Permit (39) CITY OF TIGARD ELECTRICAL PERMIT
a , . COMMUNITY DEVELOPMENT Permit#: ELC2017-00014
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/19/2017
T[tom"` R° g Parcel: 2S112AD01100
Jurisdiction: Tigard
Site address: 6650 SW BONITA RD
Project: Mattress Firm Subdivision: 2000-020 PARTITION PLAT Lot: 1
Project Description: (2)illuminated wall signs.
Contractor: RAMSAY SIGNS INC Owner: PACA PROPERTIES LLC
9160 SE 74TH AVE 6600 SW BONITA RD
PORTLAND, OR 97206 TIGARD, OR 97224
PHONE: 503-777-4555 PHONE:
FAX: 503-777-0220
FEES
Quantity Description Date Amount
2 ea Sign or Outline Lighting 01/05/2017 $135.68
Specifics:
1 ea 12%State Surcharge- 01/05/2017 $16.28
Electrical
Type of Use:
Class of Work:
Type of Const:
Occupancy Grp:
Total $151.96
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 throu h OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: (T���AC�B—�� Permittee Signature: � '=_2-4—, - �s
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 FOR OFFICE LSE ONLv
City of Tigard uz • .f
III .I 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review C
Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Related Permit#:�L .7_Gtk. %5
Inspection Line: 503.639.4175 .k 'i `y:gady Date/By: ,' See Page 2 for
T I G A R D Notified/Method: Supplemental Information
Internet: www.tigard-or.gov pP
ry
1 "v in`,.:,": TYPE O :WORK '"\/ (y I. r � - ,,s .,t. �' P)AN R l
construction ❑Addition/alteration/replacement, ,,, I i Please check all that apply(submit 2 sets of plans w/items checked):
a - ❑Service or feeder 400 amps or more ❑Building over three stories.
molition ❑Other: where the available fault current 0 Marinas and boatyards.
; _, ';',1;:l'it.:1X1'4} C:4 'DUCTION ''_; exceeds 10,000 amps at 150 volts or 0 Floating buildings.
❑ 1-and 2-family dwelling �'ommercial/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 ❑Other: 0 Fire pump. 0 Installation of 150 KVA or
•. A SITE INFORMATION AND LOCATION 1 :;,;,; ❑Emergency system. larger separately derived
Job#: Job site address: L.r SD J `� `b/fp/J?A—
o
❑Addition of new motor load of system.
/ G / t00HPormore. ❑"A",`B","12","13",
Cl /State/ZIP: / J /� Six or more residential units. occupancy.
ty �l V��/�(/t ❑Health-caze facilities. 0 Recreational vehicle parks.
//�Kf f „.(-----7.y-Th ❑Hazardous locations. 0 Supply voltage for more than
Suite/bldg./apt.4: Project name: (Tr
oService or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: ::1-101;i: FEE Epu,EL 1.''''.1
('�t J(1(J) 11
13 u / � / Description I Qty. I Each I Total
JNew residential single-or multi-family dwelling unit.
Subdivision: 1 Lot#: Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#:
Ea.add'l 500 sq.ft.or portion 33.92 1
Du i'E 8 1 =OF til sr`` i ' Limited energy,residential
�* ( i f ( 2 ) / I//i{yam//N Sij `,� (with above sq.ft.) 75.00 2
L/ ( / G 'o` �!66��" Limited energy,multi-family
2/ residential(with above sq.ft.) 75.00 2
® i� q.,,,)
„ x ,. Renewable Energy 0 SeePage2
r �j. •�. m �, ❑;TENANT Services or feeders installation,alteration,and/or relocation
Name: 200 amps or less 100.70 2
Address: 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP: 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
1 "., t ,z, t ~ Branch circuits-new,alteration,or extension,per panel
:>• I ',Ili. TCA1V`l•4 y, :- w: �QIYTIiG t t A.Fee for branch circuits with
Business name: above service or feeder fee,
each branch circuit 7.42 2
Contact name: B.Fee for branch circuits without
Address: service or feeder fee,first 56.18 2
branch circuit
City/State/ZIP: Each add'!branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:( ) I Fax: :( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email: Reconnect only 67.84 2
a�i,itX?.,,:,,,ti,„,',,„;:, :. CON1'RAC'•TO1 '' , , Pump or irrigation circle 67.84 2
Business name: 0�1 J,/G 17 S Sign or outline lighting 67.84 , °�
((C���T Signal circuit(s)or limited-energy g
/// 7;; � /;> 0 See Page 2 2
Address: 9/�� 4?� � �z panel,alteration,or extension.
City/State/ZIP: fdi age/ ,
Each additional inspection over allowable in any of the above
�7 � Additional inspection(1 hr min) 66.25/hr
Phone:(_03) .7 7! 4J-sJ Fax:(5-03) 77 7 �-22.O Investigation(1 hr min) 90.00/hr
Email: h n 1 L- (6) v nil/z/,� 4 ( / Industrial plant(1 hr min) 78.18/hr
G ,f j j�) r C G Inspections for which no fee is
CCB Lic.:���� Z Electrical Llc.`L(�, /1 u, p 7 1s'/%
13125 SW Hall Blvd.
Tigard, OR 97223
City of Tigard
Location:
6650 SW BONITA RD, 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:
ELC2017-00014
Inspector:
Jeff Grove
Contractor