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Permit CITY OF TIGARD ELECTRICAL PERMIT • COMMUNITY DEVELOPMENT Permit#: ELC2016-00055 i (GARP 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/09/2016 Parcel: 1 S134AA01900 Jurisdiction: Tigard Site address: 10115 NIMBUS AVE 500 Project: Express Employment Professionals Wall Sign Subdivision: (KOLL BUSINESS CENTER,TIGARD Lot: B Project Description: Installing(1)single element wall sign that weighs 115 pounds on north-facing wall. Contractor: SECURITY SIGNS INC Owner: ROBINSON, CONSTANCE A 2424 SE HOLGATE BLVD BY KILLIAN PACIFIC LLC PORTLAND, OR 97202 500 EAST BROADWAY, STE 110 VANCOUVER,WA 98660 PHONE: 503-546-7114 PHONE: FAX: 503-230-1861 FEES Quantity Description Date Amount 1 ea Sign or Outline Lighting 01/26/2016 $67.84 Specifics: 1 ea 12%State Surcharge- 01/26/2016 $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 a . .-ice 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. • ENTION: Ore.•n law requires you to follow the rules adopted by -the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0'.1-0010 through OAR 952-00( 9 You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Is.ued By: % �� Permittee Signature: ✓I / �t / 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 �j OED FOR OFFICE,1'SE ONLY IN City of Tigard r1�� C ! ew �(� /��')" Permit No.:el 13125 SW Hall Blvd.,Tigard,OR X7223 201 Phone: 503.718.2439 Fax: 503.598.1960 A DateBy: .4..atonifi.lcaff_.- _ OtherPermit:J N 2l I( A It DInspection Line: 503.639.4175 -f` �zl© ate ReadyBy: Juns: 44,62011-0,..0)See Page 2 for Internet www.tigard-or.gov CO0�; 11�,v ttJ 0 otified/Method ��D Supplemental Information zk 'Z .:5 A s4 r, "1 YP OF ¢..y PL Nk VI)E <}3--4r tq ati( ,,,3# ,o44::,-,:4,, - ,,t4A _x v ,4,,,, -.. a u '( 4;4.: ,. ._' _ +4 3x.4-. Y,� 13 ew construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked below): 0 Service or feeder 400 amps or more 0 Building over three stories. 0 Demolition 0 Other: where the available fault current 0 Marinas and boatyards. c x X " ` sA exceeds 10,000 amps at 150 volts or 0 Floating buildings. 7, 7.1t .Zt -4 CAA, Y OF,.CONSTRUCTION ., ° " `"'" less to ground,or exceeds 14,000 0 Commercial-use agricultural ❑ 1-and 2-family dwelling commercial/industrial 0 Accessory building amps for all other installations. buildings. ❑Multi-family 0 Master builder ❑Other: 0 Fire pump. 0 Installation of 75 KVA or w ❑Emergency system. larger separately derived system. `%/)x,,:rJO$ SITE��INFORMATION_AND LOCATION 0 Addition of new motor load of 0 "A","E","1-2","1-3,e Job no.: 32J211'1 Job site address: Jo`iS11,76,25- j�� Six or or more. occupancy. Rd /1i r/�� ❑Six or more residential units. ❑Recreational vehicle parks. City/State/ZIP: n 6 ppg. i 7223 0 Health-care facilities. 0 Supply voltage for more than en1 ,, ervtce or feeder 600 amps or more 0 Hazardous locations. 600 volts nominal. Suite/bldg./apt.no.: -.--DO I Project name: 0 p/�� Y 5 1 O � Cross street/directions to job site: Description 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 Ea.add'I 500 sq.ft.or portion 33.92 1 Tax map/parcel no.: Limited energy,residential 75.00 2 g *ii .. DFSGRIPijUN OF WORK ,, :,, „ z# i ,, > : >_ (with above sq.ft.) n^ Limited energy,multi-family 0at iee,0 r i'z J id/ b 1, 516,a residential(with above sq.ft.) 75.00 2 T al NoYz-TN- �R'� Services or feeders installation,alteration,and/or relocation ac pgess envoi V yrn�l 200 amps or less 100.70 2 Via' PROPERTO Y WNER `r ya /e i�' Y '� ` a . 201 amps to 400 amps 133.56 2 - 401 amps to 600 amps 200.34 2 Name: f' P/2 5 eTh/"t / 1 eNT' 601 amps to 1,000 amps 301.04 2 Address: 10115— Cit) II//01/11S f '#- Over 1,000 amps or volts 552.26 2 City/State/ZIP: 774/17W 0A q 72.2..3 Temporary services or feeders installation,alteration,and/or relocation Phone: ( ) Fax: ( ) 200 amps or less 59.36 1 201 amps to 400 amps 125.08 2 Owner installation:This ins allation is being made on property that I own which is not intended for sale,lease, e r t, a - ch.r ge,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: -` A.Fee for branch circuits with , ,. above service or feeder fee, �„ ,, -'4 A_ 1 :''SGT PERSON 7.42 2 each branch circuit Business name:SESCURITY SIGNS,INC 13.Fee for branch circuits without service or feeder fee,first 56.18 2 Contact name: CYNDI KRACKE branch circuit Each add'I branch circuit 7.42 2 Address:2424 SE HOLGATE BLVD Miscellaneous(service or feeder not included) City/State/ZIP:PORTLAND,OR 97202 Each manufactured or modular 67.84 2 dwelling,service and/or feeder Phone: (503)546-7102 ,og r .L: : (50_3)230-1861 Reconnect only 67.84 2 E-mail permits@securitysigns.com I •q�+`—n,C0I 0 sec(,l,rI si r C Pump or irrigation circle 67.84 2 Sign or outline lighting i 67.84 (j7•P q 2 1, . '�. ': ='� CONTRACTOR,; ,,,r.N,., ,c.a�,,"` t ... Signal circuit(s)or limited-energy Business name:SECURITY SIGNS,INC 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 min) 66.25/hr Industrial plant(1 hr min) 78.18/hr Phone:(503)546-7102 Fax: (503)230-1861 Inspections for which no fee is 90.00/hr specifically listed('h hr min) CCB Lic.: 122809 Electrical Lic.: 26560CLS Suprv.Lie.: 383SIG _ (rRICAL°'PERMITFEE S I- ; Subtotal: (0-7 Suprv.Electrician signature,required: / /0/ ' Plan review(25%of permit fee): Print name: MARC LINDQUIST / .#Al" Date: /,24.. 7 State surcharge(12%of permit fee): U ,j H { i TOTAL PERMIT FEE: ��TS 18' Authorized signature: .4ggitiff")--- / This permit application expires if a permit is not obtained within 180 Print name: CYNDI KRAC Date: /7.a f/Tjy days after it has been accepted as complete. t/ fff���` !ll���j Number of inspections allowed per permit. 1:\BuildingAPermits\ELC-PermitApp.doc 07/01/10 440-4615T(I I/05/COM/WEB 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 10115 NIMBUS AVE 500, TIGARD, OR, 97223 Commercial - Electrical 199 Electrical final PASS - No C of O ELC2016-00055 Jeff Grove Violation Summary: Inspector Contractor