Permit (136) CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: ELC2017-00853
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/14/2017
Parcel: 1 S 136DA02600
Jurisdiction: Tigard
Site address: 11140 SW 68TH PKWY
Project: Cascade Vet Subdivision: 2000-025 PARTITION PLAT Lot: 2
Project Description: (1)Circuit for sign lighting.
Contractor: HANNAH SIGN SYSTEMS INC Owner:
CASCADE VETERINARY HOLDINGS LLC
1660 SW BERTHA BLVD 11140 SW 68TH PKWY
PORTLAND, OR 97219 TIGARD, OR 97223
PHONE: 503-946-8373 PHONE:
FAX: 503-206-4900
FEES
Quantity Description Date Amount
Specifics: 1 ea Sign or Outline Lighting 11/14/2017 $67.84
1 ea 12%State Surcharge- 11/14/2017 $8.14
Type of Use: COM Electrical
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 . suspended for more the 180
days. ATTENTION: Oregon law requires y. to follow the rules adopted by the Oregon Utility Notification Center. Tho - rules are s- forth in OAR
952-001-0010 through 0 952-001- 090. Yo,A ay obtain a co;�,of the rules,. direct questions to OUNC by calling 503.232.1 87 or 1/$00.3' 2344.
Issued By: ��P ¢j ''', /
,�G �� Permittee Signature: l
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 wit or 1f F o ,I 0 1,1
City t ' rd =',' ; �� r / + �Gc®t0/7 ., FS'
,, 13125 SW Hall Blvd,'Tigard,Off 97223 PlauRevteu
». ' 503 7182439 Parc, 503,598.1960 1 Datey Reid P+ tits: V. ge1017"er)--/O
Inspection Lute 503 639 4175 I Ready Dateilly, curie l See Page 2 for
1/''h.T.l l Internet: www;ngard-or,gov I Oed d:
xrpplementm`Infyrma6arr
11�//�� r/ W /� .�.,,, ,.r/,,,,,.r % / ;� / / ,... ; ._. .. ii/aj////o osr!,�/i/ioaxh/. .�...r, „„.,,r.rp ,/'.
s-New construction 0 Addition/alteration/replacement Plea cheek all that apply(submit a sec of plans w/ice checked
raernt�iititltl Other: 0Service or feeder 400 amps or more 0 Building over throe die&.
ubere the available fault current 0}tarmac and hotayards,
MOST//// % / �1%:;,/::iei /a;,riy,�y�/! %///-... � , /,
a moo a resat'1sovett&. 0 Flii.lfgbtutd'su ,
Q i.and 2-family dwelling CommerciaYindustrial 0 Accessory building less m immInd,oceueeds1000 0 Commercial-use agricultural
amps for all other installations, buildings,
0 Multi-family 0 Master builder 0 Other:
Fisc puma, 0 In&tallatioa of 150 tCVA or
'.
2,01 y':::W % rho, � , //it- l maim y&p&,m larger seepmataly derived
�//�� %, /d�/i,/h.��/i//r..:/,-;..:,,,,,:i4;.,.,.ter/m/ai//i�%///jai i./
lin
maim ofnew motor load of system,
Job Job site address: /// o /,,1 (o a /70,-, ' ; 100HP or more. 0"A”,"E","1.2".,"1-3",
l tt�/S'Cat l lP T//�ifiLil p `�-f Z�3 w i 0"5th or more residential units, €s:eIslrasmy,
0 l eaith-rare idti , 0 Recreational vehicle parks.
Suite/bldg./apt,#: Project narne: Ca1C,o U�r— 0 hazardous locations, 0 Supply voltage for more Than
Q Service or feeder 600 amps or mere 6tlo vsitta nomitt2l
Cross Street/directionS to job site: ijj�%,Jit //�' � �i/iiaiaia a11::::� :7,1raoo/iK;;I/ //%& ,a'<�
., .. .. ,/////j ���"G�'�y'��Nwyr iii,%,,.oo�/mo��/////jj/%�/�/j� r
x6. ow r.th Terxt w
New residential single-or could-family dwelling unit.
