Permit (39) CITY OF TIGARD ELECTRICAL PERMIT
a 4 ' COMMUNITY DEVELOPMENT Permit#: ELC2017-00512
T f cAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/11/2017
Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9710 SW WASHINGTON SQUARE RD F01
Project: Untuckit Subdivision: None Lot: None
Project Description: Sign lighting for(1)interior wall sign.
Contractor: MEYER SIGN CO OF OREGON Owner: PPR WASHINGTON SQUARE LLC
15205 SW 74TH AVE PO BOX 847
TIGARD, OR 97224 CARLSBAD, CA 92018
PHONE: 503-620-8200 PHONE:
FAX: 503-620-7074
FEES
Quantity Description Date Amount
1 ea Sign or Outline Lighting 07/11/2017 $67.84
Specifics:
1 ea 12%State Surcharge- 07/11/2017 $8.14
Electrical
Type of Use:
Class of Work:
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 issuan ,i or if work is suspended for more the 180
days. AT ION: on law requires you to follow the rules adopted by the Oregon Utility Notification e ter. Those rules are set forth in OAR
952-00 0010 through OAR - 090 You may obtain a copy of the rules or direct questions to OUNC by calling 503. 2.y987 1.800.33 . 344.
Issu By: 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' //7
AIIIM _'_ �:�.�:�.. ��� � c . Date: 7/4X/7
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.
I
Electrical Permit Application FOR OFFICE LSE ONLY
City of Tigard
j � Rece;Dved
�� �.
r ate/B : � Permit �/ /y.. 00571
13125 SW Hall Blvd.,Tigard,OR 97223
m . Phone: 503.718.2439 Fax: 503.598.196(, UL 1 1 2017
Plan Review
DateB Related Permit#: /6"pay/7 deve,
T I G A R D Inspection Line: 503.639.4175 Ready Date/By: 11111S'
Internet: www.ti and-or. ov CITYS See Pent 2 nr
g g TIGARD Notified/Method: InformationSupplemental
OF
YPE O (3!60ING 6 k • la,.' , PLAN REVIEW
❑New construction 0i Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
0 Demolition 0 Other: ❑Service or fee er 400 amps or more ❑Building over three stor es.
where the available fault current ❑Marinas and boatyards.
. >CATEG G "V'OF CONSTRUCTION` '° exceeds 10,000 amps at 150 soils or
0 Floating buildings.
0 1-and 2-family dwelling Mi Commercial/industrial ❑Accessory building less to ground,or exceeds 14.000 ❑commercial-use agricultural
❑ Multi-familyamps for all other installations. buildings.
0 Master builder ❑Other: ❑Fire pump.
0Installation of 1.50 KVA or
.� r _
.TOB SITE.INF0KMATIfl Emergencysystem. larger separately der ved
'�_` N"AN`� �LOCATI N' �-� ' "' �-' � ❑Emer enc
Job#: itl ,� �
JOb site a s: /� ❑Addition of new motor load of system
w/ ��i1t1�Yo�/ �� �' I OOHP or more.
City/State/ZIP: f ,J0 D4 g7;..)-3 ❑Six or more residential units. occupancy.
❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: froi I P oject name: ugyveie,r ❑Hazardous locations. ❑Supply voltage for more than
❑Sery ice or feeder 600 amps or more. 600 volts nominal
Cross street/direct'ens to job site: d�rg, di/',, �4
FES.SCHEDiII�
7Aid/,,,i i1.0 a,A a•.Q Descn non Each Total M
(�TA�4r� 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'1 500 sq.ft.or portion 33,92 1
DESCRIPTION"OF-WORK Limited energy.residential/ �� a j '/ �t , /u' 75.00 2
(� PRA)e-C7 ^I jam/ Gr�VA-i1 1t f 1 iA A'Cv l�`✓'�1'(� 511 „ (with above sa.ft.)
ID ��// ¢ Limited energy,multi-family
���� �� �'G �+ t residential(with above sq ft.) 75.00
0 ROP T "OWNER E:; TENANT Renewable Ener ❑ See Pa e 2 �I
Services or feeders installation,alteration,an(1/or relocation
Name: dijr(0/64ir WAIL t A-AR MA-LL ) 200 amps or less 100.70
2
Address: 156 AJA5L(, &J ca.1A q/+ pt 201 amps to 400 amps 133.56 2
City/State/ZIP: V �1/ /Y� 401 amps to 600 amps 200.34 2
�'—' il0 / iL /7 )3 601 amps to 1,000 amps 301.04 2
Phone: ( ) I 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 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
'74 APPLICANT' . 'Lri CONTACT,PERSON Branch circuits—new,alteration,or extension, .er i anel
�i y f/( �Et� C, A Did Oki A.Fee for branch circuits nidi
Business name: /� above service or feeder fee,
each branch circuit 7.42 I
Contact name: ♦ n/ /1/t B.Fee for branch circuits without
Address: L � /,� IV£/'1� �--ItE service or feeder fee,first 56.18
A)
1 branch circuit 2
City/State/ZiP: -7--,-,„„, / it 7 Each add]branch circuit 7.42 2
Phone:(ft/ ) 232.— 5-0 I Fax: :( ) Miscellaneous(service or feeder not included)
Each manufactured or modular
Email: id `rrS e /w���i b� ee. e r►il dwellin service and/or feederIII
67.84 ��
�� Reconnect only 67.84
CONTRACTOR Pump or irrigation circle 67.84
Business name: in I y1( J16,t 6. of /, /,J Sign or outline lighting f 67.84
Address: 151_05' 3..kJ, 7 cilli Signa]circuits)or limited energy
Dr 'ane!,alteration,or extension. ❑ See Page 2
II
City/State/ZIP: 6A ! d� 9'7)'a,L� Each additional ins section over allowable in an of the above
--I
` Additional inspection(1 hr min) 66.25/hr
Phone:17/ ) 232_— SQj/ i Fax: ( ) Investigation 1 hr min
g ( ) 90.00/hr
Email: /6 Tf e—f1A- l5164 el, Co4k. Industrial plant(l hr min) 78.18/hr
Inspections for which no fee is
CCB Lie.: i,/„// •, 1 Electrical Lie.: A --Igo a,' Suprv. 'c.: 1 9 516 s.ecificall listed(1/2 hr min) 90.00/hr
Suprv.Electrician signature,required: �t � ELECTRICAL :FEES;
Print name: b / T' �,
Subtotal: r, 7.'8
/ Dat . -7 t i 1 , 0 Plan Review Required(25%of permit fee): -..-------
� State surcharge(12%of permit fee):
Authorized signature: TOTAL PERMIT FEE:
Print name:,4vim/
This permit application expires if a permit is not obtained within 180
1i , /�/,,,,A Date: ��j/ � days after it has been accepted as complete.
T:vluildingU crmits�et.C_permitnpp_rl.a_I;Ki;.duc Rev ov/17/20l s i '` Number of inspections allowed per permit.
440-4015T(1 I/05/CODNWLn
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9710 SW WASHINGTON SQUARE RD F01 ,
TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Electrical ELC2017-00512
Inspection Type: Inspector:
199 Electrical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor