Permit (20) CITY OF TIGARD ELECTRICAL PERMIT
:1 •
' COMMUNITY DEVELOPMENT Permit#: ELC2016-00235
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/12/2016
T t c;A R t.� g Parcel: 2S112AA00400
Jurisdiction: Tigard
Site address: 14280 SW 72ND AVE
Project: Leifs Auto Collision Center Subdivision: None Lot: None
Project Description: Sign lighting for(7)wall signs.
Contractor: GARRETT SIGN CO INC Owner: ICON OWNER POOL 1 WEST LLC
811 HARNEY STREET BY RYAN
VANCOUVER,WA 98660 PO BOX 460169
HOUSTON,TX 77056
PHONE: 360-693-9081 PHONE:
FAX: 360-693-5948
FEES
Quantity Description Date Amount
7 ea Sign or Outline Lighting 03/28/2016 $474.88
Specifics:
1 ea 12%State Surcharge- 03/28/2016 $56.99
Electrical
Type of Use: COM
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $531.87
Required Items and Reports(Conditions)
This permit is issued to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
subject9 9 PP b PP
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 fthertul@s or direct questions to OUNC by calling 503.232.1987 or 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 Applica t 1 FOR OFFICE USE ONLY
F
City of Tigard "� E 1 Received /Q�
Date/B : of%: (O C J Permit#: E L..e.,26 4-DD; 5s—
.
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
■ Phone: 503.718.2439 Fax: 503.59 (1?0 2 8 ?016 Date/B : Related Permit#:
Inspection Line: 503.639.4175 Ready Date/By: Juria ® See Page 2 for
1 I C;A R D Internet: www.tigard-or.gov
C1TV 014 #I(,.AR5O Notified/Method: Supplemental Information
TYPE t , s MA PLAN REVIEW
0 New construction 0 Additi t��# ! -Ie' ' Please check all that apply(submit 2 sets of plans w/items checked):
❑Demolition ®Other:Signs 0 Service or feeder 400 amps or more 0 Building over three stories.
where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings.
❑ 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family 0 Master builder 0 Other: ❑Fire pump. ❑Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived
Job#: Job site address:14280 SW 72nd Ave El Addition of new motor load of system.
100HP or more. ❑"A",«E","1-2^,"l-3",
City/State/ZIP:Tigard,OR 97224 IDSix or more residential units. occupancy.
❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: Project name:Leifs Auto Collision Cen ❑Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE
Description I Qty. I Each I Total f •
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#: Ea.add'I 500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
(with above sq.ft.) 75.00 2
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
Renewable Energy 0 See Page 2
0 PROPERTY OWNER . I 0 TENANT Services or feeders installation,alteration,and/or relocation
Name:Leifs Auto Collision Center 200 amps or less 100.70 2
Address: 14280 SW 72nd Ave 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP:Tigard,OR 97224 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 1
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:Garrett Sign Company above service or feeder fee,
7A2 2
each branch circuit
Contact name:Jim Lichty B.Fee for branch circuits without
service or feeder fee,first
Address:811 Harney Street branch circuit 56.18 2
City/State/ZIP:Vancouver,WA 98660 Each add'I branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(360)693.9081 Fax::(360)693.5948 Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email:jiml@garrettsign.com Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle _ 67.84 2
Business name:Garrett Sign Company Sign or outline lighting '1 67.84 W l'8 2
Address:811 HarneyStreet Signal circuit(s)or limited-energy ❑ See Page 2 2
panel,alteration,or extension.
City/State/ZIP:Vancouver,WA 98660 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(360)693.9081 Fax:(360)693.5948 Investigation(1 hr min) 90.00/hr
Email:jiml@garrettsign.com Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is
CCB Lic.: 66826 Electrical Lic.: .37-21,CLS S .Lic.: 700SIG specifically listed(V2 hr min) `90.00/hr
.37-2
,a/ — ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: jt)ii1GG / Subtotal: 4,/7V.an
Print name: Michael Simpson Date:3 1.VI 0 Plan Review Required(25%of permit fee): �"'
t T State surcharge(12%of permit fee): 66.9
Authorized signatur•, !p► TOTAL PERMIT FEE: 53/.f7
This permit application expires if a permit is not obtained within 180
Print name: Jim Liehty Date: `./. Af days after it has been accepted as complete.
Number of inspections allowed per permit.
I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/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
14280 SW 72ND AVE, TIGARD, OR, 97224
Commercial - Electrical
199 Electrical final
PASS - No C of O
ELC2016-00235
Chip Barnett
Violation Summary:
Inspector Contractor