Permit CITY OF TIGARD BUILDING PERMIT
_ COMMUNITY DEVELOPMENT Permit#: ELC2014-00645
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/01/2014
TlGAR - g Parcel: 2S101AC01600
Jurisdiction: TIGARD
Site address: 7150 SW HAMPTON ST 201
Project: EBS Associates Subdivision: BEVELAND NO.2 Lot: 18-19,P
Project Description: Sign lighting for(2)wall signs.
Contractor: SECURITY SIGNS INC Owner: NEIMEYER, JOHN
2424 SE HOLGATE BLVD 15 82ND DR STE 210
PORTLAND, OR 97202 GLADSTONE, OR 97027
PHONE: 503-546-7114 PHONE:
FAX: 503-230-1861
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Sign or Outline Lighting 11/26/2014 $135.68
Occupancy Grp: Occupancy Load: 12%State Surcharge-Electrical 11/26/2014 $16.28
Dwelling Units:
Stories: Height: ft
Bedrooms: Bathrooms:
Value: $0
Floor Areas:
Total Area:
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $151.96
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking:
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: _ •••••• 1 Permittee Signature: L % `
Call .• •.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 �EIVE1� Date/B . l Permit No • 16 J
--•° 13125 SW Hall Blvd.,Tigard,OR rF"
g Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit: PpZO -009142,'?
Inspection Line: 503.639.4175 Date Read/B tua: ,Y J
TIGARD Ready/By: , ® SeePage2for
Internet: www.tigard-or.gov NOV 5 2014 Notified/Method: Supplemental Information
TYPE OF` ORR 5 2014
PLAN REVIEW
❑New construction ®Addition/al h r . .. ., I Please check all that apply(submit 2 sets of plans w/items checked below):
❑Demolition ❑Other: a BUILDING DIVISION ❑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 75 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:'1450 5IAJ 140,,voptart ST. 100HP or more. occupancy.
❑
❑Six or more residential units. Recreational vehicle parks.
City/State/ZIP: T 1.G 0 q" 'L23 ❑Health-care facilities. ❑Supply voltage for more than
a ❑Hazardous locations. 600 volts nominal.
Suite/bldg./apt.no.: i Project name: S$s Asso c.a S ❑Sen ice or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description I Qty. I Fee. I Total
New residential single-or multi-family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq.ft.or less 168.54 4
Tax map/parcel no.: Ea.add'l 500 sq.ft.or portion 33.92 I
Limited energy,residential
DESCRIPTION OF WORK (with sq. ) 67.84 2
with above ft.
Limited energy,multi-family
Q W A`1 67.84 2
S� V(/1S residential(with above sq.ft.)
Services or feeders installation,alteration,and/or relocation
*Mount Only* 200 amps or less 100.70 2
❑ PROPERTY OWNER 124 TENANT 201 amps to 400 amps 133.56 2
Name: f ec s ASSa G q A is 401 amps to 600 amps 200.34 2
r�� }40„ f/, 601 amps to 1,000 amps 301.04 2
Address: -4 i`,C) S �74-on St S VI..� 2 CIO Over 1,000 amps or volts 552.26 2
J Temporary services or feeders installation,alteration,and/or
City/State/ZIP: f i G a r A v 9 -'Z2'� relocation
Phone:( ) vn 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,per panel
Owner signature: Date: A.Fee for branch circuits with
f APPLICANT JEJ CONTACT PERSON above service or feeder fee,
7.42
each branch circuit
Business name:Security Signs B.Fee for branch circuits without
service or feeder fee,first 56.18 2
Contact name:Melissa Hayden branch circuit
Each add'l branch circuit 7.42 2
Address:2424 SE Holgate Blvd Miscellaneous(service or feeder not included)
Each manufactured or modular 67.84 2
City/State/ZIP:Portland,OR 97202 dwelling,service and/or feeder
Phone:(503)546.7114 Fax: :(503)230.1861 Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
E-mail:Melissa @SecuritySigns.com
Sign or outline lighting 7„ 67.84 cy 2
CONTRACTOR Signal circuit(s)or limited-energy
Business name:Security Signs panel,alteration,or extension. Page 2 _ 2
Each additional inspection over allowable in any of the above
Address:2424 SE Holgate Blvd Additional inspection(1 hr min) 66.25/hr
City/State/ZIP:Portland,OR 97202 Investigation(1 hr ruin) 66.25/hr
Industrial plant(1 hr min) 78.18/hr
Phone:(503)546.7114 Fax:(503)230.1861 Inspections for which no fee is
90.0W hr
specifically listed(y hr min)
CCB Lic.: 122809 Electrical Lic.: 26560CLS Suprv.Lic.: 383SIG ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Subtotal: `
`- Plan review(25%of permit fee):
t—
Print name: Marc Linguist ate: State surcharge(12%of permit fee): lc,.au,
TOTAL PERMIT FEE: l 5-j.cot
Authorized signature: 11
This permit application expires if a permit is not o rained within 180
Print name: Melissa Hayden Date: days after it has been accepted as complete.
y Number of inspections allowed per permit.
1:1Building\Permits\ELC-PermitApp.doc I0101/09 440.4615T(I1/05/COM/WEB
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK ONLY:
Fee for all residential systems combined ... $67.84
Check Type of Work Involved:
❑ Audio and Stereo Systems*
fl Burglar Alarm
Garage Door Opener*
Heating,Ventilation and Air Conditioning System*
I I Vacuum Systems*
Other
COMMERCIAL WORK ONLY:
Fee for each commercial $67.84
system
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
7 Clock Systems
n Data Telecommunication Installation
Ii Fire Alarm Installation
❑ HVAC
El Instrumentation
El Intercom and Paging Systems
❑ Landscape Irrigation Control*
Il Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
1:\BuildingWennits\EL(:-PermitApp.doc 10/01/09
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
7150 SW HAMPTON ST 201, TIGARD, OR,
97223
Commercial - Electrical
199 Electrical final
PASS - No C of O
ELC2014-00645
Jeff Grove
Violation Summary:
Inspector Contractor