Subdivision: : Lot 1l: Includes attached garage. �,
1,000 0 sq.it,or less 168.54 4
Tax map/parcel 9#
r :aaddl 500 sq,it or portion 33,92 I
iii //%i// / /✓ aor orrHpa � / /Z/; // ,h, Limited energy,residential75.00 2
I/4,1 f�9o� (with above sq,ft.)
,___. Limited energy,multi-family 75,6(3 2:
residential(with above',,It,; y
W '
- /%/i%/r p/ra//cwry�.o/cw rsr. %O /trio/// ��::,��•////. r �,�j% /i/i0i r� tir,�ii// /•/.: j : enewa le Brie.;: ■ See `a(e 2
i/ / ,G io"7" r�;y DG//o :v. /'/ W/7 "':41,:,:5;:::;:i! AtfAM;PAAtie3f. i Services or fe ens lustakltatfon,alteration, and/or relocation
Q LRS i�'r—" 200 amps or less 100,70 2
Address: 201 ams to 40o ampn 133.56 2
City/State/ZIP: 1 401 mops to 600 amps 200,34 2
601 amps to 1,000 amps 301.04 2
Phone:( ) Fax:(�„ Over 1,000 amps or volts 352:26 2
Temporary serviem or feeders instillatrn,alteration,and/or
Email: rel tion
Owner installation:This installation is being made on property that I own which is not 200 amps or less 1 59,36 i
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401201 amps to 599 amps 168.5408 2
amps to 400125.
Ownersignature:_ Date: 2
isi4rr m7-,,,r�?000i 4t;,p ; i no�p/iii/ /i ,rtu / /
� i� r�� �/ / / ��/%� '��� %�' ' ��/� Branch circuits-new,alteration,or extension,per panel
;% x ;; � /// e 9t , � r i r,/ P A.Fee for branch circuits with
Business name:Hannah Sign Systems above service or feeder fee,
earl branch circuit 742 2
Contact name:Dave Lanphere 0,Fee for branch circuits without III
Address:1660 SW Bertha Blvd service or feeder fee,first 56.18 2
�..,...,...... branch circuit '
City/State/ZIP:Portland,OR 97219 h acld't branch circuit 7,42 2
a
i.� neous(service or feeder not included)
Phone: }94 373 �;:(503)213 0 Each manufacturedor modular 6,/ #
dwelling,sice and/or feeder ' 2
Email:davelQ nnahs systems cans
ecormeet only 2
litij��j/�/,� %r '//"%/%/%r/n /io%ii/mrrrri//,p/ r�rpJn r0/// ,, /, ., ��.��.'. - - �„. .
v✓��//,i NN�/�/,,%//%�G!114 ,�; s !!� A%///%�///� /7 67;
iii it it„r,, D/// � j %1 Pump or iiat fin circle7. 2
Business name:Hannah Sign Systems Signor outline lighting I 67,84 2
Address:1660 S Bertha d Sill circuit(s)or liuuted-ever 0gee sage 2 ` 2
panel,alteration mire
City/State/ZIP:Portland,OR 97219 Each additional ins, dna over allowable in a ,of the above
, Additional inspection(1 hr min) 5625/hr
Phone:($03)946-373 I Fax:(503)206-4900 hives' "on(1 br mat) 90,0 hr
Email:duvet an► igr� ms,co 7( /14 ( 7C, n u tri�lao.ne(1 hr o fee is 96,) 181 r
CCI3 Lic.: 203638 Electric.)Lie,: CLS34 Suprv.Lie,: S1 676 ,>r'flew`listeda hr min /hr
�/r �� o /moj/ H awore / y
Suprv.Electrician sipatrre,required: suol:...._ ,.,
Print name: Dave Demuth Date; /t iq /7 0Plan Review Required(23%of permit fee):
State surcharge(12%of permit fee): ; '
Authorized signature: TOTAL PERMIT FEE:
'Crus permit application expires ifa permit is net obtained within 180
Print name: Dave Lanphere Date: /0 days after it has been accepted as complete,.
w Nutoter of inspions allowed per permit.
t?,r3ailAingl orro&FICJnarrtApg;_E t, RS,dec Ito(06/17/2015 44046aSTr1l/03fC0 Wit
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
11140 SW 68TH PKWY, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Electrical ELC2017-00853
Inspection Type: Inspector:
199 Electrical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor