrical Type of Const: Occupancy Grp: Total $129.40 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 the rules or direct questions to OUNC by calling 503.232.1987 or 1.800 332 2344 Issued By: / 6 r-M! Permittee Signature: 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 A licat' ~ ‘StS) FOR IC s O\l 1 PP ��K�pv��� OFFICE .F. City of Tigard 0 k ev� /r. �I/ Permit No _ , r 1 " 13125 SW Hall Blvd.,Tigard,OR 97223 it% Plan Review �� __ I Phone: 503.718.2439 Fax: 503.598.19166 t� O Date/B : Other Permit. T I G A R D Inspection Line: 503.639.4175 t�C�,G,r`�`O gate Ready/By: See Page 2 for Internet: www.tigard-or.gov .0 VC �I�S1 Notified/Method: Supplemental Information TYPE OF W lt4 Ulu PLAN REVIEW ❑New construction Et Addition/alterdlion/replacement Please check all that apply(submit 2 sets of plans w/items checked below): El Demolition ❑Other: ❑Service or feeder 400 amps or more ❑Building over three stories. 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 Job no.: Job site address: /6 3$~• $w 72 fteI _ IOOHPor more. occupancy. _ _ /qY'z ❑Six or more residential units. 0 Recreational vehicle parks. City/State/ZIP: 77G9 A a 0A q 72 2 y ❑Health-care facilities ❑Supply voltage for more than ❑Hazardous locations 600 volts nominal. Suite/bldg./apt.no.: Project name: 1.4MA Q B)<L a 4- R 0 ❑Service or feeder 600 amps or more Cross street/directions to job site: r�•( FEE SCHEDULE J SLt1 72 �v� Su✓TFF .lav0 cw�T. Description 1 Qty. I Fee- I rout I New residential single-or multi-family dwelling unit. POPO- 10/m r S'"fi u'/r-1P 44c•Ikisr Rirttl2y, Lir i7' i/'(t0 /i'f d.sr, 1014K Includes attached garage. Subdivision: CS°I r. 3 O'/' , 27S4 Ar4--)r 1 Lot no.: 1,000 sq.ft.or less 168.54 4 Ea.add'1 500 sq.ft.or portion 33.92 1 Tax map/parcel no.: Limited energy,residential 75.00 2 DESCRIPTION OF WORK (with above sq.ft.) Limited energy,multi-family 17 0_.4 /J ,g''Q y c, ..*pt residential(with above ft.) 75.00 2 D w;.�/.�G co/1 �1 Renewable Energy ❑ See Page 2 0 i44 304 RIO I s i v,„i/A4.ri GA/ Services or feeders installation,alteration,and/or relocation ❑ PROPERTY OWNER 1 ® TENANT 200 amps or less / - 100.70 z c.G,V 2 Name: 201 amps to 400 amps 133.56 2 4 s t15/ �' 401 amps to 600 amps 200.34 2 Address: 6 eve /2 rst sr. t S•/Gi 5-id/hr. / 3e, 601 amps to 1,000 amps 301.04 2 Over 1,000 amps or volts 552.26 2 City/State/ZIP: Sad-ern col q 7 3 0/ Temporary services or feeders installation,alteration,and/or Phone:(.6/11 ) SJ'-/ -- 7 q/V 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, •er panel Sr APPLICANT I ❑ CONTACT PERSON A Fee for branch circuits with above service or feeder fee, Business name: 6 4 t//� s'rti e t< e L L.-+ie,G f L./.G. each branch circuit Z 7.42 % 1_ i i 2 B Fee for branch circuits without Contact name: 6 A//4 s ruG.< service or feeder fee,first -- branch circuit 56.18 2 Address: jo 0 17 6x' 23"e 2 Each add]branch circuit 7.42 2 City/State/ZIP: A` ,4 7.1 4e- G A 11.40 Z Miscellaneous(service or feeder not included) t Each manufactured or modular 67.84 2 Fax:: dwelling,service and/or feeder Phone:(5,141) sy 3 - 061 5" ( ) Reconnect only 67 84 2 E-mail: 5 .'i 2 S•�'Z 6v C ri t/c - �K, GdM Pump or irrigation circle 67.84 2 CONTRACTOR Sign or outline lighting 67.84 2 Business name: d A 1,/ID sr,,,,c/4- a«R'-A2/G, 1-�L G Signal circuit(s)or limited-energy See panel,alteration,or extension. Page 2 _ _ 2 Address: PO e0,V 2-5-"Er , Each additional inspection over allowable in any of the above E Additional i inspection(I hr tin) 66.25/hr City/State/ZIP: t flg4e1/ t G r 17*0 Z Investigation(1 hr min) 66.25/hr ` Phone:( 1) .5-4-t 3 _a 6/ g Fax:( ) Industrial plant(I hr nun) , 78.18/hr SH .5-4-t Inspections for which no fee is 90.00/hr CCB Lie.: /S 8/ 77 Electrical Lie.: ZG-,S/2 C.. Suprv.I.ic_: /x+4..2$ specifically listed(%]hr min) � ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: �t/� Subtotal: //,r..S"t Print name: Q 4-4.-/o A ...s -K Date: ,17%23-/i y Plan review(25%of permit fee): State surcharge(12%of permit fee): /3. 8•: Authorized signature: 1je ,er TOTAL PERMIT FEE: /2 9• HO This permit application expires if a permit is not obtained within 180 Print name: (1.4.1//0 eta- _r m. Date: • /25-//10 days after it has been accepted as complete. • Number of inspections allowed per permit 1/Building\Pmmita\ELC_PermitApp ELR_ERE.doc Rev 05/21/2013 440.4615T(11/05/COM/WEB 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 16358 SW 72ND AVE, TIGARD, OR, 97224 Commercial - Electrical 199 Electrical final PASS - No C of O ELC2014-00418 Jeff Grove Violation Summary: Inspector Contractor