Permit 44 CITY OF TIGARD ELECTRICAL PERMIT
*. COMMUNITY DEVELOPMENT Permit#: ELC2016-00093
T I G AR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/08/2016
Parcel: 2S102CC00500
Jurisdiction: Tigard
Site address: 13500 SW PACIFIC HWY 26
Project: NW Armory Subdivision: FREWING'S ORCHARD TRACTS Lot: 15
Project Description: Sign lighting.
Contractor: PRO CIRCUIT ELECTRIC LLC Owner: ROTC OREGON LLC
PO BOX 3948 8905 TOWNE CENTRE DR, STE 108
WILSONVILLE, OR 97070 SAN DIEGO, CA 92122
PHONE: 971-563-8211 PHONE:
FAX: 503-266-1349
FEES
Quantity Description Date Amount
1 ea Sign or Outline Lighting 02/08/2016 $67.84
Specifics:
1 ea 12%State Surcharge- 02/08/2016 $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 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 0 952-0 0. ou may obtain a copy of the rules or direct questions to OUNC by calling 59 .232.1987 or 1.800.332.2344.
Issued By: e"}-a 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.
RECEIVED
Electrical Permit Application FOR Orl.R L 1 SE Ov1.1
City of Tigard FEB 61 2016 Received G iyn yy�
Date/B / /40 , ; • it#:���Co/4 WO9J
II
41 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
i Phone: 503.718.2439 Fax: 90ITY j1 �1 Date/B : Related Permit/ -ev/3
Inspection Line: 503.639.4175 B U I LD i N r` Di1 i�,.t
/t S I O Ready Date/By: Jam: fa See Page 2 for
I It .AItD
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK Print name: L
❑New construction U Addition/alteration/replacement
❑Demolition CI Other: sign PLAN REVIEW
CATEGORY OF CONSTRUCTION Please check all that apply(submit 2 sets of plans w/items checked):
❑Service or feeder 400 amps or more ❑ Building over three
U 1-and 2-family dwelling U Commercial/industrial U Accessory building where the available fault current stories.
❑Multi-family ❑Master builder ❑Other: exceeds 10,000 amps at 150 volts or ❑ Marinas and
JOB SITE INFORMATION AND LOCATION less to ground,or exceeds 14,000 boatyards.
amps for all other installations. 0 Floating buildings.
Job#: Job site address: 13500 sw pacific hwy.
OFire pump.
❑ Commercial-use
City/State/ZIP:tigard oregon,97223 DEmergency system. agricultural
❑Addition of new motor load of buildings.
Suite/bldg./apt.#:26 Project name: NW Armory tooHP or more. ❑ Installation of 150
Cross street/directions to job site: Elsi.or more residential units.
KVA or
larger separately derived
CI facilities. system.
El Hazardous locations. 0 "l-
Subdivision: Lot#: ❑ Service or feeder 600 3",occupancy.
amps or more. ❑ Recreational vehicle
Tax map/parcel#: marks
DESCRIPTION OF WORK ❑ Supply voltage for
install signs and connect to existing sign circuit more than
600 volts nominal.
FEE SCHEDULE
U PROPERTY OWNER U TENANT Description I Qty. I Each I Total I.
New residential single-or multi-family dwelling unit.
Name: Includes attached garage.
Address: 1,000 sq.ft.or less 168.54 4
Ea.add'1500 sq.ft.or portion 33.92 1
City/State/ZIP: Limited energy,residential 75.00 2
(with above sq.ft.)
Phone: ( ) Fax:( ) Limited energy,multi-family
75.00 2
Email: residential(with above sq.ft.)
Owner installation:This installation is being made on property that I own which is not Renewable Energy U See Page
2
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. Services or feeders installation,alteration,and/or relocation
Owner signature: Date: 200 amps or less 100.70 2
U APPLICANT U CONTACT PERSON 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
Business name: Sunrise Signs Inc 601 amps to 1,000 amps 301.04 2
Contact name:david swofford Over 1,000 amps or volts 552.26 2
Address:672iw""`""" j 75i Z S J 7'/� "Ace__ Temporary services or feeders installation,alteration,and/or
1 C�� relocation
City/State/ZIP: aloha,oregon 97007 200 amps or less 59.36 1
201 amps to 400 amps 125.08 2
Phone: (503)642-1454 Fax: :( ) 401 amps to 599 amps 168.54 2
Email:sunrisesigns@frontier.com Branch circuits—new,alteration,or extension,per panel
CONTRACTOR A.Fee for branch circuits with
above service or feeder fee,
7.42 2
Business name: pro circuit each branch circuit
B.Fee for branch circuits without
Address:po box 3948, service or feeder fee,first
56.18 2
branch circuit
City/State/ZIP: wilsonville or. Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(971)563-8211 Fax:( ) Each manufactured or modular
service and/or feeder
Email: 67.84 2
dwelling,
Reconnect only 67.84 2
CCB Lic.: 161382 Electrical Lic.: 3-601 C Suprv.Lic.: 5107 S Pump or irrigation circle 67.84 2
Suprv. Electrician signature,required: �✓
Sign or outline lighting 1 67.84 $67.84 2
g
lY (1)—/'--- Signal circuit(s)or limited-energy U See Page 2
Print name: David Nagy Date: 02-08-2016 panel,alteration,or extension. 2
Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Authorized signature: Investigation(1 hr min) 90.00/hr
I:\Building\permits\ELCPennitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/'WEB 1.c, 9,
Industrial plant(1 hr min) 78.18/hr
,, Inspections for which no fee is 90,00/hr
specifically listed(Y,hr min)
ELECTRICAL PERMIT FEES
Subtotal:
U Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180 days after it has been accepted as
complete.
• Number of inspections allowed per permit.
1:\Auilding\Permits\ELC_PertnitApp_ELR_ERE.do;Rev 06/17/2015