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Permit CITY OF TIGARD ELECTRICAL PERMIT 114 COMMUNITY DEVELOPMENT Permit#: ELC2017-00096 ITGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/14/2017 Parcel: 2S102BD01503 Jurisdiction: Tigard Site address: 12800 SW PACIFIC HWY Project: StorQuest Subdivision: FREWING'S ORCHARD TRACTS Lot: 1 Project Description: Sign lighting for(2)wall signs. Contractor: HANNAH SIGN SYSTEMS INC Owner: 12740 SW PACIFIC SP LLC 1660 SW BERTHA BLVD BY THE WILLIAM WARREN GROUP INC. PORTLAND, OR 97219 201 WILSHIRE BLVD STE 102 SANTA MONICA, OC 90401 PHONE: 503-946-8373 PHONE: FAX: 503-206-4900 FEES Quantity Description Date Amount 2 ea Sign or Outline Lighting 02/14/2017 $135.68 Specifics: 1 ea 12%State Surcharge- 02/14/2017 $16.28 Type of Use: COM Electrical Class of Work: ALT 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 applicab- law. All work will be do in accordan« ith approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspe •ed for more the 180 day . ATTENTION: Orego law requires you to follow the rules adopted by the Oregon Utility Notification Cent Those rules.are set forth in OAR 95 -001-0010 throu•h OAR 952 *01-**90. ay obtain a copy of the rules or direct questions to OUNC by calling 503.232.1.8 • 1.800.332.234' I ued By: , ri� 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' Cr- _ CC.1 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 USE ONLY f City of Tigard n t a3 s Received / permit No.: �7.y �[j IN � � `� ti r DateB ® ���I�n.. ! derei9,,, / 13125 SW Hall Blvd.,Tigard,O 23 4-2' Plan Review Phone: 503.718.2439 Fax: 503.598.1960Date/ : Other Permit: 6 5/4'd/7-ed-69„9/ T I G A R D Inspection Line: 503.639.4175 --r. .,1i i/ Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.goV --_� < a Notified/Method: Supplemental Information '9�/ j / 4 ii ,,vo /; ,/0 ,A4 /i%ii,% %i% i ���„ A New construction ❑Additi 1�C tf r Please check all that apply(submit 2 sets of plans w/items checked below): tI lj s ' ,::,,,,,i', ❑Service or feeder 400 amps or more 0 Building over three stories. 0 0 DemolitionOther: where the available fault current ❑Marinas and boatyards. " y & "� ` , exceeds 10,000 amps at 150 volts or ❑Floating buildings. �///////, %//� %//// „ i/ ii �////���//7'" less to ground,or exceeds 14,000 ❑Commercial-use agricultural 0 1-and 2-family dwelling is Commercial/industrial ❑Accessory building amps for all other installations buildings. 0 Multi-family 0 Master builder 0 Other: 0 Fire pump. ❑Installation of 150 KVA or O! � 12 Emergency system. larger separately derived system. ��i,. / k,44 % ///i/NA(71r r V 42 i 2 ❑Addition of new motor load of ❑"A" "E" "1-2" "1-3» 10 or more. occupancy.no.: Job site address: /ZB�5� /704C/ -rt1"„r 0 Six or more residential units. 0 Recreationa l vehicle parks. City/State/ZIP: .7r71464 776,42.6 04 9 72—Z? 0 Health-care facilities. 0 Supply voltage for more than ❑Hazardous locations. 600 volts nominal. Suite/bldg./apt.no.: I Project name:5ogjo-c-C 0 Service or feeder 600 amps or more. Cross street/directions to job site: //%iia%iiia miDaAaeac�IN iii Description Qty. Fee. Total New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: I Lot no.: 1,000 sq.ft.or less 168.54 4 Ea.add'l 500 sq.ft.or portion 33.92 1 Tax map/parcel no.: Limited energy,residential 75.00 2 e//// iii ,/,,ioQ, % moO/ice (with above sq.ft.) �%�„ �""��1i` ,��� % ii%i �� �/ ii�� �� %%///O �j / Limited energy,multi-family 75.00 2 2-- £'6 J /-TO©4— t�f residential(with above sq.ft.) Renewable Energy 0 See Page 2 Services or feeders installation,alteration,and/or relocation i0o / %i ce/i 0 2 /�� /i%%17/;,/ i 200 amps less 100.70 2 Name: 201 amps tto o 400 amps 133.56 2 Sro � Sa-c_4 . rap.t-hc 401 amps to 600 amps 200.34 2 Address: /L&c j i„ �—/kJ V 601 amps to 1,000 amps 301.04 2 /�� " Over 1,000 amps or volts 552.26 2 City/State/ZIP: OR_ 97Z2.; Temporary services or feeders installation,alteration,and/or Phone:( ) I Fax:( ) relocation 200 amps or less 59.36 1 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,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps 168.54 2 Owner signature: Date: Branch circuits—newalteration,or extension,per panel / '����A c,f ,r ?Jr /s, /���°� ;G >i .;,:�-, A.Fee for branch circuits with /m %iii%iii i ; above service or feeder fee, Business name: Hannah Sign Systems, Inc. each branch circuit 7.42 2 B.Fee for branch circuits without Contact name: David P Lanphere service or feeder fee,first 56.18 2 branch circuit Address: 1660 SW Bertha Blvd. Each add'l branch circuit 7.42 2 City/State/ZIP: Portland, OR 97219 Miscellaneous(service or feeder not included) Each manufactured or modular Phone:( 503)946 8373 I Fax: :(503 )206 4900 dwelling,service and/or feeder 67.84 2 Reconnect only 67.84 2 E-mail: ���� Pump or irrigation circle 67.84 2 // �/i Ol We' a, F') Sign or outline lighting Z� 67.84 /3570 2 Business name: Hannah Sign Systems, Inc. Signal circuit(s)or limited-energy See panel,alteration,or extension. Page 2 2 Address: 1660 SW Bertha Blvd. Each additional inspection over allowable in any of the above City/State/ZIP: Portland, OR 97219 Additional inspection(1 hr min) 66.25/hr Investigation(1 hr min) 66.25/hr Phone:(503 )946 8373 Fax:( 503 )206 4900 Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lic.: 203638 Electrical Lic.: CLS34 Suprv.Lic.: SIG676 s.•cificall listed('A hr min) Suprv.Electrician signature,required: Subtotal: f 3s -g Print name: David P Demuth / i: : Zig f f Plan review(25°/n of permit fee): — State surcharge(12%of permit fee): /(Q*Pr Authorized signature: TOTAL PERMIT FEE: `57, 74' Print name: David P Lanphere Date: Z / This permit application expires if a permit is not obtained within 180 �(/'7 days after it has been accepted as complete. * Number of inspections allowed per permit. I.\Building\Permits\ELC_PermitApp_ELR_ERE.dor Rev 05/21/2013 440-4615T(i 1/05/COM/WEB