Permit CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: ELC2019-00041
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/21/2019
7 r C'A r<.t} g Parcel: 2S102CB01804
Jurisdiction: Tigard
Site address: 13305 SW PACIFIC HWY
Project: Taco Bell Subdivision: None Lot: None
Project Description: Sign lighting for(2)signs.
Contractor: SIGNCRAFT PREMIER IDENTITY SOLUTIONS LLC Owner: WEBER COASTAL BELLS LIMITED
20 ROYAL OAKS WEBER, EDUARD
ROSEBURG, OR 97470 840 CONGER ST
EUGENE, OR 97402
PHONE: 541-672-3170 PHONE:
FAX:
FEES
Quantity Description Date Amount
2 ea Sign or Outline Lighting 02/21/2019 $135.68
Specifics:
1 ea 12%State Surcharge- 02/21/2019 $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: Oregon 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 OAR 952-00 0090. You ma btain a copy of the rules direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
i
By: Signature: i7d(eco C.Issued i3 ���f�� rmittee T_
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 Penii A. 11PR01L -iOn, FOR(BEI( E I '..E- 0\1.N
City ofTigard / 16Received ' r= Pemitl.
Datein . . A, — 4-.... '
II . 13125 SW Hall Blvd.,Tigard,OR 97223 ,
'; g - Phone: 503.7181439 Fax: 503.598..1960 RECEIVE t ' Rekted PCMit#:in .
Inspection Line: 503,639.4175 .eady Datelliy: ri See Page 2 for
d-or.gov 11 -MI Supplemental Information
TIGARP interact: www.tigarNotifiedftdethod:
JAN 3 1 2019 - 1
, ;q tr., 5+-.. 2, ,,,,I,,„„a I Print name.
ili:-.4.:---: 501:),`-''',,s-''-',4-,, 2?"",0,1"11,-,,7:::%ii,4,1r*-47$31(-,1..1..AtIt„,-- •,-.7::,7:12, 0, -- -*,-..,..-\le,-/,!...o- •
- - - - - a i' - ' a ---a -t
D New construction 8: Additiontaiteratio rep=men
-71-'i.:;:4414'iti?'.-,1:1r4.:iT.. V: '. ti!,‘' :,:f4;;:"---, i.4,--
o Demolition 0 Other
'7.411t1.: .2..•"-„lid"..,1"t*-;''•-'•,•=.;"r.o'•:•".,,L P. -1,,,,i;.;!,-'.... .11,c,,,,'1,F,1 '— !,-4 444., ", . 6 , 6' ()Service or keder 400 amps or room 0 Building cm three straits,
0 1-and 2-family dwelling 4 Commercial/industrial 0 A 11:1,;., .a'di 1‘..'""7" Wbete the available fault.entreat 0 Marinas and bealYarri&
• '
0 Multi-family 0 Master bu0 r execcds 10,000 amps at t50 volts or 0 Floating buildings.
ilder li _4
. mat. less to groom&or exceeds 14,000 0 Conunercialmse apiculture
T '' ''kr.--;,:'4- ,41-14-:0 ' -,': ;4141 .. ' '-1);t:i'''''^: 1.3.'-,-,,*44:',87 7:i-',•'Pi:1:2:,;-,,LZ ,:r11441'..42:7, araira frarai caber naradiaiiani„ braiding,.
Job it: Job site address:13305 SW Pacific Hwy 0 Fire pump. E3 Installation or 150 KVA or
0 Emergency system. larger separately derived
City/State/Zlli:Tigard,OR 97223 0 Addition anew motor load of system.
1001-1P or mote.
Suite/bldg./apt.#: Project Mile' :Taco Bell Remodel 0 Six or more residential units, occuPartcY-
0 flealtMearc facilities. .0 Reereatirmal vehicle parts.
Cross street/directions to job site: Ottatudous locations. 0 Supply voltage for more than
0 Service or feeder 600 amps or more. 600 v0114 mama
, '-•:',':
tiIp .t:i rC'iii-'4";.1.,',:1 !7 'Il „..-
Subdivision: I. Lot 4: oworpotte ' ' ''1 Qty. 1, bah Tets3 1 *
New residential single-or multi-Javally dwelling unit.
Tax map/parcel a.:
.„•,, ,,.;e7"",E.T.'--:..,„ ,:"s.''.. attacbcd garage.
