Permit CITY OF TIGARD ELECTRICAL PERMIT
II COMMUNITY DEVELOPMENT Permit#: ELC2015 00210
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/14/2015
Parcel: 2S102AA00490
Jurisdiction: TIGARD
Site address: 12085 SW HALL BLVD 180
Project: Napa Auto Parts Subdivision: TIGARD HIGHWAY TRACTS Lot: 13
Project Description: Sign lighting for(3)signs.
Contractor: GARRETT SIGN CO INC Owner: HALL STREET CROSSING LLC
811 HARNEY STREET BY MR&MRS ROGER W TOM
VANCOUVER,WA 98660 8067 SW RIGERT COURT
BEAVERTON, OR 97007
PHONE: 360-693-9081 PHONE:
FAX: 360-693-5948
FEES
Quantity Description Date Amount
3 ea Sign or Outline Lighting 04/14/2015 $203.52
Specifics:
1 ea 12%State Surcharge- 04/14/2015 $24.42
Electrical
Type of Use: COM
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $227.94
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 r •�.ddopted 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 questions to OUNC by calling 503.232.19 r 1.800.332.2344.
Issued By: —- 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 Application roil Orrl( Ill SE O1.1
City of Tigard RECEIVED Received Permit No.:
DateB Ze _ 15—
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
' I Phone: 503.718.2439 Fax: 503.598.1968Q 2 2015 Date/By: Other Permit: opprj i� )
Inspection Line: 503.639.4175 HP R Date Ready/By: 3uris: See Page 2 for
Ili,AKO 8
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
CITY OF TIGARD
TYPE 0511VALIVING DIVISION PLAN REVIEW
❑New construction ❑Addition/alteration/replacement Please check all that apply(submit a sets of plans w/items checked below):
Demolition Other:Sign ❑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.
❑ 1- 2-family dwelling less to ground,or exceeds 14,000 ❑Commercial-use agricultural
y g ®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","l-2","1-3",
Job no.: Job site address: 12085 SW Hall Blvd 100HP or more. occupancy.
❑Six or more residential units. ❑Recreational vehicle parks.
City/State/ZIP:Tigard,OR 97223 ❑Health-care facilities. ❑Supply voltage for more than
❑Hazardous locations. 600 volts nominal.
Suite/bldg./apt.no.: %Y/1 Project name:Napa Auto Parts ❑Service or feeder 600 amps or more.
!/'' FEE SCHEDULE
Cross street/directions to job site: Description I Qty. 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
Tax map/parcel no.: Ea.add'l 500 sq.ft.or portion 33.92 I
Limited energy,residential 75.00 2
DESCRIPTION OF WORK (with above sq.ft.)
Limited energy,multi-family 75.00 2
Installation of(3)single faced illuminated fascia sign. residential(with above sq.ft.)
Renewable Energy ❑ See Page 2
Services or feeders installation,alteration,and/or relocation
❑ PROPERTY OWNER I ® TENANT 200 amps or less 100.70 2
201 amps to 400 amps 133.56 2
Name:Napa Auto Parts 401 an to 600 amps 200.34 2
Address: 12085 SW Hall Blvd 601 amps to 1,000 amps 301.04 2
Over 1,000 amps or volts 552.26 2
City/State/ZIP:Tigard,OR 97223 Temporary services or feeders installation,alteration,and/or
Phone:( ) 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 to 599 •
amps amps 168.54 2
Owner signature: Date: Branch circuits–new,alteration,or extension,per panel
® APPLICANT I ❑ CONTACT PERSON A.Fee for branch circuits with
above service or feeder fee,
7.42 2
Business name:Garrett Sign Company each branch circuit
B.Fee for branch circuits without
Contact name:Jesse Taylor service or feeder fee,first 56.18 2
branch circuit _
Address:811 Harney Street Each add'l branch circuit 7.42 , 2
City/State/ZIP:Vancouver,WA 98660 Miscellaneous(service or feeder not included)
Each manufactured or modular
67.84 2
Phone:(360)693.9081 Fax::(360)693.5948 dwelling service and/or feeder
Reconnect only 67.84 2
E-mail:jesse@garrettsign.com Pump or irrigation circle 67.84 2
CONTRACTOR Sign or outline lighting 3 67.84 3 2
Business name:Garrett Sign Company Signal circuit(s)or limited-energy See
panel,alteration,or extension. Page 2 2
Address:811 Harney Street Each additional inspection over allowable in any of the above
City/State/ZIP:Vancouver,WA 98660 Additional inspection(1 hr min) 66.25/hr
Investigation(I hr min) 66.25/hr
Phone:(360)693.9081 Fax:(360)693.5948 Industrial plant(1 hr min) 78.18/hr
�{ Inspections for which no fee is
90.00/hr
CCB Lic.: 66826 Electrical Lic.: 37- 1 CLS / 1 prv.Lic.706f g specifically listed('h hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Subtotal: 203.52
r
Print name: L 1-144 "' Date:g...\2_6\15 Plan review(25%of permit fee): — 0 8 ---
State surcharge(12%of permit fee): 24.42
Authorized signature: TOTAL PERMIT FEE: crs
This permit application expires if a permit is not obtained within 180
Print name: 1 / S,G Y GI/ _ Date: 3_25^ '5 days after it has been accepted as complete.
' Number of inspections allowed per permit.
1:1 BuildingW ermits\ELC_PemmitApp_ELR_ERE.doc Rev 05/21/2013 440-4615T(I1/05/COM/WEB
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Fee for all residential systems combined $75.00 Description I Qty. I Fee I Total I •
Renewable electrical energy systems:
Check Type of Work Involved: 5 kvaorless 100.70 2
5.01 to 15 kva 133.56 2
❑ Audio and Stereo Systems* 15.01 toes kva 200.34 2
111 Burglar Alarm Wind generation systems in excess of 25 kva:
25.01 to 50 kva 301.04 2
❑ Garage Door Opener* 50.01 to 100 kva 552.26 2
>100 kva(fee in accordance with 552.26 2
❑ Heating, Ventilation and Air Conditioning OAR918-309-0040)
System* Solar generation systems in excess of 25 kva:
Each additional kva over 25 7.42 3
❑ Vacuum Systems* >100 kva—no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
El
Other: Each additional inspection is
charged at an hourly(1 hr min) • 66.25/hr 1
Inspections for which no fee is 90.00/hr
specifically listed(%:hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Fee for each commercial system $75.00 Subtotal:
(SEE OAR 918-309-0000) Plan review,if required(25%of permit fee):
State surcharge(12%of permit fee):
Check Type of Work Involved: TOTAL PERMIT FEE:
This permit application expires it a permit is not obtained within 180
❑ Audio and Stereo Systems days after it has been accepted as complete.
• Number of inspections allowed per permit.
n Boiler Controls
n Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
n Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
n Outdoor Landscape Lighting*
n Protective Signaling
n Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
1:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 05/21/2013
Inspections Required for Permit No.: EL('0015---609./0
IVR Code Type Permit Description IVR Code Type Permit Description
01 BUP Building—structural 07 SIT Site Work
02 ELC Electrical 08 SWR Sewer Connection
03 ELR Restricted Energy 09 FPS Fire Protection
04 MEC Mechanical 10 RER Re-Roof
05 MST Master—residential combination 11 CMS Commercial Manufact.Structure
06 PLM Plumbing 12 SFM Single-Family Manufact.Structure
J Req'd I Code I Inspection Description J Req'd I Code I Inspection Description
Building(structural) Inspections Electrical Inspections
205 Footing 105 Underground/slab cover
210 Foundation walls 110 Temporary electrical service
215 Footing drain 115 Electrical service
220 Slab 120 Electrical rough-in
225 Post/beam structural 125 Wall cover
230 Underfloor insulation 130 Ceiling cover
240 Exterior shearwall US_ Low voltage rough-in
242 Interior shearwall X <140 ). Sign installation
245 Firewall 145 A/C or heating unit circuit
250 Roof nailing 150 Hot tub/spa/pool
255 Wtr proofing basement walls 195 Misc. inspection
260 Tilt-up panel 14 Low voltage final
265 Masonry 15`/, 199_)Electrical final
270 Reinforcing steel(rebar)
275 Framing Mechanical Inspections
280 Insulation 605 Post/beam mechanical
285 Drywall nailing 610 Gas line
287 Suspended ceiling 615 Mechanical rough-in
289 Approach/sidewalk 620 Hydronic piping
295 Misc. inspection 625 Duct work
299 Final inspection 630 Fire damper
635 Smoke detector shutdown
Fire Protection System Inspections 640 Exhaust hood
905 Sprinkler underfloor/slab 645 Grease duct test
907 Sprinkler hydro test _ 695 Misc. inspection
910 Sprinkler rough-in/test _ 699 Mechanical final
915 Fire alarm rough-in
920 Suppression trip test Plumbing Inspections
995 Misc. inspection 305 Plumbing underslab
998 Alarm final 310 Crawl drain
999 Sprinkler final 312 Backwater valve
315 Post/beam plumbing
Site Work Inspections 320 Plumbing rough-in
405 Excavation 322 Shower pan
410 Fill 330 Water service
415 Grading 335 Rain drain
420 Sprinkler supply lines 340 Storm sewer
495 Misc. inspection 345 Culvert/catch basin
499 Final inspection 350 Septic tank
395 Misc. inspection
Erosion Control Inspections 399 Plumbing final
750 Initial erosion control
752 LIDA on-site facility inspection Sanitary Sewer Inspections
755 Regular erosion control 505 Sanitary sewer
797 Final LIDA inspection 585 Misc.inspection
798 Final erosion control 599 Final inspection
Manufactured Structure Inspections
810 MFG-Structure set-up
899 MFG-Structure final
I:\Building\Forms\Inspection Cards\AOP Insp Card By Case\InspCazd All_061814.docx
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