Permit CITY OF TIGARD ELECTRICAL PERMIT
` • s: COMMUNITY DEVELOPMENT Permit#: ELC2015-00937
Date Issued: 11/24/2015
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
•
Parcel: 2S102DA00401
Jurisdiction: Tigard
Site address: 13125 SW HALL BLVD
Project: City of Tigard Subdivision: BARNUM PARK Lot: 9
Project Description: Sign lighting to connect internally illuminated electronic message center to existing electrical.
Contractor: MEYER SIGN CO OF OREGON Owner: TIGARD, CITY OF
15205 SW 74TH AVE 13125 SW HALL
TIGARD, OR 97224 TIGARD, OR 97223
PHONE: 503-620-8200 PHONE:
FAX: 503-620-7074
FEES
Quantity Description Date Amount
1 ea Sign or Outline Lighting 11/24/2015 $67.84
Specifics:
1 ea 12%State Surcharge- 11/24/2015 $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 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 iss = e, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notifica • en -r Those rules are set forth in pAR
952-001-0010 through O•R 952-001-0090. You may obtain a co. of the rules or direct questions to OUNC by calling '• •t7 or 1.80•.332.2344 �\\_
Issued By:
%NI�� Permittee Signature: e
�
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 0CCP FOR OFFICE USE ONLY
City Tigard r��\� '�Le1"d ii a4 (5 °f
ofg plan Review
Permit#: , 1 FJ"— �-
a 13125 SW Hall Blvd.,Ti�tiard. _23 Plan Rev
_ : • Phone: 503.718.2439 Fax: 5 3.598.1 0r t��� Due/is Related Permit#:
Inspection Line: 503.639.4175 � . C�, ��cj� Ready Date/By: Cutis: ® See Page 2 for
TIGARD ob Internet: www.ligard_or.gov Notified/Method: .7X-C, Supplemental Information
TYPE OF 14€ PLAN REVIEW
❑ New construction ® Addition/altCytl on/replacement Please check all that apply(submit 2 sets of plans w/items checked):
❑Service or feeder 400 amps or more ❑Building over three stories.
❑ Demolition ❑Other: where the available fault current ❑Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10.000 amps at ISO volts or 0 Floating buildings.
less to ground.or exceeds 14.000 0 Commercial-use agricultural
❑ I-and 2-1amily dwelling ®Commercial/industrial ❑Accessory building
amps for all other installations. buildings.
❑ Multi-family ❑ Master builder ❑Other: 0 Fire pump. 0 Installation of ISO KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system larger separately derived
0 Addition of new motor load of system.
Joh#: Job site address: 13125 SW Hall Blvd. 1ooHp or more. ❑"A" •4•• 1-2 1-i"
City/State/ZI13:Tigard,OR 97223 0 Six or more residential units. occupancy.
o Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: Protect name: City of Tigard 0 Hazardous locations. 0 Supply voltage for more than
0 Service or feeder 600 amps or more. 600 wits nominal.
Cross street/directions to job site: FEE SCHEDULE
Description I Qt Y. I Each I Total I .a
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
1.000 sq.ft.or less 168.54 4
Tax map/parcel#: d 2
Ea.add'I 500 sq.ft.or portion 33.9 1
DESCRIPTION OF WORK Limited energy.residential
75.00 2
Connect 1 internally illuminated electronic message center to existing (with above sq.ft.)
Limited energy.multi-family 75.011 2
electrical. residential(with above sq.ft.)
Renewable Energy 0 See Page 2
® PROPERTY OWNER ❑ TENANT Services or feeders installation,alteration,and/or relocation
Name: City of Tigard 200 amps or less 100.70 2
201 amps to 400 amps 133.56 2
Address: 13125 SW Hall Blvd.
401 amps to 600 amps 200.34 2
City/State/ZIP:Tigard,OR 97223 601 amps to 1.000 amps 301.04 2
Phone: ( )
Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 I
intended for sale,lease,rent,or exchange.according to ORS 447.449.670.and 701. 201 amps to 400 amps 125.08 2
Owner signature: Date: 401 amps to 599 amps 168.54 2
® APPLICANT ® CONTACT PERSON Branch circuits-new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name: Meyer Sign Co.of Oregon above service or feeder fee. 7.42 2
each branch circuit
Contact name: Tony McCormick B.Fee for branch circuits without
service or feeder fee.first
Address: 15205 SW 74th Ave. branch circuit 56.18 2
City/State/ZIP:Tigard,OR 97224 Each add'I branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone: (503)620-8200 Fax: : (503)629-7074 Each manufactured or modular 67.84 2
dwelling.service and/or feeder
Entail: permits@meyersignco.com Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name: Meyer Sign Co.of Oregon Sign or outline lighting I 67.84 6,-7, 512
Signal circuit(s)or limited-energy ❑ See Page 2 2
Address: 15205 SW 74th Ave. panel.alteration.or extension.
City/Stale/ZIP:Tigard,OR 97224 Each additional inspection over allowable in any'of the above
Additional inspection(I hr min) 66.25/hr
Phone:(593)629-8209 Fax: (503)629-7074 Investigation(I hr min) 90.00/hr
Industrial plant(I hr min) 78.18/hr
Email: permits@meyersignco.com
Inspections for which no fee is 90.00/hr
CCB Lie.: 64014 Electrical c.: 20-190c1 Suprv. Lie.: 569 SIG specifically listed 0/2 hr min)
ELECTRICAL PERMIT FEES
Suprv. Electrician signature.require : ja Subtotal: a 7-r`7
Print name: Todd Barcla ) Date: 11/24/15 0 Plan Review Required(25%of permit fee):
�` J
State surcharge(12%TAL Ef permit fee): , Ie
Authorized signatur TOTAL PERMIT FEE: -]S tD
This permit application expires if a permit is not obtained within ISO
Print name: Anthony G McColl ick Date: 11/24/15 days after it has been accepted as complete.
x Number of inspections allowed per permit.
I:AItuildmgVI'aintitsAI il.C_PrnnitApp_I:I.R_ERL,doe lice Oh/17/2111S 445-4015T(11/s5/coni/wt:tt
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
13125 SW HALL BLVD, TIGARD, OR, 97223
Commercial - Electrical
199 Electrical final
PASS - No C of O
ELC2015-00937
Jeff Grove
Violation Summary:
Inspector Contractor