Loading...
Permit (62) 111r CITY OF TIGARD ELECTRICAL PERMIT 11 ' COMMUNITY DEVELOPMENT Permit#: ELC2016-00614 TIG.A.RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/03/2016 Parcel: 2S101 BD00100 Jurisdiction: Tigard Site address: 7650 SW BEVELAND RD Project: Womens Healthcare Sign Permit Subdivision: None Lot: None Project Description: Sign lighting for(1)new wall sign Contractor: SECURITY SIGNS INC Owner: PNWP LLC#2 2424 SE HOLGATE BLVD PO BOX 2206 PORTLAND, OR 97202 BEAVERTON, OR 97075 PHONE: 503-546-7114 PHONE: FAX: 503-230-1861 FEES Quantity Description Date Amount Specifics: 1 ea Sign or Outline Lighting 08/03/2016 $67.84 1 ea 12%State Surcharge- 08/03/2016 $8.14 Type of Use: COM Electrical 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, TION: • -..n law requires •u to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 9527011-0010 through OAR 9 ' 00 •090. Y. y obtain a copy of the rules or direct questions to OUNC by calling 503.232.19 or 1.800.332.2344. Is-ued By: I l /1L��l r 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' 41111111 -111MEMitypDate: 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 rl j EE4 FOR OFFICE USE ONLY - City of Tigard Received ��"" Date/B : 1 0 t 0 Permit No.: n.. n )i,//_ _6Q 41 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review �+s—v� U �Y Phone: 503.718.2439 Fax: 503.59 trti O 3 2016 Date/B : Other Permit: 16'-,OcQbif l 11 GARD Inspection Line: 503 639 4175 Date Ready/By: .runs: 21 See Page 2 forInternet www tigard or gov ( 1 � isiiii`l Nottfied/Method Supplemental Info rmation aa, s . z ;?t:Ir . .. z ; V ` R , lew construction 0 Addio 4. teration/replacement Please check all that apply(submit 2 sets of plans w/items checked below): El where or feeder 400 amps or more 0 Building over three stories. 0 Demolition 0 Other: where the available fault current ❑Marinas and boatyards. ACTEGO 2Y OF C(3 a UCTI N exceeds 10,000 amps at 150 volts or ❑Floatin b �� �� ,,h r-.� �: ..,��,�� x,�,.� t.�.�x_�E _x g uildings. ❑ 1-and 2-family dwelling Commercial/industrial m❑Accessorybuildingless to ground,or exceeds 14,000 ❑Commercial-use agricultural amps for all other installations. buildings. ❑Multi family 0 Master builder 0 Other 0 Fire pump. El Installation of 75 KVA or 3U$,SITE I15TFO1Mt1TIU�l thl) L(?CrTifN r ❑Emergency system. larger separately derived system. "" 0 Addition of new motor load of El"A","E","1-2","1-3", �YOrn �'`� Job no.: � Job site address: 6554) i 100HP or more. occupancy. � � El Six or more residential units. ❑Recreational vehicle parks. City/State/ZIP: Ti 6 ❑Health-care facilities. ❑Supply voltage for more than Hazardous IN,tions. 600 volts nominal. Suite/bldg./apt.no.: Project n ` t C, 140197,77f- jhe6- j y�Wer 600 amps or more Cross street/directions to job site: Description I Qtv. I Fee. I Total L.. * New residential single-or multi-family dwelling unit. Includes attached garage. 1,000 sq.ft.or less 168.54 4 Subdivision: Lot no.: Tax map/parcel no.: Ea.add'l 500 sq.ft.or portion 33.92 1 Limited energy,residential 3 ' 0 AF WUI2H 75.00 2 ,-%rx .,t,x DESCRIPTI,sT ¢# (with above sq.ft.) �y�, / / �y� y y-� �y/ / Limited energy,multi-family /N i 1 LL-- (I) 1 L 14 /7711 f re 10,9L L ci 6 iti residential(with above sq.ft.) 75.00 2 i lyA S WDAL�/3 Services or feeders installation,alteration,and/or relocation ©N �vr Ec g—verism! , /✓�t'I T}tC?�9�E ftSafaamps or less 100.70 2 A1�IT 1mto400POERTWNR _ t :rf , '' 20as amps 133.56 2 Name: 11-17771769k1(C /�3�� �/ q�, / 401 amps to 600 amps 200.34 2 _7 1- G9l4//l/ e / �/2/A 601 amps to 1,000 amps 301.04 2 Address: -76 =.// ,✓ /,!,/ G/� ,0 Over 1,000 amps or volts 552.26 2 City/State/ZIP: 776/472/9 DY 8 72.._3 Temporary services or feeders installation,alteration,and/or relocation 200 amps or less 59.36 1 Phone:( ) Fax:( ) 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,reptti ange,according to ORS 447,449,670,and 701. 401 amps to 599 amps 168.54 2 rAv�' Branch circuits—new,alteration,or extension,per panel Owner signature: Date: A.Fee for branch circuits with ti i rl`i �" OLVT'ACT 'E above service or feeder fee, o.p.ati ,s_ , , � , ,,, ... 7.42 2 '-_ each branch oireuit Business na : . -. • = Y SIGNS,INC B.Fee for branch circuits without service or feeder fee,first Contact name: CYNDI balitgatip 5:72)eleS branch circuit 56.18 2 Address:2424 SE HOLGATE BLVD Each addl.branch circuit 7,42 2 Miscellaneous(service or feeder not included) City/State/ZIP:PORTLAND,OR 97202 Each manufactured or modular dwelling,service and/or feeder 67.84 2 Phone: (503)546-7102 Fax: :(503)230-1861 Reconnect only 67.84 2 E-mail:permits @securitysigns.com Pump or irrigation circle 67.84 2 Sign or outline lighting 1 67.84 6 7.g/ 2 ;'>' . ..-4..,., . a .w MSrq)1 i' GOR i v .. .,- , , 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 thin) 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 specifically listed(1/2 hr mm) 90.00/hr CCB Lic.: 122809 �� �. Electrical Lic.: . 60CLS Suprv.Lie.: 383SIGfi 44KE+ TRICriT,PRRI4HT )�� Subtotal: 7 Suprv.Electrician signature,required: �'_ Plan review(25%of permit fee): Print name: MARC LINDQUIST / i Date: 7g/d3`i/_ State surcharge(12%of permit fee): C6.f Authorized signature: E, l c� TOTAL PERMIT FEE: 5i�Cd ‘...<— � / This permit application expires if a permit is not obtained within 180 Print name: CYNDI KR-AC-4W S�C.X-5 Date: `v3` days after it has been accepted as complete. * Number of inspections allowed per permit. t:\Building\Permits\F.LC-PermitApp.doc 07/01/10 440-4615T(11/05/COM/WEB 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 7650 SW BEVELAND RD, TIGARD, OR, 97223 Record Type: Commercial - Electrical Inspection Type: 199 Electrical final Result: PASS- NoCofO Comments: Violation Summary: Inspector Tel: 503.718.2439 Inspection Date: Record ID: ELC2016-00614 Inspector: Jeff Grove Contractor