Permit CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: ELC2016-00969
13125 SW Hall Blvd.,Ti and OR 97223 503.718.2439 Date Issued: 12/27/2016
Tf ' R D 9 Parcel: 2S110DCO2200
Jurisdiction: Tigard
Site address: 15660 SW PACIFIC HWY A-4
Project: Tea Massage Subdivision: 1997-016 PARTITION PLAT Lot: 2
Project Description: Sign lighting for(1)new 21-square-foot sign on north-facing wall.
Contractor: MEYER SIGN CO OF OREGON Owner: ROIC OREGON LLC
15205 SW 74TH AVE ATTN: SCHOEBEL, RICHARD
TIGARD, OR 97224 8905 TOWN CENTRE DR, STE 108
SAN DIEGO, CA 92122
PHONE: 503-620-8200 PHONE:
FAX: 503-620-7074
FEES
Quantity Description Date Amount
1 ea Sign or Outline Lighting 12/27/2016 $67.84
Specifics:
1 ea 12%State Surcharge- 12/27/2016 $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 Notifica'• enter. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may ob rules or direct questions to OUNC by calling •+3.23 .1987 or 1.804r83/ 4.'
Issued By: �/�I� ,—, Permittee Signature: �(J/ /�/
7 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
Received
City of Tigard �, Permit#:
la 13125 SW Hall Blvd.,Tigard,OR 97223 `% Date/By: �� � ��z[ ' t�(� 'C?Oj(P�('
Tigard, Plan Review
■ Phone: 503.718.2439 Fax: 503.5 �� Date/By: Related Permit#:j6 Olt:.,.ap(3_5--
Inspection
r —
Ins ection Line: 503.639.4175 ! ReadyDate/By: kris: c
I IGARD •
p ® ® SeePage2for
Internet: www.tigard-or.gov c.C. r0 Notified/Method Supplemental Information
d
Please check all that a 7 submit 2 sets of tans w/Mems checl ed
❑New construction ®Addition/alteratiOi {a� t ( � � I P y(�� P )
❑Demolition ❑Other: `�1� ❑Service or feeder 400 amps or more ❑Building over three stories.
where the available fault current ❑Marinas and boatyards.
1 s ,4.09,r i - # 4 t ;v?«i a! 4 't t,a iaexceeds 10.000 amps at ISO volts or ❑Floating buildings.
1-and 2-familydwellingCommercial/industrial less to ground,or exceeds 14,000 ❑Commercial-use agricultural
❑ ® ❑Accessory building
amps for all other installations. buildings.
❑Multi-family ❑Master builder ❑Other: ❑Fire pump. El Installation of 150 KVA or
eE. v
f ,;'6 p .F t g , t. Its'@ y� " ' ' ❑Emergenc�sstei. larger se aratel derived
❑Addition of new motor load of system.
Job#: Job site address: 15660 SW Pacific Hwy 100HP or more. ❑"A","E"."1-2 °°t-3
City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy.
❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: I Project name:Tea Massage ❑Hazardous locat ons. ❑supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: • ' Vi t ' 4
Description Qty. I Each ( Total 1
New residential single-or multi-family dwelling unit.
Subdivision: 1 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
r„e`,' i., -+�."y-�"` sa:;V1'1. '. 1.'< #t C t 4. '".1.t '„< t2, : '. ,:,! 5.},.,. �.. . :t Limited energy.residential
Connect 1 internally illuminated wall sign to existing electrical.
(with above sq.ft.) 75.00 2
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
{ I ,. tiv Renewable Energy El See Page 2
- �� .; Services or feeders installation,alteration,and/or relocation
Name:ROIC Oregon LLC. 200 amps or less 100.70 2
Address:8905 Town Center Dr.#108 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP: San Diego,CA 92122 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
as t, a v , ,�; �,1 ZENMS
Branch circuits–new,alteration,or extension,per panel
' "`^�""� 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
service or feeder fee,first
Address: 15205 SW 74th Ave. branch circuit 56.18 2
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
t' ,itiltiflliititZigatgkiaili Pump or irrigation circle 67.84 2
Business name:Meyer Sign Co.of Oregon Sign or outline lighting 1 67.84 7.s�.r 2
Address: 15205 SW 74th Ave Signal circuit(s)or limited-energy El 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 V:( 20)90CLS Suprv.Lie.: 569 SIG s,ecificall listed(i2 hr mm)
Suprv.Electrician signature,required: 49 ielN,� via �� ���� Subtotal
,� �.
tl
Print name: Todd Barclay 4 1j°ate: 12/8/16 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee): El/1
Authorized signature: L TOTAL PERMIT FEE: 147 ,,c
��````�� This permit application expires if a permit is not obtained within 180
Print name: Tony McCormick Date: 12/8/16 days after it has been accepted as complete.
Number of inspections allowed per permit. p 4,„_,,_
imuildingAI'crmilsVliI C_I'ermitApp_GI.R_t:RLdoc tics 06/17/2015 44O4615T(t 1
1/05/COM/WGB fiCh -
13125 SW Hall Blvd.
Tigard, OR 97223
City of Tigard
Location:
15660 SW PACIFIC HWY A-4, 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:
ELC2016-00969
Inspector:
Chip Barnett
Contractor