YIP'iril,-.:,-,, 1':,'46' 1''- ' 0 ragiv=wo!_,.k....,..77,,,,,-4,-,,,,,7,,,:-...!7R.,-r,, ,,,,,,,,m i 000„it igi lea 16434 4
......_ ,.. I. •
' I -
Install of drive dimwit elements dr,buildingcanoptes Ea.addl 500 sq.ft or portion 33.92 1
_ Limited cnergY,Maiden" 75.00 2
Electricals to be connected to provided feeder (with above M.it)
*It.evitO .'7177a:'i-i, i.:44:.,,s';‘,2571117,ZilTscki..- ,,,. V'01:7'.',,,,,- a Lun't!'d en?rgY.'.'w Y 75.00 2
i - rendential(with above so,fr)
Name:Weber Enterprises Inc Renewable Energy 0 See Page 2
Services or leaden installation,alteration,andfor relocation
Address:840 Cougar St, 200 amps or less 100.70 2
City/State/ZIT':Eugene,OR 97402 201 amps tO 400 amps 13156 2
Phone:( ) I Fax:( ) 401 amps to 600 omits 20034 2
601 amps to 1,000 amps 301.04 2
Email: Over 1,000 arops or volts 55226 2
Owner installation:This installation is being made on property that I own which is not Temporary services or feeders installation,alteration,and/or
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. relocation
200 amps or lessOwner signature: Date: 59.36 1
,..,"s.,••••-„:':°•-,. jtS4L41,,,,,,,,,,,„*Sk''' L,g7:,:,.,,.. di,,..„ :, 1.1 .,4,,,,L.:0zi g.,3,c,,1,iza,,..t,•41,i, ,..,,,,A11,414
401 amps to 599 amps 168.54 2
Business name:SiguCraft Premier Identity Solutions,LLC - panel
Branch circuits-new,alteration,or extension, e
_
A.Fee kr branch circuits with
Contact name:Elias Minaise above service or feeder fee, 7.42 2
Address:20 Royal Oaks Dreach branch circuit
B.Fee for branch circuits without
City/State/ZIP:Roseburg,OR 97471 service or keder fite„first 56.11 2 branch circuit
Phone:(541)672-3170 Fax::(5411)672-3251 Bach add"1 branch circuit 7.42 2
.. ..
Email:signs(gsignerafting.com filiscellantons(service or feeder not Included)
Each matinfachneor d modular
r..1•:•• x•eo6,-....1-.v. ,17, ,,1*,-,1--.7,41.--N:•1%...::.-C•ieroxtriirom-r.F .,.!--,...rtr-t-",-.-74.w‘n-•utritm:t . . 67.84 2
4,,,,i,,,,4,1,,,i, el,11;„,err. ,t?w.--..,„,j, :St,- 21..j."•1.1.1,,...„ 1:', ,au.a.„.„,,„....12,....if3:,;,, ,,f,_„,,,, ,,,i dwe • =mice andlor Rieder
Business name:SignCraftPremier Identity Solutions,LTA': Reconnect only 67.44 2
1,---....,-......---
— - " Pump or irrigation circle 6714 2
Address:20 Royal Oaks Dr Sign or outline lighting OTY 2 67.84 2
City/State/ZIP:Roseburg,OR 97471 Signal circuit(s)or limitet1energy ,„.„, v...0......2 2
panel,alteration„or extension. "4 ''''''•'''6"`
Earnvestis7dadaioution(14hrinlinnep7tion over allowable in any of the above
Phone:(541)672-3170 Fax:(5411)672-3251 .
Additional Inspection(1 hr rain) 6625/lir
Email:signsOsigncrafting.corn 90.00/hr
COB Lie.: 176832 Electrical 145.' ; CLS24 .,Imt rv.tic.: 2516S industrial plant(1 hr el(n) 78.1.8/hr
* . , —7_,/
Suprv.Electrician signature,required- tt(1.4.1 ,:t .4-/ Inspections for which no fee is
4 4 Tirol listed(11 hr nun* 90"/hr
Print name: Raymond Sees Date: 7/7/19 ES6 . :4hC:;.,,Y1aer
Subtotal:
, .... ,
Authorized sittna/ture: La13 Plan Review Required(25%of mama fee):
‘"4010f4 , 4. 4r 4. i...
- State surcharge(12%of permit fee):
.,
1 ememeememetnate PortrilApp jiatfitEdoe Rev 0017/2015 440.4615T(t IAISCOMIWES
i
Electrical Permit Application FOR OFH( I 1 SE 0y1.1
City of Tigard Received
"' Plan Revie Date/B : 4 �12, Permit#:
— 111‘ ° 13125 SW Hall Blvd.,Tigard,OR 9722 E 1 ED r�
Phone: 503.718.2439 Fax: 503.598.1 6 Date/B : Related Permit#: /91.4/,r -) i'
T I G A K D Inspection Line: 503.639.4175 Ready Date/By: ® See Page 2 for
Internet: www.tigard-or.gov ,JAN 1 6 2 019 Notified/Method: Supplemental Information
'IPEOF mWO1(GAR� Ally REvirw t e Please check all that apply El New construction ®Addition/altera $ �
1�I1C 1 ( tl �'��� ��4 pp y(submit 2 sets of plans w/items checked):
t L ❑Service or feeder 400 amps or more ❑Building over three stories.
