Permit (27) CITY OF TIGARD ELECTRICAL PERMIT
I ... COMMUNITY DEVELOPMENT Permit#: ELC2017-00394
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/31/2017
Parcel: 151260000300
Jurisdiction: Tigard
Site address: 9318 SW WASHINGTON SQUARE RD W07
Project: Chico's Subdivision: None Lot: None
Project Description: Sign lighting for(1)sign.
Contractor: VANCOUVER SIGN COMPANY INC Owner: PPR WASHINGTON SQUARE LLC
2600 NE ANDRESEN RD#50 PO BOX 847
VANCOUVER,WA 98661 CARLSBAD, CA 92018
PHONE:
PHONE: 360-693-4773
FAX: 360-693-2747
FEES
Quantity Description Date Amount
1 ea Sign or Outline Lighting 05/30/2017 $67.84
Specifics:
1 ea 12%State Surcharge- 05/30/2017 $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 Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a co• f the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344..3
Issued By: /��.e' r Permittee Signature: G iii
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 �j.�.
11 City of Tigard C 3� �( % 7 7, Permit p: G,. {7- azei it
Date/Bv; 3 1 J t
' 13125 SW Hall Blvd.,Tigard,OR 9722 Iwo ^� Plan Review
2 Phone: 503.718.2439 Fax: 503.598.1960 1 % \1 Related Permit#: ✓Le—/'l1� _/•,,>9(Cl y
Date/BY'v. 44 C"
Inspection Line: 503.639.4175 MA's 0 Ready Date/By; fart,: ® See Page 2 for
TI G A It D Internet: www.tigard-or.gov
1" , ��talotified/Method: j. Supplemental Information
TYPE OF WOunLAV :' ',FLAN. VIEW lt(HI;11!i,
Q'1 ❑New construction ®Addition/alterati �DT Please check all that apply(submit/sets of plans w/items checked):
❑Demolition ❑Other: !J"` ❑Service or feeder 400 amps or more ❑Bwilding over three stories,
t� where the available fault current ❑Marinas and boatyards,
CATEGORY' CONSTRUCTIO "`i! ,_l; exceeds 10,000 amps at 150 volts or ❑Floating buildings.
0 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building ess to ground,or exceeds 14,000 ❑Commercial-use agricultural
amps for all other installations. buildings,
❑Multi-family ❑Master builder ❑Other: ❑ urn Fire pump, 0 Installation of 150 KVA or
,TUR SITE',INFOPIAPON AND LOCATION i,„ ,gyp ❑'; Emergency system, larger separately derived
V ❑Addition of new motor load of system,
Job#: Job site address:9318 SW Washington Sq Rd IOOHP or more, ❑"A","E "I-z^,"I-3".
City/State/ZIP:Tigard,OR 97223 ❑Six or more residential units, occupancy.
0 Health-care facilities. ❑Recreational vehicle parks.
p Suite/bldg./apt.#:W07 Project name:Chico's ❑Hazardous locations, ❑Supply voltage for more than
❑Service or feeder 600 amps or more, 600 volts nominal
Cross street/directions to job site: i,lip g.
s
; o td
� oescren I Qty 1 Each � Total I +
New residential single-or multi-familydwelling unit.
Subdivision: Lot#: Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#: Ea.add'I 500 sq.ft.or portion 33.92 1 w
W.. Limited energy,residential
3 Insta UESCRiPIION'i,C1F ,pRK
Il(1)sign circuit. (with above sq.ft.) 75A0 2
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
1=`� - Renewable Energy 0 See Page 2
®,PROPERTY OWNER." ►4 TENANT" n
- - ,�""- Services or feeders installation,alteration,and/or relocation
\' Name:Chico's 200 amps or less 100.70 2
�x Address: 9318 SW Washington Sq Rd 201 amps to 400 amps 133.56 2
J -. 401 amps to 600 amps 200.34 2
City/State/ZIP:Tigard,OR 97223 601 amps to 1,000 amps 301.04 2
31''
..e Phone: ( ) Fax:( ) Over 1,000 amps or volts 552.26 2
Email: Temporary services or feeders installation,alteration,and/or
relocation
Owner installation:This installation is being made on properly that I own which is not 200 amps or less 59.36 I
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.082
Owner signature: Date: 401 amps[0 599 amps 168.54 2
Branch circuits—new,alteration,or extension,per panel
APPLICANT CONTe1C7.PEILSON —
A.Fee for branch circuits with\t.
Business name:Vancouver Sign Group above service or feeder fee, 7.42 2
r
d each branch circuit
V Contact name: Chris Brown B.Fee for branch circuits without
4.,i Address:2600 NE Andresen Rd Ste 50 service or feeder fee,first 56.18 2
'1� _ branch circuit
r� City/State/ZIP:Vancouver,WA 98661 Each add'l branch circuit 7.42 2
. • Miscellaneous(service or feeder not included)
Phone: (360)693-4773 Fax: :(360)693-2747 Each manufactured or modular 67.84 2
Email: Cbrown@vansignco.com dwelling,service and/or feeder
Reconnectonly 67,84 2
- CONTRACTOR, Pump or irrigation circle 67.84 2
Business name: Vancouver Sign Group Sign or outline lighting 1 67.84 j,,7�('td 2
{" Address:2600 NE Andresen Rd Ste 50 Signal circuit(s)or limited-energy
❑ See Page 2 e' o
panel,alteration,or extension. `
City/State/ZIP:Vancouver,WA 98661 Each additional inspection over allowable in any of the above
Additional inspection(I hr min) , 66.25/hr
Phone:(360)693-4773 Fax:(360)693-2747 Investigation(I hr min) 90.00/hr
Industrial plant(I hr min) 78.18/hr
Email:Cbrown@vansignco.com inspections for which no fee is
specifically listed(%x hr min) 90.00/hr
s
CCB Lie.: 63951 Electrical Lie.: 37-46CLS Suprv.Lic.: 648SIG p Y
.._.ELECTRICAL PERMITTEES
Suprv.Electrician signature,ref ired: _ Subtotal: 6 7, D yi
Print name: Adam Wallis A! Date: 0 Plan Review Required(25%of permit fee):
�.' '
State surcharge(12%of permit fee):
e / TOTAL PERMIT FEE:
signature: - -- 7S' 48,-
Authorized
' This permit application expires if a permit is not obtained within 180
Print name: Chris Brown Date: days after it has been accepted as complete.
Number of inspections allowed per permit,
I:AnuildingVPcrmirnAFl,C_PcrmilAPP_IiI.lt_Blils,dnc lieu Ord l7/21115 440-461 ST(I I/05/CUM/wrtn
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9318 SW WASHINGTON SQUARE RD W07,
TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Electrical ELC2017-00394
Inspection Type: Inspector:
199 Electrical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor