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Permit CITY OF TIGARD ELECTRICAL PERMIT 11. ' COMMUNITY DEVELOPMENT Permit#: ELC2014-00520 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/22/2014 T I G A F2)? g Parcel: 1 S135BA00102 Jurisdiction: Tigard Site address: 10218 SW WASHINGTON SQUARE RD Project: DXL Men's Apparel Subdivision: OAKBURG Lot: 9 Project Description: Sign lighting for(2)illuminated channel letersets. Contractor: RUDNICK ELECTRIC SIGNS LLC Owner: PPR SQUARE TOO LLC 1625 WASHINGTON ST PO BOX 847 OREGON CITY, OR 97045 CARLSBAD,CA 92018 PHONE: 503-655-2610 PHONE: FAX: 503-980-7919 FEES Quantity Description Date Amount 2 ea Sign or Outline Lighting 09/22/2014 $135.68 Specifics: 1 ea 12%State Surcharge- 09/22/2014 $16.28 Electrical Type of Use: COM Class of Work: ALT Type of Const: Occupancy Grp: Total $151.96 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- or direct questions to OUNC by callin 32.1987 or 1.800 32. • . Issued By: %tl�� - __ Permittee Signature: A. . 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 Applicati fe EIVED FOR OFFICE USE ONLY City of Tigard Received Date/I3 : /1 I�I I IF Permit No.: a. - d. 4./....Co jp 13125 SW Hall Blvd.,Tigard,OR 9722 EP 11 2014 Plan Review Other Permit Phone: 503.639.4171 Fax: 503.598.1960 Date/B : , • `i 6. l 1 \I,I Inspection Line: 503.639.4175 (' CITY(�.r' D Date Ready/By: 0 See Page 2 for Internet: www.tigard-or.gov V 1 1 v>f Notified/Methad: Supplemental Information ■ a,∎ , 1.6 i11►1 REVIEW 7.4 New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans whtems 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 CONSTRUCTIO 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 CommerciaUindustrial ❑Accessory building amps for all other installations. buildings. ❑Multi-family Master builder ❑Other: ❑Fire pump. ❑Installation of 75 KVA or ❑Emergency system. larger separately derived system. ❑Addition of new motor load of ❑"A","E","1-2","1-3", Job no.: Job site address: o?\' J 11 Six or or more. occupancy. ..A t tJi 1 ❑Six or more residential units. ❑Recreational vehicle parks. CI /State/ZIP: -J r ❑Health-care facilities. ❑Supply voltage for more than ' _ 600 volts nominal. ❑Hazardous locations. Suite/bldg./apt.no.: 111,` Project name: , Av. , I. L ❑Service or feeder 600 amps or more. Cross street/directions to job site: Description Qty. Fee. Total i. �� New residential single-or multi-family dwelling unit. ne"4_ ∎- \ Cass �115JA_ , E1r Includes attached garage. Subdivision: • no.: 1,000 sq.ft.or less 168.54 4 Ea.add'I 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.) 1` Limited energy,multi-family 7500 2 _ , Xtl, i I�j M _�` residential(with above sq.ft.) • _ u .1.' tl. .tl 1 - 1 - Services or feeders installation,alteration,and/or relocation (y(\ - 'P__ c 200 amps or less 100.70 2 ❑ PROPERTY OWNER [TENANT 201 amps to 400 amps 133.56 2 , 401 amps to 600 amps 200.34 2 . _ !►� 601 amps to 1,000 amps 301.04 2 _ Address: `0 (E, , 'N ,t. ; - ` - .14: ► 0 Over 1,000 amps or volts 552.26 2 - Temporary services or feeders installation,alteration,and/or City/State/ZIP: l u . r• .. relocation Phone:( ) 1 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 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps 168.54 2 Branch circuits-new,alteration,or extension, er panel Owner signature: Date: A.Fee for branch circuits with CONTACT PERSON ►: W.: above service or feeder fee, 7 42 2 r each branch circuit • c=pli B.Fee for branch circuits without service or feeder fee,first Contact name: ‘ 1 • branch circuit 56.18 2 ` '�`�— e.,L. '� Each add'I branch circuit 7.42 _ 2 Miscellaneous(service or feeder not included) 2: ( ) City/State/ZIP: G�� Each manufactured or modular 67.84 2 tY �. 8 r dwelling,service and/or feeder Phone:(5?5 ) •SS- */ O Fax: :(Si.) ) 't - C2 L Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E-mail: ■�-e_elaTga Sign or outline lighting C. 67.84 /3 i•, Lit 2 CONTRACT 0' Signal circuit(s)or limited-energy Business name: 1 \ ' 1 ti C t panel,alteration,or extension. Page 2 2 rs .l - -u �- Each additional inspection over allowable in any of the above �� Additional inspection(1 hr min 66.25/hr Address: '` t Pe ction( ) City/State/ZIP: ■ , to , , a Investigation(1 hr min) 66.25/hr moo\' 'j■A r. u Industrial plant(1 hr min) 78.18/hr Phone:(563 ) 63--s- _lb I d Fax:(13:SIV • :11,S — . 14' Inspections for which no fee is 90.00/hr sr: ificall listed %2 hr min CCB Lic.. $tds--80 IMEICIPME11 Suprv.Lic.. • SV( , i t 1 •i'. Subtotal: ( ,4 y Suprv.Electrician signature,required: —_ o Plan review(25%of permit fee): Print name: C� I `\ t Date: Ole Nis State surcharge(12%of permit fee): ((o. _J •l ..►. _ ti - / - TOTAL PERMIT FEE: 1 "---1,q(0 Authorized signature: — 410 This permit application expires if a permit is not obtained within 180 `.I `. a eY� • �� days after has been accepted as complete. Print name: Date: ` Number of inspections allowed per permit. V i\Building\Permits\ELC-PermitApp.doc 07/01/10 440-4615T(11/05/COM/WEB Electrical Permit Application - City of Tigard Page 2- Supplemental Information LIMITED ENERGY PERMIT FEES: RES PP,. 4 WORK ONLY: Fee for all residential systems combined ... $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating,Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: i C` `L OI _ -"'W' Fee for each commercial $75.00 system (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls 71\Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 1:\Building\Permits\ELC-PermitApp.doc 07/01/10 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 10218 SW WASHINGTON SQUARE RD, TIGARD, OR, 97223 Commercial - Electrical 199 Electrical final PASS - No C of O ELC2014-00520 Chip Barnett Violation Summary: Inspector Contractor