Permit (203) y CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: ELC2017-00545
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/24/2017
Parcel: 1 S 1260000300
Jurisdiction: Tigard
Site address: 9504 SW WASHINGTON SQUARE RD J02
Project: Tumi Subdivision: None Lot: None
Project Description: (2)sign lighting
Contractor: RAMSAY SIGNS INC Owner: PPR WASHINGTON SQUARE LLC
9160 SE 74TH AVE PO BOX 847
PORTLAND, OR 97206 CARLSBAD, CA 92018
PHONE: 503-777-4555 PHONE:
FAX: 503-777-0220
FEES
Quantity Description Date Amount
2 ea Sign or Outline Lighting 07/24/2017 $135.68
Specifics:
1 ea 12%State Surcharge- 07/24/2017 $16.28
Electrical
Type of Use: COM
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 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: Ore n 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 R 52-001-0090. 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 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' 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 ermit ApplicationRECEIVE FOR OFFICE USE ONLY
City g Received-7,2
�. y�
ofTigard Date/B : 7s2y /7s'.r'/r/ Permit#:Gzr;0/9-oQ.3--v_s-
III13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revie
I' Phone: 503.718.2439 Fax: 503.598.1%0 J U L 2 4 2017 Date/B : Related Permit#:
Inspection Line: 503.639.4175 Ready Date/By: Juris: El See Page 2 for
T I G A R D Internet: www.ti and-or. ov CITY
� Notified/Method: Supplemental Information
g g �i 1 Iy��� DIVISION
PP
TYPE OF PIN "DI V ISIO1 PLAN REVIEW
�I New construction ❑Addition/alteration replacement Please check all that apply(submit 2 sets of plans w/items checked):
0 Service or feeder 400 amps or more 0 Building over three stories.
❑Demolition ❑Other: where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
❑ 1-and 2-family dwelling E Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family ❑Master builder ❑Other: 0 Fire pump. 0 Installation of 150 KVA or
JOB SITE INF ION AND LOCATION 0 Emergency system. larger separately derived
s: Washin ton Square RD
0 AdditionHof new motor load of system.
Job#: Job site ad
g 9 100HP or more. ❑..A>, ..E„ ..1 2„..1 3„
City/State/ZIP:Tigard OR.97223 ❑Six or more residential units. occupancy.
0 Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#:J02 Project name: 0 Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site:TUMI FEE SCHEDULE
Description I Qty. I Each I Total I *
New residential single-or multi-family dwelling unit.
Subdivision: 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
DESCRIPTION OF WORK Limited energy,residential
2 Electrical signs (with above sq.ft.) 75.00 2
Limited energy,multi-family
residential(with above sq.ft.) 75.00 2
Renewable Energy 0 See Page 2
PROPERTY OWNER ❑ 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:( ) 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
APPLICANT ❑ CONTACT PERSON Branch circuits—new,alteration,or extension,per panel
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:( ) Fax: :( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email: Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name:Ramsay Sign Co. Sign or outline lighting 2 67.84 135.68 2
Signal circuit(s)or limited-energy ❑ See Page 2 2
Address:9160 S.E.74thAVE panel,alteration,or extension.
City/State/ZIP:Portland OR.97206 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(503)777-4555 Fax:( ) Investigation(I hr min) 90.00/hr
Industrial plant(1 hr min) 78.18/hr
Email:terry@ramsaysigns.com
Inspections for which no fee is 90.00/hr
CCB Lic.: 65.3.24 342 Electrical Lic 6-106c15 V Suprv.Lic.: 493sig ✓ specifically listed('/zhrmin)
ELECTRICAL`PERMIT FEES
Suprv.Electrician signature,required:X Subtotal: 135.68
Print name: Phill Steig �u SrC./' E.L Date: 7/10/2017 0 Plan Review Required(25%of permit fee):
//// Gl��" State surcharge(12%of permit fee): 16.28
Authorized signature:
TOTAL PERMIT FEE: 151.96 1./..
This permit application expires if a permit is not obtained within 180
Print name: i ,,.../.4/ Bad fl�/YV C 1� Date. 9 IQ,..Z) days after it has been accepted as complete.
��w
* Number of inspections allowed per permit.
I:\Building\Permits\ELC_PermitApp LR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9504 SW WASHINGTON SQUARE RD J02,
TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Electrical ELC2017-00545
Inspection Type: Inspector:
199 Electrical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor