Permit q CITY OF TIGARD ELECTRICAL PERMIT
111 1 COMMUNITY DEVELOPMENT Permit#: ELC2014-00566
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/01/2014
Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9393 SW WASHINGTON SQUARE RD S11
Project: ABERCROMBIE KIDS Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S
Project Description: Sign lighting for(1)wall sign.
Contractor: MEYER SIGN CO OF OREGON Owner: PPR WASHINGTON SQUARE LLC
15205 SW 74TH AVE PO BOX 847
TIGARD, OR 97224 CARLSBAD, CA 92018
PHONE: 503-620-8200 PHONE:
FAX: 503-620-7074
FEES
Quantity Description Date Amount
1 ea Sign or Outline Lighting 10/01/2014 $67.84
Specifics:
1 ea 12%State Surcharge- 10/01/2014 $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 Cod-- 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 iss ,nc , cif work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notifica'•n er. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a co. o - ules or direct questions to OUNC by calling 0.23 •:7 or 1.800.33 .2344.
Issued By: - _- Permittee Signature: / /1
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 Application FOR OFFICE USE ONLY
Received
City of Tigard ' E\iE ) Date/B : Q I'ernut Nu.:13125 SW Hall Blvd.,Tigard, t Plan Review
'� a Phone: 503.718.2439 Fax: 50 5 . * Date/By: Other Permit:
I I c K l 1
Inspection Line: 503.639.4175 1 2014 Date Ready/By: luris: WI See Page 2 for
Internet: www.tigard-or.gov OCI Notified/Method: 7 Supplemental Information
TYPE OF v,i _ PLAN REVIEW
❑New construction ® Addition/ , ,r:Cement'' Please check all that apply(submit 2 sets of plans w/items checked below):
•.i t ❑Service or feeder 400 amps or more ❑Building over three stories.
❑ Demolition ❑Other: where the available fault current ❑Marinas and boatyards.
CATEGORY OF CONSTRUCTION illiMiliffiliMM 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: ❑lire pump. ❑Installation of 75 KVA or
JOB SITE INFORMA404,1.,AND LOCATION ❑Addition sew m. larger separately derived system.
��Sri{S3 ❑Addition of new motor load of ❑"A","E","1-2"."1-3",
Job no.: Job site addres,5: W Washington Square Rd. I00HPormore. occupancy.
❑Six or more residential units. ❑Recreational vehicle parks.
City/State/ZIP:Portland,OR 97223 ❑Health-care facilities. ❑Supply voltage for more than
❑Hazardous locations. 600 volts nominal.
Suite/bldg./apt.no.:20134 Project name:Abercrombie Kids ❑Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description 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 168.54 4
Ea.add'l 500 sq.ft.or portion 33.92 I
Tax map/parcel no.: Limited energy,residential
DESCRIPTION OF WORK (with above sq.ft.) - 75.00 -'•Limited energy,multi-family 7500
Connect 1 internally illuminated wall sign to existing electrical. residential(with above sq.ft.) -
Services or feeders installation,alteration,and/or relocation
200 amps or less 100.70 2
❑ PROPERTY OWNER I ® TENANT 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
Name:Abercrombie Kids —
601 amps to 1,000 amps 301.04 2
Address:9585 SW Washington Square Rd. Over 1,000 amps or volts 552.26 2
City/State/ZIP:Portland,OR 97223 Temporary services or feeders installation,alteration,and/or
Y relocation
Phone:( ) 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
Branch circuits—new,alteration,or extension,per panel _
Owner signature: Date: A.Fee for branch circuits with
0 APPLICANT ❑ CONTACT PERSON above service or feeder fee. 7.42 7
each branch circuit
Business name:Meyer Sign Co B.Fee for branch circuits without
service or feeder fee,first 56.18 2
Contact name:Tony McCormick branch circuit
Each add'I branch circuit 7.42 _ 2
Address: 15205 SW 74th Ave Miscellaneous(service or feeder not included)
Each manufactured or modular 67.84 2
City/State/ZIP:Tigard,OR 97224 dwelling,service and/or feeder
Phone:(503)620-8200 Fax::(503)620-7074 Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
E-mail:permits @meyersignco.com
Signor outline lighting I 67.84 c'1,IN 2
CONTRACTOR Signal circuit(s)or limited-energy
Business name:Meyer Sign Co panel,alteration,or extension. Page 2 2
Each additional inspection over allowable in any of the above
Address: 15205 SW 74th Additional inspection(1 hr min) 66.25/hr
City/State/ZIP:Tigard,OR 97224 Investigation(I hr rain) 66.25/hr
Industrial plant(1 hr min) 78.18/hr
Phone:(503)620-8200 I Fax:(503)620-7074 Inspections for which no fee is 90.00/hr
spccitically listed('/z hr min)
CCB Lic.: 64014 Electrical Lic.: 20-190CL Suprv.Lic.: 524 SIG ELECTRICALJERMIT FEES
Suprv.Electrician signature,required: Subtotal: S `;
Plan review(25%of permit fee):
Print name: Phil Reynolds Date: \ State surcharge(12%of permit fee): , pi
f// L TOTAL PERMIT FEE: II'-7 6 1 g"
AUthoriZed signature: `/[/ This permit application expires if a permit is not obtained within 180
./ days after it has been accepted as complete.
Print name: Tony McCormick Date: /6 / /xi• * Number of inspections allowed per permit.
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