Permit (292) CITY OF TIGARD ELECTRICAL PERMIT
Fr �
COMMUNITY DEVELOPMENT Permit#: ELC2017-00864
TtGAR 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/11/2017
Parcel: 2S115AB01900
Jurisdiction: Tigard
Site address: 16200 SW PACIFIC HWY G2
Project: Foot Solutions Subdivision: 1994-028 PARTITION PLAT Lot: 2
Project Description: Sign lighting for(1)sign.
Contractor: HANNAH SIGN SYSTEMS INC Owner: SN PROPERTIES PARTNERSHIP
1660 SW BERTHA BLVD 1121 SW SALMON ST
PORTLAND, OR 97219 PORTLAND, OR 97205
PHONE: 503-946-8373 PHONE:
FAX: 503-206-4900
FEES
Quantity Description Date Amount
Specifics: 1 ea Sign or Outline Lighting 12/11/2017 $67.84
1 ea 12%State Surcharge- 12/11/2017 $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 is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification tenter. Those rules set forth in OAR
952-001-0010 through
OAR 952-001-0090. You may obtain._�:.�_.f the rules or direct questions to OUNC by calling 503. 3"1987 or 1.800.332. 4. �/
Issued By: :�� "",�ij't!ce-� �C . Permittee Signature: Y.
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.
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RECEIVE. ,,,,, Of II( V 1 sil tisl.1
City a, '° % 1 r€
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,.,-" 13125 SW Hall Blvd.,Tigard,OR 97223Fix,Teevie„r .r JI ., .
' Phone: 503,718: 39 Fax: 503,595:19 Related d"P it if
Inspection Line: 503a639,r417S N 0 V ® �O 1 ' �.
1 1F,. I> �yT3atef13y; ton 611 SeePagefer� :
l�rrtet XVNV t nb*prd r 4esv Ni ,. .,,. Supplemental Intermation
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gi New amstruction 0 Addition/al liti t ti"t!a` . ' : ' " < �':' Please check all that apply<submit, sets erfplaas whims ehee ed):
1ettlCtTit3tttiOther: Cl Service or feeder amps OT more p Building over three stories.
/ i'm i/%/Demolition
/ / ai /er / /ii% /iTir�i/ /crNii %'r / /% / mime the availablefault current 0 ds;
viii/%O/t,1:1%�'//////%7//// 7; %% ' / 4 ':,;///O ',..?�„�l, exceeds 10,000 amps at 150 volts or 0Homing build
0 1-and 2-family dwelling 7- Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 r e artyaviculture!
amps for all other nstallations, buildings,v0 Master builder Other: 0 Fire Mud-
0 Iustal3
ton of 15010/A orn,42::7;71 ;,:'1!;,Multi-family
/�5/�r �vH i /i/,�.r /i n�ii ,/, o�ij/„:oiii,7o/i �� j�%�i//� 0 geey sysem, lager epiy terw"1
tt # i , . pion of motor load of spm,e .- : fob ste address; /42.op s-....1 Rc-+?►G l0OH1P or more, 0"A”,IV,-1-r, 1-3"
City/State/ZIP: TiHglt) !)2,_:''' 972z-1 0 Six or morerestdestti10 runts, cy,
0 health-care facilities, Ci Recreational vehicle parks.
Suite/bddg lapis. Project name:f - "5.°c��7�..�� ' 0llazardous locations, Ci SWAY voltage for�tint
0 service er feeder 600 autos or mare 600 volts n(ri nd
Cross street/directions to job site: r 7%�je ,/.% % ooiaiia/ayiiaii yap /j j // /ii'%%/%//
ii%O�%0k/% /fi /, ,,,:/yam „ti ;i//i%ice!1A
.etas 0r5. Earn •rte W
New residential single.or mall-family dwelling unit.
Subdivision: Lot#: Inclrides attuned;:ra!
1,000 sq,ft,or less ail 168,54
Tax map/parcel#: �i
f/ � La, lI500 sqft or petition 33,E 1
r ,:%mj r/%,/rtee /qr%: !//�i/,//�i �%/
I,itnited energy,residential
'5,00 2
/ 116. 1 kflog to, lwitl above sq.ft) _
_ Limited energy,multi-family 75
00 2
residential with above'. ft,.
/i /f/%/j// 9 ,/rr //i/r� it/// z/�iiiipd -ia i ;%'. p/.. // / enewa a E`n
���� �.aervia or feeders installation,alteration,and/or rekaeatirrn
Name: rc,- f ., ,a..rr 200 amps or less 11;70 2
.Address. • 201 amps to amps 13136 2
401 amps to 600 amps 200,34 2
City/State/ZIP: 601 amps to 1,000 amts 301,04 2
_
Phone:( Fax:( Over 1,000 amps or volts MN 552,26 Ei
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 I
59,36 I
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 mraio168,54 2
7 /...//�% '/�'"'''f/7;7.71 p/S / ;' 1;;F::FIS//n ii///",''si e ii' ratnch else its--neY4'y allrroti n or extension, r panel
������ � ���� �/ x ����/� z azo.
//o/ .i/u i✓,vi,�/ ,k,,.�„//Gi///� ironq A.- ee lbs branch circuits with
Business name:Hannah Sign Systems above service or feeder fee, 7.42 2
— - _ -- eszh branch circuit
Contact name:evel.s nphere ii Fee for Monthcircuits wimmit II ME
Address:1660 s' Bertha Blvd ' service or feeder fee,lira
56 18
branch circuit
City/State/ZIP:Portland,OR 97219 Led branch circuit 7.42 1
Phone:(5t13)946-8373 Fax:;(503) Miscellaneous(service or feeder not included),
24944 Each manufactured.or modular 67,8 2
�1:Havel nnnabsigsysrus com ,._. service
i /. �/����� � / / aii y;iimo r/mim r/i... / . �43� "ti only 67,84agi ��������
��// and/or feeder
f,,,����� /,i // /fy3z , : / % /�!-OZI a Pump or irrigation did. 6'7$4 IMMO,
Business name:Hannah Sign Systems Sign or outline lighting 67.14 - .�
ddres;lMil
td SWertlta Blvd Signal circuit(s)or limited-energy3 pale 2
anel alteration or extension.
City/State/ZIP: Portland,OR 97219 Each additional ins tion over allowable In any of the above
Additional inspection(1 hr mm) 66,251M
Phone:(503)946-837 Fax:(503)206-4900 Investigation(1 hr ming,) 90.0€1/hr
Email:tlawel rann4llsi syr s,c,o lndustri pion(l hr ) 75,18/to
Inspections for which no fee is 90.001 hr
I CCB Lim:Lie.: 243638 I l lecdric l I de,: u rv.1>ic.: S1G676 CLS34 ,.;peel listed th hr mm
Suprv.Electriciananignature,required L Subtotal:
Print name: Doge Demuth. I Date: /) /(�/-7 0 Plan Review• *aired(25%of. it fee:
State surchar,e(12%of 7 . it fee); ^'
Authorized signature: TOTAL PERMIT FEE: I -2,5---,q
�
This permit application expires if a perarait is net obtained withiirs lel
Print name: Dave Lanp.here Dote: //—/( -i days after it hats been accepted as complete,
.. + Numberofinventions allowed per permit.
tkettildin^1?e me ELC_AarautA r;,PUt EV.a4ac Rot '17/2015 440-45151(11135, WWX/,r1
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16200 SW PACIFIC HWY G2, TIGARD,
OR, 97224
Record Type: Record ID:
Commercial - Electrical ELC2017-00864
Inspection Type: Inspector:
199 Electrical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor