Permit (49) 74CITY OF TIGARD ELECTRICAL PERMIT
' COMMUNITY DEVELOPMENT Permit#: ELC2019 00189
TEGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/21/2019
Parcel: 2S110AD08700
Jurisdiction: Tigard
Site address: 10695 SW MURDOCK LN
Project: North Hudson Apartments Subdivision: None Lot: None
Project Description: Sign lighting for(1)sign.
Contractor: RAMSAY SIGNS INC Owner: S&P PACIFIC CREST LLC
9160 SE 74TH AVE 10695 SW MURDOCK LLC
PORTLAND, OR 97206 ATTN SHARKANSKY, MAX
700 N SAN VICENTE BLVD STE G460
WEST HOLLYWOOD, CA 90069
PHONE: 503-777-4555 PHONE:
FAX: 503-777-0220
FEES
Quantity Description Date Amount
1 ea Sign or Outline Lighting 03/21/2019 $67.84
Specifics:
1 ea 12%State Surcharge- 03/21/2019 $8.14
Electrical
Type of Use: COM
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 1
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notificatiea- ... t forth in OAR
952-001-0010 through 0 952-001-0090. Y. . .• -in a copy•�:__direct questions to OUNC by calling 503. 32.1,',
Issued By: Per • ignature: ` — _
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 FOR OFFICE USE ONLY'
IiiReceived
City of Tigard
' ECELVED DateBy: 3 ?/ //�i Permit No.: “�fir}i( _r fot
U k 13125 SW Hall Blvd.,Tigard,OR 972 Plan Review TrJJ�°'
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
T 1 G A R D Inspection Line: 503.639.4175 MAR 212019 Date Ready/By: Juris: Q See Page 2 for
Internet: www.tigard-or.gov Notified/Method: '�/ Supplemental Information
OF TIGARD
E OF Vy0 Y �t N PLAN REVIEW
ion/eDING Please check all that apply(submit 2 sets of plans w/items checked below):
0 New construction Addition/alteration/replacement
0 Service or feeder 400 amps or more 0 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.
less to ground,or exceeds 14,000 0 Commercial-use agricultural
❑ 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building amps for all other installations. buildings.
❑Multi-family ❑Master builder 0 Other: 0 Fire pump. 0 Installation of 75 KVA or
❑Emergency system. larger separately derived systen
JOB SITE INFORMATION AND LOCATION 0 Addition of new motor load of ❑"A","E","1-2","1-3",
1001W or more. occupancy.
Job no.: Job site address: 10695 /�'1t i� ;u 0 Six or more residential units. 0 Recreational vehicle parks.
City/State/ZIP:Tigard,OR 97223 0 Health-care facilities. 0 Supply voltage for more than
❑Hazardous locations. 600 volts nominal.
Suite/bldg./apt.no.: Project name: (/L) jij - tt
4, Service or feeder 600 amps or more.
v / FEE SCHEDULE
Cross street/directions to job site: Description I Qty. I Fee. I Total I *
CC 1 New residential single-or multi-family dwelling unit.
t \,) `.„.1 PA -G "f'lt'"�) Includes attached garage.
Subdivision: Lot no.: 1,000 sq.ft.or less 168.54 4
Ea.add'!500 sq.ft.or portion 33.92 1
Tax map/parcel no.: Limited energy,residential
75.00 2
DESCRIPTION OF WORK (with above sq.ft.)
Limited energy,multi-family
t') sT 61,3 G}-y2 C Li( residential(with above sq.ft.) 75.00 2
Services or feeders installation,alteration,and/or relocation
200 amps or less 100.70 2
El PROPERTY OWNER Ei: TENANT 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
Name:
601 amps to 1,000 amps 301.04 2
Address: Over 1,000 amps or volts 552.26 2
City/State/ZIP: Temporary services or feeders installation,alteration,and/or
tY relocation
Phone:( ) Fax:( ) 200 amps or less 59.36 1
201 amps to 400 amps 125.08 2
Owner installation:This installation is being made on property that I own which is not 401 amps to 599 amps 168.54 2
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701.
Branch circuits—new,alteration,or extension,per panel
Owner signature: Date: A.Fee for branch circuits with
® APPLICANT ❑ CONTACT PERSON above service or feeder fee,
7.42 2
each branch circuit
Business name:Ramsay Signs Inc B.Fee for branch circuits without
service or feeder fee,first 56.18 2
Contact name:Austin Tudor branch circuit
Each add'l branch circuit 7.42 2
Address:9160 SE 74th Ave Miscellaneous(service or feeder not included)
City/State/ZIP:Portland,OR 97206 Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Phone:(503)777-4555 Fax: :(503)777-0220 Reconnect only 67.84 2
• Pump or irrigation circle 67.84 2
E-mail:AtudorG@RamsaySigns.com Sign or outline lighting I 67.84 (0"' re-f 2
CONTRACTOR Signal circuit(s)or limited-energy
Business name:Ramsay Signs Inc panel,alteration,or extension. Page 2 2
Each additional inspection over allowable in any of the above
Address:9160 SE 74th Ave Additional inspection(1 hr min) 66.25/hr
Investigation(1 hr min) 66.25/hr
City/State/ZIP:Portland,OR 97206
Industrial plant(1 hr min) 78.18/hr
Phone:(503)777-4555 Fax:(503)777-0220 Inspections for which no fee is
90.00/hr
specifically listed Ci hr min)
CCB Lic.: 63422 Electrical Lic.: 26106CLS Suprv.Lic.: 493Sig °=, :<ELECTR1CAL PERMIT FEES
Subtotal: �$�.1 _4
Suprv.Electrician signature,required .
Plan review(25%of permit fee):
Print name: Phil Steiger Date: 2/2t/!y State surcharge(12%of permit fee): 8. 14'
.."--
*----3— ',. TOTAL PERMIT FEE: 75.ti�;'
Authorized signature: 6) - � -
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: Austin Tudor Date: Z/,-Vii,
Number of inspections allowed per permit.
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