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Permit (121) CITY OF TIGARD ELECTRICAL PERMIT • COMMUNITY DEVELOPMENT ,jr1Rf/trihre. .i Permit#: ELC2018-00734 I IGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/08/2018 Noy Parcel: 1 S135BB00300 Jurisdiction: Tigard Site address: 10185 SW CASCADE AVE Project: SigFox Subdivision: None Lot: None Project Description: Replacing(1) 100 amp service utilizing existing conduit and conductors. 11/20/2018:REPRINTED permit to revise description to(1)200 amp service. Contractor: CAPSTONE SOLUTIONS INC Owner: LAMAR ADVERTISING OF EUGENE 8195 166TH AVE NE, STE 100 PO BOX 66338 REDMOND,WA 98052 BATON ROUGE, LA 70896 PHONE: 503-707-2656 PHONE: 503-708-4023 FAX: FEES Quantity Description Date Amount 1 ea Services or Feeders-200 11/08/2018 $100.70 Specifics: amps or less 1 ea 12%State Surcharge- 11/08/2018 $12.08 Type of Use: COM Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $112.78 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 th- . - -d by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through O.' 152-001-0090. Y6u may obtain a c•• • •-rules or di -ct questions to OUNC by calling 503.232.1987 or 1.81.332.2344. Issued By: / Permittee Signa u •. 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. CITY OF TIGARD ELECTRICAL PERMIT ' . COMMUNITY DEVELOPMENT Permit#: ELC2018-00734 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/08/2018 T t c+;4 R[� g Parcel: 1 S 135BB00300 Jurisdiction: Tigard Site address: 10185 SW CASCADE AVE Project: SigFox Subdivision: None Lot: None Project Description: Replacing(1)100 amp service utilizing existing conduit and conductors. Contractor: CAPSTONE SOLUTIONS INC Owner: LAMAR ADVERTISING OF EUGENE 8195 166TH AVE NE, STE 100 PO BOX 66338 REDMOND,WA 98052 BATON ROUGE, LA 70896 PHONE: 503-708-4023 503-707-2656 FAX: FEES Quantity Description Date Amount 1 ea Services or Feeders-200 11/08/2018 $100.70 Specifics: amps or less 1 ea 12%State Surcharge- 11/08/2018 $12.08 Type of Use: COM Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $112.78 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 la requires you t. follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR ::::::ttwoR 95 +t 0090. nto°LIN('bylli031 1.800.332.2344. 4- 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 Permit Application R E ---'_ 1 o lz o r r►c 1: i s is O y►.1 City of Tigard N O V — 7 2018 RDate/Beceived: kiwi./�`wi %'', i� I �I 111 1111 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review //1.- ■ Phone: 503.718.2439 CITY OF (;(ORD Date/B : Related Permit#: Email: TigardBuildingPermits@Tigard-or.B(J I LDj I N G D I V I I O Ready Date/By: Juris: ® See Page 2 for 1 I( A I D Inspection Line: 503.639.4175 Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW ❑New construction afAddition/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 [Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. 0 Multi-family ❑Master builder ❑Other: 0 Fireum . p p 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived ❑Addition of new motor load of system. Job#: Job site address: 101 <4 5 5 w l,(./,�l5( a, A vL 100HP or more. ❑"A","E","1-2","1-3", City/State/ZIP: (P0,i i Gtr (i G R J Cl�a ❑Six or more residential units. occupancy. / / ` ` ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: S f (J �'o X , pro(3., ('SJ 0 Hazardous locations. 0 Supply voltage for more than 0 Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: 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 I DESCRIPTION OF WORK Limited energy,residential 75.00 2 (with above sq.ft.) A/11 (,(.l 100 o, P S( - �ii' (A / f J / Zi`l.5 Limited energy,multi-family 75.00 2 CA/c L (/t? ,O 1 r✓ c IA ; av`ti ©A L t't(J r residential(with above sq.ft.) J Renewable Energy 0 See Page 2 P'PR PERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation Name: Io v-&i&. 1 Lt, 6 L lr- i, I.i cj t(''i/_ 200 amps or less j.. 100.70 2 Q �CC201 amps to 400 amps 133.56 2 Address: /,,,t,,, 401 amps to 600 amps 200.34 2 City/State/ZIP: p Q i-1-l a n d 0 t / 9 7 a 0 y 601 amps to 1,000 amps 301.04 2 Phone:(5 1 3) 0 q - (.(v a 3 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: Cci r'S tone, _co/a t I`v i`) S /;i G above service or feeder fee, 7.42 2 each branch circuit Contact name: 'R n bort LI/( `�_�`�,t` B.Fee for branch circuits without / V V I� service or feeder fee,first Address: q/eI C / 66-14' A i/� JV (/', Ste /0 0branch circuit 56.18 2 City/State/ZIP: 1 Each add'I branch circuit 7.42 2 _� Miscellaneous(service or feeder not included) Phone:(50' ) S I q - 3 -4 Each manufactured or modular 67.84 2 dweEmail: C V i C/cvCJ 0C_a.i--5-ton e(J 1 ' / Reconnect serviceoand/or feeder �1< L-G� Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: („6.(75 it,0 e $6/6471 f 00$ /,( Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy Address: 44' e. /00panel,alteration,or extension. 0 See Page 2 2 City/State/ZIP: Re AO n(1t o�l / i,V / 1 g05 !� Each additional inspection over allowable in any of the above l Additional inspection(1 hr min) 66.25/hr Phone:(5 c3) J -I - 72 S -7- S Investigation(1 hr min) 90.00/hr C t // / Ke r i (c(.�S O c / c o Industrial plant(1 hr min) 78.18/hr Email: V [i 'L /(l- Y �� Inspections for which no fee is CCB Lic.: I (a 5 Q G•1 Electrical L1c.. ' l�` Suprv.Lic.: 6/6 1 5 specifically listed('h hr min) 90.00/hr ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: i,_,_ ' > Subtotal: Print name: : c i S-to p ISG r k,L K Date:u-/S a__ ❑Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): �V TOTAL PERMIT FEE: Authorized signature: This permit application expires if a permit is not obtained within 180 ! Print name: Robed( (I,G,<�r1 ate: I t4� days after it has been accepted as complete. * Number of inspections allowed per permit. I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 10/26/2017 440-4615T(11/05/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE DescFee for all residential systems combined: $75.001 Qty. I Each I Total I R 3r Renewable ble electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva 301.04 2 50.01 to 100 kva 552.26 2 ❑ Garage Door Opener* >100 kva(fee in accordance with OAR 918-309-0040) 552.26 2 ❑ Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 ❑ Vacuum Systems* >100 kva—no additional charge 0.0 3 Each additional inspection over allowable in any of the above: ❑ Other: Each additional inspection is 66.25/hr 1 charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically listed('/hr min) COMMERCIAL WORK ONLY: EL..ECTRIC 'PERMIT"` v , Subtotal(Enter on Page 1): Fee for each commercial system: $75.00 3r * Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems n Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC El Instrumentation • Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling n Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 1:\Building\Remits\ELC_PermitApp_ELR_ERE.doe Rev 10/26/2017 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 10185 SW CASCADE AVE, TIGARD, OR, 97223 November 21 , 2018 at 9:16:52 AM Record Type: Record ID: Commercial - Electrical ELC2018-00734 Inspection Type: Inspector: 115 Electrical service Chip Barnett Result: PASS Comments: Violation Summary: Inspector Contractor