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Permit (70) CITY OF TIGARD ELECTRICAL PERMIT 111 COMMUNITY DEVELOPMENT Permit#: ELC2019-00400 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/11/2019 T i ;t Iz.r) 9 Parcel: 2S110AA00600 Jurisdiction: Tigard Site address: 10650 SW MCDONALD ST Project: 7-11 Subdivision: None Lot: None Project Description: Sign lighting. Contractor: HANNAH SIGN SYSTEMS INC Owner: 7-ELEVEN INC 1660 SW BERTHA BLVD BY TEXLAND PROPERTIES CORP PORTLAND, OR 97219 TAX DEPT#16394 PO BOX 711 DALLAS, TX 75221 PHONE: 503-946-8373 PHONE: FAX: 503-206-4900 FEES Quantity Description Date Amount 1 ea Sign or Outline Lighting 06/11/2019 $67.84 Specifics: 1 ea 12%State Surcharge- 06/11/2019 $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 days. ATTENTION: Oregon law requires you to folio the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OA 52-001- 0. Yo ay obta' a copy of the rules or direct questions to OUNC by calling 503.232.19:7 or :1,0.332.2344. _ n Issued By: Permittee Signature: / A 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. 1. Electrical Permit Application I FOR OFFICE ISE oNL\ City of Tigard Received Date/B : i / Permit#: ._/_____e9/0 _it Liolio 111111 e 13125 SW Hall Blvd.,Tigard,OR 97223 'JUN1 1 2019Plan Review Related Permit#: Phone: 503.718.2439 Fax: 503.598.196(U!`�r-� rar, T DateB : Inspection Line: 503.639.4175 1 l— I I t Ii ' Ready Date/By: Juris: 10 See Page 2 for T I G A R D Internet: www.tigard-or.gov ..3 U 1 LD 1 NF G C)!VI S!( ,ii otified/Method: Supplemental Information t,z.• ..u. , -.-x:, TYPE•OF W©RI PLAN REVIEW ®New construction 0 Addition/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 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 0 Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived ❑Addition of new motor load of system. Job#: Job site address: 10650 SW McDonald 100HP or more. ❑`°A","E","1-2","1-3", City/State/ZIP:Portland,OR 97224 0 Six or more residential units. occupancy. ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: PProject name:7-11 0 Hazardous locations. 0 Supply voltage for more than roJ ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site:Pacifif Hwy FEE SCHEDULE Description I Qty. I Each I Total 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 1 DESCRIPTION OT WORK Limited energy,residential / ) (with above sq.ft.) 75.00 2 JJ�(7/VC— Limited energy,multi-family residential(with above sq.ft.) 75.00 2 �� TENANT Renewable Energy ❑ Page 2 0 PROPERTY,OWNERServices or feeders installation,alteratioSeen,and/or relocation Name:7-11 200 amps or less 100.70 2 Address: 10650 SW Ma Donald St 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Portland,OR 97224 601 amps to 1,000 amps 301.04 2 Phone:( ) Fax:( ) 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 a CONTACT PERSON • Branch circuits new,alteration,or extension,per panel A.Fee for branch—circuits with Business name:Hannah Sign Systems Inc above service or feeder fee, 7.42 2 each branch circuit Contact name:Dave Lanphere B.Fee for branch circuits without serAddress: 1660 SW Bertha Blvd branchce i feederstfee,first 56.18 2 branch circuit City/State/ZIP:Portland,OR 97219 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(503)9468373 Fax: :(503)206-4900 Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email:davel@hannahsignsystems.com Reconnect only 67.84 2 x. '' N " - ,• . Pump or irrigation circle 67.84 2 Business name:Hannah Sign Systems Inc Sign or outline lighting i 67.84 2 Signal circuit(s)or limited-energy ❑ See Page 2 2 Address: 1660 SW Bertha Blvd panel,alteration,or extension. City/State/ZIP:Portland,OR 97219 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(503)946-8373 I Fax:(503)206-4900 Investigation(1 hr min) 90.00/hr Email:davel@hannahsignsystems.com Industrial plant(1 hr min) 78.18/hr • Inspections for which no fee is 90.00/hr CCB Lic.: 203638 1 Electrical .: Cl%34 Suprv.Lic.: SIG676 specifically listed(%hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: } Subtotal: Print name: Dave Demuth Date;4jXp�0e 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. Dave Lanphere Date.6,./‘ 1days after it:.. •••. ••••• •• •,.• • • * Number of inspections allowed per permit. I:\Building\Permits\ELC_PermitApp_ELRERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB City of Tigard Tel: 503.718.2439 Location: Inspection Date: 10650 SW MCDONALD ST, TIGARD, OR, 97224 July 25, 2019 at 7:34:38 AM Record Type: Record ID: Commercial - Electrical ELC2019-00400 Inspection Type: Inspector: 199 Electrical final Chip Barnett Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor