Permit (271) CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: ELC2016-00930
7 r r_;;1 R C) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/08/2016
Parcel: 2S112DD01600
Jurisdiction: Tigard
Site address: 15575 SW SEQUOIA PKWY
Project: BFit Sign Permit Subdivision: PACIFIC CORPORATE CENTER Lot: 4
Project Description: (3)sign lightings. Two on concrete structure and one wall sign.
Contractor: MEYER SIGN CO OF OREGON Owner: PACIFIC REALTY ASSOCIATES
15205 SW 74TH AVE ATTN: N PIVEN
TIGARD, OR 97224 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-620-8200 PHONE:
FAX: 503-620-7074
FEES
Quantity Description Date Amount
Specifics: 3 ea Sign or Outline Lighting 12/08/2016 $203.52
1 ea 12%State Surcharge- 12/08/2016 $24.42
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $227.94
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,--qr if work is suspended for more the 180
days. ATTEN gon law requires you to follow the rules adopted by the Oregon Utility Notification enter. Those rules are set forth in OAR
952-001-00 through OA 952-001�ou may obtain a copy of the rules or direct questions to OUNC by calling 503 32.1•87/ 1.800.332.2 44. /I
Issued y: C�YLt� Permittee Signature: / ��27(
OWNER INSTALLATION ONLY 7
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 603.639.4175 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 ApplicatioVVITIVElnFOR OFI'lcL LSE ON IA
Recei
City of Tigard P vedDate/B : /%il �P, Permit#: E�t ( - 00936
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
II Phone: 503.718.2439 Fax: 503.598.108c Date/B : Related Permit#:
Inspection Line: 503.639.4175 Z.O'u Ready Date/By: Juris: ® See Page 2 for
T IC,A 11 D Internet: www.tigard-or.gov i' ` Notified/Method: Supplemental Information
'I ,
ail Tr �.,. ,
' ujI.l J .1' Please check all that apply(submit 2 sets ofplans w/items
❑New construction ®Addition al e • I s c . ,• PP y checked):
❑Service or feeder 400 amps or more ❑Building over three stories.
El Demolition ❑Other: where the available fault current ❑Marinas and boatyards.
f 1 ;I E Z a =t ,, _ exceeds 10.000 amps at 150 volts or El Floating buildings.
❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building less to ground,or exceeds 14.000 ❑commercial-use agricnhural
amps for all other installations. buildings.
❑Multi-family ❑Master builder ❑Other: ❑Fireu
v g s' .tis r
,` p mp. ❑Installation of]50 KVA or
$ ." .,� ,, sf. ❑Emergency system. larger separately derived
qPkwy ]OOH
Job#: Job site address: 15575 SW Sequoia ❑100H 000foew motor load of system.
P or more. ❑"A" "E" "1 2" "]-3'
City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy.
Y g
❑Health-care facdmes. ❑Recreational vehicle parks.
Suite/bldg./apt.#: I Project name:B Fit ❑Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more.
600 volts nominal.
Cross street/directions to job site: 77271113171217:71:717717117PTErai
Description Qty. Each Total ''
New residential single-or multi-family dwelling unit.
Subdivision: I Lot#: Includes attached garage.
Tax map/parcel#: 1,000 sq.ft.or less 168.54 4
Ea.add'l 500 sq.ft.or portion 33.92 1
stamariaigamigoe c h . r. z Limited energy,residential
75.00 2
Connect 2 Internally and Halo Illuminated signs on concrete structure located (with above sq.ft.)
Limited energy,multi-family 75.00 2
just off of I-5 residential(with above sq.ft.)
rRenewable Energy CI See Page 2
tWajtii.'wh .,, J1 .. •&: „w ce is ,',,,,:,:4:,,,,,. .,,, Services or feeders installation,alteration,and/or relocation
Name:Pacific Realty Assoc. 200 amps or less 100.70 2
Address: 15350 SW Sequoia Pkwy 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP:Portland,OR 97224 601 amps to 1,000 amps 301.04 2
Phone: ( ) I 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
ilitagtr' �� lir, v - a x Branch circuits—new,alteration,or extension,per panel
� v awx ;. ten a?a ..., �`� >� -. 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
Address: 15205 SW 74th Ave. service or feeder fee,first 56.18 2
branch circuit
City/State/ZIP:Tigard,OR 97224 Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone: (971)232-5021 I Fax: :( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email:permits@meyersignco.com Reconnect only 67.84 2
boa. Pump or irrigation circle 67.84 2
Business name:Meyer Sign Co.of Oregon Sign or outline lighting 3 67.84 olds.6-7.,2
Address: 15205 SW 74th Ave. Signal circuit(s)or limited-energy CI See Page 2 2
panel,alteration,or extension.
City/State/ZIP:Tigard,OR 97224 Each additional inspection over allowable in any of the above__
Additional inspection(1 hr min) 66.25/hr
Phone:(971)232-5021 Fax: ( ) Investigation(1 hr min) 90.00/hr
Email:permits@meyersignco.com Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lic.: 64014 Electrical Lic.: 20190CLS Suprv.Lic.: 569SIG s.ecrficall listed(1/2 hr mm)
Suprv.Electrician signature,required: 7� / �,Z; i �, Subtotal: o2 l 3. S-
Print name: Todd Barclay / I de: 12/5/16 0 Plan Review Required(25%of permit fee): ----
/ ! 6 y, State surcharge(12%of permit fee): N.4is�i
Authorized signature:f /` j� A-•-• _ TOTAL PERMIT FEE: �2a'7, ge/
(/ This permit application expires if a permit is not obtained within 180
Print name: Anthony G McCormi Date: 12/5/16 days after it has been accepted as complete.
Number of inspections allowed per permit.
I:ABuilding\PermitsVI LC_PermitApp_ELR_I?RB.doc Rev 06/17/2015 440-4615T(11/05/COM/WIiB
13125 SW Hall Blvd.
Tigard, OR 97223
City of Tigard
Location:
15575 SW SEQUOIA PKWY, TIGARD, OR, 97224
Record Type:
Commercial - Electrical
Inspection Type:
199 Electrical final
Result:
PASS- NoCofO
Comments:
Violation Summary:
Inspector
Tel: 503.718.2439
Inspection Date:
Record ID:
ELC2016-00930
Inspector:
Jeff Grove
Contractor