❑Demolition 0 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 0 Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family 0 Master builder 0 Other: ❑Fire pump. 0 Installation of 150 KVA or
JOB SITE INFDRMATION AND LOCATION ❑Emergency system. larger separately derived
Job#: Job site address: 13305 SW Pacific Hwy ❑Addition of new motor load of system.
100HP or more. ❑"A",`E","1-2","1-3",
City/State/ZIP:Tigard,OR 97223 ❑Six or more residential units. occupancy.
❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name:Taco Bell Remodel ❑Hazardous locations. ID Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: SCHEDULE
Description I Qty. I Each I Total I
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
Tax map/parcel#: 1,000 sq.ft.or less 168.54 4
Ea.add'1500 sq.ft.or portion 33.92 1
, DESCRIPTION OF WORK` Limited energy,residential
Install of drive throu elements&building canopies (with above sq.ft.) 75.00 2
Limited energy,multi-family 75.00 2
Electricals to be connected to provided feeder residential(with above sq.ft.)
Renewable Energy 0 See Page 2
Cl. OPE Y OWNER U`T ANT Services or feeders installation,alteration,and/or relocation
Name:Weber Enterprises Inc 200 amps or less 100.70 2
Address:840 Conger St, 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP:Eugene,OR 97402 601 amps to 1,000 amps 301.04 2
Phone:( ) Fax:( ) Over 1,000 amps or volts 552.26 2
Email: 1 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
Vie.APP:,ICAf!I ❑ CONTACT PERSON Branch circuits ynew,alteration,or extension,per panel
A.Fee for branch circuits with
Business name:SignCraft Premier Identity Solutions,LLC above service or feeder fee, 7.42 2
each branch circuit
Contact name:Elias Minaise B.Fee for branch circuits without
Address:20 Royal Oaks Dr service or feeder fee,first 56.18 2
branch circuit
City/State/ZIP:Roseburg,OR 97471 Each add'!branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(541)672-3170 Fax::(5411)672-3251 Each manufactured or modular
Email:signs@signcrafting.com
dwelling,service and/or feeder 67.84 2
Reconnect only 67.84 2
tl? CTOR Pump or irrigation circle 67.84 2
Business name:SignCraft Premier Identity Solutions,LLC Sign or outline lighting X 67.84 2
Address:20 Royal Oaks Dr Signal circuit(s)or limited-energy 0See Page 2 2
panel,alteration,or extension. g
City/State/ZIP:Roseburg,OR 97471 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(541)672-3170 Fax:(5411)672-3251 Investigation(1 hr min) 90.00/hr
Email:signs@signcrafting.com Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is
CCB Lic.: 176832 Electrical L .'. CLS24 Suprv.Lim' specifically listed(%z hr min) 90.00/hr
ELECTRICAL. RMIF PEES
Suprv.Electrician signature,required: % Subtotal:
Print name: Michael Walters Date: 7/7/19 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: TOTAL PERMIT FEE:
) This permit application expires if a permit is not obtained within 180
Print name: FA`q(� t'M 1 l'n q)rS_ei Date: 7/7/19 days after it has been accepted as complete.
* Number of inspections allowed per permit.
I:\Building\Permits\ELC_PemdtApp_ELR ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB
AAL
Electrical Permit Application—City of Tigard
Pagt 2—Supplemental Information
. .-
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Fee for all residential systems combined: $75.00 Des
cription I Qty. I Each I Total I
Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 133.56 2
ri Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
Li Burglar Alarm 25.01 to 50 kva 301.04 2
❑ Garage Door Opener* 50.01 to 100 kva 552.26 2
>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:
El Other: Each additional inspection is 66.25/hr 1
charged at an hourly(1 hr min)
Inspections for which no fee is
specifically listed(V2 hr mm) 90.00/hr
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Fee for each commercial system: $75.00 Subtotal(Enter on Page 1):
(SEE OAR 918-309-0000) * Number of inspections allowed per permit.
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
Li Fire Alarm Installation
• HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
I:\Building\Permits\ELC_Pern¢tApp_ELR_ERE.doc Rev 06/17/2015
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13305 SW PACIFIC HWY, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Electrical ELC2019-00041
Inspection Type: Inspector:
199 Electrical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor